Resolute Health Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Resolute Health, New Braunfels, TX in 2024, from traditional Medicare claims. Back to the Resolute Health profile, with quality ratings, finances and negotiated rates.
665
Medicare inpatient discharges
In 25 published DRGs
1.62
Case mix index
IPPS FY 2027
10%
Surgical stays
82%
Stays with complications
In DRGs with a CC or MCC
940
Medicare outpatient services
In 23 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases186 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 145 | $142,918 | $10,532 | $12,434 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 27 | $75,715 | $5,020 | $6,587 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 14 | $250,863 | $26,172 | $21,825 | 5.00 |
Circulatory system173 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 55 | $101,059 | $8,506 | $8,792 | 1.59 |
| Heart failure and shock with MCCMS-DRG 291, medical | 48 | $87,724 | $6,742 | $7,632 | 1.28 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 18 | $91,842 | $4,656 | $7,990 | 0.91 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 14 | $59,265 | $2,675 | $5,156 | 0.72 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 14 | $84,311 | $3,573 | $7,335 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 12 | $104,410 | $6,747 | $9,084 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 12 | $67,390 | $4,442 | $5,863 | 0.86 |
Respiratory system91 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 40 | $114,924 | $8,713 | $9,998 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 35 | $84,193 | $6,871 | $7,325 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 16 | $114,186 | $6,706 | $9,934 | 1.23 |
Kidney and urinary tract83 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 28 | $63,909 | $4,388 | $5,560 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 17 | $63,902 | $5,721 | $5,559 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 14 | $63,579 | $4,084 | $5,531 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 12 | $88,294 | $8,815 | $7,682 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 12 | $85,122 | $7,891 | $7,406 | 1.65 |
Digestive system43 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 17 | $55,199 | $3,466 | $4,802 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 14 | $121,554 | $11,664 | $10,575 | 2.37 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 12 | $66,626 | $5,121 | $5,796 | 0.98 |
Musculoskeletal system and connective tissue38 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 19 | $115,860 | $11,178 | $10,080 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 19 | $123,374 | $11,420 | $10,734 | 2.11 |
Endocrine, nutritional and metabolic34 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 34 | $100,031 | $7,111 | $8,703 | 1.32 |
Nervous system17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 17 | $85,449 | $4,592 | $7,434 | 1.02 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 160 | 149 | $103,633 | $9,736 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 132 | 132 | $44,134 | $2,033 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 121 | 119 | $42,541 | $1,877 | $2,090 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 50 | 46 | $28,452 | $2,194 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 45 | 44 | $67,479 | $4,847 | $5,339 |
| Level 3 Endovascular ProceduresAPC 5193 | 45 | 44 | $122,063 | $7,747 | $8,874 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 41 | 41 | $90,125 | $7,648 | $8,569 |
| Level 5 Urology and Related ServicesAPC 5375 | 38 | 35 | $37,531 | $3,583 | $3,918 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 33 | 33 | $221,687 | $18,435 | $21,117 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 33 | 33 | $55,038 | $3,997 | $4,358 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 28 | 25 | $16,314 | $1,069 | $1,196 |
| Level 3 Lower GI ProceduresAPC 5313 | 26 | 26 | $28,132 | $1,945 | $2,176 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 24 | 24 | $137,400 | $13,934 | $15,763 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 20 | 20 | $17,621 | $1,067 | $1,220 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 19 | 17 | $51,916 | $2,397 | $2,636 |
| Level 3 Vascular ProceduresAPC 5183 | 17 | 17 | $41,405 | $2,208 | $2,405 |
| Level 2 Endovascular ProceduresAPC 5192 | 17 | 17 | $63,349 | $3,736 | $4,338 |
| Level 3 Urology and Related ServicesAPC 5373 | 17 | 17 | $23,354 | $1,328 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 17 | 17 | $32,820 | $2,415 | $2,629 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 16 | 16 | $164,821 | $16,261 | $18,465 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 15 | 15 | $33,369 | $1,969 | $2,141 |
| Level 4 Endovascular ProceduresAPC 5194 | 14 | $125,161 | $9,797 | $14,606 | |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 12 | 11 | $108,357 | $7,315 | $8,164 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.