San Jacinto Methodist Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for San Jacinto Methodist Hospital, Baytown, TX in 2024, from traditional Medicare claims. Back to the San Jacinto Methodist Hospital profile, with quality ratings, finances and negotiated rates.
1,922
Medicare inpatient discharges
In 55 published DRGs
1.83
Case mix index
IPPS FY 2027
11%
Surgical stays
80%
Stays with complications
In DRGs with a CC or MCC
1,673
Medicare outpatient services
In 30 service groups
Inpatient stays by major diagnostic category
Circulatory system537 discharges in 17 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 159 | $77,169 | $10,836 | $13,736 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 87 | $97,780 | $12,747 | $17,405 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 43 | $102,811 | $16,371 | $18,300 | 2.16 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 25 | $64,537 | $10,165 | $11,488 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 25 | $46,331 | $7,573 | $8,247 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 23 | $68,030 | $8,955 | $12,109 | 1.08 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 22 | $191,304 | $24,086 | $34,052 | 3.35 |
| Chest painMS-DRG 313, medical | 21 | $56,891 | $6,102 | $10,127 | 0.72 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 21 | $216,251 | $22,224 | $38,493 | 2.87 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 20 | $248,325 | $24,028 | $44,202 | 3.24 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 15 | $47,985 | $6,831 | $8,541 | 0.74 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 14 | $398,896 | $51,817 | $71,004 | 5.06 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $57,876 | $7,706 | $10,302 | 0.91 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 13 | $220,513 | $26,649 | $39,251 | 3.46 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 12 | $45,515 | $9,124 | $8,102 | 1.07 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 12 | $148,945 | $11,910 | $26,512 | 1.82 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 11 | $154,145 | $17,624 | $27,438 | 2.28 |
Infectious and parasitic diseases469 discharges in 4 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 | 358 | $115,347 | $15,008 | $20,532 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 54 | $293,770 | $35,951 | $52,291 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 42 | $64,857 | $8,553 | $11,545 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 15 | $451,525 | $56,793 | $80,371 | 6.96 |
Respiratory system244 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 76 | $100,446 | $12,928 | $17,879 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 65 | $67,616 | $9,915 | $12,036 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 57 | $73,503 | $10,085 | $13,084 | 1.33 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 19 | $94,419 | $13,542 | $16,806 | 1.74 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 14 | $158,358 | $20,759 | $28,188 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $87,163 | $10,968 | $15,515 | 1.40 |
Kidney and urinary tract186 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 46 | $44,266 | $7,721 | $7,879 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 43 | $84,422 | $12,296 | $15,027 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 40 | $83,113 | $12,478 | $14,794 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 29 | $51,944 | $9,393 | $9,246 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 28 | $46,548 | $7,176 | $8,286 | 0.81 |
Digestive system153 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 36 | $70,460 | $13,634 | $12,542 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 32 | $51,125 | $6,754 | $9,100 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 27 | $61,075 | $8,781 | $10,871 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 19 | $71,985 | $10,195 | $12,813 | 1.28 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 14 | $71,204 | $10,757 | $12,674 | 1.45 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 14 | $46,646 | $6,253 | $8,303 | 0.80 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 11 | $67,346 | $12,815 | $11,988 | 1.75 |
Nervous system115 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 36 | $92,543 | $14,720 | $16,473 | 2.00 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 31 | $62,054 | $13,154 | $11,046 | 1.79 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 19 | $63,134 | $8,440 | $11,238 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $53,975 | $6,976 | $9,608 | 0.80 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 14 | $68,752 | $8,775 | $12,238 | 1.06 |
Endocrine, nutritional and metabolic94 discharges in 4 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 | 50 | $71,987 | $10,391 | $12,814 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $48,146 | $6,056 | $8,570 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 15 | $69,225 | $7,897 | $12,322 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $69,318 | $11,871 | $12,339 | 1.45 |
Skin, subcutaneous tissue and breast40 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 25 | $46,794 | $7,470 | $8,329 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 15 | $64,698 | $11,085 | $11,516 | 1.49 |
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 | 22 | $147,163 | $15,395 | $26,195 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 16 | $178,260 | $16,429 | $31,730 | 2.11 |
Liver, gallbladder and pancreas23 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 23 | $101,815 | $15,466 | $18,123 | 1.92 |
Blood and immune system23 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 12 | $65,041 | $7,143 | $11,577 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 11 | $78,770 | $11,148 | $14,021 | 1.40 |
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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 461 | 414 | $30,470 | $1,977 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 220 | 141 | $31,344 | $1,662 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 118 | 111 | $118,066 | $10,197 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 88 | 86 | $21,930 | $2,121 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 87 | 81 | $31,110 | $2,269 | $2,405 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 85 | 82 | $77,472 | $5,223 | $5,339 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 74 | 73 | $17,761 | $1,147 | $1,220 |
| Level 2 Endovascular ProceduresAPC 5192 | 44 | 37 | $42,987 | $4,218 | $4,338 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 38 | 34 | $32,097 | $2,041 | $2,141 |
| Level 1 Nerve ProceduresAPC 5431 | 37 | 33 | $31,482 | $1,308 | $1,407 |
| Level 2 Upper GI ProceduresAPC 5302 | 35 | 32 | $11,112 | $1,415 | $1,445 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 32 | 32 | $35,955 | $2,314 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 27 | 27 | $17,936 | $1,143 | $1,196 |
| Level 3 Endovascular ProceduresAPC 5193 | 27 | 25 | $86,261 | $7,926 | $8,874 |
| Level 5 Airway EndoscopyAPC 5155 | 26 | 26 | $67,999 | $5,056 | $5,183 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 26 | 26 | $66,415 | $4,099 | $4,358 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 25 | 24 | $133,345 | $20,334 | $21,117 |
| Level 3 Urology and Related ServicesAPC 5373 | 25 | 17 | $25,195 | $1,505 | $1,516 |
| Level 5 Urology and Related ServicesAPC 5375 | 25 | 24 | $45,421 | $3,517 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 21 | 19 | $50,028 | $2,453 | $2,629 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 19 | 19 | $172,104 | $15,611 | $15,763 |
| Level 4 Airway EndoscopyAPC 5154 | 17 | 17 | $50,737 | $2,767 | $2,833 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 17 | 17 | $63,025 | $6,268 | $6,514 |
| Level 3 Lower GI ProceduresAPC 5313 | 17 | 15 | $24,734 | $1,859 | $2,176 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 16 | 16 | $261,121 | $28,782 | $29,375 |
| Level 2 Vascular ProceduresAPC 5182 | 15 | 15 | $13,368 | $1,171 | $1,204 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 15 | 15 | $96,277 | $8,262 | $8,569 |
| Level 3 Intraocular ProceduresAPC 5493 | 14 | 11 | $62,702 | $3,861 | $4,004 |
| Level 4 Vascular ProceduresAPC 5184 | 11 | $57,756 | $4,060 | $3,946 | |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 11 | $39,125 | $2,556 | $2,636 |
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.