Seton Medical Center Harker Heights Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Seton Medical Center Harker Heights, Harker Heights, TX in 2024, from traditional Medicare claims. Back to the Seton Medical Center Harker Heights profile, with quality ratings, finances and negotiated rates.
487
Medicare inpatient discharges
In 21 published DRGs
1.65
Case mix index
IPPS FY 2027
2%
Surgical stays
78%
Stays with complications
In DRGs with a CC or MCC
647
Medicare outpatient services
In 16 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases157 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 | 113 | $42,371 | $13,485 | $8,855 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 32 | $27,514 | $7,992 | $5,750 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 12 | $115,338 | $32,209 | $24,106 | 5.00 |
Circulatory system87 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 53 | $30,629 | $9,813 | $6,401 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 23 | $44,580 | $11,272 | $9,317 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 11 | $24,116 | $6,506 | $5,040 | 0.74 |
Kidney and urinary tract85 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 23 | $21,101 | $6,771 | $4,410 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 20 | $29,114 | $9,032 | $6,085 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 17 | $28,903 | $7,057 | $6,041 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 13 | $36,761 | $11,037 | $7,683 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 12 | $37,611 | $10,422 | $7,861 | 1.50 |
Respiratory system68 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 20 | $34,372 | $9,376 | $7,184 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 19 | $47,799 | $12,352 | $9,990 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 17 | $35,518 | $10,325 | $7,423 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 12 | $32,194 | $8,766 | $6,728 | 1.10 |
Digestive system35 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 19 | $35,766 | $6,603 | $7,475 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 16 | $24,217 | $6,175 | $5,061 | 0.79 |
Endocrine, nutritional and metabolic30 discharges in 2 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 | 16 | $24,659 | $9,874 | $5,154 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 14 | $29,380 | $6,852 | $6,140 | 0.78 |
Nervous system14 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 | 14 | $35,334 | $8,034 | $7,385 | 1.02 |
Blood and immune system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 11 | $38,378 | $11,305 | $8,021 | 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 | 199 | 179 | $18,687 | $1,965 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 67 | 63 | $41,849 | $10,208 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 66 | 66 | $25,897 | $2,116 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 48 | 46 | $20,701 | $5,091 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 38 | 38 | $9,707 | $2,354 | $2,373 |
| Level 2 Upper GI ProceduresAPC 5302 | 37 | 36 | $15,726 | $1,317 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 25 | 24 | $18,533 | $4,196 | $4,358 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 24 | 24 | $52,349 | $15,339 | $15,763 |
| Level 3 Endovascular ProceduresAPC 5193 | 20 | 20 | $66,498 | $7,980 | $8,874 |
| Level 4 Urology and Related ServicesAPC 5374 | 20 | 19 | $8,616 | $2,535 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 19 | 19 | $21,659 | $2,308 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 19 | 19 | $11,905 | $3,762 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 18 | 16 | $7,421 | $1,481 | $1,516 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 17 | 17 | $9,738 | $2,059 | $2,141 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 16 | 16 | $8,953 | $1,179 | $1,220 |
| Level 6 Urology and Related ServicesAPC 5376 | 14 | 14 | $27,623 | $6,774 | $7,291 |
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.