Seton Medical Center Hays Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Seton Medical Center Hays, Kyle, TX in 2024, from traditional Medicare claims. Back to the Seton Medical Center Hays profile, with quality ratings, finances and negotiated rates.
1,148
Medicare inpatient discharges
In 45 published DRGs
1.92
Case mix index
IPPS FY 2027
14%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
870
Medicare outpatient services
In 22 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases260 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 | 199 | $107,910 | $13,058 | $12,194 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 35 | $62,631 | $7,764 | $7,077 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 26 | $296,445 | $33,996 | $33,498 | 5.00 |
Circulatory system219 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 66 | $77,500 | $9,253 | $8,757 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 37 | $114,130 | $11,450 | $12,897 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 26 | $170,554 | $15,374 | $19,273 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 17 | $259,281 | $12,836 | $29,299 | 1.82 |
| Syncope and collapseMS-DRG 312, medical | 14 | $53,999 | $6,510 | $6,102 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 13 | $44,492 | $5,228 | $5,028 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 12 | $90,235 | $6,152 | $10,197 | 0.91 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 12 | $31,298 | $3,823 | $3,537 | 0.55 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 11 | $103,531 | $7,608 | $11,699 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 11 | $388,393 | $20,227 | $43,888 | 2.87 |
Respiratory system167 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 63 | $92,178 | $9,554 | $10,416 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 36 | $84,735 | $11,137 | $9,575 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 24 | $64,912 | $8,721 | $7,335 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 16 | $34,888 | $6,298 | $3,942 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 16 | $119,436 | $17,303 | $13,496 | 2.70 |
| Major chest trauma with CCMS-DRG 184, medical | 12 | $70,044 | $7,392 | $7,915 | 1.05 |
Kidney and urinary tract132 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 | 51 | $42,478 | $6,242 | $4,800 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 29 | $52,454 | $8,649 | $5,927 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 23 | $68,047 | $10,361 | $7,689 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 17 | $47,464 | $6,580 | $5,363 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 12 | $105,770 | $12,184 | $11,952 | 1.65 |
Musculoskeletal system and connective tissue127 discharges in 7 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 | 33 | $134,249 | $14,024 | $15,170 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 28 | $181,653 | $14,674 | $20,527 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 18 | $192,906 | $19,456 | $21,798 | 2.95 |
| Medical back problems without MCCMS-DRG 552, medical | 15 | $50,559 | $7,154 | $5,713 | 0.97 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 11 | $102,129 | $10,019 | $11,541 | 1.59 |
| Medical back problems with MCCMS-DRG 551, medical | 11 | $127,699 | $10,741 | $14,430 | 1.70 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 11 | $43,977 | $5,784 | $4,969 | 0.90 |
Digestive system92 discharges in 5 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 | 30 | $56,842 | $5,941 | $6,423 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 23 | $52,022 | $7,284 | $5,879 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 14 | $88,460 | $11,772 | $9,996 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 13 | $96,901 | $9,411 | $10,950 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 12 | $58,719 | $7,180 | $6,635 | 0.94 |
Nervous system89 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 | 26 | $92,416 | $12,574 | $10,443 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 24 | $64,057 | $7,135 | $7,238 | 1.02 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 14 | $126,042 | $16,460 | $14,243 | 2.28 |
| Seizures without MCCMS-DRG 101, medical | 13 | $47,034 | $5,857 | $5,315 | 0.91 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 12 | $233,313 | $28,299 | $26,364 | 4.42 |
Endocrine, nutritional and metabolic43 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 17 | $40,674 | $5,381 | $4,596 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 14 | $61,788 | $9,255 | $6,982 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 12 | $50,012 | $6,827 | $5,651 | 0.90 |
Skin, subcutaneous tissue and breast19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 19 | $41,016 | $6,805 | $4,635 | 0.88 |
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 | 275 | 264 | $35,088 | $1,912 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 107 | 106 | $40,852 | $2,004 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 78 | 75 | $194,537 | $9,810 | $10,772 |
| Level 3 Endovascular ProceduresAPC 5193 | 50 | 49 | $192,991 | $8,044 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 40 | 40 | $63,648 | $4,046 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 34 | 32 | $29,472 | $2,235 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 30 | 30 | $15,323 | $1,137 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 27 | 27 | $82,925 | $4,831 | $5,339 |
| Level 4 Vascular ProceduresAPC 5184 | 26 | 20 | $27,806 | $3,854 | $3,946 |
| Level 2 Endovascular ProceduresAPC 5192 | 24 | 24 | $90,991 | $4,008 | $4,338 |
| Level 4 Urology and Related ServicesAPC 5374 | 23 | 22 | $32,943 | $2,445 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 20 | 19 | $40,793 | $2,270 | $2,373 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 17 | 17 | $164,529 | $19,206 | $21,117 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 15 | 14 | $192,423 | $13,754 | $15,763 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 15 | 15 | $82,478 | $5,162 | $6,514 |
| Level 5 Urology and Related ServicesAPC 5375 | 15 | 14 | $51,089 | $3,629 | $3,918 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 13 | 13 | $20,694 | $1,978 | $2,141 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 13 | $18,798 | $1,127 | $1,196 |
| Level 4 Endovascular ProceduresAPC 5194 | 13 | 13 | $198,790 | $13,769 | $14,606 |
| Level 2 Upper GI ProceduresAPC 5302 | 13 | 12 | $12,054 | $1,334 | $1,445 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 11 | 11 | $69,332 | $4,573 | $4,982 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 11 | 11 | $164,419 | $7,761 | $8,569 |
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.