Seton Medical Center Williamson Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Seton Medical Center Williamson, Round Rock, TX in 2024, from traditional Medicare claims. Back to the Seton Medical Center Williamson profile, with quality ratings, finances and negotiated rates.
1,391
Medicare inpatient discharges
In 52 published DRGs
2.05
Case mix index
IPPS FY 2027
18%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
920
Medicare outpatient services
In 17 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases264 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 | 206 | $122,155 | $12,992 | $14,536 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 31 | $305,564 | $32,743 | $36,362 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 14 | $65,957 | $6,440 | $7,849 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 13 | $365,135 | $38,940 | $43,451 | 6.96 |
Circulatory system226 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 74 | $81,189 | $9,033 | $9,662 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 57 | $113,451 | $11,502 | $13,501 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 27 | $59,611 | $6,217 | $7,094 | 0.86 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 19 | $75,526 | $6,223 | $8,988 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 19 | $258,100 | $13,013 | $30,714 | 1.82 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 15 | $38,016 | $3,874 | $4,524 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 15 | $308,890 | $19,882 | $36,758 | 2.87 |
Respiratory system204 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 | 63 | $119,742 | $11,072 | $14,249 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 55 | $83,730 | $9,063 | $9,964 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 39 | $83,893 | $8,643 | $9,983 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 20 | $161,569 | $18,164 | $19,227 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 16 | $58,418 | $5,856 | $6,952 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 11 | $55,808 | $7,724 | $6,641 | 1.10 |
Musculoskeletal system and connective tissue198 discharges in 10 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 | 40 | $154,256 | $13,914 | $18,356 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 27 | $172,681 | $14,194 | $20,549 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 26 | $59,263 | $6,872 | $7,052 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 18 | $192,432 | $17,830 | $22,899 | 2.95 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 17 | $316,950 | $24,480 | $37,717 | 3.66 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 16 | $216,831 | $13,197 | $25,803 | 1.88 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 14 | $189,241 | $16,360 | $22,520 | 2.40 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 14 | $65,675 | $6,153 | $7,815 | 0.90 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 13 | $100,596 | $11,073 | $11,971 | 1.59 |
| Medical back problems with MCCMS-DRG 551, medical | 13 | $85,383 | $11,677 | $10,161 | 1.70 |
Nervous system164 discharges in 9 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 | 34 | $77,293 | $7,089 | $9,198 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 32 | $118,225 | $12,873 | $14,069 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 22 | $76,541 | $6,487 | $9,108 | 0.91 |
| Seizures with MCCMS-DRG 100, medical | 15 | $141,433 | $11,788 | $16,831 | 1.98 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 14 | $346,944 | $31,828 | $41,286 | 4.42 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 13 | $304,493 | $35,407 | $36,235 | 5.67 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 12 | $48,356 | $4,991 | $5,754 | 0.69 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 11 | $88,012 | $8,454 | $10,473 | 1.36 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 11 | $126,414 | $16,210 | $15,043 | 2.28 |
Kidney and urinary tract140 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 33 | $106,441 | $11,418 | $12,667 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 33 | $57,450 | $5,711 | $6,837 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 26 | $67,211 | $8,512 | $7,998 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 26 | $107,098 | $11,602 | $12,745 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 22 | $51,619 | $6,614 | $6,143 | 0.90 |
Digestive system93 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 | 29 | $48,908 | $5,724 | $5,820 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 20 | $63,793 | $6,955 | $7,591 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 18 | $103,276 | $12,224 | $12,290 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 14 | $61,234 | $9,217 | $7,287 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 12 | $178,057 | $15,104 | $21,189 | 2.37 |
Endocrine, nutritional and metabolic60 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 with MCCMS-DRG 640, medical | 30 | $60,786 | $9,188 | $7,234 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 19 | $54,588 | $5,598 | $6,496 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 11 | $97,313 | $10,003 | $11,580 | 1.45 |
Skin, subcutaneous tissue and breast31 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 20 | $59,345 | $6,495 | $7,062 | 0.88 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 11 | $49,929 | $6,696 | $5,942 | 0.91 |
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 without MCCMS-DRG 812, medical | 11 | $63,686 | $6,813 | $7,579 | 0.90 |
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 | 384 | 360 | $35,507 | $1,958 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 114 | 104 | $193,551 | $10,201 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 76 | 75 | $36,921 | $2,078 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 55 | 55 | $79,311 | $5,131 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 45 | 45 | $61,318 | $4,139 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 34 | 33 | $11,186 | $1,126 | $1,220 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 32 | 32 | $22,821 | $1,986 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 30 | 30 | $26,829 | $2,286 | $2,405 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 26 | 26 | $224,152 | $19,695 | $21,117 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 22 | 21 | $32,617 | $2,322 | $2,373 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 20 | 20 | $80,951 | $7,248 | $8,164 |
| Level 3 Endovascular ProceduresAPC 5193 | 18 | 18 | $185,598 | $8,264 | $8,874 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 14 | 14 | $194,835 | $15,110 | $15,763 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 13 | $25,809 | $1,153 | $1,196 |
| Level 2 Upper GI ProceduresAPC 5302 | 13 | 12 | $10,737 | $1,362 | $1,445 |
| Level 5 ENT ProceduresAPC 5165 | 12 | $44,755 | $4,200 | $4,436 | |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 12 | 12 | $94,246 | $6,094 | $6,514 |
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.