Texas Health Allen Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Texas Health Allen, Allen, TX in 2024, from traditional Medicare claims. Back to the Texas Health Allen profile, with quality ratings, finances and negotiated rates.
522
Medicare inpatient discharges
In 21 published DRGs
1.68
Case mix index
IPPS FY 2027
14%
Surgical stays
76%
Stays with complications
In DRGs with a CC or MCC
664
Medicare outpatient services
In 14 service groups
Inpatient stays by major diagnostic category
Respiratory system137 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 63 | $42,502 | $10,807 | $11,220 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 27 | $43,356 | $8,834 | $11,446 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 21 | $31,120 | $5,889 | $8,216 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 15 | $34,659 | $6,573 | $9,150 | 0.99 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 11 | $38,038 | $8,253 | $10,042 | 1.23 |
Circulatory system115 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 | 85 | $36,083 | $8,653 | $9,526 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 19 | $105,963 | $21,156 | $27,974 | 3.24 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 11 | $32,798 | $4,959 | $8,659 | 0.74 |
Kidney and urinary tract97 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 40 | $32,433 | $6,453 | $8,562 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 25 | $29,316 | $5,117 | $7,739 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 18 | $48,389 | $10,088 | $12,775 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 14 | $38,421 | $10,203 | $10,143 | 1.65 |
Infectious and parasitic diseases84 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 | 54 | $56,174 | $12,551 | $14,830 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 19 | $36,728 | $6,537 | $9,696 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 11 | $95,198 | $25,604 | $25,132 | 5.00 |
Digestive system31 discharges in 2 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 | 19 | $38,280 | $5,552 | $10,106 | 0.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 12 | $115,493 | $22,042 | $30,490 | 4.52 |
Musculoskeletal system and connective tissue30 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 | 16 | $60,535 | $13,604 | $15,981 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 14 | $80,066 | $14,201 | $21,138 | 2.11 |
Skin, subcutaneous tissue and breast17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 17 | $22,125 | $5,864 | $5,841 | 0.88 |
Nervous system11 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 | 11 | $46,583 | $6,415 | $12,298 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 267 | 251 | $19,530 | $1,948 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 55 | 42 | $8,114 | $1,142 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 47 | 45 | $37,222 | $4,857 | $5,339 |
| Level 1 Endovascular ProceduresAPC 5191 | 43 | 42 | $21,798 | $2,108 | $2,208 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 40 | 40 | $21,022 | $2,034 | $2,141 |
| Level 4 Urology and Related ServicesAPC 5374 | 35 | 24 | $20,092 | $2,497 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 31 | 31 | $41,760 | $4,131 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 29 | 27 | $69,746 | $10,196 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 28 | 24 | $16,962 | $3,702 | $3,918 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 26 | 25 | $144,265 | $19,678 | $21,117 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 20 | 20 | $15,765 | $2,089 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 20 | 15 | $11,987 | $1,828 | $2,405 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 12 | 12 | $106,139 | $15,864 | $17,052 |
| Level 3 Urology and Related ServicesAPC 5373 | 11 | $13,586 | $1,316 | $1,516 |
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.