Texas Health Alliance Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Texas Health Alliance, Fort Worth, TX in 2024, from traditional Medicare claims. Back to the Texas Health Alliance profile, with quality ratings, finances and negotiated rates.
692
Medicare inpatient discharges
In 27 published DRGs
1.58
Case mix index
IPPS FY 2027
10%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
671
Medicare outpatient services
In 12 service groups
Inpatient stays by major diagnostic category
Circulatory system161 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 86 | $40,755 | $8,523 | $9,781 | 1.28 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 20 | $48,598 | $7,162 | $11,664 | 1.20 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 17 | $45,423 | $10,323 | $10,902 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 15 | $36,341 | $4,876 | $8,722 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 12 | $121,839 | $10,380 | $29,241 | 1.82 |
| Syncope and collapseMS-DRG 312, medical | 11 | $43,892 | $6,444 | $10,534 | 0.86 |
Infectious and parasitic diseases140 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 | 85 | $61,598 | $11,822 | $14,784 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 40 | $36,177 | $7,092 | $8,682 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 15 | $125,945 | $29,029 | $30,227 | 5.00 |
Kidney and urinary tract123 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 37 | $31,943 | $5,628 | $7,666 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 26 | $45,579 | $10,563 | $10,939 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 24 | $33,793 | $5,832 | $8,110 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 20 | $50,156 | $10,066 | $12,037 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 16 | $28,468 | $7,271 | $6,832 | 1.17 |
Respiratory system118 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 45 | $54,874 | $11,165 | $13,170 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 41 | $38,214 | $8,578 | $9,171 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 19 | $42,010 | $8,624 | $10,082 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 13 | $29,711 | $5,876 | $7,131 | 0.82 |
Digestive system54 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 | 35 | $36,277 | $5,396 | $8,706 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 19 | $39,639 | $6,694 | $9,513 | 0.98 |
Musculoskeletal system and connective tissue31 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 17 | $80,324 | $13,621 | $19,278 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 14 | $65,004 | $13,811 | $15,601 | 2.07 |
Endocrine, nutritional and metabolic28 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 | 14 | $46,274 | $9,122 | $11,106 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 14 | $33,570 | $5,450 | $8,057 | 0.78 |
Skin, subcutaneous tissue and breast14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 14 | $29,985 | $5,626 | $7,196 | 0.88 |
Liver, gallbladder and pancreas12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 12 | $68,954 | $11,379 | $16,549 | 1.63 |
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 MCCMS-DRG 064, medical | 11 | $51,403 | $11,781 | $12,337 | 2.00 |
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 | 393 | 357 | $22,812 | $1,939 | $2,090 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 55 | 55 | $38,518 | $3,848 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 50 | 49 | $55,985 | $10,029 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 35 | 33 | $9,144 | $1,160 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 23 | 22 | $15,228 | $2,193 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 23 | 23 | $21,895 | $2,114 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 18 | 17 | $15,682 | $1,293 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 18 | 16 | $17,908 | $3,722 | $3,918 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 15 | 15 | $21,692 | $2,040 | $2,141 |
| Level 3 Urology and Related ServicesAPC 5373 | 14 | $12,953 | $1,465 | $1,516 | |
| Level 4 Urology and Related ServicesAPC 5374 | 14 | 11 | $17,682 | $2,508 | $2,629 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 13 | 13 | $43,117 | $2,489 | $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.