Texas Health Denton Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Texas Health Denton, Denton, TX in 2024, from traditional Medicare claims. Back to the Texas Health Denton profile, with quality ratings, finances and negotiated rates.
1,737
Medicare inpatient discharges
In 50 published DRGs
1.74
Case mix index
IPPS FY 2027
10%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
1,670
Medicare outpatient services
In 23 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases383 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 | 290 | $66,649 | $12,985 | $14,929 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 60 | $46,001 | $7,198 | $10,304 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 33 | $163,482 | $30,020 | $36,620 | 5.00 |
Circulatory system383 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 95 | $54,651 | $9,002 | $12,242 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 46 | $59,408 | $11,298 | $13,307 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 34 | $37,407 | $6,550 | $8,379 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 33 | $36,346 | $5,216 | $8,141 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 30 | $46,626 | $8,889 | $10,444 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 25 | $92,027 | $10,869 | $20,614 | 1.82 |
| Hypertension without MCCMS-DRG 305, medical | 20 | $31,491 | $5,372 | $7,054 | 0.75 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 19 | $25,855 | $4,337 | $5,792 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 18 | $50,538 | $6,945 | $11,320 | 1.08 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 14 | $75,581 | $14,112 | $16,930 | 2.16 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 13 | $83,872 | $15,009 | $18,787 | 2.28 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 13 | $43,742 | $6,647 | $9,798 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 12 | $119,465 | $20,040 | $26,760 | 2.87 |
| Chest painMS-DRG 313, medical | 11 | $33,589 | $5,236 | $7,524 | 0.72 |
Respiratory system242 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 | 83 | $60,822 | $11,521 | $13,624 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 59 | $59,198 | $9,886 | $13,260 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 27 | $51,878 | $8,801 | $11,621 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 25 | $47,565 | $8,330 | $10,655 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 25 | $32,771 | $5,687 | $7,341 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 23 | $37,581 | $7,011 | $8,418 | 0.99 |
Digestive system235 discharges in 9 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 | 66 | $34,195 | $5,817 | $7,660 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 39 | $46,537 | $7,046 | $10,424 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 27 | $37,900 | $5,516 | $8,490 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 27 | $70,829 | $9,080 | $15,866 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 24 | $67,310 | $11,484 | $15,077 | 1.79 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $53,156 | $12,193 | $11,907 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 13 | $215,643 | $34,310 | $48,304 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 13 | $30,397 | $6,897 | $6,809 | 0.94 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 12 | $33,368 | $6,811 | $7,474 | 1.04 |
Kidney and urinary tract215 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 | 72 | $31,910 | $5,867 | $7,148 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 47 | $45,201 | $8,078 | $10,125 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 45 | $31,703 | $6,473 | $7,101 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 33 | $73,480 | $10,555 | $16,460 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 18 | $58,450 | $11,136 | $13,093 | 1.65 |
Endocrine, nutritional and metabolic75 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 | 38 | $50,869 | $9,113 | $11,395 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 25 | $31,042 | $5,658 | $6,953 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $47,814 | $9,663 | $10,710 | 1.45 |
Nervous system75 discharges in 5 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 | 18 | $52,418 | $7,204 | $11,742 | 1.02 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 17 | $80,706 | $17,326 | $18,078 | 2.30 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 16 | $67,931 | $13,444 | $15,216 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 12 | $52,884 | $5,399 | $11,846 | 0.80 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 12 | $59,647 | $11,468 | $13,361 | 1.79 |
Skin, subcutaneous tissue and breast73 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 61 | $29,548 | $6,217 | $6,619 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 12 | $53,578 | $9,918 | $12,001 | 1.49 |
Musculoskeletal system and connective tissue41 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 | 25 | $64,432 | $14,205 | $14,433 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 16 | $84,194 | $14,629 | $18,859 | 2.11 |
Liver, gallbladder and pancreas15 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 | 15 | $77,570 | $11,653 | $17,376 | 1.63 |
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 | 578 | 522 | $22,898 | $1,955 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 115 | 108 | $11,059 | $1,148 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 112 | 112 | $32,605 | $3,988 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 106 | 99 | $36,094 | $5,146 | $5,339 |
| Level 1 Endovascular ProceduresAPC 5191 | 98 | 98 | $23,104 | $2,093 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 87 | 83 | $58,767 | $9,763 | $10,772 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 74 | 74 | $108,536 | $19,752 | $21,117 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 73 | 70 | $19,178 | $2,016 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 63 | 59 | $16,392 | $2,147 | $2,405 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 46 | 46 | $53,286 | $8,000 | $8,569 |
| Level 2 Upper GI ProceduresAPC 5302 | 45 | 40 | $9,614 | $1,369 | $1,445 |
| Level 4 Urology and Related ServicesAPC 5374 | 44 | 39 | $34,464 | $2,451 | $2,629 |
| Level 3 Endovascular ProceduresAPC 5193 | 37 | 35 | $54,645 | $8,068 | $8,874 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 30 | 30 | $23,970 | $2,328 | $2,373 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 30 | 29 | $104,293 | $14,742 | $15,763 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 23 | 23 | $35,321 | $6,105 | $6,514 |
| Level 2 Vascular ProceduresAPC 5182 | 20 | 20 | $7,371 | $1,094 | $1,204 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 19 | 15 | $21,933 | $2,742 | $2,930 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 17 | 17 | $40,833 | $4,691 | $4,982 |
| Level 4 Endovascular ProceduresAPC 5194 | 15 | 13 | $69,494 | $13,222 | $14,606 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 14 | 14 | $132,119 | $26,238 | $29,375 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 12 | 12 | $39,169 | $7,656 | $8,164 |
| Level 4 Gynecologic ProceduresAPC 5414 | 12 | 12 | $16,401 | $2,249 | $2,389 |
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.