Texas Health Flower Mound Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Texas Health Flower Mound, Flower Mound, TX in 2024, from traditional Medicare claims. Back to the Texas Health Flower Mound profile, with quality ratings, finances and negotiated rates.
600
Medicare inpatient discharges
In 24 published DRGs
1.85
Case mix index
IPPS FY 2027
14%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
1,805
Medicare outpatient services
In 26 service groups
Inpatient stays by major diagnostic category
Respiratory system155 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 | 66 | $55,671 | $10,215 | $14,697 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 55 | $48,851 | $7,519 | $12,897 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 17 | $47,721 | $7,931 | $12,598 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 17 | $45,783 | $4,389 | $12,087 | 0.82 |
Infectious and parasitic diseases100 discharges in 2 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 | 86 | $60,454 | $11,644 | $15,960 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 14 | $37,785 | $5,840 | $9,975 | 1.03 |
Kidney and urinary tract86 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 24 | $42,875 | $6,581 | $11,319 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 19 | $33,626 | $4,756 | $8,877 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 17 | $44,028 | $8,934 | $11,624 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 15 | $32,591 | $4,591 | $8,604 | 0.81 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 11 | $40,838 | $5,149 | $10,781 | 1.02 |
Circulatory system82 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 70 | $41,500 | $7,579 | $10,956 | 1.28 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 12 | $59,415 | $7,770 | $15,686 | 1.20 |
Musculoskeletal system and connective tissue62 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 19 | $130,449 | $27,976 | $34,439 | 4.61 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 18 | $167,455 | $39,674 | $44,208 | 6.12 |
| Medical back problems without MCCMS-DRG 552, medical | 14 | $36,909 | $5,559 | $9,744 | 0.97 |
| Cervical spinal fusion without cc/mccMS-DRG 473, surgical | 11 | $67,294 | $15,408 | $17,766 | 2.46 |
Digestive system54 discharges in 3 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 | 22 | $37,700 | $4,140 | $9,953 | 0.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 18 | $163,047 | $30,282 | $43,044 | 4.52 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 14 | $79,765 | $13,387 | $21,058 | 2.37 |
Endocrine, nutritional and metabolic20 discharges in 1 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 | 20 | $40,509 | $7,626 | $10,694 | 1.32 |
Skin, subcutaneous tissue and breast15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 15 | $29,449 | $4,495 | $7,774 | 0.88 |
Nervous system14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Seizures without MCCMS-DRG 101, medical | 14 | $23,660 | $3,741 | $6,246 | 0.91 |
Other12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Single level combined anterior and posterior spinal fusion except cervicalMS-DRG 402 | 12 | $137,427 | $23,508 | $36,281 |
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 | 408 | 376 | $21,003 | $1,944 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 304 | 282 | $52,574 | $10,133 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 144 | 123 | $9,781 | $1,329 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 106 | 99 | $11,975 | $1,143 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 96 | 94 | $34,902 | $4,101 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 87 | 73 | $22,474 | $2,508 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 73 | 72 | $36,611 | $5,146 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 70 | 65 | $18,312 | $3,669 | $3,918 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 64 | 63 | $51,580 | $7,297 | $8,164 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 52 | 51 | $26,644 | $2,440 | $2,636 |
| Level 1 Nerve ProceduresAPC 5431 | 49 | 35 | $9,913 | $1,360 | $1,407 |
| Level 1 Endovascular ProceduresAPC 5191 | 45 | 45 | $23,198 | $2,115 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 42 | 41 | $12,530 | $2,238 | $2,405 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 35 | 34 | $80,050 | $14,393 | $15,763 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 34 | 33 | $24,648 | $2,038 | $2,141 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 33 | 32 | $18,209 | $2,117 | $2,373 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 24 | 24 | $83,736 | $26,320 | $26,719 |
| Level 2 Vascular ProceduresAPC 5182 | 22 | 21 | $9,543 | $1,143 | $1,204 |
| Level 3 Urology and Related ServicesAPC 5373 | 21 | 18 | $14,338 | $1,465 | $1,516 |
| Level 4 Gynecologic ProceduresAPC 5414 | 19 | 18 | $14,740 | $2,249 | $2,389 |
| Level 3 Endovascular ProceduresAPC 5193 | 15 | 14 | $61,563 | $8,292 | $8,874 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 14 | 14 | $40,312 | $4,691 | $4,982 |
| Level 3 Upper GI ProceduresAPC 5303 | 14 | 13 | $26,001 | $2,755 | $2,888 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 12 | 11 | $27,661 | $4,919 | $4,524 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 11 | 11 | $19,834 | $2,742 | $2,930 |
| Level 2 Urology and Related ServicesAPC 5372 | 11 | $9,078 | $491 | $502 |
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.