Texas Health Heb Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Texas Health Heb, Bedford, TX in 2024, from traditional Medicare claims. Back to the Texas Health Heb profile, with quality ratings, finances and negotiated rates.
1,724
Medicare inpatient discharges
In 58 published DRGs
1.77
Case mix index
IPPS FY 2027
14%
Surgical stays
79%
Stays with complications
In DRGs with a CC or MCC
1,400
Medicare outpatient services
In 26 service groups
Inpatient stays by major diagnostic category
Circulatory system338 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 143 | $52,053 | $8,612 | $11,295 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 30 | $38,866 | $5,026 | $8,434 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 24 | $55,414 | $9,570 | $12,025 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 24 | $49,419 | $7,813 | $10,724 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 20 | $73,727 | $15,369 | $15,999 | 2.16 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 17 | $78,396 | $13,685 | $17,012 | 2.09 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 15 | $28,765 | $3,267 | $6,242 | 0.55 |
| Syncope and collapseMS-DRG 312, medical | 15 | $45,716 | $6,377 | $9,920 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 14 | $99,219 | $10,803 | $21,531 | 1.82 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 12 | $96,927 | $13,187 | $21,033 | 2.28 |
| Hypertension without MCCMS-DRG 305, medical | 12 | $38,166 | $4,357 | $8,282 | 0.75 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 12 | $194,017 | $25,331 | $42,102 | 2.87 |
Infectious and parasitic diseases320 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 | 226 | $70,653 | $12,255 | $15,332 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 42 | $45,624 | $5,918 | $9,900 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 40 | $179,053 | $28,182 | $38,854 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $82,487 | $10,570 | $17,900 | 2.04 |
Respiratory system296 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 94 | $60,293 | $11,079 | $13,084 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 67 | $54,039 | $8,301 | $11,726 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 41 | $45,103 | $8,641 | $9,787 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 23 | $39,011 | $7,320 | $8,465 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 19 | $38,719 | $4,652 | $8,402 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 15 | $39,072 | $6,362 | $8,479 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $67,719 | $7,589 | $14,695 | 1.40 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 13 | $45,410 | $6,998 | $9,854 | 0.96 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 11 | $41,674 | $5,814 | $9,043 | 0.82 |
Kidney and urinary tract213 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 45 | $38,192 | $7,493 | $8,288 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 44 | $61,276 | $11,215 | $13,297 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 39 | $34,729 | $5,182 | $7,536 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 38 | $40,765 | $5,436 | $8,846 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 36 | $60,102 | $9,605 | $13,042 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 11 | $31,683 | $6,467 | $6,875 | 1.02 |
Digestive system206 discharges in 8 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 | 56 | $34,621 | $4,840 | $7,513 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 32 | $44,062 | $6,603 | $9,561 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 29 | $105,625 | $14,716 | $22,921 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 26 | $58,155 | $8,619 | $12,620 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 17 | $62,159 | $10,687 | $13,488 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $36,676 | $3,788 | $7,959 | 0.80 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 16 | $63,071 | $9,368 | $13,686 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 14 | $133,738 | $29,104 | $29,021 | 4.52 |
Nervous system110 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 32 | $87,598 | $14,652 | $19,009 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 26 | $58,447 | $6,204 | $12,683 | 1.02 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 16 | $58,049 | $11,571 | $12,597 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 13 | $56,839 | $13,583 | $12,334 | 1.98 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 12 | $78,577 | $11,455 | $17,051 | 1.81 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 11 | $124,519 | $15,639 | $27,021 | 2.30 |
Musculoskeletal system and connective tissue64 discharges in 4 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 | 21 | $68,099 | $13,931 | $14,777 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 18 | $87,673 | $14,945 | $19,025 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 14 | $95,469 | $19,331 | $20,717 | 2.95 |
| Medical back problems without MCCMS-DRG 552, medical | 11 | $43,481 | $6,430 | $9,435 | 0.97 |
Endocrine, nutritional and metabolic59 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 | 29 | $52,222 | $9,058 | $11,332 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 17 | $40,388 | $5,187 | $8,764 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 13 | $32,317 | $5,110 | $7,013 | 0.90 |
Skin, subcutaneous tissue and breast54 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 41 | $30,810 | $5,563 | $6,686 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 13 | $58,001 | $10,443 | $12,586 | 1.49 |
Blood and immune system34 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 23 | $40,772 | $6,575 | $8,848 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 11 | $41,933 | $10,260 | $9,099 | 1.40 |
Liver, gallbladder and pancreas16 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 | 16 | $79,830 | $11,300 | $17,323 | 1.63 |
Other14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 14 | $170,340 | $30,395 | $36,964 | 4.74 |
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 | 526 | 458 | $23,273 | $1,946 | $2,090 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 96 | 94 | $109,360 | $19,133 | $21,117 |
| Level 1 Endovascular ProceduresAPC 5191 | 92 | 91 | $23,354 | $2,069 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 75 | 72 | $10,130 | $1,156 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 63 | 57 | $14,087 | $2,147 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 63 | 63 | $35,793 | $4,084 | $4,358 |
| Level 2 Vascular ProceduresAPC 5182 | 48 | 46 | $7,164 | $1,099 | $1,204 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 43 | 43 | $46,891 | $7,298 | $8,164 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 39 | 36 | $20,354 | $2,042 | $2,141 |
| Level 2 Upper GI ProceduresAPC 5302 | 36 | 31 | $13,057 | $1,371 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 36 | 33 | $24,016 | $3,618 | $3,918 |
| Level 3 Endovascular ProceduresAPC 5193 | 34 | 34 | $63,958 | $8,291 | $8,874 |
| Level 4 Urology and Related ServicesAPC 5374 | 30 | 28 | $18,376 | $2,424 | $2,629 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 24 | 24 | $49,750 | $8,002 | $8,569 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 23 | 21 | $16,167 | $2,742 | $2,930 |
| Level 3 Urology and Related ServicesAPC 5373 | 22 | 18 | $13,219 | $1,462 | $1,516 |
| Level 4 Gynecologic ProceduresAPC 5414 | 20 | 19 | $15,907 | $2,136 | $2,389 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 19 | 19 | $43,046 | $4,875 | $5,339 |
| Level 4 Endovascular ProceduresAPC 5194 | 17 | 16 | $87,903 | $14,167 | $14,606 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 16 | 16 | $29,753 | $2,489 | $2,636 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 14 | 14 | $60,028 | $10,234 | $10,772 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 14 | 14 | $146,559 | $27,981 | $29,375 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 13 | 12 | $22,676 | $2,323 | $2,373 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 13 | 13 | $105,908 | $15,920 | $17,052 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 12 | $24,626 | $4,691 | $4,982 | |
| Level 4 Vascular ProceduresAPC 5184 | 12 | 12 | $32,547 | $3,946 | $3,946 |
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.