Texas Health Hospital Rockwall Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Texas Health Hospital Rockwall, Rockwall, TX in 2024, from traditional Medicare claims. Back to the Texas Health Hospital Rockwall profile, with quality ratings, finances and negotiated rates.
714
Medicare inpatient discharges
In 27 published DRGs
1.60
Case mix index
IPPS FY 2027
9%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
1,181
Medicare outpatient services
In 24 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases202 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 | 145 | $56,096 | $10,935 | $16,380 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 45 | $38,569 | $5,377 | $11,262 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 12 | $102,456 | $25,487 | $29,917 | 5.00 |
Circulatory system143 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 92 | $43,353 | $7,214 | $12,659 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 28 | $40,090 | $7,950 | $11,706 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 12 | $37,087 | $4,700 | $10,830 | 0.86 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 11 | $25,571 | $1,802 | $7,467 | 0.55 |
Kidney and urinary tract110 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 33 | $32,674 | $4,424 | $9,541 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 27 | $24,904 | $3,567 | $7,272 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 19 | $30,862 | $6,524 | $9,012 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 16 | $41,166 | $9,371 | $12,021 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 15 | $41,139 | $8,373 | $12,013 | 1.50 |
Respiratory system97 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 40 | $48,369 | $6,817 | $14,124 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 30 | $47,480 | $9,160 | $13,864 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $38,506 | $3,907 | $11,244 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 13 | $26,666 | $5,692 | $7,786 | 1.10 |
Digestive system58 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 | 23 | $35,444 | $3,668 | $10,350 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 18 | $72,023 | $13,010 | $21,031 | 2.37 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 17 | $39,188 | $4,883 | $11,443 | 0.98 |
Musculoskeletal system and connective tissue48 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 | 13 | $67,231 | $12,070 | $19,631 | 2.07 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 12 | $79,182 | $16,450 | $23,121 | 2.96 |
| Medical back problems without MCCMS-DRG 552, medical | 12 | $39,941 | $5,485 | $11,663 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 11 | $73,963 | $12,018 | $21,597 | 2.11 |
Endocrine, nutritional and metabolic25 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 without MCCMS-DRG 641, medical | 13 | $37,186 | $3,745 | $10,858 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 12 | $46,919 | $6,677 | $13,700 | 1.32 |
Skin, subcutaneous tissue and breast18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 18 | $26,011 | $4,322 | $7,595 | 0.88 |
Blood and immune system13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 13 | $24,273 | $5,199 | $7,088 | 0.90 |
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 | 249 | 231 | $20,983 | $1,939 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 118 | 110 | $59,406 | $10,024 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 91 | 91 | $27,541 | $4,091 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 89 | 86 | $30,090 | $5,129 | $5,339 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 77 | 69 | $9,016 | $1,139 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 62 | 60 | $17,497 | $3,647 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 51 | 49 | $13,017 | $2,194 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 50 | 50 | $11,641 | $1,325 | $1,445 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 44 | 44 | $16,253 | $2,037 | $2,141 |
| Level 1 Endovascular ProceduresAPC 5191 | 44 | 44 | $19,638 | $2,108 | $2,208 |
| Level 4 Urology and Related ServicesAPC 5374 | 44 | 40 | $19,441 | $2,471 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 42 | 41 | $19,302 | $2,210 | $2,373 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 33 | 33 | $60,685 | $7,395 | $8,164 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 27 | 26 | $37,190 | $4,676 | $4,982 |
| Level 1 Nerve ProceduresAPC 5431 | 23 | 19 | $19,254 | $1,320 | $1,407 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 20 | 19 | $11,632 | $1,152 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 16 | 16 | $18,549 | $2,481 | $2,636 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 15 | 14 | $19,465 | $2,733 | $2,930 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 15 | 13 | $68,149 | $15,103 | $15,763 |
| Level 3 Airway EndoscopyAPC 5153 | 15 | 15 | $15,231 | $1,217 | $1,264 |
| Level 2 Vascular ProceduresAPC 5182 | 15 | 15 | $11,636 | $1,142 | $1,204 |
| Level 3 Lower GI ProceduresAPC 5313 | 15 | 15 | $10,586 | $2,030 | $2,176 |
| Level 3 Endovascular ProceduresAPC 5193 | 13 | 13 | $62,139 | $8,260 | $8,874 |
| Level 3 Urology and Related ServicesAPC 5373 | 13 | 13 | $12,229 | $1,446 | $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.