Texas Health Southwest Fort Worth Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Texas Health Southwest Fort Worth, Fort Worth, TX in 2024, from traditional Medicare claims. Back to the Texas Health Southwest Fort Worth profile, with quality ratings, finances and negotiated rates.
2,038
Medicare inpatient discharges
In 57 published DRGs
1.70
Case mix index
IPPS FY 2027
15%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
2,466
Medicare outpatient services
In 24 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases377 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 | 238 | $71,482 | $12,654 | $17,870 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 101 | $45,051 | $6,687 | $11,263 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 27 | $119,572 | $27,552 | $29,893 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 11 | $66,804 | $13,460 | $16,701 | 2.04 |
Circulatory system368 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 | 162 | $47,207 | $8,629 | $11,802 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 30 | $46,979 | $5,792 | $11,745 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 28 | $31,750 | $4,534 | $7,937 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 21 | $47,794 | $4,857 | $11,948 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 20 | $51,627 | $8,583 | $12,907 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 20 | $90,169 | $11,612 | $22,542 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 18 | $52,845 | $10,039 | $13,211 | 1.59 |
| Hypertension without MCCMS-DRG 305, medical | 17 | $29,038 | $4,438 | $7,259 | 0.75 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 15 | $35,567 | $5,139 | $8,892 | 0.72 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 15 | $25,650 | $3,657 | $6,413 | 0.55 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 11 | $88,078 | $15,418 | $22,020 | 2.28 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 11 | $56,749 | $13,777 | $14,187 | 2.09 |
Respiratory system334 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 94 | $51,210 | $8,946 | $12,802 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 89 | $55,077 | $10,818 | $13,769 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 69 | $52,787 | $8,495 | $13,197 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 29 | $53,113 | $7,818 | $13,278 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 24 | $51,026 | $4,951 | $12,756 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 16 | $47,310 | $8,718 | $11,828 | 1.40 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 13 | $33,456 | $6,090 | $8,364 | 0.85 |
Kidney and urinary tract283 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 72 | $38,834 | $5,947 | $9,709 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 53 | $35,193 | $5,255 | $8,798 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 49 | $55,222 | $10,143 | $13,806 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 41 | $39,900 | $7,923 | $9,975 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 31 | $58,583 | $10,756 | $14,646 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 19 | $33,274 | $7,268 | $8,319 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 18 | $52,524 | $7,637 | $13,131 | 1.35 |
Musculoskeletal system and connective tissue200 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 51 | $125,592 | $20,460 | $31,398 | 3.49 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 46 | $116,021 | $22,640 | $29,005 | 3.66 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 39 | $113,555 | $16,613 | $28,389 | 2.67 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 28 | $72,837 | $13,219 | $18,209 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 22 | $85,056 | $13,479 | $21,264 | 2.11 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 14 | $50,358 | $10,538 | $12,589 | 1.59 |
Digestive system176 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 | 45 | $32,701 | $5,328 | $8,175 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 38 | $38,644 | $6,880 | $9,661 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 21 | $35,494 | $5,166 | $8,873 | 0.80 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 19 | $57,480 | $10,449 | $14,370 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 16 | $48,397 | $8,991 | $12,099 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 14 | $42,298 | $6,508 | $10,575 | 0.94 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 12 | $29,087 | $3,621 | $7,272 | 0.56 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 11 | $150,038 | $30,201 | $37,509 | 4.52 |
Endocrine, nutritional and metabolic117 discharges in 4 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 | 50 | $56,719 | $8,796 | $14,180 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 36 | $37,485 | $5,113 | $9,371 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 16 | $36,168 | $5,891 | $9,042 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 15 | $48,372 | $8,635 | $12,093 | 1.45 |
Nervous system58 discharges in 3 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 | 28 | $47,482 | $6,486 | $11,871 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 17 | $40,897 | $4,932 | $10,224 | 0.80 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 13 | $42,210 | $4,159 | $10,553 | 0.69 |
Skin, subcutaneous tissue and breast44 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 44 | $28,799 | $5,453 | $7,200 | 0.88 |
Blood and immune system35 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 | 19 | $38,867 | $6,548 | $9,717 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 16 | $54,003 | $9,920 | $13,501 | 1.40 |
Other20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Multiple level spinal fusion except cervical without MCCMS-DRG 448 | 20 | $113,524 | $24,383 | $28,381 |
Liver, gallbladder and pancreas14 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 | 14 | $89,204 | $9,465 | $22,301 | 1.63 |
Factors influencing health status12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 12 | $36,096 | $5,323 | $9,024 | 0.80 |
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 |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 926 | 862 | $56,214 | $10,057 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 386 | 353 | $22,421 | $1,948 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 136 | 134 | $9,276 | $1,126 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 135 | 134 | $28,545 | $4,056 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 99 | 98 | $20,756 | $2,092 | $2,208 |
| Level 5 Urology and Related ServicesAPC 5375 | 94 | 91 | $18,398 | $3,680 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 80 | 73 | $12,283 | $2,121 | $2,405 |
| Level 4 Urology and Related ServicesAPC 5374 | 68 | 59 | $17,126 | $2,508 | $2,629 |
| Level 2 Upper GI ProceduresAPC 5302 | 64 | 56 | $11,336 | $1,370 | $1,445 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 61 | 59 | $81,751 | $15,152 | $15,763 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 55 | 55 | $39,467 | $5,052 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 39 | 38 | $19,749 | $2,269 | $2,373 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 38 | 38 | $34,220 | $4,567 | $4,982 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 37 | 36 | $16,939 | $1,989 | $2,141 |
| Level 3 Urology and Related ServicesAPC 5373 | 36 | 24 | $13,263 | $1,460 | $1,516 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 34 | 34 | $8,739 | $1,156 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 32 | 31 | $23,950 | $2,483 | $2,636 |
| Level 3 Endovascular ProceduresAPC 5193 | 31 | 31 | $59,413 | $8,024 | $8,874 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 27 | 25 | $18,320 | $2,742 | $2,930 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 23 | 23 | $54,712 | $7,323 | $8,164 |
| Level 4 Gynecologic ProceduresAPC 5414 | 22 | 22 | $15,956 | $2,044 | $2,389 |
| Level 2 Vascular ProceduresAPC 5182 | 16 | 16 | $7,217 | $1,143 | $1,204 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 14 | 14 | $45,214 | $8,002 | $8,569 |
| Level 4 Vascular ProceduresAPC 5184 | 13 | 13 | $33,495 | $3,953 | $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.