Texoma Medical Center Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Texoma Medical Center, Denison, TX in 2024, from traditional Medicare claims. Back to the Texoma Medical Center profile, with quality ratings, finances and negotiated rates.

4,632
Medicare inpatient discharges
In 108 published DRGs
1.78
Case mix index
IPPS FY 2027
12%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
2,283
Medicare outpatient services
In 31 service groups

Inpatient stays by major diagnostic category

Circulatory system1,066 discharges in 30 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Heart failure and shock with MCCMS-DRG 291, medical	243	$96,733	$8,969	$10,834	1.28
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical	172	$109,063	$10,438	$12,215	1.59
Syncope and collapseMS-DRG 312, medical	73	$77,186	$5,666	$8,645	0.86
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical	52	$94,204	$7,624	$10,551	1.20
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical	49	$68,604	$4,394	$7,684	0.74
Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical	47	$80,973	$5,454	$9,069	0.91
Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical	33	$108,886	$21,762	$12,195	3.24
Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical	31	$154,751	$11,267	$17,332	1.82
Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical	26	$231,323	$17,859	$25,908	2.87
Hypertension without MCCMS-DRG 305, medical	25	$67,272	$4,543	$7,534	0.75
Chest painMS-DRG 313, medical	25	$53,279	$4,180	$5,967	0.72
Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical	19	$568,039	$53,304	$63,620	7.80
Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical	19	$71,527	$4,100	$8,011	0.72
Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical	18	$340,519	$24,989	$38,138	4.04
Other vascular procedures with MCCMS-DRG 252, surgical	18	$213,328	$22,097	$23,893	3.35
Acute myocardial infarction, expired with MCCMS-DRG 283, medical	18	$124,271	$13,548	$13,918	1.97
Other circulatory system diagnoses with MCCMS-DRG 314, medical	18	$115,160	$14,322	$12,898	2.09
Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical	16	$174,872	$23,204	$19,586	3.46
Other major cardiovascular procedures with MCCMS-DRG 270, surgical	16	$266,766	$34,945	$29,878	5.06
Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical	15	$136,313	$12,756	$15,267	2.16
Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical	15	$107,245	$6,777	$12,011	1.08
Peripheral vascular disorders with MCCMS-DRG 299, medical	15	$77,953	$10,861	$8,731	1.58
Peripheral vascular disorders with CCMS-DRG 300, medical	14	$67,860	$7,058	$7,600	1.07
Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical	14	$37,073	$2,668	$4,152	0.55
Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical	13	$422,544	$40,176	$47,325	5.88
Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical	13	$233,439	$32,955	$26,145	4.88
Hypertension with MCCMS-DRG 304, medical	13	$95,578	$7,426	$10,705	1.15
Other circulatory system diagnoses with CCMS-DRG 315, medical	13	$57,001	$6,476	$6,384	0.97
Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical	12	$134,231	$13,815	$15,034	2.28
Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical	11	$394,800	$34,710	$44,218	5.20

Infectious and parasitic diseases950 discharges in 5 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	769	$138,384	$12,949	$15,499	1.98
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	85	$299,612	$30,443	$33,557	5.00
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	59	$74,309	$6,493	$8,323	1.03
Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical	23	$398,491	$46,086	$44,631	6.96
Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical	14	$166,527	$12,487	$18,651	2.04

Respiratory system562 discharges in 13 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	146	$88,480	$8,311	$9,910	1.33
Respiratory infections and inflammations with MCCMS-DRG 177, medical	130	$96,867	$10,715	$10,849	1.70
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	71	$74,367	$6,852	$8,329	1.10
Pulmonary edema and respiratory failureMS-DRG 189, medical	56	$97,648	$8,123	$10,937	1.23
Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical	31	$105,566	$9,397	$11,823	1.40
Respiratory infections and inflammations with CCMS-DRG 178, medical	21	$68,696	$6,191	$7,694	0.99
Simple pneumonia and pleurisy with CCMS-DRG 194, medical	19	$59,855	$5,289	$6,704	0.82
Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical	18	$193,577	$18,223	$21,681	2.70
Respiratory neoplasms with MCCMS-DRG 180, medical	16	$106,751	$12,222	$11,956	1.74
Chronic obstructive pulmonary disease with CCMS-DRG 191, medical	15	$64,375	$4,411	$7,210	0.85
Other respiratory system diagnoses with MCCMS-DRG 205, medical	14	$101,194	$11,860	$11,334	1.81
Pneumothorax with MCCMS-DRG 199, medical	13	$128,434	$11,098	$14,385	1.77
Major chest procedures with MCCMS-DRG 163, surgical	12	$276,074	$32,662	$30,920	4.71

Kidney and urinary tract447 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	141	$77,269	$7,582	$8,654	1.17
Renal failure with MCCMS-DRG 682, medical	103	$94,998	$9,501	$10,640	1.50
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical	76	$92,798	$11,212	$10,393	1.65
Renal failure with CCMS-DRG 683, medical	55	$71,480	$5,539	$8,006	0.90
Kidney and urinary tract infections without MCCMS-DRG 690, medical	45	$64,918	$5,169	$7,271	0.81
Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical	27	$63,673	$6,534	$7,131	1.02

Digestive system376 discharges in 12 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	84	$68,716	$5,005	$7,696	0.79
Gastrointestinal hemorrhage with CCMS-DRG 378, medical	53	$71,388	$6,347	$7,995	0.98
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical	52	$111,240	$11,798	$12,459	1.79
Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical	45	$84,421	$8,688	$9,455	1.28
Other digestive system diagnoses with CCMS-DRG 394, medical	24	$66,898	$6,056	$7,493	0.94
Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical	19	$107,349	$10,780	$12,023	1.75
Gastrointestinal obstruction with CCMS-DRG 389, medical	18	$65,307	$5,186	$7,314	0.80
Other digestive system diagnoses with MCCMS-DRG 393, medical	18	$97,123	$10,718	$10,878	1.62
Major small and large bowel procedures with MCCMS-DRG 329, surgical	17	$287,315	$29,943	$32,179	4.52
Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical	17	$85,610	$7,106	$9,588	1.04
Gastrointestinal obstruction with MCCMS-DRG 388, medical	17	$75,006	$9,385	$8,401	1.45
Major small and large bowel procedures with CCMS-DRG 330, surgical	12	$198,331	$13,495	$22,213	2.37

Nervous system316 discharges in 11 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	70	$102,870	$6,353	$11,521	1.02
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical	67	$148,111	$12,782	$16,588	2.00
Transient ischemia without thrombolyticMS-DRG 069, medical	58	$85,584	$4,867	$9,585	0.80
Seizures with MCCMS-DRG 100, medical	23	$132,786	$12,440	$14,872	1.98
Seizures without MCCMS-DRG 101, medical	19	$76,112	$5,864	$8,525	0.91
Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical	15	$122,354	$5,469	$13,704	1.03
Carotid artery stent procedures without cc/mccMS-DRG 036, surgical	14	$152,917	$12,063	$17,127	1.81
Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical	13	$75,676	$3,854	$8,476	0.69
Other disorders of nervous system with CCMS-DRG 092, medical	13	$73,743	$6,322	$8,259	1.03
Headaches without MCCMS-DRG 103, medical	13	$88,740	$4,875	$9,939	0.84
Other cerebrovascular disorders with MCCMS-DRG 070, medical	11	$117,836	$10,548	$13,198	1.79

Musculoskeletal system and connective tissue213 discharges in 8 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Medical back problems without MCCMS-DRG 552, medical	50	$78,660	$6,202	$8,810	0.97
Hip and femur procedures except major joint with CCMS-DRG 481, surgical	43	$151,428	$13,539	$16,960	2.07
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical	38	$166,593	$13,708	$18,658	2.11
Hip and femur procedures except major joint with MCCMS-DRG 480, surgical	22	$190,622	$18,547	$21,350	2.95
Medical back problems with MCCMS-DRG 551, medical	18	$95,936	$11,071	$10,745	1.70
Fractures of hip and pelvis without MCCMS-DRG 536, medical	17	$64,960	$4,900	$7,276	0.79
Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical	14	$247,551	$19,395	$27,726	2.99
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical	11	$66,627	$5,955	$7,462	0.90

Endocrine, nutritional and metabolic192 discharges in 5 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	58	$65,483	$4,915	$7,334	0.78
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical	56	$89,190	$8,502	$9,989	1.32
Diabetes with MCCMS-DRG 637, medical	36	$84,085	$8,877	$9,417	1.45
Diabetes with CCMS-DRG 638, medical	24	$61,413	$5,391	$6,878	0.90
Endocrine disorders with MCCMS-DRG 643, medical	18	$97,326	$10,829	$10,901	1.65

Mental diseases and disorders173 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
PsychosesMS-DRG 885, medical	151	$42,388	$8,418	$4,747	1.37
Organic disturbances and intellectual disabilityMS-DRG 884, medical	22	$81,034	$10,034	$9,076	1.76

Liver, gallbladder and pancreas152 discharges in 7 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical	55	$110,168	$13,101	$12,339	1.92
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical	31	$108,960	$11,443	$12,204	1.83
Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical	17	$121,384	$11,544	$13,595	1.76
Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical	13	$217,130	$14,268	$24,319	2.32
Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical	13	$75,496	$7,226	$8,456	1.03
Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical	12	$130,775	$8,429	$14,647	1.31
Disorders of the biliary tract with MCCMS-DRG 444, medical	11	$123,194	$10,602	$13,798	1.63

Skin, subcutaneous tissue and breast68 discharges in 3 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Cellulitis without MCCMS-DRG 603, medical	29	$61,051	$5,707	$6,838	0.88
Cellulitis with MCCMS-DRG 602, medical	20	$114,961	$10,198	$12,876	1.49
Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical	19	$76,068	$5,701	$8,520	0.91

Blood and immune system64 discharges in 3 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Coagulation disordersMS-DRG 813, medical	31	$82,064	$10,579	$9,191	1.56
Red blood cell disorders without MCCMS-DRG 812, medical	18	$60,229	$6,059	$6,746	0.90
Red blood cell disorders with MCCMS-DRG 811, medical	15	$119,712	$8,723	$13,408	1.40

Other34 discharges in 2 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	23	$299,300	$31,091	$33,522	4.74
Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical	11	$147,401	$12,730	$16,509	2.49

Ear, nose, mouth and throat19 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
DysequilibriumMS-DRG 149, medical	19	$76,205	$4,748	$8,535	0.74

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	377	357	$37,206	$1,930	$2,090
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	240	219	$13,324	$1,136	$1,220
Level 2 Upper GI ProceduresAPC 5302	177	169	$17,493	$1,354	$1,445
Level 1 Endovascular ProceduresAPC 5191	167	166	$47,266	$2,083	$2,208
Level 3 Vascular ProceduresAPC 5183	154	151	$28,947	$2,284	$2,405
Level 1 Laparoscopy and Related ServicesAPC 5361	117	116	$78,763	$4,021	$4,358
Level 4 Airway EndoscopyAPC 5154	89	87	$44,918	$2,564	$2,833
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073	85	78	$23,123	$1,989	$2,141
Level 3 Endovascular ProceduresAPC 5193	82	71	$90,456	$8,260	$8,874
Level 5 Musculoskeletal ProceduresAPC 5115	73	71	$123,945	$10,196	$10,772
Level 2 Vascular ProceduresAPC 5182	69	64	$9,867	$1,148	$1,204
Level 4 Musculoskeletal ProceduresAPC 5114	58	56	$84,307	$4,861	$5,339
Level 1 Nerve ProceduresAPC 5431	55	41	$21,657	$1,382	$1,407
Level 5 Neurostimulator and Related ProceduresAPC 5465	51	50	$126,121	$25,203	$26,719
Level 4 Urology and Related ServicesAPC 5374	48	36	$46,179	$2,498	$2,629
Level 4 Endovascular ProceduresAPC 5194	43	37	$112,774	$14,117	$14,606
Level 4 Vascular ProceduresAPC 5184	40	37	$52,095	$3,939	$3,946
Level 3 Pacemaker and Similar ProceduresAPC 5223	38	38	$68,233	$7,965	$8,569
Level 2 Neurostimulator and Related ProceduresAPC 5462	38	35	$33,369	$4,775	$4,524
Level 3 Airway EndoscopyAPC 5153	36	35	$31,070	$1,217	$1,264
Level 5 Airway EndoscopyAPC 5155	35	34	$58,549	$4,627	$5,183
Level 5 Urology and Related ServicesAPC 5375	35	32	$57,315	$3,710	$3,918
Level 2 Endovascular ProceduresAPC 5192	29	28	$58,898	$4,098	$4,338
Level 3 Lower GI ProceduresAPC 5313	23	23	$18,914	$2,077	$2,176
Level 2 Laparoscopy and Related ServicesAPC 5362	23	23	$89,328	$7,626	$8,164
Level 2 Musculoskeletal ProceduresAPC 5112	22	22	$23,895	$1,165	$1,196
Level 3 Urology and Related ServicesAPC 5373	19	13	$23,216	$1,460	$1,516
Level 3 Upper GI ProceduresAPC 5303	17	17	$25,849	$2,746	$2,888
Level 5 ENT ProceduresAPC 5165	15	15	$83,504	$4,199	$4,436
Level 3 Musculoskeletal ProceduresAPC 5113	14	14	$53,993	$2,320	$2,373
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341	14	13	$54,030	$2,481	$2,636

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.