Tops Surgical Specialty Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Tops Surgical Specialty Hospital, Houston, TX in 2024, from traditional Medicare claims. Back to the Tops Surgical Specialty Hospital profile, with quality ratings, finances and negotiated rates.
76
Medicare inpatient discharges
In 3 published DRGs
3.29
Case mix index
IPPS FY 2027
100%
Surgical stays
0%
Stays with complications
In DRGs with a CC or MCC
769
Medicare outpatient services
In 12 service groups
Inpatient stays by major diagnostic category
Musculoskeletal system and connective tissue76 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 43 | $65,492 | $10,250 | $14,343 | 1.88 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 17 | $183,021 | $26,436 | $40,082 | 4.61 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 16 | $138,160 | $23,313 | $30,257 | 3.66 |
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 | 132 | 126 | $73,165 | $10,474 | $10,772 |
| Level 1 Nerve ProceduresAPC 5431 | 117 | 102 | $16,747 | $1,400 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 116 | 115 | $38,454 | $5,142 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 111 | 105 | $18,819 | $2,354 | $2,373 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 86 | 83 | $3,857 | $1,179 | $1,220 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 50 | 47 | $12,587 | $1,183 | $1,196 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 45 | 26 | $18,488 | $3,256 | $4,524 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 37 | 35 | $78,584 | $15,611 | $15,763 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 31 | 31 | $190,461 | $27,077 | $26,719 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 18 | 18 | $14,011 | $2,003 | $2,141 |
| Level 4 Urology and Related ServicesAPC 5374 | 15 | 13 | $25,753 | $2,576 | $2,629 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 11 | 11 | $33,407 | $4,818 | $4,982 |
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.