Ut Health Athens Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ut Health Athens, Athens, TX in 2024, from traditional Medicare claims. Back to the Ut Health Athens profile, with quality ratings, finances and negotiated rates.
603
Medicare inpatient discharges
In 18 published DRGs
1.46
Case mix index
IPPS FY 2027
0%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
421
Medicare outpatient services
In 11 service groups
Inpatient stays by major diagnostic category
Respiratory system165 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 76 | $80,204 | $8,964 | $9,544 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 28 | $47,263 | $5,816 | $5,624 | 0.82 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 26 | $93,167 | $10,363 | $11,087 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 18 | $99,162 | $9,144 | $11,800 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 17 | $60,416 | $7,807 | $7,189 | 1.10 |
Infectious and parasitic diseases156 discharges in 2 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 | 119 | $96,590 | $13,023 | $11,494 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 37 | $63,701 | $7,041 | $7,580 | 1.03 |
Kidney and urinary tract105 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 41 | $50,645 | $8,403 | $6,027 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 27 | $47,565 | $5,653 | $5,660 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 19 | $53,231 | $6,450 | $6,335 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 18 | $89,017 | $12,002 | $10,593 | 1.65 |
Circulatory system96 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 43 | $80,782 | $10,541 | $9,613 | 1.59 |
| Heart failure and shock with MCCMS-DRG 291, medical | 32 | $64,935 | $9,204 | $7,727 | 1.28 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 21 | $44,316 | $6,535 | $5,274 | 0.91 |
Endocrine, nutritional and metabolic35 discharges in 1 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 | 35 | $43,244 | $5,615 | $5,146 | 0.78 |
Digestive system34 discharges in 2 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 | 21 | $49,672 | $5,597 | $5,911 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 13 | $56,599 | $6,930 | $6,735 | 0.98 |
Skin, subcutaneous tissue and breast12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 12 | $42,256 | $6,384 | $5,028 | 0.88 |
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 | 94 | 93 | $30,244 | $1,940 | $2,090 |
| Level 5 Urology and Related ServicesAPC 5375 | 85 | 79 | $29,780 | $3,620 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 63 | 51 | $27,992 | $2,419 | $2,629 |
| Level 2 Upper GI ProceduresAPC 5302 | 47 | 41 | $12,876 | $1,337 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 31 | 31 | $31,841 | $2,479 | $2,636 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 23 | 23 | $41,293 | $3,979 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 20 | 20 | $37,088 | $2,285 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 16 | 14 | $26,827 | $2,031 | $2,373 |
| Level 3 Urology and Related ServicesAPC 5373 | 16 | 13 | $26,767 | $1,460 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 13 | 13 | $57,559 | $4,735 | $5,339 |
| Level 1 Nerve ProceduresAPC 5431 | 13 | $12,950 | $1,384 | $1,407 |
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.