Valley Baptist Medical Center: Harlingen Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Valley Baptist Medical Center: Harlingen, Harlingen, TX in 2024, from traditional Medicare claims. Back to the Valley Baptist Medical Center: Harlingen profile, with quality ratings, finances and negotiated rates.
1,220
Medicare inpatient discharges
In 45 published DRGs
1.99
Case mix index
IPPS FY 2027
14%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
380
Medicare outpatient services
In 16 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases331 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 | 240 | $204,153 | $13,372 | $11,637 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 53 | $114,990 | $7,123 | $6,554 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 38 | $495,431 | $29,151 | $28,240 | 5.00 |
Circulatory system206 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 66 | $130,351 | $9,175 | $7,430 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 33 | $170,055 | $11,876 | $9,693 | 1.59 |
| Chest painMS-DRG 313, medical | 19 | $75,558 | $5,136 | $4,307 | 0.72 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 18 | $122,914 | $8,152 | $7,006 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 15 | $79,552 | $5,905 | $4,534 | 0.74 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 14 | $426,465 | $35,649 | $24,309 | 5.06 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $104,711 | $7,157 | $5,969 | 0.91 |
| Syncope and collapseMS-DRG 312, medical | 14 | $117,693 | $6,553 | $6,709 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 13 | $128,751 | $6,656 | $7,339 | 1.08 |
Kidney and urinary tract161 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 | 38 | $115,079 | $8,886 | $6,559 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 36 | $136,226 | $10,478 | $7,765 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 33 | $177,080 | $11,727 | $10,094 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 26 | $87,376 | $5,044 | $4,980 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 16 | $106,657 | $6,429 | $6,079 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 12 | $113,754 | $8,062 | $6,484 | 1.02 |
Nervous system129 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 34 | $230,062 | $13,470 | $13,114 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 27 | $137,510 | $6,844 | $7,838 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 19 | $122,367 | $6,065 | $6,975 | 0.80 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 14 | $710,910 | $42,235 | $40,522 | 5.67 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 12 | $658,005 | $31,226 | $37,506 | 4.42 |
| Seizures without MCCMS-DRG 101, medical | 12 | $105,343 | $7,176 | $6,005 | 0.91 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 11 | $146,748 | $8,767 | $8,365 | 1.47 |
Respiratory system113 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 | 52 | $137,051 | $9,672 | $7,812 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 32 | $197,346 | $12,381 | $11,249 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 18 | $160,626 | $8,207 | $9,156 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $130,656 | $5,096 | $7,447 | 0.82 |
Musculoskeletal system and connective tissue82 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 | 37 | $238,405 | $13,545 | $13,589 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 17 | $116,383 | $6,575 | $6,634 | 0.97 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 15 | $251,874 | $16,627 | $14,357 | 2.40 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 13 | $221,541 | $13,633 | $12,628 | 2.11 |
Endocrine, nutritional and metabolic75 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 | 30 | $115,946 | $9,978 | $6,609 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 18 | $85,096 | $5,899 | $4,850 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $141,337 | $9,648 | $8,056 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 13 | $105,743 | $7,534 | $6,027 | 0.90 |
Digestive system42 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 | 23 | $86,903 | $5,183 | $4,953 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 19 | $217,077 | $13,017 | $12,373 | 1.79 |
Liver, gallbladder and pancreas26 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 15 | $149,116 | $11,702 | $8,500 | 1.92 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 11 | $151,826 | $7,869 | $8,654 | 1.31 |
Other16 discharges in 1 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 | 16 | $443,482 | $30,765 | $25,278 | 4.74 |
Skin, subcutaneous tissue and breast15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 15 | $72,024 | $6,296 | $4,105 | 0.88 |
Mental diseases and disorders12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 12 | $101,429 | $11,148 | $5,781 | 1.76 |
Injuries, poisonings and toxic effects of drugs12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 12 | $164,306 | $11,726 | $9,365 | 1.60 |
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 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 46 | 46 | $23,938 | $1,042 | $1,220 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 38 | 38 | $366,964 | $25,235 | $26,719 |
| Comprehensive Observation ServicesAPC 8011 | 36 | 36 | $62,270 | $1,785 | $2,090 |
| Level 3 Vascular ProceduresAPC 5183 | 30 | 30 | $36,178 | $2,201 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 30 | 30 | $50,528 | $1,959 | $2,208 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 25 | 25 | $65,648 | $2,238 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 23 | 23 | $127,150 | $4,731 | $5,339 |
| Level 4 Vascular ProceduresAPC 5184 | 23 | 22 | $121,566 | $3,634 | $3,946 |
| Level 2 Upper GI ProceduresAPC 5302 | 23 | 21 | $30,554 | $1,254 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 19 | 19 | $100,179 | $3,631 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 16 | 11 | $29,776 | $1,406 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 16 | 13 | $72,578 | $2,393 | $2,629 |
| Level 2 Vascular ProceduresAPC 5182 | 15 | 15 | $14,430 | $1,095 | $1,204 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 14 | 14 | $185,091 | $9,774 | $10,772 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 13 | 13 | $52,246 | $1,964 | $2,141 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 13 | 13 | $121,300 | $4,498 | $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.