Project Crossfoot
Hospital · CCN 450058

Baptist Medical Center

111 Dallas Street, San Antonio, TX 78205 · Bexar County
Part of Tenet Healthcare · 1,498 beds · 5
Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

185 admission types 58 outpatient services 133 Medicare-file findings
Billed per dollar paid, all admissions
11.45×
$1,368.0M billed against $119.5M paid across 7,692 Medicare discharges; the national figure is 5.03×.
6.4%
of adults in Bexar County have medical debt in collections
18.0%
uninsured in the county · state 18.8%
$70K
median household income
8.3×
billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (12 in the inpatient or outpatient file)ⓘ
34.1%
obesity in the countyⓘ
13.9%
diagnosed diabetes (PLACES)
5.4%
coronary heart disease (PLACES)
—
median age · — below poverty (ACS)
01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
871
Septicemia or severe sepsis without mv >96 hours with mcc
805
$157,028
$14,564
10.8× st 6.7×
291
Heart failure and shock with mcc
279
$99,000
$10,205
9.7× st 5.8×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
204
$89,420
$10,159
8.8× st 5.7×
280
Acute myocardial infarction, discharged alive with mcc
194
$129,708
$11,973
10.8× st 6.9×
193
Simple pneumonia and pleurisy with mcc
181
$112,621
$10,363
10.9× st 6.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
158
$412,154
$35,408
11.6× st 6.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
157
$163,642
$13,900
11.8× st 7.3×
177
Respiratory infections and inflammations with mcc
136
$130,108
$12,696
10.2× st 6.1×
698
Other kidney and urinary tract diagnoses with mcc
128
$130,689
$12,200
10.7× st 6.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
118
$110,757
$8,639
12.8× st 6.9×
682
Renal failure with mcc
115
$117,855
$11,326
10.4× st 6.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
112
$105,716
$8,607
12.3× st 5.8×
683
Renal failure with cc
108
$82,458
$7,549
10.9× st 5.8×
689
Kidney and urinary tract infections with mcc
103
$96,510
$9,331
10.3× st 5.6×
481
Hip and femur procedures except major joint with cc
83
$202,109
$15,508
13.0× st 7.3×
378
Gastrointestinal hemorrhage with cc
83
$103,577
$8,916
11.6× st 6.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
79
$200,997
$14,934
13.5× st 7.7×
252
Other vascular procedures with mcc
77
$214,415
$25,015
8.6× st 6.7×
330
Major small and large bowel procedures with cc
76
$230,227
$17,540
13.1× st 6.8×
690
Kidney and urinary tract infections without mcc
73
$79,524
$7,083
11.2× st 5.2×
377
Gastrointestinal hemorrhage with mcc
73
$140,331
$13,514
10.4× st 7.1×
329
Major small and large bowel procedures with mcc
71
$371,261
$37,085
10.0× st 6.4×
274
Percutaneous and other intracardiac procedures without mcc
71
$326,720
$24,021
13.6× st 9.3×
069
Transient ischemia without thrombolytic
70
$89,973
$7,044
12.8× st 9.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
69
$70,832
$6,972
10.2× st 6.2×
552
Medical back problems without mcc
66
$74,248
$8,153
9.1× st 7.0×
309
Cardiac arrhythmia and conduction disorders with cc
66
$61,067
$6,761
9.0× st 6.3×
189
Pulmonary edema and respiratory failure
66
$104,345
$10,069
10.4× st 5.6×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
63
$529,307
$33,716
15.7× st 7.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
62
$67,417
$6,971
9.7× st 5.6×
281
Acute myocardial infarction, discharged alive with cc
60
$112,365
$7,851
14.3× st 7.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
59
$282,411
$15,691
18.0× st 9.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
59
$368,748
$21,341
17.3× st 8.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
58
$208,541
$15,405
13.5× st 7.9×
312
Syncope and collapse
58
$83,499
$7,484
11.2× st 7.1×
305
Hypertension without mcc
55
$68,890
$8,566
8.0× st 7.4×
314
Other circulatory system diagnoses with mcc
55
$108,837
$14,136
7.7× st 6.1×
699
Other kidney and urinary tract diagnoses with cc
53
$78,974
$8,817
9.0× st 5.2×
101
Seizures without mcc
53
$84,275
$7,843
10.7× st 6.2×
100
Seizures with mcc
53
$154,621
$14,717
10.5× st 7.0×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
50
$463,407
$36,092
12.8× st 7.9×
308
Cardiac arrhythmia and conduction disorders with mcc
49
$97,466
$9,490
10.3× st 6.6×
870
Septicemia or severe sepsis with mv >96 hours
48
$357,789
$40,695
8.8× st 7.3×
603
Cellulitis without mcc
46
$77,073
$7,810
9.9× st 4.9×
270
Other major cardiovascular procedures with mcc
44
$386,808
$35,981
10.8× st 7.6×
638
Diabetes with cc
44
$84,326
$7,645
11.0× st 4.8×
811
Red blood cell disorders with mcc
41
$108,452
$10,989
9.9× st 5.9×
389
Gastrointestinal obstruction with cc
41
$86,088
$6,999
12.3× st 5.9×
432
Cirrhosis and alcoholic hepatitis with mcc
41
$150,098
$14,471
10.4× st 6.5×
394
Other digestive system diagnoses with cc
41
$84,006
$7,881
10.7× st 6.4×
467
Revision of hip or knee replacement with cc
39
$343,349
$23,030
14.9× st 9.4×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
39
$360,913
$31,229
11.6× st 5.9×
637
Diabetes with mcc
39
$132,385
$11,627
11.4× st 6.5×
313
Chest pain
38
$61,295
$6,432
9.5× st 7.4×
025
Craniotomy and endovascular intracranial procedures with mcc
38
$452,915
$35,143
12.9× st 7.4×
235
Coronary bypass without cardiac catheterization with mcc
37
$470,625
$36,953
12.7× st 6.0×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
37
$201,699
$16,509
12.2× st 6.7×
239
Amputation for circulatory system disorders except upper limb and toe with mcc
36
$289,830
$29,533
9.8× st 8.0×
253
Other vascular procedures with cc
36
$264,766
$18,508
14.3× st 6.9×
393
Other digestive system diagnoses with mcc
36
$148,210
$12,853
11.5× st 6.4×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
36
$149,405
$9,321
16.0× st 8.5×
149
Dysequilibrium
34
$73,961
$6,995
10.6× st 9.1×
854
Infectious and parasitic diseases with o.r. procedures with cc
34
$186,434
$16,413
11.4× st 7.1×
418
Laparoscopic cholecystectomy without c.d.e. with cc
33
$149,368
$12,505
11.9× st 7.9×
092
Other disorders of nervous system with cc
33
$84,759
$8,510
10.0× st 6.6×
091
Other disorders of nervous system with mcc
33
$118,701
$12,861
9.2× st 6.7×
164
Major chest procedures with cc
33
$240,895
$18,385
13.1× st 7.7×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
32
$42,157
$5,548
7.6× st 6.7×
812
Red blood cell disorders without mcc
32
$82,239
$7,841
10.5× st 5.1×
242
Permanent cardiac pacemaker implant with mcc
31
$289,982
$25,775
11.3× st 7.6×
299
Peripheral vascular disorders with mcc
31
$141,648
$12,708
11.1× st 7.2×
194
Simple pneumonia and pleurisy with cc
30
$73,023
$6,968
10.5× st 5.7×
103
Headaches without mcc
29
$78,696
$7,428
10.6× st 8.4×
468
Revision of hip or knee replacement without cc/mcc
29
$288,966
$21,095
13.7× st 9.0×
271
Other major cardiovascular procedures with cc
29
$309,805
$25,233
12.3× st 7.3×
483
Major joint or limb reattachment procedures of upper extremities
28
$242,158
$18,287
13.2× st 9.7×
660
Kidney and ureter procedures for non-neoplasm with cc
28
$109,512
$11,269
9.7× st 6.6×
300
Peripheral vascular disorders with cc
28
$86,624
$8,537
10.1× st 6.2×
673
Other kidney and urinary tract procedures with mcc
28
$201,701
$26,370
7.6× st 6.4×
480
Hip and femur procedures except major joint with mcc
28
$226,863
$18,989
11.9× st 7.1×
208
Respiratory system diagnosis with ventilator support <=96 hours
27
$151,107
$20,444
7.4× st 7.8×
039
Extracranial procedures without cc/mcc
27
$141,750
$9,232
15.4× st 8.2×
521
Hip replacement with principal diagnosis of hip fracture with mcc
27
$271,342
$18,978
14.3× st 8.1×
920
Complications of treatment with cc
27
$101,085
$8,419
12.0× st 6.0×
207
Respiratory system diagnosis with ventilator support >96 hours
27
$332,880
$35,734
9.3× st 7.4×
243
Permanent cardiac pacemaker implant with cc
27
$219,717
$17,584
12.5× st 7.6×
163
Major chest procedures with mcc
26
$364,640
$31,748
11.5× st 7.1×
264
Other circulatory system o.r. procedures
26
$227,418
$23,117
9.8× st 5.6×
057
Degenerative nervous system disorders without mcc
25
$91,617
$10,921
8.4× st 5.9×
082
Traumatic stupor and coma >1 hour with mcc
25
$165,203
$16,837
9.8× st 6.0×
175
Pulmonary embolism with mcc or acute cor pulmonale
25
$142,417
$11,039
12.9× st 6.5×
917
Poisoning and toxic effects of drugs with mcc
25
$116,189
$11,716
9.9× st 5.2×
454
Combined anterior and posterior spinal fusion with cc
25
$734,962
$53,522
13.7× st 8.8×
178
Respiratory infections and inflammations with cc
24
$81,850
$7,812
10.5× st 5.4×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
24
$62,813
$7,538
8.3× st 6.7×
190
Chronic obstructive pulmonary disease with mcc
23
$76,784
$9,249
8.3× st 4.9×
455
Combined anterior and posterior spinal fusion without cc/mcc
23
$537,029
$40,472
13.3× st 6.6×
240
Amputation for circulatory system disorders except upper limb and toe with cc
21
$151,535
$15,543
9.7× st 9.2×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
21
$82,934
$6,450
12.9× st 7.9×
083
Traumatic stupor and coma >1 hour with cc
21
$110,661
$10,763
10.3× st 6.0×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
21
$97,311
$10,386
9.4× st 5.9×
948
Signs and symptoms without mcc
20
$70,024
$6,780
10.3× st 5.4×
326
Stomach, esophageal and duodenal procedures with mcc
20
$429,281
$33,824
12.7× st 6.3×
643
Endocrine disorders with mcc
20
$123,750
$11,631
10.6× st 6.8×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
20
$616,546
$45,850
13.4× st 7.7×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
20
$203,321
$19,137
10.6× st 7.1×
884
Organic disturbances and intellectual disability
20
$131,072
$13,471
9.7× st 5.7×
460
Spinal fusion except cervical without mcc
20
$558,037
$32,088
17.4× st 6.9×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
20
$166,820
$11,965
13.9× st 9.0×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
19
$201,242
$17,634
11.4× st 6.1×
070
Other cerebrovascular disorders with mcc
19
$119,939
$11,618
10.3× st 5.1×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
19
$498,335
$64,738
7.7× st 6.1×
304
Hypertension with mcc
19
$131,481
$10,115
13.0× st 6.5×
282
Acute myocardial infarction, discharged alive without cc/mcc
18
$91,913
$6,699
13.7× st 8.7×
056
Degenerative nervous system disorders with mcc
18
$106,450
$15,472
6.9× st 6.0×
862
Postoperative and post-traumatic infections with mcc
18
$147,326
$14,449
10.2× st 5.3×
283
Acute myocardial infarction, expired with mcc
18
$185,262
$15,143
12.2× st 8.8×
919
Complications of treatment with mcc
18
$159,526
$14,740
10.8× st 6.0×
602
Cellulitis with mcc
18
$112,154
$11,415
9.8× st 5.5×
315
Other circulatory system diagnoses with cc
18
$75,368
$8,640
8.7× st 6.3×
186
Pleural effusion with mcc
17
$118,825
$12,015
9.9× st 7.6×
041
Peripheral, cranial nerve and other nervous system procedures with cc or peripheral neur
17
$233,306
$18,099
12.9× st 7.1×
482
Hip and femur procedures except major joint without cc/mcc
16
$142,036
$12,642
11.2× st 8.2×
472
Cervical spinal fusion with cc
16
$309,658
$24,373
12.7× st 7.2×
535
Fractures of hip and pelvis with mcc
16
$83,332
$9,787
8.5× st 8.1×
071
Other cerebrovascular disorders with cc
16
$101,241
$8,473
11.9× st 5.2×
374
Digestive malignancy with mcc
16
$144,251
$12,856
11.2× st 6.5×
244
Permanent cardiac pacemaker implant without cc/mcc
16
$209,065
$13,777
15.2× st 8.7×
388
Gastrointestinal obstruction with mcc
16
$104,314
$10,465
10.0× st 6.5×
445
Disorders of the biliary tract with cc
16
$57,537
$8,648
6.7× st 6.8×
435
Malignancy of hepatobiliary system or pancreas with mcc
16
$130,009
$14,354
9.1× st 7.2×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
16
$118,741
$10,722
11.1× st 9.6×
331
Major small and large bowel procedures without cc/mcc
16
$195,550
$12,869
15.2× st 6.8×
551
Medical back problems with mcc
15
$107,807
$11,282
9.6× st 7.0×
216
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization wit
15
$971,109
$87,428
11.1× st 7.3×
536
Fractures of hip and pelvis without mcc
15
$57,833
$6,771
8.5× st 5.8×
323
Coronary intravascular lithotripsy with intraluminal device with mcc
15
$509,886
$31,957
16.0× st 10.9×
074
Cranial and peripheral nerve disorders without mcc
15
$71,257
$9,078
7.8× st 8.3×
907
Other o.r. procedures for injuries with mcc
15
$335,933
$26,370
12.7× st 5.6×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
15
$209,105
$17,262
12.1× st 8.5×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
15
$227,562
$18,034
12.6× st 6.1×
180
Respiratory neoplasms with mcc
14
$162,880
$13,742
11.9× st 7.4×
276
Cardiac defibrillator implant with mcc or carotid sinus neurostimulator
14
$623,438
$40,059
15.6× st 9.3×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
14
$143,945
$13,775
10.5× st 5.9×
054
Nervous system neoplasms with mcc
14
$124,082
$10,449
11.9× st 5.9×
062
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
14
$207,036
$14,410
14.4× st 8.0×
166
Other respiratory system o.r. procedures with mcc
14
$280,695
$24,294
11.6× st 5.5×
880
Acute adjustment reaction and psychosocial dysfunction
13
$79,105
$7,965
9.9× st 8.0×
236
Coronary bypass without cardiac catheterization without mcc
13
$403,904
$28,768
14.0× st 7.3×
035
Carotid artery stent procedures with cc
13
$279,051
$16,887
16.5× st 7.1×
038
Extracranial procedures with cc
13
$183,794
$21,123
8.7× st 7.0×
254
Other vascular procedures without cc/mcc
13
$190,669
$14,541
13.1× st 9.4×
269
Aortic and heart assist procedures except pulsation balloon without mcc
13
$278,798
$29,145
9.6× st 6.9×
581
Other skin, subcutaneous tissue and breast procedures without cc/mcc
13
$290,394
$12,165
23.9× st 13.6×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
13
$182,108
$6,763
26.9× st 5.1×
444
Disorders of the biliary tract with mcc
13
$113,772
$12,537
9.1× st 7.1×
469
Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota
13
$244,812
$22,456
10.9× st 13.4×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
12
$580,970
$41,804
13.9× st 7.5×
335
Peritoneal adhesiolysis with mcc
12
$277,029
$24,938
11.1× st 11.1×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
12
$289,497
$48,606
6.0× st 6.1×
061
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
12
$257,456
$20,096
12.8× st 10.5×
463
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
12
$357,209
$32,032
11.2× st 9.5×
324
Coronary intravascular lithotripsy with intraluminal device without mcc
12
$389,879
$24,269
16.1× st 11.2×
173
Ultrasound accelerated and other thrombolysis with principal diagnosis pulmonary embolis
12
$231,798
$23,229
10.0× st 10.0×
453
Combined anterior and posterior spinal fusion with mcc
12
$911,647
$87,822
10.4× st 10.9×
519
Back and neck procedures except spinal fusion with cc
12
$228,153
$14,539
15.7× st 7.1×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
12
$89,485
$8,809
10.2× st 6.0×
202
Bronchitis and asthma with cc/mcc
12
$62,117
$8,194
7.6× st 6.7×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
12
$576,029
$51,822
11.1× st 5.9×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
12
$77,674
$9,036
8.6× st 8.8×
380
Complicated peptic ulcer with mcc
11
$200,730
$14,111
14.2× st 7.2×
034
Carotid artery stent procedures with mcc
11
$369,647
$27,841
13.3× st 7.8×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
11
$80,663
$7,828
10.3× st 6.6×
438
Disorders of pancreas except malignancy with mcc
11
$116,498
$13,405
8.7× st 6.7×
390
Gastrointestinal obstruction without cc/mcc
11
$32,776
$5,327
6.2× st 5.7×
036
Carotid artery stent procedures without cc/mcc
11
$209,151
$15,397
13.6× st 7.9×
464
Wound debridement and skin graft except hand for musculoskeletal and connective tissue d
11
$333,735
$18,967
17.6× st 10.4×
375
Digestive malignancy with cc
11
$136,040
$8,735
15.6× st 7.3×
371
Major gastrointestinal disorders and peritoneal infections with mcc
11
$213,446
$13,603
15.7× st 6.1×
336
Peritoneal adhesiolysis with cc
11
$252,751
$15,897
15.9× st 7.3×
078
Hypertensive encephalopathy with cc
11
$105,048
$8,372
12.5× st 9.2×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
11
$216,944
$15,024
14.4× st 7.1×
562
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc
11
$131,448
$11,221
11.7× st 7.1×
644
Endocrine disorders with cc
11
$109,444
$8,676
12.6× st 5.5×
398
Appendix procedures with cc
11
$133,155
$11,939
11.2× st 7.4×
02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC
Service
Services
Charge
Allowed
Billed ÷ allowed
5115
Level 5 Musculoskeletal Procedures
796
$154,236
$11,235
13.7×
5191
Level 1 Endovascular Procedures
313
$81,232
$2,806
28.9×
5361
Level 1 Laparoscopy and Related Services
256
$83,122
$4,896
17.0×
8011
Comprehensive Observation Services
184
$53,157
$2,344
22.7×
5184
Level 4 Vascular Procedures
159
$97,615
$4,714
20.7×
5183
Level 3 Vascular Procedures
157
$55,134
$2,737
20.1×
5114
Level 4 Musculoskeletal Procedures
152
$136,994
$6,077
22.5×
5302
Level 2 Upper GI Procedures
145
$32,533
$1,642
19.8×
5193
Level 3 Endovascular Procedures
135
$178,056
$9,481
18.8×
5072
Level 2 Excision/ Biopsy/ Incision and Drainage
122
$35,863
$1,385
25.9×
5073
Level 3 Excision/ Biopsy/ Incision and Drainage
117
$59,524
$2,432
24.5×
5116
Level 6 Musculoskeletal Procedures
113
$222,215
$15,752
14.1×
5362
Level 2 Laparoscopy and Related Services
110
$155,791
$8,746
17.8×
5213
Level 3 Electrophysiologic Procedures
95
$419,779
$20,357
20.6×
5373
Level 3 Urology and Related Services
93
$39,169
$1,755
22.3×
5375
Level 5 Urology and Related Services
91
$73,521
$4,426
16.6×
5223
Level 3 Pacemaker and Similar Procedures
90
$139,940
$9,260
15.1×
5194
Level 4 Endovascular Procedures
87
$186,538
$13,827
13.5×
5192
Level 2 Endovascular Procedures
76
$108,675
$4,959
21.9×
5414
Level 4 Gynecologic Procedures
74
$51,561
$2,654
19.4×
5091
Level 1 Breast/Lymphatic Surgery and Related Procedures
74
$80,059
$3,283
24.4×
5113
Level 3 Musculoskeletal Procedures
72
$66,097
$2,781
23.8×
5374
Level 4 Urology and Related Services
69
$64,989
$3,000
21.7×
5092
Level 2 Breast/Lymphatic Surgery and Related Procedures
67
$104,490
$5,555
18.8×
5222
Level 2 Pacemaker and Similar Procedures
64
$108,150
$7,188
15.0×
5112
Level 2 Musculoskeletal Procedures
57
$32,923
$1,395
23.6×
5492
Level 2 Intraocular Procedures
52
$66,826
$3,433
19.5×
5154
Level 4 Airway Endoscopy
48
$79,037
$3,249
24.3×
5182
Level 2 Vascular Procedures
48
$31,792
$1,390
22.9×
5341
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures
46
$84,158
$2,923
28.8×
5431
Level 1 Nerve Procedures
40
$39,465
$1,644
24.0×
5153
Level 3 Airway Endoscopy
37
$49,298
$1,473
33.5×
5464
Level 4 Neurostimulator and Related Procedures
36
$232,814
$18,456
12.6×
5313
Level 3 Lower GI Procedures
36
$48,197
$2,227
21.6×
5232
Level 2 ICD and Similar Procedures
31
$406,793
$27,597
14.7×
5376
Level 6 Urology and Related Services
25
$138,681
$7,739
17.9×
5331
Complex GI Procedures
24
$68,481
$4,945
13.8×
5415
Level 5 Gynecologic Procedures
20
$96,298
$4,316
22.3×
5155
Level 5 Airway Endoscopy
20
$99,526
$5,702
17.5×
5303
Level 3 Upper GI Procedures
19
$45,040
$3,323
13.6×
5416
Level 6 Gynecologic Procedures
15
$105,319
$6,208
17.0×
5224
Level 4 Pacemaker and Similar Procedures
12
$189,042
$16,871
11.2×
5462
Level 2 Neurostimulator and Related Procedures
11
$142,349
$5,934
24.0×
5212
Level 2 Electrophysiologic Procedures
—
—
—
—
5503
Level 3 Extraocular, Repair, and Plastic Eye Procedures
—
—
—
—
5493
Level 3 Intraocular Procedures
—
—
—
—
5165
Level 5 ENT Procedures
—
—
—
—
5491
Level 1 Intraocular Procedures
—
—
—
—
5471
Implantation of Drug Infusion Device
—
—
—
—
5465
Level 5 Neurostimulator and Related Procedures
—
—
—
—
5164
Level 4 ENT Procedures
—
—
—
—
5093
Level 3 Breast/Lymphatic Surgery and Related Procedures
—
—
—
—
5461
Level 1 Neurostimulator and Related Procedures
—
—
—
—
5432
Level 2 Nerve Procedures
—
—
—
—
5163
Level 3 ENT Procedures
—
—
—
—
5342
Level 2 Abdominal/Peritoneal/Biliary and Related Procedures
—
—
—
—
5231
Level 1 ICD and Similar Procedures
—
—
—
—
5372
Level 2 Urology and Related Services
—
—
—
—
03 · Checks

Where the Medicare rows do not agree with themselves

Service
Severity
Rule
Detail
MS-DRG 070
info
inp_charge_10x_payment
average charge $119,939 is 10.3× the total payment
MS-DRG 071
info
inp_charge_10x_payment
average charge $101,241 is 11.9× the total payment
MS-DRG 078
info
inp_charge_10x_payment
average charge $105,048 is 12.5× the total payment
MS-DRG 083
info
inp_charge_10x_payment
average charge $110,661 is 10.3× the total payment
MS-DRG 100
info
inp_charge_10x_payment
average charge $154,621 is 10.5× the total payment
MS-DRG 101
info
inp_charge_10x_payment
average charge $84,275 is 10.7× the total payment
MS-DRG 103
info
inp_charge_10x_payment
average charge $78,696 is 10.6× the total payment
MS-DRG 149
info
inp_charge_10x_payment
average charge $73,961 is 10.6× the total payment
MS-DRG 163
info
inp_charge_10x_payment
average charge $364,640 is 11.5× the total payment
MS-DRG 164
info
inp_charge_10x_payment
average charge $240,895 is 13.1× the total payment
MS-DRG 166
info
inp_charge_10x_payment
average charge $280,695 is 11.6× the total payment
MS-DRG 175
info
inp_charge_10x_payment
average charge $142,417 is 12.9× the total payment
MS-DRG 177
info
inp_charge_10x_payment
average charge $130,108 is 10.2× the total payment
MS-DRG 178
info
inp_charge_10x_payment
average charge $81,850 is 10.5× the total payment
MS-DRG 180
info
inp_charge_10x_payment
average charge $162,880 is 11.9× the total payment
MS-DRG 189
info
inp_charge_10x_payment
average charge $104,345 is 10.4× the total payment
MS-DRG 193
info
inp_charge_10x_payment
average charge $112,621 is 10.9× the total payment
MS-DRG 194
info
inp_charge_10x_payment
average charge $73,023 is 10.5× the total payment
MS-DRG 216
info
inp_charge_10x_payment
average charge $971,109 is 11.1× the total payment
MS-DRG 219
info
inp_charge_10x_payment
average charge $576,029 is 11.1× the total payment
MS-DRG 233
info
inp_charge_10x_payment
average charge $616,546 is 13.4× the total payment
MS-DRG 235
info
inp_charge_10x_payment
average charge $470,625 is 12.7× the total payment
MS-DRG 236
info
inp_charge_10x_payment
average charge $403,904 is 14.0× the total payment
MS-DRG 242
info
inp_charge_10x_payment
average charge $289,982 is 11.3× the total payment
MS-DRG 243
info
inp_charge_10x_payment
average charge $219,717 is 12.5× the total payment
MS-DRG 244
info
inp_charge_10x_payment
average charge $209,065 is 15.2× the total payment
MS-DRG 253
info
inp_charge_10x_payment
average charge $264,766 is 14.3× the total payment
MS-DRG 254
info
inp_charge_10x_payment
average charge $190,669 is 13.1× the total payment
MS-DRG 266
info
inp_charge_10x_payment
average charge $580,970 is 13.9× the total payment
MS-DRG 267
info
inp_charge_10x_payment
average charge $529,307 is 15.7× the total payment
MS-DRG 270
info
inp_charge_10x_payment
average charge $386,808 is 10.8× the total payment
MS-DRG 271
info
inp_charge_10x_payment
average charge $309,805 is 12.3× the total payment
MS-DRG 274
info
inp_charge_10x_payment
average charge $326,720 is 13.6× the total payment
MS-DRG 276
info
inp_charge_10x_payment
average charge $623,438 is 15.6× the total payment
MS-DRG 280
info
inp_charge_10x_payment
average charge $129,708 is 10.8× the total payment
MS-DRG 281
info
inp_charge_10x_payment
average charge $112,365 is 14.3× the total payment
MS-DRG 282
info
inp_charge_10x_payment
average charge $91,913 is 13.7× the total payment
MS-DRG 283
info
inp_charge_10x_payment
average charge $185,262 is 12.2× the total payment
MS-DRG 286
info
inp_charge_10x_payment
average charge $201,699 is 12.2× the total payment
MS-DRG 287
info
inp_charge_10x_payment
average charge $149,405 is 16.0× the total payment
MS-DRG 299
info
inp_charge_10x_payment
average charge $141,648 is 11.1× the total payment
MS-DRG 300
info
inp_charge_10x_payment
average charge $86,624 is 10.1× the total payment
MS-DRG 304
info
inp_charge_10x_payment
average charge $131,481 is 13.0× the total payment
MS-DRG 308
info
inp_charge_10x_payment
average charge $97,466 is 10.3× the total payment
MS-DRG 312
info
inp_charge_10x_payment
average charge $83,499 is 11.2× the total payment
MS-DRG 321
info
inp_charge_10x_payment
average charge $368,748 is 17.3× the total payment
MS-DRG 322
info
inp_charge_10x_payment
average charge $282,411 is 18.0× the total payment
MS-DRG 323
info
inp_charge_10x_payment
average charge $509,886 is 16.0× the total payment
MS-DRG 324
info
inp_charge_10x_payment
average charge $389,879 is 16.1× the total payment
MS-DRG 326
info
inp_charge_10x_payment
average charge $429,281 is 12.7× the total payment
MS-DRG 329
info
inp_charge_10x_payment
average charge $371,261 is 10.0× the total payment
MS-DRG 330
info
inp_charge_10x_payment
average charge $230,227 is 13.1× the total payment
MS-DRG 331
info
inp_charge_10x_payment
average charge $195,550 is 15.2× the total payment
MS-DRG 335
info
inp_charge_10x_payment
average charge $277,029 is 11.1× the total payment
MS-DRG 336
info
inp_charge_10x_payment
average charge $252,751 is 15.9× the total payment
MS-DRG 371
info
inp_charge_10x_payment
average charge $213,446 is 15.7× the total payment
MS-DRG 374
info
inp_charge_10x_payment
average charge $144,251 is 11.2× the total payment
MS-DRG 375
info
inp_charge_10x_payment
average charge $136,040 is 15.6× the total payment
MS-DRG 377
info
inp_charge_10x_payment
average charge $140,331 is 10.4× the total payment
MS-DRG 378
info
inp_charge_10x_payment
average charge $103,577 is 11.6× the total payment
MS-DRG 380
info
inp_charge_10x_payment
average charge $200,730 is 14.2× the total payment
MS-DRG 389
info
inp_charge_10x_payment
average charge $86,088 is 12.3× the total payment
MS-DRG 392
info
inp_charge_10x_payment
average charge $70,832 is 10.2× the total payment
MS-DRG 393
info
inp_charge_10x_payment
average charge $148,210 is 11.5× the total payment
MS-DRG 394
info
inp_charge_10x_payment
average charge $84,006 is 10.7× the total payment
MS-DRG 398
info
inp_charge_10x_payment
average charge $133,155 is 11.2× the total payment
MS-DRG 417
info
inp_charge_10x_payment
average charge $209,105 is 12.1× the total payment
MS-DRG 418
info
inp_charge_10x_payment
average charge $149,368 is 11.9× the total payment
MS-DRG 419
info
inp_charge_10x_payment
average charge $118,741 is 11.1× the total payment
MS-DRG 432
info
inp_charge_10x_payment
average charge $150,098 is 10.4× the total payment
MS-DRG 441
info
inp_charge_10x_payment
average charge $143,945 is 10.4× the total payment
MS-DRG 442
info
inp_charge_10x_payment
average charge $182,108 is 26.9× the total payment
MS-DRG 453
info
inp_charge_10x_payment
average charge $911,647 is 10.4× the total payment
MS-DRG 454
info
inp_charge_10x_payment
average charge $734,962 is 13.7× the total payment
MS-DRG 455
info
inp_charge_10x_payment
average charge $537,029 is 13.3× the total payment
MS-DRG 460
info
inp_charge_10x_payment
average charge $558,037 is 17.4× the total payment
MS-DRG 463
info
inp_charge_10x_payment
average charge $357,209 is 11.2× the total payment
MS-DRG 464
info
inp_charge_10x_payment
average charge $333,735 is 17.6× the total payment
MS-DRG 467
info
inp_charge_10x_payment
average charge $343,349 is 14.9× the total payment
MS-DRG 468
info
inp_charge_10x_payment
average charge $288,966 is 13.7× the total payment
MS-DRG 469
info
inp_charge_10x_payment
average charge $244,812 is 10.9× the total payment
MS-DRG 470
info
inp_charge_10x_payment
average charge $200,997 is 13.5× the total payment
MS-DRG 472
info
inp_charge_10x_payment
average charge $309,658 is 12.7× the total payment
MS-DRG 480
info
inp_charge_10x_payment
average charge $226,863 is 11.9× the total payment
MS-DRG 481
info
inp_charge_10x_payment
average charge $202,109 is 13.0× the total payment
MS-DRG 482
info
inp_charge_10x_payment
average charge $142,036 is 11.2× the total payment
MS-DRG 483
info
inp_charge_10x_payment
average charge $242,158 is 13.2× the total payment
MS-DRG 493
info
inp_charge_10x_payment
average charge $203,321 is 10.6× the total payment
MS-DRG 516
info
inp_charge_10x_payment
average charge $216,944 is 14.4× the total payment
MS-DRG 517
info
inp_charge_10x_payment
average charge $166,820 is 13.9× the total payment
MS-DRG 519
info
inp_charge_10x_payment
average charge $228,153 is 15.7× the total payment
MS-DRG 521
info
inp_charge_10x_payment
average charge $271,342 is 14.3× the total payment
MS-DRG 522
info
inp_charge_10x_payment
average charge $208,541 is 13.5× the total payment
MS-DRG 543
info
inp_charge_10x_payment
average charge $89,485 is 10.2× the total payment
MS-DRG 562
info
inp_charge_10x_payment
average charge $131,448 is 11.7× the total payment
MS-DRG 581
info
inp_charge_10x_payment
average charge $290,394 is 23.9× the total payment
MS-DRG 617
info
inp_charge_10x_payment
average charge $201,242 is 11.4× the total payment
MS-DRG 637
info
inp_charge_10x_payment
average charge $132,385 is 11.4× the total payment
MS-DRG 638
info
inp_charge_10x_payment
average charge $84,326 is 11.0× the total payment
MS-DRG 643
info
inp_charge_10x_payment
average charge $123,750 is 10.6× the total payment
MS-DRG 644
info
inp_charge_10x_payment
average charge $109,444 is 12.6× the total payment
MS-DRG 682
info
inp_charge_10x_payment
average charge $117,855 is 10.4× the total payment
MS-DRG 683
info
inp_charge_10x_payment
average charge $82,458 is 10.9× the total payment
MS-DRG 689
info
inp_charge_10x_payment
average charge $96,510 is 10.3× the total payment
MS-DRG 690
info
inp_charge_10x_payment
average charge $79,524 is 11.2× the total payment
MS-DRG 698
info
inp_charge_10x_payment
average charge $130,689 is 10.7× the total payment
MS-DRG 812
info
inp_charge_10x_payment
average charge $82,239 is 10.5× the total payment
MS-DRG 853
info
inp_charge_10x_payment
average charge $412,154 is 11.6× the total payment
MS-DRG 854
info
inp_charge_10x_payment
average charge $186,434 is 11.4× the total payment
MS-DRG 862
info
inp_charge_10x_payment
average charge $147,326 is 10.2× the total payment
MS-DRG 871
info
inp_charge_10x_payment
average charge $157,028 is 10.8× the total payment
MS-DRG 872
info
inp_charge_10x_payment
average charge $105,716 is 12.3× the total payment
MS-DRG 897
info
inp_charge_10x_payment
average charge $80,663 is 10.3× the total payment
MS-DRG 907
info
inp_charge_10x_payment
average charge $335,933 is 12.7× the total payment
MS-DRG 919
info
inp_charge_10x_payment
average charge $159,526 is 10.8× the total payment
MS-DRG 920
info
inp_charge_10x_payment
average charge $101,085 is 12.0× the total payment
MS-DRG 948
info
inp_charge_10x_payment
average charge $70,024 is 10.3× the total payment
MS-DRG 981
info
inp_charge_10x_payment
average charge $360,913 is 11.6× the total payment
MS-DRG 982
info
inp_charge_10x_payment
average charge $227,562 is 12.6× the total payment
MS-DRG 023
info
inp_charge_10x_payment
average charge $463,407 is 12.8× the total payment
MS-DRG 025
info
inp_charge_10x_payment
average charge $452,915 is 12.9× the total payment
MS-DRG 034
info
inp_charge_10x_payment
average charge $369,647 is 13.3× the total payment
MS-DRG 035
info
inp_charge_10x_payment
average charge $279,051 is 16.5× the total payment
MS-DRG 036
info
inp_charge_10x_payment
average charge $209,151 is 13.6× the total payment
MS-DRG 039
info
inp_charge_10x_payment
average charge $141,750 is 15.4× the total payment
MS-DRG 041
info
inp_charge_10x_payment
average charge $233,306 is 12.9× the total payment
MS-DRG 054
info
inp_charge_10x_payment
average charge $124,082 is 11.9× the total payment
MS-DRG 061
info
inp_charge_10x_payment
average charge $257,456 is 12.8× the total payment
MS-DRG 062
info
inp_charge_10x_payment
average charge $207,036 is 14.4× the total payment
MS-DRG 064
info
inp_charge_10x_payment
average charge $163,642 is 11.8× the total payment
MS-DRG 065
info
inp_charge_10x_payment
average charge $110,757 is 12.8× the total payment
MS-DRG 066
info
inp_charge_10x_payment
average charge $82,934 is 12.9× the total payment
MS-DRG 069
info
inp_charge_10x_payment
average charge $89,973 is 12.8× the total payment

Sources for this hospital

the files read, as fetched — not our copy of them
  1. Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
    MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
  2. Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
    MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
  3. AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
    chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
  4. 2020 ZCTA to County relationship file · US Census Bureau · 2020
    tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.