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Advocate Good Samaritan Hospital Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Advocate Good Samaritan Hospital, Downers Grove, IL in 2024, from traditional Medicare claims. Back to the Advocate Good Samaritan Hospital profile, with quality ratings, finances and negotiated rates.

  • 3,707

    Medicare inpatient discharges

    In 114 published DRGs

  • 2.06

    Case mix index

    IPPS FY 2027

  • 23%

    Surgical stays

  • 73%

    Stays with complications

    In DRGs with a CC or MCC

  • 3,101

    Medicare outpatient services

    In 40 service groups

Inpatient stays by major diagnostic category

Circulatory system949 discharges in 27 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Heart failure and shock with MCCMS-DRG 291, medical315$47,477$8,120$11,4421.28
Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical59$176,408$31,904$42,5144.88
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical50$55,984$9,687$13,4921.59
Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical49$126,346$21,468$30,4493.24
Syncope and collapseMS-DRG 312, medical41$33,290$5,346$8,0230.86
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical38$33,744$4,314$8,1320.74
Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical35$83,426$13,921$20,1062.16
Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical29$145,825$25,070$35,1444.04
Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical26$44,910$6,330$10,8231.08
Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical24$84,860$14,914$20,4512.28
Other circulatory system diagnoses with MCCMS-DRG 314, medical23$55,361$13,641$13,3422.09
Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical23$88,199$11,405$21,2561.82
Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical19$300,660$43,642$72,4597.71
Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical19$171,932$35,286$41,4365.88
Peripheral vascular disorders with CCMS-DRG 300, medical19$39,155$6,093$9,4361.07
Peripheral vascular disorders with MCCMS-DRG 299, medical18$52,678$9,484$12,6951.58
Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical17$73,934$11,215$17,8181.83
Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical17$202,331$42,251$48,7626.25
Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical16$33,590$5,110$8,0950.91
Other circulatory system diagnoses with CCMS-DRG 315, medical16$46,704$6,164$11,2560.97
Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical15$92,641$22,670$22,3263.46
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical15$36,454$7,562$8,7851.20
Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical15$113,560$17,766$27,3682.87
Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical14$264,657$48,906$63,7827.80
Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical14$142,220$27,390$34,2753.90
Other vascular procedures with MCCMS-DRG 252, surgical12$104,936$22,521$25,2903.35
Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical11$147,388$28,403$35,5204.16

Infectious and parasitic diseases540 discharges in 4 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical380$68,032$12,311$16,3961.98
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical80$38,920$6,184$9,3801.03
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical63$151,960$30,646$36,6225.00
Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical17$76,554$13,363$18,4502.04

Respiratory system449 discharges in 11 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Respiratory infections and inflammations with MCCMS-DRG 177, medical98$50,684$9,796$12,2151.70
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical98$54,126$8,299$13,0441.33
Pulmonary edema and respiratory failureMS-DRG 189, medical85$47,895$7,628$11,5431.23
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical36$45,803$6,098$11,0391.10
Respiratory infections and inflammations with CCMS-DRG 178, medical28$42,785$5,829$10,3110.99
Simple pneumonia and pleurisy with CCMS-DRG 194, medical26$35,144$4,517$8,4700.82
Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical23$42,857$8,192$10,3291.40
Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical19$92,825$18,309$22,3712.70
Respiratory neoplasms with MCCMS-DRG 180, medical13$66,977$10,678$16,1411.74
Bronchitis and asthma with cc/mccMS-DRG 202, medical12$31,017$5,805$7,4750.96
Chronic obstructive pulmonary disease with CCMS-DRG 191, medical11$39,206$5,226$9,4490.85

Musculoskeletal system and connective tissue418 discharges in 18 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Medical back problems without MCCMS-DRG 552, medical60$34,213$5,522$8,2450.97
Hip and femur procedures except major joint with CCMS-DRG 481, surgical51$75,876$12,937$18,2862.07
Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical36$196,896$40,283$47,4526.12
Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical31$90,326$12,790$21,7682.04
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical28$83,257$13,766$20,0652.11
Hip and femur procedures except major joint with MCCMS-DRG 480, surgical24$98,557$18,809$23,7522.95
Spinal fusion except cervical without MCCMS-DRG 460, surgical21$134,912$23,383$32,5143.66
Medical back problems with MCCMS-DRG 551, medical19$45,113$10,365$10,8721.70
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical19$33,349$5,165$8,0370.90
Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical18$70,139$12,229$16,9041.88
Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical18$110,500$18,066$26,6312.99
Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical17$65,029$15,800$15,6722.40
Cervical spinal fusion with CCMS-DRG 472, surgical14$103,129$19,640$24,8542.96
Other musculoskeletal system and connective tissue diagnoses with CCMS-DRG 565, medical14$31,804$5,832$7,6651.00
Bone diseases and arthropathies without MCCMS-DRG 554, medical13$27,982$5,201$6,7440.82
Revision of hip or knee replacement with CCMS-DRG 467, surgical12$106,870$22,551$25,7563.49
Other musculoskeletal system and connective tissue o.r. procedures with MCCMS-DRG 515, surgical12$88,967$21,094$21,4413.16
Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical11$79,351$11,741$19,1241.97

Digestive system353 discharges in 13 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical61$69,362$11,342$16,7161.79
Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical60$30,646$4,452$7,3860.79
Gastrointestinal hemorrhage with CCMS-DRG 378, medical55$41,151$6,030$9,9170.98
Major small and large bowel procedures with CCMS-DRG 330, surgical28$82,669$14,103$19,9232.37
Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical24$53,563$8,690$12,9091.28
Gastrointestinal obstruction with CCMS-DRG 389, medical22$29,016$4,704$6,9930.80
Major small and large bowel procedures with MCCMS-DRG 329, surgical19$139,048$26,908$33,5114.52
Other digestive system diagnoses with CCMS-DRG 394, medical18$35,150$5,418$8,4710.94
Gastrointestinal obstruction without cc/mccMS-DRG 390, medical15$21,121$2,668$5,0900.56
Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical14$57,922$10,883$13,9591.75
Gastrointestinal obstruction with MCCMS-DRG 388, medical14$57,562$10,210$13,8721.45
Digestive malignancy with CCMS-DRG 375, medical12$41,713$7,212$10,0531.20
Other digestive system diagnoses with MCCMS-DRG 393, medical11$58,086$11,061$13,9991.62

Kidney and urinary tract330 discharges in 8 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Kidney and urinary tract infections without MCCMS-DRG 690, medical70$28,840$4,442$6,9510.81
Renal failure with MCCMS-DRG 682, medical60$57,697$9,322$13,9051.50
Kidney and urinary tract infections with MCCMS-DRG 689, medical59$37,234$7,196$8,9731.17
Renal failure with CCMS-DRG 683, medical44$29,505$5,260$7,1110.90
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical42$49,786$10,806$11,9981.65
Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical23$33,023$6,067$7,9591.02
Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical18$52,279$7,705$12,5991.35
Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical14$127,702$26,137$30,7763.70

Nervous system192 discharges in 11 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical34$35,330$5,938$8,5151.02
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical31$45,358$12,526$10,9312.00
Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical18$137,864$25,303$33,2254.42
Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical18$45,869$8,351$11,0541.36
Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical17$50,854$7,705$12,2561.32
Other disorders of nervous system with MCCMS-DRG 091, medical16$53,435$11,983$12,8781.79
Other cerebrovascular disorders with MCCMS-DRG 070, medical12$57,325$11,696$13,8151.79
Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical12$45,720$15,233$11,0182.28
Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical12$65,659$14,385$15,8242.27
Degenerative nervous system disorders with MCCMS-DRG 056, medical11$57,911$14,018$13,9572.39
Degenerative nervous system disorders without MCCMS-DRG 057, medical11$33,057$7,624$7,9671.36

Endocrine, nutritional and metabolic122 discharges in 5 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical61$37,260$8,163$8,9801.32
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical26$29,339$4,316$7,0710.78
Diabetes with CCMS-DRG 638, medical12$34,107$5,633$8,2200.90
Endocrine disorders with MCCMS-DRG 643, medical12$52,886$9,076$12,7451.65
Diabetes with MCCMS-DRG 637, medical11$47,554$9,202$11,4611.45

Mental diseases and disorders76 discharges in 2 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
PsychosesMS-DRG 885, medical65$66,494$8,731$16,0251.37
Organic disturbances and intellectual disabilityMS-DRG 884, medical11$29,012$11,101$6,9921.76

Skin, subcutaneous tissue and breast73 discharges in 3 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Cellulitis without MCCMS-DRG 603, medical42$27,745$5,152$6,6870.88
Cellulitis with MCCMS-DRG 602, medical17$50,284$9,651$12,1181.49
Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical14$37,516$5,055$9,0410.91

Blood and immune system66 discharges in 3 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Coagulation disordersMS-DRG 813, medical26$41,830$10,006$10,0811.56
Red blood cell disorders without MCCMS-DRG 812, medical25$46,667$5,230$11,2470.90
Red blood cell disorders with MCCMS-DRG 811, medical15$39,202$8,602$9,4481.40

Liver, gallbladder and pancreas52 discharges in 4 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Disorders of the biliary tract with MCCMS-DRG 444, medical16$62,050$10,972$14,9541.63
Disorders of the biliary tract with CCMS-DRG 445, medical13$44,723$6,994$10,7781.09
Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical12$37,984$5,634$9,1541.03
Disorders of pancreas except malignancy with CCMS-DRG 439, medical11$40,785$5,255$9,8290.86

Other43 discharges in 2 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical28$141,708$29,376$34,1524.74
Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical15$100,576$12,725$24,2392.49

Alcohol and drug use19 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical19$31,048$5,181$7,4830.86

Injuries, poisonings and toxic effects of drugs14 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Complications of treatment with MCCMS-DRG 919, medical14$85,229$12,402$20,5401.82

Ear, nose, mouth and throat11 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
DysequilibriumMS-DRG 149, medical11$33,356$4,191$8,0390.74

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 groupServicesPatientsAverage chargesAverage Medicare paymentUS average payment
Comprehensive Observation ServicesAPC 8011831748$17,437$2,041$2,090
Level 1 Endovascular ProceduresAPC 5191353349$17,795$2,179$2,208
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072196182$11,479$1,184$1,220
Level 2 Upper GI ProceduresAPC 5302196179$13,224$1,422$1,445
Level 5 Musculoskeletal ProceduresAPC 5115146139$54,049$10,697$10,772
Level 1 Laparoscopy and Related ServicesAPC 5361113113$34,567$4,324$4,358
Level 3 Endovascular ProceduresAPC 5193105100$65,097$8,635$8,874
Level 3 Electrophysiologic ProceduresAPC 521310198$139,369$20,854$21,117
Level 3 Pacemaker and Similar ProceduresAPC 52238888$44,809$8,498$8,569
Level 3 Vascular ProceduresAPC 51838378$19,948$2,409$2,405
Level 5 Urology and Related ServicesAPC 53757775$29,820$3,912$3,918
Level 4 Urology and Related ServicesAPC 53746056$24,983$2,637$2,629
Level 4 Musculoskeletal ProceduresAPC 51145958$34,947$5,412$5,339
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 50735250$19,195$2,106$2,141
Level 3 Urology and Related ServicesAPC 53735133$14,818$1,506$1,516
Level 3 Lower GI ProceduresAPC 53133939$18,341$2,100$2,176
Level 4 Endovascular ProceduresAPC 51943838$95,990$14,981$14,606
Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 50913734$21,645$2,805$2,930
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 53413434$21,197$2,386$2,636
Level 2 Laparoscopy and Related ServicesAPC 53623433$52,756$7,655$8,164
Level 4 Gynecologic ProceduresAPC 54143434$21,770$2,156$2,389
Level 2 Pacemaker and Similar ProceduresAPC 52223333$45,091$6,430$6,514
Level 4 Airway EndoscopyAPC 51543130$23,395$2,833$2,833
Level 3 Upper GI ProceduresAPC 53032928$17,354$2,897$2,888
Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 50922727$35,362$4,750$4,982
Level 3 Musculoskeletal ProceduresAPC 51132525$25,858$2,436$2,373
Level 5 Airway EndoscopyAPC 51552525$35,747$4,763$5,183
Level 2 ICD and Similar ProceduresAPC 52322525$137,201$29,509$29,375
Level 6 Musculoskeletal ProceduresAPC 51162120$75,783$16,022$15,763
Level 2 Vascular ProceduresAPC 51821818$9,134$1,144$1,204
Level 5 ENT ProceduresAPC 51651717$29,727$4,420$4,436
Level 4 Pacemaker and Similar ProceduresAPC 52241717$69,840$16,825$17,052
Complex GI ProceduresAPC 533117$20,453$3,804$4,263
Level 2 Musculoskeletal ProceduresAPC 51121515$13,408$1,216$1,196
Level 2 Endovascular ProceduresAPC 51921514$35,682$4,324$4,338
Level 4 Vascular ProceduresAPC 51841313$31,240$3,837$3,946
Level 3 Airway EndoscopyAPC 51531212$26,666$1,177$1,264
Level 6 Urology and Related ServicesAPC 53761212$42,516$7,111$7,291
Level 5 Gynecologic ProceduresAPC 54151111$25,887$3,762$3,792
Level 1 Nerve ProceduresAPC 543111$15,349$1,460$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.