Advocate Good Shepherd Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Advocate Good Shepherd Hospital, Barrington, IL in 2024, from traditional Medicare claims. Back to the Advocate Good Shepherd Hospital profile, with quality ratings, finances and negotiated rates.
3,003
Medicare inpatient discharges
In 89 published DRGs
1.80
Case mix index
IPPS FY 2027
16%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
4,890
Medicare outpatient services
In 41 service groups
Inpatient stays by major diagnostic category
Circulatory system698 discharges in 24 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 210 | $36,488 | $7,472 | $10,509 | 1.28 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 54 | $173,221 | $30,940 | $49,888 | 4.88 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 43 | $26,905 | $4,108 | $7,749 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 36 | $26,148 | $4,580 | $7,531 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 30 | $40,807 | $8,973 | $11,752 | 1.59 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 27 | $126,249 | $23,986 | $36,360 | 4.04 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 25 | $75,453 | $11,145 | $21,730 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 23 | $38,688 | $6,145 | $11,142 | 1.08 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 23 | $35,164 | $6,631 | $10,127 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 23 | $19,431 | $2,175 | $5,596 | 0.55 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 23 | $49,302 | $13,218 | $14,199 | 2.09 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 22 | $98,058 | $18,909 | $28,241 | 2.87 |
| Hypertension without MCCMS-DRG 305, medical | 17 | $25,312 | $3,912 | $7,290 | 0.75 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 15 | $70,216 | $12,797 | $20,222 | 2.16 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 15 | $41,671 | $6,070 | $12,001 | 1.07 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $29,967 | $5,139 | $8,631 | 0.91 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 14 | $45,821 | $9,529 | $13,196 | 1.58 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 13 | $242,381 | $52,002 | $69,806 | 7.80 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 13 | $66,824 | $12,253 | $19,245 | 2.28 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 12 | $157,923 | $35,029 | $45,482 | 5.88 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 12 | $213,742 | $43,642 | $61,558 | 6.25 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 12 | $22,069 | $5,238 | $6,356 | 0.97 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 11 | $169,821 | $28,091 | $48,908 | 5.20 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 11 | $148,284 | $29,337 | $42,706 | 3.46 |
Infectious and parasitic diseases508 discharges in 4 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 | 378 | $53,602 | $12,059 | $15,437 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 75 | $33,967 | $5,801 | $9,782 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 41 | $139,015 | $33,100 | $40,036 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 14 | $91,330 | $14,601 | $26,303 | 2.04 |
Digestive system406 discharges in 12 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 | 114 | $26,470 | $4,073 | $7,623 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 66 | $37,277 | $5,551 | $10,736 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 49 | $38,423 | $8,123 | $11,066 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 40 | $47,984 | $11,606 | $13,819 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 23 | $26,256 | $4,086 | $7,562 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 22 | $63,840 | $14,545 | $18,386 | 2.37 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 22 | $31,778 | $4,942 | $9,152 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 18 | $52,596 | $9,513 | $15,148 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 17 | $93,216 | $30,141 | $26,846 | 4.52 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 12 | $56,300 | $10,153 | $16,214 | 1.67 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 12 | $37,520 | $8,678 | $10,806 | 1.75 |
| Inflammatory bowel disease with CCMS-DRG 386, medical | 11 | $34,642 | $6,510 | $9,977 | 0.97 |
Respiratory system402 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 105 | $44,035 | $7,787 | $12,682 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 97 | $49,069 | $10,136 | $14,132 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 82 | $39,974 | $7,404 | $11,513 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 23 | $47,468 | $6,541 | $13,671 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 23 | $22,930 | $4,479 | $6,604 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 17 | $34,133 | $5,979 | $9,830 | 0.99 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 17 | $33,304 | $4,034 | $9,592 | 0.96 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 16 | $38,965 | $7,590 | $11,222 | 1.40 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 11 | $27,864 | $4,596 | $8,025 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 11 | $32,467 | $4,756 | $9,350 | 0.85 |
Kidney and urinary tract348 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 96 | $23,236 | $4,360 | $6,692 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 58 | $31,421 | $5,046 | $9,049 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 50 | $32,134 | $6,957 | $9,255 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 43 | $37,179 | $9,109 | $10,708 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 40 | $41,945 | $9,107 | $12,080 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 32 | $23,039 | $5,638 | $6,635 | 1.02 |
| Transurethral procedures with CCMS-DRG 669, surgical | 17 | $32,003 | $9,792 | $9,217 | 1.53 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 12 | $31,191 | $7,934 | $8,983 | 1.35 |
Musculoskeletal system and connective tissue265 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 64 | $27,094 | $5,128 | $7,803 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 25 | $61,085 | $13,378 | $17,592 | 2.07 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 21 | $25,541 | $4,657 | $7,356 | 0.90 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 20 | $62,213 | $11,565 | $17,917 | 1.88 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 19 | $26,169 | $3,722 | $7,537 | 0.79 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 18 | $70,351 | $12,882 | $20,261 | 2.04 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 17 | $75,820 | $35,883 | $21,836 | 6.12 |
| Medical back problems with MCCMS-DRG 551, medical | 17 | $39,735 | $9,156 | $11,444 | 1.70 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 14 | $63,149 | $13,493 | $18,187 | 2.11 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 13 | $44,457 | $14,879 | $12,804 | 2.96 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 13 | $92,180 | $19,041 | $26,548 | 2.95 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 13 | $77,140 | $16,117 | $22,216 | 2.48 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 11 | $22,607 | $4,279 | $6,511 | 0.82 |
Nervous system109 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 36 | $45,150 | $5,549 | $13,003 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 27 | $60,076 | $11,986 | $17,302 | 2.00 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 13 | $30,232 | $3,092 | $8,707 | 0.69 |
| Extracranial procedures with CCMS-DRG 038, surgical | 11 | $42,623 | $10,157 | $12,275 | 1.60 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 11 | $24,568 | $5,264 | $7,076 | 1.03 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 11 | $36,677 | $8,068 | $10,563 | 1.36 |
Endocrine, nutritional and metabolic91 discharges in 3 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 | 43 | $21,943 | $4,162 | $6,320 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 32 | $32,663 | $8,027 | $9,407 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 16 | $42,068 | $7,712 | $12,115 | 1.45 |
Skin, subcutaneous tissue and breast74 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 55 | $22,846 | $4,856 | $6,580 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 19 | $47,704 | $9,007 | $13,739 | 1.49 |
Liver, gallbladder and pancreas27 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 16 | $41,197 | $6,023 | $11,865 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 11 | $59,311 | $14,574 | $17,082 | 2.32 |
Blood and immune system27 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 15 | $32,154 | $5,291 | $9,260 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 12 | $29,461 | $9,499 | $8,485 | 1.40 |
Alcohol and drug use21 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 21 | $25,803 | $4,350 | $7,431 | 0.86 |
Factors influencing health status15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 15 | $31,584 | $4,200 | $9,096 | 0.80 |
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 | $33,228 | $9,744 | $9,570 | 1.76 |
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 | 955 | 858 | $14,521 | $2,013 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 866 | 565 | $9,427 | $1,731 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 319 | 308 | $43,112 | $10,669 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 268 | 267 | $19,046 | $2,185 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 266 | 248 | $11,486 | $1,211 | $1,220 |
| Level 4 Urology and Related ServicesAPC 5374 | 191 | 163 | $13,289 | $2,618 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 146 | 145 | $20,937 | $4,245 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 141 | 138 | $24,492 | $5,338 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 134 | 130 | $19,041 | $3,887 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 121 | 95 | $12,537 | $1,525 | $1,516 |
| Level 3 Endovascular ProceduresAPC 5193 | 118 | 109 | $54,778 | $8,740 | $8,874 |
| Level 3 Vascular ProceduresAPC 5183 | 117 | 115 | $11,708 | $2,335 | $2,405 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 105 | 104 | $141,360 | $19,948 | $21,117 |
| Level 2 Upper GI ProceduresAPC 5302 | 94 | 86 | $9,834 | $1,414 | $1,445 |
| Level 4 Endovascular ProceduresAPC 5194 | 91 | 80 | $83,957 | $14,876 | $14,606 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 88 | 81 | $12,999 | $2,351 | $2,373 |
| Level 1 Nerve ProceduresAPC 5431 | 76 | 69 | $11,276 | $1,433 | $1,407 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 69 | 62 | $8,465 | $1,191 | $1,196 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 65 | 63 | $17,181 | $2,135 | $2,141 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 61 | 57 | $15,695 | $2,601 | $2,636 |
| Level 2 Intraocular ProceduresAPC 5492 | 61 | 44 | $12,525 | $3,057 | $3,116 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 48 | 48 | $60,161 | $15,916 | $15,763 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 47 | 47 | $41,354 | $8,430 | $8,569 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 44 | 42 | $27,227 | $4,903 | $4,982 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 41 | 38 | $16,958 | $2,864 | $2,930 |
| Level 2 Vascular ProceduresAPC 5182 | 36 | 33 | $5,684 | $1,159 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 36 | 34 | $31,160 | $4,173 | $4,338 |
| Level 4 Gynecologic ProceduresAPC 5414 | 36 | 34 | $13,799 | $2,341 | $2,389 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 35 | 34 | $42,524 | $7,844 | $8,164 |
| Level 3 Airway EndoscopyAPC 5153 | 29 | 28 | $8,783 | $1,273 | $1,264 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 26 | 26 | $118,840 | $29,321 | $29,375 |
| Level 4 Airway EndoscopyAPC 5154 | 23 | 21 | $11,977 | $2,816 | $2,833 |
| Level 5 Airway EndoscopyAPC 5155 | 21 | 21 | $26,156 | $5,146 | $5,183 |
| Level 5 ENT ProceduresAPC 5165 | 18 | 18 | $28,523 | $4,403 | $4,436 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 16 | 16 | $36,205 | $6,388 | $6,514 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 16 | 16 | $84,460 | $16,714 | $17,052 |
| Complex GI ProceduresAPC 5331 | 15 | 12 | $17,013 | $3,999 | $4,263 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 14 | 14 | $102,823 | $27,585 | $26,719 |
| Level 3 Lower GI ProceduresAPC 5313 | 13 | 13 | $13,024 | $2,121 | $2,176 |
| Level 3 Upper GI ProceduresAPC 5303 | 12 | 11 | $11,679 | $2,879 | $2,888 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 12 | 11 | $56,980 | $18,941 | $18,465 |
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.