Advocate Illinois Masonic Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Advocate Illinois Masonic Medical Center, Chicago, IL in 2024, from traditional Medicare claims. Back to the Advocate Illinois Masonic Medical Center profile, with quality ratings, finances and negotiated rates.
1,087
Medicare inpatient discharges
In 45 published DRGs
1.91
Case mix index
IPPS FY 2027
12%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
2,194
Medicare outpatient services
In 34 service groups
Inpatient stays by major diagnostic category
Circulatory system258 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 111 | $58,260 | $11,859 | $12,409 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 34 | $48,216 | $8,768 | $10,270 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 28 | $79,343 | $13,439 | $16,900 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 25 | $136,681 | $22,270 | $29,113 | 2.16 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 19 | $75,174 | $19,292 | $16,012 | 2.09 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 16 | $150,283 | $33,972 | $32,010 | 3.18 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 14 | $159,540 | $28,992 | $33,982 | 3.35 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 11 | $153,511 | $26,861 | $32,698 | 2.87 |
Infectious and parasitic diseases207 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 | 142 | $84,336 | $18,668 | $17,964 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 36 | $257,356 | $55,631 | $54,817 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 29 | $42,572 | $9,370 | $9,068 | 1.03 |
Respiratory system121 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 30 | $63,311 | $13,608 | $13,485 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 28 | $50,131 | $12,252 | $10,678 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 22 | $46,320 | $12,048 | $9,866 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 16 | $61,944 | $10,422 | $13,194 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $46,323 | $12,736 | $9,867 | 1.40 |
| Major chest trauma with CCMS-DRG 184, medical | 12 | $39,786 | $10,185 | $8,474 | 1.05 |
Nervous system119 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 | 31 | $100,001 | $18,818 | $21,300 | 2.00 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 19 | $46,520 | $12,117 | $9,909 | 1.36 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 16 | $121,656 | $23,973 | $25,913 | 2.28 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 16 | $56,329 | $13,481 | $11,998 | 1.36 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 13 | $44,991 | $10,231 | $9,583 | 1.03 |
| Seizures without MCCMS-DRG 101, medical | 13 | $51,687 | $8,695 | $11,009 | 0.91 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 11 | $50,531 | $6,977 | $10,763 | 1.02 |
Digestive system112 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 28 | $42,563 | $9,763 | $9,066 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 22 | $64,855 | $14,952 | $13,814 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 22 | $32,250 | $7,446 | $6,869 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 15 | $89,979 | $21,740 | $19,165 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 13 | $43,830 | $13,266 | $9,336 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 12 | $47,464 | $15,500 | $10,110 | 1.62 |
Musculoskeletal system and connective tissue71 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 | 25 | $103,443 | $20,115 | $22,033 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 23 | $35,585 | $9,607 | $7,580 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 12 | $148,636 | $25,903 | $31,659 | 2.95 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 11 | $48,424 | $8,916 | $10,314 | 1.09 |
Endocrine, nutritional and metabolic66 discharges in 2 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 | 40 | $55,838 | $12,761 | $11,893 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 26 | $35,971 | $8,009 | $7,662 | 0.78 |
Kidney and urinary tract41 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 22 | $49,734 | $8,406 | $10,593 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 19 | $42,273 | $8,458 | $9,004 | 0.81 |
Skin, subcutaneous tissue and breast26 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 14 | $34,265 | $6,903 | $7,298 | 0.88 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 12 | $31,108 | $9,385 | $6,626 | 0.91 |
Factors influencing health status18 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 | 18 | $32,331 | $7,732 | $6,886 | 0.80 |
Blood and immune system13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 13 | $38,791 | $8,972 | $8,263 | 0.90 |
Injuries, poisonings and toxic effects of drugs13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 13 | $70,371 | $15,945 | $14,989 | 1.82 |
Liver, gallbladder and pancreas11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 11 | $50,061 | $13,981 | $10,663 | 1.76 |
Alcohol and drug use11 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 | 11 | $36,355 | $9,441 | $7,744 | 0.86 |
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 | 651 | 566 | $22,037 | $2,048 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 463 | 328 | $11,077 | $1,729 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 110 | 102 | $14,024 | $1,201 | $1,220 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 82 | 76 | $25,432 | $1,950 | $2,141 |
| Level 1 Endovascular ProceduresAPC 5191 | 77 | 77 | $26,205 | $2,194 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 73 | 68 | $77,209 | $10,845 | $10,772 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 57 | 56 | $12,298 | $1,173 | $1,196 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 52 | 50 | $51,034 | $5,412 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 51 | 47 | $19,830 | $2,359 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 47 | 44 | $12,920 | $1,422 | $1,445 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 41 | 37 | $122,003 | $20,853 | $21,117 |
| Level 3 Urology and Related ServicesAPC 5373 | 41 | 38 | $21,000 | $1,493 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 40 | 40 | $51,321 | $4,254 | $4,358 |
| Level 1 Nerve ProceduresAPC 5431 | 39 | 33 | $11,626 | $1,461 | $1,407 |
| Level 4 Urology and Related ServicesAPC 5374 | 33 | 25 | $27,487 | $2,637 | $2,629 |
| Level 2 Intraocular ProceduresAPC 5492 | 32 | 28 | $17,454 | $3,071 | $3,116 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 29 | 29 | $26,311 | $2,446 | $2,373 |
| Level 3 Endovascular ProceduresAPC 5193 | 27 | 26 | $65,784 | $8,477 | $8,874 |
| Level 5 Urology and Related ServicesAPC 5375 | 26 | 26 | $36,157 | $3,914 | $3,918 |
| Level 2 Endovascular ProceduresAPC 5192 | 22 | 20 | $33,585 | $4,315 | $4,338 |
| Level 5 ENT ProceduresAPC 5165 | 21 | 21 | $49,571 | $3,999 | $4,436 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 19 | 18 | $44,264 | $4,933 | $4,982 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 18 | 18 | $26,188 | $2,874 | $2,930 |
| Level 2 Vascular ProceduresAPC 5182 | 16 | 16 | $9,388 | $984 | $1,204 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 15 | 15 | $10,123 | $1,650 | $1,780 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 14 | 14 | $37,911 | $6,430 | $6,514 |
| Level 3 Lower GI ProceduresAPC 5313 | 13 | 13 | $19,984 | $2,038 | $2,176 |
| Level 5 Gynecologic ProceduresAPC 5415 | 13 | 13 | $31,734 | $3,473 | $3,792 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 13 | 13 | $143,700 | $27,762 | $26,719 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 12 | 12 | $104,356 | $16,022 | $15,763 |
| Level 4 Endovascular ProceduresAPC 5194 | 12 | 11 | $95,303 | $14,981 | $14,606 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 12 | 12 | $25,220 | $2,617 | $2,636 |
| Level 2 Urology and Related ServicesAPC 5372 | 12 | 12 | $4,189 | $517 | $502 |
| Level 4 Gynecologic ProceduresAPC 5414 | 11 | 11 | $30,084 | $2,150 | $2,389 |
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.