Advocate Trinity Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Advocate Trinity Hospital, Chicago, IL in 2024, from traditional Medicare claims. Back to the Advocate Trinity Hospital profile, with quality ratings, finances and negotiated rates.
2,307
Medicare inpatient discharges
In 69 published DRGs
1.74
Case mix index
IPPS FY 2027
8%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
1,987
Medicare outpatient services
In 31 service groups
Inpatient stays by major diagnostic category
Circulatory system631 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 259 | $45,748 | $8,914 | $13,176 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 89 | $49,336 | $10,830 | $14,209 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 48 | $34,581 | $5,686 | $9,959 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 30 | $76,287 | $15,150 | $21,971 | 2.16 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 27 | $62,563 | $14,993 | $18,018 | 2.09 |
| Chest painMS-DRG 313, medical | 26 | $37,253 | $4,800 | $10,729 | 0.72 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 22 | $92,655 | $23,375 | $26,685 | 3.35 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 22 | $29,956 | $4,523 | $8,627 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 18 | $45,317 | $6,881 | $13,051 | 1.08 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 16 | $54,815 | $12,680 | $15,787 | 1.58 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 14 | $39,140 | $7,023 | $11,272 | 1.07 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 13 | $42,572 | $5,722 | $12,261 | 0.91 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 12 | $169,367 | $28,425 | $48,778 | 5.06 |
| Hypertension with MCCMS-DRG 304, medical | 12 | $42,578 | $8,002 | $12,263 | 1.15 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 12 | $68,403 | $12,458 | $19,700 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 11 | $40,209 | $6,697 | $11,580 | 1.20 |
Infectious and parasitic diseases419 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 | 306 | $66,771 | $13,128 | $19,230 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 49 | $39,546 | $6,208 | $11,389 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 45 | $141,802 | $32,369 | $40,839 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 19 | $194,847 | $49,821 | $56,116 | 6.96 |
Respiratory system251 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 61 | $54,301 | $10,658 | $15,639 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 51 | $46,699 | $8,143 | $13,449 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 50 | $39,995 | $8,567 | $11,519 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 35 | $45,360 | $9,110 | $13,064 | 1.33 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 24 | $74,464 | $17,498 | $21,446 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 15 | $51,027 | $9,147 | $14,696 | 1.40 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $31,502 | $4,739 | $9,073 | 0.82 |
Digestive system216 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 46 | $55,934 | $12,557 | $16,109 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 42 | $40,925 | $6,395 | $11,786 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 39 | $36,131 | $5,053 | $10,406 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 25 | $49,214 | $9,466 | $14,174 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 16 | $48,617 | $11,345 | $14,002 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 14 | $155,390 | $33,360 | $44,752 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 12 | $40,050 | $5,539 | $11,534 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 11 | $98,944 | $15,579 | $28,496 | 2.37 |
| Digestive malignancy with MCCMS-DRG 374, medical | 11 | $76,565 | $15,587 | $22,051 | 2.10 |
Nervous system205 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 39 | $66,938 | $13,292 | $19,278 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 35 | $46,738 | $6,296 | $13,461 | 1.02 |
| Seizures with MCCMS-DRG 100, medical | 27 | $43,876 | $13,337 | $12,636 | 1.98 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 20 | $59,432 | $11,827 | $17,116 | 1.79 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 20 | $39,522 | $6,805 | $11,382 | 1.06 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 14 | $36,164 | $9,328 | $10,415 | 1.36 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 14 | $41,795 | $6,237 | $12,037 | 1.03 |
| Seizures without MCCMS-DRG 101, medical | 14 | $32,669 | $5,858 | $9,409 | 0.91 |
| Cranial and peripheral nerve disorders with MCCMS-DRG 073, medical | 11 | $35,505 | $11,477 | $10,225 | 1.51 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 11 | $48,048 | $12,362 | $13,838 | 1.79 |
Kidney and urinary tract200 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 48 | $54,000 | $10,143 | $15,552 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 43 | $49,706 | $10,383 | $14,315 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 32 | $36,691 | $5,658 | $10,567 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 31 | $27,223 | $4,708 | $7,840 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 30 | $33,926 | $7,618 | $9,771 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 16 | $30,950 | $7,009 | $8,913 | 1.02 |
Endocrine, nutritional and metabolic133 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 | 64 | $50,330 | $10,175 | $14,495 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 25 | $35,917 | $5,731 | $10,344 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 24 | $32,483 | $5,244 | $9,355 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 20 | $51,230 | $9,340 | $14,754 | 1.45 |
Musculoskeletal system and connective tissue78 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 23 | $37,824 | $6,158 | $10,893 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 18 | $75,135 | $12,854 | $21,639 | 2.07 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 15 | $104,553 | $20,349 | $30,111 | 3.49 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 11 | $91,814 | $11,824 | $26,442 | 1.88 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 11 | $86,625 | $19,741 | $24,948 | 2.95 |
Mental diseases and disorders74 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 51 | $60,496 | $10,409 | $17,423 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 23 | $36,954 | $11,137 | $10,643 | 1.76 |
Blood and immune system34 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 21 | $51,638 | $8,969 | $14,872 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 13 | $41,979 | $6,028 | $12,090 | 0.90 |
Skin, subcutaneous tissue and breast19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 19 | $26,867 | $5,941 | $7,738 | 0.88 |
Other17 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 | 17 | $135,026 | $33,186 | $38,887 | 4.74 |
Ear, nose, mouth and throat16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 16 | $34,217 | $4,794 | $9,854 | 0.74 |
Factors influencing health status14 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 | 14 | $34,947 | $5,322 | $10,065 | 0.80 |
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 | 530 | 451 | $19,975 | $2,037 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 389 | 238 | $15,047 | $1,720 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 151 | 136 | $11,984 | $1,216 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 98 | 93 | $62,559 | $10,399 | $10,772 |
| Level 2 Intraocular ProceduresAPC 5492 | 70 | 61 | $22,866 | $3,073 | $3,116 |
| Level 3 Vascular ProceduresAPC 5183 | 69 | 68 | $18,299 | $2,339 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 56 | 53 | $26,458 | $3,702 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 50 | 50 | $34,643 | $4,361 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 49 | 43 | $14,878 | $1,374 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 48 | 43 | $24,125 | $2,561 | $2,636 |
| Level 1 Endovascular ProceduresAPC 5191 | 46 | 46 | $17,957 | $2,176 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 45 | 44 | $30,759 | $5,170 | $5,339 |
| Level 4 Vascular ProceduresAPC 5184 | 40 | 38 | $28,831 | $4,157 | $3,946 |
| Level 4 Urology and Related ServicesAPC 5374 | 35 | 32 | $17,951 | $2,635 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 34 | 34 | $19,291 | $2,023 | $2,141 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 33 | 32 | $17,597 | $2,300 | $2,373 |
| Level 4 Gynecologic ProceduresAPC 5414 | 30 | 30 | $22,045 | $2,286 | $2,389 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 23 | 23 | $11,568 | $1,050 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 22 | 21 | $7,983 | $1,156 | $1,204 |
| Level 3 Urology and Related ServicesAPC 5373 | 20 | 16 | $15,698 | $1,541 | $1,516 |
| Level 3 Endovascular ProceduresAPC 5193 | 17 | 16 | $57,207 | $8,803 | $8,874 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 16 | 16 | $106,630 | $20,858 | $21,117 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 15 | 15 | $35,409 | $4,911 | $4,982 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 15 | 14 | $70,467 | $16,022 | $15,763 |
| Level 1 Nerve ProceduresAPC 5431 | 14 | 13 | $14,207 | $1,349 | $1,407 |
| Level 2 Endovascular ProceduresAPC 5192 | 13 | 12 | $26,032 | $4,309 | $4,338 |
| Level 6 Urology and Related ServicesAPC 5376 | 13 | 13 | $39,729 | $6,564 | $7,291 |
| Level 4 Endovascular ProceduresAPC 5194 | 12 | 11 | $77,569 | $9,987 | $14,606 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 12 | 12 | $50,810 | $7,456 | $8,164 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 11 | $21,486 | $2,883 | $2,930 | |
| Level 2 ICD and Similar ProceduresAPC 5232 | 11 | 11 | $126,980 | $26,826 | $29,375 |
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.