Alton Memorial Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Alton Memorial Hospital, Alton, IL in 2024, from traditional Medicare claims. Back to the Alton Memorial Hospital profile, with quality ratings, finances and negotiated rates.
1,229
Medicare inpatient discharges
In 44 published DRGs
1.43
Case mix index
IPPS FY 2027
7%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
1,082
Medicare outpatient services
In 24 service groups
Inpatient stays by major diagnostic category
Circulatory system254 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 152 | $45,438 | $8,744 | $12,041 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 24 | $29,690 | $5,822 | $7,868 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 23 | $29,978 | $4,345 | $7,944 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 17 | $74,785 | $11,767 | $19,818 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 14 | $35,454 | $8,336 | $9,395 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 13 | $72,652 | $14,956 | $19,253 | 2.16 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 11 | $26,945 | $2,914 | $7,140 | 0.55 |
Respiratory system241 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 | 60 | $47,335 | $10,185 | $12,544 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 55 | $50,313 | $8,032 | $13,333 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 44 | $45,290 | $7,198 | $12,002 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 29 | $40,748 | $8,517 | $10,798 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 18 | $29,032 | $6,319 | $7,694 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 18 | $28,586 | $4,901 | $7,575 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 17 | $51,105 | $9,422 | $13,543 | 1.40 |
Infectious and parasitic diseases168 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 | 119 | $53,451 | $13,170 | $14,164 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 26 | $30,664 | $6,580 | $8,126 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 23 | $101,537 | $34,311 | $26,907 | 5.00 |
Kidney and urinary tract149 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 35 | $35,362 | $6,385 | $9,371 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 34 | $26,004 | $5,044 | $6,891 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 29 | $33,970 | $7,867 | $9,002 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 23 | $47,993 | $11,372 | $12,718 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 16 | $50,346 | $7,498 | $13,342 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 12 | $33,580 | $6,908 | $8,899 | 1.02 |
Digestive system139 discharges in 7 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 | 54 | $27,447 | $5,113 | $7,273 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 21 | $35,196 | $6,629 | $9,327 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 14 | $29,095 | $8,564 | $7,710 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 14 | $29,752 | $5,868 | $7,884 | 0.94 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 13 | $75,660 | $16,571 | $20,050 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 12 | $48,495 | $12,229 | $12,851 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 11 | $28,236 | $5,051 | $7,482 | 0.80 |
Endocrine, nutritional and metabolic107 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 | 42 | $35,916 | $9,230 | $9,518 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 37 | $25,967 | $4,893 | $6,881 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 16 | $35,653 | $5,838 | $9,448 | 0.90 |
| Endocrine disorders with CCMS-DRG 644, medical | 12 | $35,460 | $5,869 | $9,397 | 1.06 |
Nervous system84 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 | 20 | $44,485 | $6,339 | $11,789 | 1.02 |
| Seizures without MCCMS-DRG 101, medical | 16 | $24,076 | $5,358 | $6,380 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $35,132 | $8,935 | $9,310 | 1.36 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 13 | $34,455 | $5,305 | $9,131 | 0.80 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 11 | $28,332 | $6,752 | $7,508 | 1.03 |
| Seizures with MCCMS-DRG 100, medical | 11 | $54,307 | $14,257 | $14,391 | 1.98 |
Musculoskeletal system and connective tissue49 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 35 | $64,101 | $12,902 | $16,987 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 14 | $29,837 | $6,348 | $7,907 | 0.97 |
Skin, subcutaneous tissue and breast26 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 26 | $24,484 | $5,926 | $6,488 | 0.88 |
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 | $39,315 | $10,496 | $10,418 | 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 |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 202 | 190 | $48,141 | $10,370 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 108 | 106 | $16,178 | $1,941 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 94 | 94 | $14,448 | $2,119 | $2,208 |
| Level 1 Nerve ProceduresAPC 5431 | 81 | 76 | $13,997 | $1,420 | $1,407 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 71 | 57 | $10,043 | $1,190 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 66 | 64 | $23,131 | $4,120 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 51 | 51 | $19,504 | $2,337 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 43 | 41 | $33,998 | $5,268 | $5,339 |
| Level 2 Upper GI ProceduresAPC 5302 | 41 | 36 | $6,625 | $1,412 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 40 | 40 | $17,210 | $2,230 | $2,405 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 31 | 29 | $58,506 | $15,553 | $15,763 |
| Level 5 Urology and Related ServicesAPC 5375 | 29 | 24 | $25,896 | $3,810 | $3,918 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 26 | 24 | $10,740 | $1,183 | $1,196 |
| Level 4 Endovascular ProceduresAPC 5194 | 24 | 22 | $81,765 | $13,534 | $14,606 |
| Level 3 Urology and Related ServicesAPC 5373 | 23 | 23 | $13,484 | $1,496 | $1,516 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 21 | 20 | $13,752 | $1,989 | $2,141 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 20 | 20 | $31,881 | $7,817 | $8,569 |
| Level 4 Urology and Related ServicesAPC 5374 | 20 | 15 | $18,143 | $2,565 | $2,629 |
| Level 4 Airway EndoscopyAPC 5154 | 17 | 16 | $20,809 | $2,595 | $2,833 |
| Level 5 Airway EndoscopyAPC 5155 | 17 | 17 | $25,340 | $5,040 | $5,183 |
| Level 3 Endovascular ProceduresAPC 5193 | 17 | 15 | $48,631 | $7,523 | $8,874 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 16 | 16 | $22,488 | $2,543 | $2,636 |
| Level 2 Vascular ProceduresAPC 5182 | 12 | 12 | $12,493 | $1,130 | $1,204 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 12 | 12 | $25,795 | $6,254 | $6,514 |
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.