American Fork Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for American Fork Hospital, American Fork, UT in 2024, from traditional Medicare claims. Back to the American Fork Hospital profile, with quality ratings, finances and negotiated rates.
345
Medicare inpatient discharges
In 13 published DRGs
1.58
Case mix index
IPPS FY 2027
0%
Surgical stays
76%
Stays with complications
In DRGs with a CC or MCC
873
Medicare outpatient services
In 22 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases175 discharges in 2 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 | 130 | $36,925 | $11,728 | $11,188 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 45 | $23,428 | $6,134 | $7,099 | 1.03 |
Kidney and urinary tract56 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 16 | $31,267 | $10,237 | $9,474 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 15 | $27,055 | $6,013 | $8,198 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 14 | $21,539 | $4,711 | $6,526 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 11 | $21,547 | $7,578 | $6,529 | 1.17 |
Digestive system41 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 17 | $27,518 | $6,275 | $8,338 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 12 | $43,570 | $9,786 | $13,202 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 12 | $21,750 | $5,481 | $6,590 | 0.79 |
Respiratory system31 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 17 | $25,844 | $8,156 | $7,831 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 14 | $26,153 | $10,728 | $7,924 | 1.70 |
Circulatory system30 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 30 | $31,114 | $8,105 | $9,427 | 1.28 |
Endocrine, nutritional and metabolic12 discharges in 1 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 | 12 | $28,573 | $4,782 | $8,658 | 0.78 |
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 1 Intraocular ProceduresAPC 5491 | 145 | 92 | $7,116 | $1,605 | $1,752 |
| Level 5 Urology and Related ServicesAPC 5375 | 76 | 72 | $14,551 | $3,596 | $3,918 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 69 | 68 | $42,064 | $9,849 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 60 | 54 | $4,772 | $1,317 | $1,445 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 52 | 50 | $11,210 | $2,309 | $2,373 |
| Level 4 Urology and Related ServicesAPC 5374 | 50 | 49 | $10,459 | $2,436 | $2,629 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 48 | 47 | $27,792 | $4,557 | $4,982 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 45 | 44 | $21,241 | $3,777 | $4,358 |
| Comprehensive Observation ServicesAPC 8011 | 43 | 42 | $12,141 | $1,908 | $2,090 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 42 | 41 | $24,593 | $4,741 | $5,339 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 39 | 39 | $35,441 | $7,584 | $8,164 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 33 | 31 | $10,003 | $1,151 | $1,220 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 22 | 22 | $6,633 | $1,145 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 22 | 21 | $5,988 | $1,011 | $1,204 |
| Level 3 Vascular ProceduresAPC 5183 | 20 | 20 | $13,363 | $2,161 | $2,405 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 19 | 19 | $17,428 | $2,028 | $2,141 |
| Level 3 Urology and Related ServicesAPC 5373 | 17 | 17 | $6,883 | $1,454 | $1,516 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 16 | 16 | $15,452 | $2,721 | $2,930 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 15 | 15 | $18,289 | $2,305 | $2,636 |
| Level 5 Gynecologic ProceduresAPC 5415 | 14 | 13 | $14,210 | $3,537 | $3,792 |
| Level 1 Nerve ProceduresAPC 5431 | 14 | $8,805 | $1,378 | $1,407 | |
| Level 5 ENT ProceduresAPC 5165 | 12 | 12 | $22,547 | $4,180 | $4,436 |
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.