Amita Health Adventist Medical Center La Grange Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Amita Health Adventist Medical Center La Grange, La Grange, IL in 2024, from traditional Medicare claims. Back to the Amita Health Adventist Medical Center La Grange profile, with quality ratings, finances and negotiated rates.
2,076
Medicare inpatient discharges
In 63 published DRGs
1.65
Case mix index
IPPS FY 2027
18%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
2,383
Medicare outpatient services
In 20 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases423 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 | 305 | $48,208 | $12,663 | $13,980 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 72 | $28,219 | $6,161 | $8,184 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 34 | $84,771 | $33,626 | $24,584 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $62,273 | $10,479 | $18,059 | 2.04 |
Musculoskeletal system and connective tissue365 discharges in 12 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 | 59 | $76,399 | $13,642 | $22,156 | 2.07 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 51 | $135,585 | $21,570 | $39,320 | 3.49 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 46 | $68,995 | $12,713 | $20,009 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 46 | $26,106 | $5,700 | $7,571 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 30 | $69,431 | $13,997 | $20,135 | 2.11 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 29 | $117,707 | $17,978 | $34,135 | 2.67 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 24 | $95,004 | $19,820 | $27,551 | 2.95 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 18 | $24,079 | $4,625 | $6,983 | 0.79 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 16 | $110,365 | $19,623 | $32,006 | 2.40 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 16 | $56,516 | $14,083 | $16,390 | 2.04 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 16 | $20,144 | $4,703 | $5,842 | 0.90 |
| Medical back problems with MCCMS-DRG 551, medical | 14 | $38,212 | $10,963 | $11,082 | 1.70 |
Circulatory system317 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 138 | $34,777 | $8,277 | $10,085 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 36 | $26,053 | $3,866 | $7,555 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 33 | $41,919 | $9,893 | $12,157 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 30 | $30,451 | $5,387 | $8,831 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 22 | $35,356 | $7,226 | $10,253 | 1.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 13 | $26,693 | $5,462 | $7,741 | 0.91 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 12 | $16,213 | $4,019 | $4,702 | 0.72 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 11 | $25,170 | $6,814 | $7,299 | 1.07 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $25,727 | $3,806 | $7,461 | 0.75 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 11 | $44,507 | $12,334 | $12,907 | 2.09 |
Respiratory system241 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 62 | $38,108 | $8,680 | $11,051 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 61 | $37,790 | $10,589 | $10,959 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 36 | $36,671 | $8,208 | $10,634 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 24 | $30,724 | $6,577 | $8,910 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $23,092 | $4,832 | $6,697 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 19 | $30,537 | $9,376 | $8,856 | 1.40 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 17 | $24,715 | $6,394 | $7,167 | 0.99 |
Kidney and urinary tract225 discharges in 7 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 | 57 | $40,343 | $10,660 | $11,699 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 46 | $28,465 | $7,355 | $8,255 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 40 | $23,173 | $4,977 | $6,720 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 25 | $23,302 | $5,473 | $6,758 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 23 | $35,103 | $9,699 | $10,180 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 19 | $24,042 | $6,124 | $6,972 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 15 | $46,572 | $9,121 | $13,506 | 1.35 |
Digestive system188 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 45 | $30,658 | $6,159 | $8,891 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 45 | $23,371 | $4,349 | $6,778 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 25 | $53,726 | $12,078 | $15,581 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 24 | $23,156 | $4,516 | $6,715 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 13 | $64,636 | $13,663 | $18,745 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 13 | $34,298 | $8,873 | $9,946 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 12 | $135,311 | $34,053 | $39,240 | 4.52 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 11 | $31,268 | $10,137 | $9,068 | 1.45 |
Endocrine, nutritional and metabolic84 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 | 32 | $35,499 | $9,109 | $10,295 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 21 | $20,795 | $4,584 | $6,030 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 18 | $26,961 | $4,602 | $7,819 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $36,645 | $9,295 | $10,627 | 1.45 |
Skin, subcutaneous tissue and breast75 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 60 | $23,718 | $5,231 | $6,878 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 15 | $25,977 | $9,584 | $7,533 | 1.49 |
Nervous system59 discharges in 3 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 | 28 | $39,984 | $6,048 | $11,595 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 19 | $39,444 | $12,704 | $11,439 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 12 | $39,039 | $3,877 | $11,321 | 0.80 |
Blood and immune system58 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 22 | $28,022 | $10,796 | $8,126 | 1.56 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 19 | $34,741 | $8,390 | $10,075 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 17 | $26,701 | $5,593 | $7,743 | 0.90 |
Liver, gallbladder and pancreas16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 16 | $62,121 | $10,396 | $18,015 | 1.63 |
Ear, nose, mouth and throat14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 14 | $29,306 | $3,998 | $8,499 | 0.74 |
Mental diseases and disorders11 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 | 11 | $22,202 | $10,702 | $6,439 | 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 | 1,081 | 1,033 | $57,158 | $10,754 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 336 | 314 | $18,665 | $2,045 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 291 | 199 | $11,530 | $1,761 | $1,752 |
| Level 4 Urology and Related ServicesAPC 5374 | 93 | 77 | $18,000 | $2,583 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 87 | 84 | $25,286 | $3,913 | $3,918 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 68 | 67 | $83,272 | $16,019 | $15,763 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 68 | 68 | $33,362 | $4,362 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 60 | 55 | $7,315 | $1,223 | $1,220 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 48 | 48 | $22,457 | $2,448 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 43 | 43 | $13,672 | $2,411 | $2,405 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 35 | 35 | $43,204 | $5,097 | $5,339 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 34 | 33 | $14,230 | $2,081 | $2,141 |
| Level 3 Urology and Related ServicesAPC 5373 | 29 | 25 | $10,224 | $1,538 | $1,516 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 22 | 22 | $12,655 | $1,105 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 20 | 20 | $20,539 | $2,614 | $2,636 |
| Level 3 Endovascular ProceduresAPC 5193 | 19 | 19 | $45,355 | $8,336 | $8,874 |
| Level 4 Endovascular ProceduresAPC 5194 | 15 | 13 | $83,161 | $13,978 | $14,606 |
| Level 2 Vascular ProceduresAPC 5182 | 12 | 11 | $8,589 | $1,211 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 11 | $26,079 | $4,324 | $4,338 | |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 11 | 11 | $47,866 | $8,113 | $8,164 |
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.