Anderson Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Anderson Hospital, Maryville, IL in 2024, from traditional Medicare claims. Back to the Anderson Hospital profile, with quality ratings, finances and negotiated rates.
1,134
Medicare inpatient discharges
In 34 published DRGs
1.45
Case mix index
IPPS FY 2027
5%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
1,147
Medicare outpatient services
In 21 service groups
Inpatient stays by major diagnostic category
Respiratory system272 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 | 82 | $45,549 | $8,548 | $10,841 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 58 | $38,099 | $5,170 | $9,068 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 44 | $52,830 | $8,205 | $12,574 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 35 | $50,191 | $10,895 | $11,945 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 21 | $38,678 | $6,883 | $9,205 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 19 | $41,830 | $6,039 | $9,956 | 0.99 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 13 | $27,357 | $5,485 | $6,511 | 0.85 |
Circulatory system221 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 111 | $43,891 | $8,223 | $10,446 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 31 | $37,706 | $5,578 | $8,974 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 27 | $33,074 | $4,560 | $7,872 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 26 | $37,566 | $7,711 | $8,941 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 14 | $24,192 | $3,479 | $5,758 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 12 | $84,150 | $10,001 | $20,028 | 1.82 |
Infectious and parasitic diseases215 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 | 145 | $56,317 | $12,559 | $13,403 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 49 | $35,034 | $6,268 | $8,338 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 21 | $104,004 | $30,351 | $24,753 | 5.00 |
Kidney and urinary tract198 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 78 | $30,218 | $5,013 | $7,192 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 47 | $33,160 | $7,439 | $7,892 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 24 | $30,548 | $5,422 | $7,270 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 20 | $59,715 | $11,280 | $14,212 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 18 | $46,543 | $9,693 | $11,077 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 11 | $37,529 | $6,380 | $8,932 | 1.02 |
Digestive system78 discharges in 4 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 | 28 | $35,368 | $4,733 | $8,418 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 21 | $34,448 | $6,469 | $8,199 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 18 | $28,259 | $5,000 | $6,726 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $53,956 | $8,417 | $12,842 | 1.28 |
Musculoskeletal system and connective tissue56 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 22 | $34,931 | $6,291 | $8,314 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 21 | $55,743 | $13,521 | $13,267 | 2.07 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 13 | $26,646 | $5,122 | $6,342 | 0.90 |
Endocrine, nutritional and metabolic47 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 without MCCMS-DRG 641, medical | 33 | $31,586 | $4,559 | $7,518 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 14 | $48,088 | $8,510 | $11,445 | 1.32 |
Skin, subcutaneous tissue and breast21 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 21 | $35,518 | $4,976 | $8,453 | 0.88 |
Nervous system14 discharges in 1 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 | 14 | $44,882 | $6,316 | $10,682 | 1.02 |
Blood and immune system12 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 | 12 | $39,513 | $5,945 | $9,404 | 0.90 |
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 | 258 | 243 | $24,140 | $1,994 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 138 | 129 | $41,855 | $10,286 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 100 | 79 | $16,363 | $2,516 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 74 | 74 | $22,202 | $4,191 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 70 | 70 | $9,488 | $1,191 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 59 | 51 | $8,320 | $1,402 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 56 | 56 | $24,566 | $4,997 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 49 | 43 | $19,631 | $3,712 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 45 | 45 | $13,450 | $2,328 | $2,373 |
| Level 1 Nerve ProceduresAPC 5431 | 44 | 37 | $8,986 | $1,368 | $1,407 |
| Level 3 Urology and Related ServicesAPC 5373 | 42 | 37 | $12,647 | $1,464 | $1,516 |
| Level 3 Vascular ProceduresAPC 5183 | 31 | 31 | $14,415 | $2,347 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 28 | 28 | $21,190 | $2,165 | $2,208 |
| Level 4 Gynecologic ProceduresAPC 5414 | 28 | 28 | $11,718 | $2,302 | $2,389 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 24 | 23 | $9,250 | $1,141 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 23 | 23 | $18,098 | $2,437 | $2,636 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 19 | 19 | $10,874 | $2,092 | $2,141 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 19 | 19 | $29,208 | $7,869 | $8,164 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 15 | 15 | $50,159 | $15,553 | $15,763 |
| Level 3 Lower GI ProceduresAPC 5313 | 13 | 13 | $13,802 | $1,782 | $2,176 |
| Level 5 Airway EndoscopyAPC 5155 | 12 | 12 | $22,440 | $5,040 | $5,183 |
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.