Ascension Saint Francis Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Ascension Saint Francis, Evanston, IL in 2024, from traditional Medicare claims. Back to the Ascension Saint Francis profile, with quality ratings, finances and negotiated rates.

1,085
Medicare inpatient discharges
In 36 published DRGs
1.71
Case mix index
IPPS FY 2027
9%
Surgical stays
79%
Stays with complications
In DRGs with a CC or MCC
551
Medicare outpatient services
In 20 service groups

Inpatient stays by major diagnostic category

Infectious and parasitic diseases365 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	269	$92,078	$17,930	$19,797	1.98
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	43	$214,116	$44,352	$46,035	5.00
Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical	32	$243,372	$50,084	$52,325	6.96
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	21	$52,070	$9,283	$11,195	1.03

Kidney and urinary tract175 discharges in 6 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Renal failure with MCCMS-DRG 682, medical	39	$53,544	$13,436	$11,512	1.50
Renal failure with CCMS-DRG 683, medical	38	$43,341	$8,485	$9,318	0.90
Kidney and urinary tract infections with MCCMS-DRG 689, medical	38	$64,947	$10,763	$13,964	1.17
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical	29	$76,294	$14,650	$16,403	1.65
Kidney and urinary tract infections without MCCMS-DRG 690, medical	18	$50,136	$6,940	$10,779	0.81
Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical	13	$55,515	$10,033	$11,936	1.02

Circulatory system142 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	58	$63,183	$11,768	$13,584	1.28
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical	22	$113,274	$14,543	$24,354	1.59
Other circulatory system diagnoses with MCCMS-DRG 314, medical	22	$139,356	$22,552	$29,962	2.09
Syncope and collapseMS-DRG 312, medical	14	$40,116	$7,880	$8,625	0.86
Peripheral vascular disorders with CCMS-DRG 300, medical	13	$41,867	$9,972	$9,001	1.07
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical	13	$50,250	$5,330	$10,804	0.74

Respiratory system119 discharges in 3 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Respiratory infections and inflammations with MCCMS-DRG 177, medical	51	$73,271	$15,069	$15,753	1.70
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	49	$73,862	$11,486	$15,880	1.33
Pulmonary edema and respiratory failureMS-DRG 189, medical	19	$65,667	$10,120	$14,118	1.23

Musculoskeletal system and connective tissue82 discharges in 5 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	24	$120,105	$16,552	$25,823	1.88
Hip and femur procedures except major joint with CCMS-DRG 481, surgical	18	$125,486	$19,208	$26,980	2.07
Medical back problems without MCCMS-DRG 552, medical	15	$47,868	$8,557	$10,292	0.97
Hip and femur procedures except major joint with MCCMS-DRG 480, surgical	13	$115,783	$24,591	$24,893	2.95
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical	12	$63,539	$7,649	$13,661	0.90

Digestive system73 discharges in 5 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical	18	$74,494	$15,680	$16,016	1.79
Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical	18	$43,363	$6,576	$9,323	0.79
Other digestive system diagnoses with MCCMS-DRG 393, medical	14	$66,165	$14,801	$14,226	1.62
Gastrointestinal obstruction with CCMS-DRG 389, medical	12	$58,074	$7,364	$12,486	0.80
Other digestive system diagnoses with CCMS-DRG 394, medical	11	$59,204	$8,982	$12,729	0.94

Endocrine, nutritional and metabolic65 discharges in 3 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	33	$54,897	$11,560	$11,803	1.32
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical	20	$37,040	$7,045	$7,964	0.78
Diabetes with MCCMS-DRG 637, medical	12	$57,980	$13,441	$12,466	1.45

Nervous system33 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Seizures without MCCMS-DRG 101, medical	17	$41,998	$7,778	$9,030	0.91
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical	16	$124,085	$17,297	$26,678	2.00

Skin, subcutaneous tissue and breast17 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Cellulitis without MCCMS-DRG 603, medical	17	$40,122	$7,726	$8,626	0.88

Blood and immune system14 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Red blood cell disorders with MCCMS-DRG 811, medical	14	$71,956	$12,407	$15,470	1.40

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	158	146	$30,942	$2,119	$2,090
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	59	56	$11,448	$1,256	$1,220
Level 2 Upper GI ProceduresAPC 5302	39	32	$13,958	$1,475	$1,445
Level 3 Musculoskeletal ProceduresAPC 5113	35	34	$27,111	$2,508	$2,373
Level 3 Vascular ProceduresAPC 5183	34	32	$19,848	$2,470	$2,405
Level 3 Urology and Related ServicesAPC 5373	32	21	$15,474	$1,529	$1,516
Level 1 Laparoscopy and Related ServicesAPC 5361	19	19	$52,610	$4,468	$4,358
Level 4 Urology and Related ServicesAPC 5374	18	15	$22,043	$2,699	$2,629
Level 5 Musculoskeletal ProceduresAPC 5115	15	15	$97,315	$11,149	$10,772
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341	15	14	$32,538	$2,681	$2,636
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073	14	14	$23,464	$2,045	$2,141
Level 4 Musculoskeletal ProceduresAPC 5114	14	14	$64,987	$5,535	$5,339
Level 1 Endovascular ProceduresAPC 5191	14	14	$28,361	$2,274	$2,208
Level 2 Musculoskeletal ProceduresAPC 5112	13	12	$13,253	$1,039	$1,196
Level 2 Vascular ProceduresAPC 5182	13	13	$10,349	$1,241	$1,204
Level 2 Pacemaker and Similar ProceduresAPC 5222	13	13	$47,861	$6,622	$6,514
Level 3 Pacemaker and Similar ProceduresAPC 5223	12	12	$48,162	$8,744	$8,569
Level 5 Gynecologic ProceduresAPC 5415	12	12	$35,810	$3,852	$3,792
Level 5 Urology and Related ServicesAPC 5375	11	11	$39,912	$4,010	$3,918
Level 4 Gynecologic ProceduresAPC 5414	11	11	$25,256	$2,423	$2,389

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.