Ascension Saint Joseph Elgin Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ascension Saint Joseph Elgin, Elgin, IL in 2024, from traditional Medicare claims. Back to the Ascension Saint Joseph Elgin profile, with quality ratings, finances and negotiated rates.
473
Medicare inpatient discharges
In 17 published DRGs
1.80
Case mix index
IPPS FY 2027
7%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
705
Medicare outpatient services
In 16 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases122 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 | 110 | $84,562 | $13,573 | $14,376 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 12 | $58,862 | $7,449 | $10,007 | 1.03 |
Respiratory system94 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 39 | $70,410 | $9,187 | $11,970 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 29 | $66,280 | $8,627 | $11,268 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 26 | $71,235 | $11,596 | $12,110 | 1.70 |
Circulatory system78 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 42 | $55,490 | $9,050 | $9,433 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 23 | $88,749 | $10,424 | $15,087 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 13 | $44,430 | $4,664 | $7,553 | 0.74 |
Kidney and urinary tract58 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 23 | $51,854 | $5,914 | $8,815 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 20 | $96,036 | $12,708 | $16,326 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 15 | $57,052 | $10,681 | $9,699 | 1.50 |
Mental diseases and disorders49 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 49 | $70,661 | $9,222 | $12,012 | 1.37 |
Musculoskeletal system and connective tissue34 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 23 | $151,622 | $17,846 | $25,776 | 2.48 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 11 | $160,283 | $19,034 | $27,248 | 3.66 |
Digestive system27 discharges in 2 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 | 16 | $49,044 | $5,480 | $8,337 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 11 | $53,505 | $5,711 | $9,096 | 0.80 |
Nervous system11 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 | 11 | $72,660 | $6,873 | $12,352 | 1.02 |
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 | 190 | 184 | $118,589 | $11,146 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 87 | 82 | $31,183 | $2,104 | $2,090 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 83 | 81 | $72,854 | $5,499 | $5,339 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 54 | 54 | $150,650 | $16,532 | $15,763 |
| Level 1 Intraocular ProceduresAPC 5491 | 51 | 32 | $21,812 | $1,812 | $1,752 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 39 | 38 | $153,708 | $20,938 | $21,117 |
| Level 3 Vascular ProceduresAPC 5183 | 31 | 27 | $26,151 | $2,401 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 30 | 30 | $17,829 | $1,253 | $1,220 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 26 | 26 | $43,563 | $2,519 | $2,373 |
| Level 2 Upper GI ProceduresAPC 5302 | 23 | 19 | $18,271 | $1,417 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 20 | 20 | $77,324 | $4,491 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 17 | 12 | $35,195 | $2,713 | $2,629 |
| Level 2 Endovascular ProceduresAPC 5192 | 16 | 12 | $22,309 | $4,449 | $4,338 |
| Level 1 Endovascular ProceduresAPC 5191 | 14 | 14 | $40,847 | $2,288 | $2,208 |
| Level 3 Airway EndoscopyAPC 5153 | 13 | 13 | $15,603 | $1,317 | $1,264 |
| Level 4 Airway EndoscopyAPC 5154 | 11 | 11 | $13,474 | $2,915 | $2,833 |
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.