Ascension St Alexius Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ascension St Alexius, Hoffman Estates, IL in 2024, from traditional Medicare claims. Back to the Ascension St Alexius profile, with quality ratings, finances and negotiated rates.
2,121
Medicare inpatient discharges
In 68 published DRGs
1.64
Case mix index
IPPS FY 2027
13%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
2,149
Medicare outpatient services
In 32 service groups
Inpatient stays by major diagnostic category
Circulatory system456 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 205 | $46,641 | $8,983 | $11,427 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 63 | $60,928 | $10,639 | $14,927 | 1.59 |
| Hypertension without MCCMS-DRG 305, medical | 23 | $29,876 | $4,823 | $7,320 | 0.75 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 23 | $43,222 | $8,428 | $10,589 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 22 | $31,733 | $5,812 | $7,775 | 0.86 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 18 | $94,113 | $15,536 | $23,058 | 2.09 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 17 | $32,976 | $5,254 | $8,079 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 17 | $107,068 | $10,447 | $26,232 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 16 | $84,999 | $14,802 | $20,825 | 2.16 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $43,160 | $5,911 | $10,574 | 0.91 |
| Chest painMS-DRG 313, medical | 14 | $38,492 | $4,785 | $9,431 | 0.72 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 13 | $41,671 | $7,740 | $10,209 | 1.07 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 11 | $31,636 | $6,995 | $7,751 | 0.97 |
Infectious and parasitic diseases372 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 | 274 | $78,533 | $13,868 | $19,241 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 43 | $200,701 | $35,502 | $49,172 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 42 | $40,562 | $7,007 | $9,938 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 13 | $212,776 | $44,836 | $52,130 | 6.96 |
Respiratory system298 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 85 | $65,178 | $11,673 | $15,969 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 74 | $53,310 | $9,698 | $13,061 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 30 | $48,896 | $8,818 | $11,979 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 20 | $44,004 | $7,668 | $10,781 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 20 | $31,457 | $5,501 | $7,707 | 0.82 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 20 | $35,815 | $6,341 | $8,775 | 0.96 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 13 | $31,837 | $6,215 | $7,800 | 0.99 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 13 | $63,783 | $12,224 | $15,627 | 1.74 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 12 | $33,967 | $5,659 | $8,322 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $56,745 | $10,147 | $13,903 | 1.40 |
Musculoskeletal system and connective tissue256 discharges in 9 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 | 92 | $69,039 | $13,202 | $16,915 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 43 | $34,869 | $6,451 | $8,543 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 33 | $86,433 | $13,698 | $21,176 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 19 | $81,154 | $13,616 | $19,883 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 17 | $114,659 | $19,537 | $28,091 | 2.95 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 15 | $111,795 | $24,738 | $27,390 | 3.49 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 13 | $84,216 | $17,570 | $20,633 | 2.67 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 13 | $32,137 | $6,005 | $7,874 | 0.90 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 11 | $87,946 | $17,777 | $21,547 | 2.40 |
Kidney and urinary tract231 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 51 | $44,679 | $8,199 | $10,946 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 50 | $34,105 | $5,477 | $8,356 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 46 | $70,295 | $11,721 | $17,222 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 34 | $46,596 | $10,380 | $11,416 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 26 | $38,509 | $5,873 | $9,435 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 24 | $33,424 | $7,140 | $8,189 | 1.02 |
Digestive system176 discharges in 8 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 | 38 | $34,808 | $5,338 | $8,528 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 28 | $84,034 | $12,705 | $20,588 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 24 | $47,277 | $8,474 | $11,583 | 1.28 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 23 | $42,601 | $6,974 | $10,437 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 17 | $120,211 | $18,196 | $29,452 | 2.37 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 16 | $62,274 | $12,178 | $15,257 | 1.62 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 16 | $44,741 | $6,400 | $10,961 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 14 | $34,137 | $4,689 | $8,364 | 0.80 |
Nervous system100 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 25 | $75,999 | $13,274 | $18,620 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 21 | $58,121 | $6,808 | $14,240 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 15 | $40,863 | $8,463 | $10,012 | 1.36 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $38,498 | $5,494 | $9,432 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 13 | $63,828 | $14,044 | $15,638 | 1.98 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 11 | $47,754 | $13,085 | $11,700 | 1.79 |
Endocrine, nutritional and metabolic96 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 | 38 | $42,857 | $9,480 | $10,500 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 28 | $32,233 | $5,427 | $7,897 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 16 | $47,743 | $10,286 | $11,697 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 14 | $34,751 | $5,759 | $8,514 | 0.90 |
Skin, subcutaneous tissue and breast60 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 35 | $32,605 | $5,455 | $7,988 | 0.88 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 13 | $32,277 | $6,364 | $7,908 | 0.91 |
| Cellulitis with MCCMS-DRG 602, medical | 12 | $66,877 | $10,695 | $16,385 | 1.49 |
Blood and immune system29 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 18 | $46,711 | $5,436 | $11,444 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 11 | $91,736 | $11,203 | $22,475 | 1.56 |
Liver, gallbladder and pancreas19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 19 | $61,567 | $13,345 | $15,084 | 1.92 |
Mental diseases and disorders16 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 | 16 | $37,686 | $10,699 | $9,233 | 1.76 |
Ear, nose, mouth and throat12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 12 | $30,121 | $4,276 | $7,380 | 0.74 |
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 | 393 | 374 | $53,852 | $11,038 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 347 | 333 | $23,676 | $2,082 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 251 | 173 | $13,070 | $1,788 | $1,752 |
| Level 2 Urology and Related ServicesAPC 5372 | 235 | 37 | $10,167 | $423 | $502 |
| Level 2 Intraocular ProceduresAPC 5492 | 93 | 88 | $26,259 | $3,151 | $3,116 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 89 | 89 | $33,210 | $4,289 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 78 | 74 | $22,627 | $2,407 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 76 | 72 | $13,616 | $1,132 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 62 | 62 | $44,827 | $5,541 | $5,339 |
| Level 1 Endovascular ProceduresAPC 5191 | 49 | 49 | $29,212 | $2,277 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 49 | 39 | $16,980 | $1,480 | $1,445 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 39 | 38 | $24,960 | $2,506 | $2,373 |
| Level 3 Endovascular ProceduresAPC 5193 | 33 | 31 | $64,728 | $9,050 | $8,874 |
| Level 2 Vascular ProceduresAPC 5182 | 30 | 29 | $9,129 | $1,240 | $1,204 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 29 | 28 | $25,679 | $2,115 | $2,141 |
| Level 2 Endovascular ProceduresAPC 5192 | 27 | 23 | $40,449 | $4,422 | $4,338 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 26 | 26 | $63,253 | $15,819 | $15,763 |
| Level 4 Gynecologic ProceduresAPC 5414 | 26 | 26 | $21,226 | $2,326 | $2,389 |
| Level 1 Nerve ProceduresAPC 5431 | 23 | 21 | $12,575 | $1,496 | $1,407 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 20 | 19 | $25,649 | $2,954 | $2,930 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 20 | 20 | $51,673 | $8,115 | $8,164 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 19 | 19 | $39,960 | $8,284 | $8,569 |
| Level 4 Urology and Related ServicesAPC 5374 | 18 | 18 | $31,701 | $2,698 | $2,629 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 17 | 17 | $28,445 | $2,662 | $2,636 |
| Level 4 Endovascular ProceduresAPC 5194 | 16 | 14 | $107,412 | $13,463 | $14,606 |
| Level 6 Gynecologic ProceduresAPC 5416 | 14 | 14 | $38,973 | $5,437 | $5,836 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 13 | $13,260 | $1,245 | $1,196 |
| Level 4 Vascular ProceduresAPC 5184 | 13 | 13 | $33,075 | $4,258 | $3,946 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 11 | 11 | $39,607 | $5,036 | $4,982 |
| Level 5 Urology and Related ServicesAPC 5375 | 11 | 11 | $26,779 | $4,010 | $3,918 |
| Level 5 Gynecologic ProceduresAPC 5415 | 11 | 11 | $32,843 | $3,846 | $3,792 |
| Level 3 Intraocular ProceduresAPC 5493 | 11 | $23,442 | $4,033 | $4,004 |
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.