Baptist Health Hardin Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Baptist Health Hardin, Elizabethtown, KY in 2024, from traditional Medicare claims. Back to the Baptist Health Hardin profile, with quality ratings, finances and negotiated rates.
2,714
Medicare inpatient discharges
In 74 published DRGs
1.53
Case mix index
IPPS FY 2027
13%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
3,020
Medicare outpatient services
In 35 service groups
Inpatient stays by major diagnostic category
Respiratory system571 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 125 | $50,427 | $7,609 | $8,825 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 114 | $53,837 | $9,605 | $9,421 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 78 | $42,608 | $6,206 | $7,456 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 57 | $33,008 | $3,863 | $5,776 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 48 | $55,851 | $7,377 | $9,774 | 1.23 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 35 | $30,252 | $4,432 | $5,294 | 0.85 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 32 | $31,118 | $5,627 | $5,446 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 18 | $94,832 | $15,727 | $16,596 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 16 | $45,702 | $8,223 | $7,998 | 1.40 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 13 | $24,101 | $2,994 | $4,218 | 0.63 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 12 | $91,807 | $23,367 | $16,066 | 4.06 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 12 | $25,546 | $5,273 | $4,471 | 0.96 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 11 | $79,723 | $10,324 | $13,952 | 1.74 |
Circulatory system484 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 | 179 | $43,873 | $7,577 | $7,678 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 74 | $57,389 | $9,359 | $10,043 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 36 | $200,922 | $9,595 | $35,161 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 32 | $80,265 | $11,774 | $14,046 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 30 | $34,278 | $4,867 | $5,999 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 28 | $41,689 | $3,947 | $7,296 | 0.74 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 21 | $27,852 | $2,670 | $4,874 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 21 | $235,919 | $19,340 | $41,286 | 2.87 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 15 | $79,988 | $12,681 | $13,998 | 2.09 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 13 | $176,018 | $12,459 | $30,803 | 2.28 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 13 | $161,481 | $21,378 | $28,259 | 3.35 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 11 | $37,152 | $4,939 | $6,502 | 0.91 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 11 | $36,571 | $5,649 | $6,400 | 0.97 |
Infectious and parasitic diseases443 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 | 314 | $68,468 | $11,700 | $11,982 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 71 | $37,307 | $5,222 | $6,529 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 40 | $142,801 | $28,140 | $24,990 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 18 | $70,330 | $11,603 | $12,308 | 2.04 |
Kidney and urinary tract317 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 | 89 | $37,661 | $6,597 | $6,591 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 86 | $31,680 | $4,227 | $5,544 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 51 | $34,172 | $4,928 | $5,980 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 40 | $47,554 | $8,706 | $8,322 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 34 | $53,400 | $9,410 | $9,345 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 17 | $29,596 | $5,252 | $5,179 | 1.02 |
Digestive system224 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 49 | $49,348 | $5,387 | $8,636 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 40 | $34,665 | $3,820 | $6,066 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 22 | $37,895 | $4,210 | $6,632 | 0.80 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 21 | $100,015 | $9,629 | $17,503 | 1.67 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 20 | $74,102 | $9,326 | $12,968 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 16 | $122,203 | $14,298 | $21,386 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 16 | $45,534 | $7,102 | $7,968 | 1.28 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 15 | $32,463 | $5,298 | $5,681 | 1.04 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 14 | $27,658 | $2,257 | $4,840 | 0.56 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 11 | $185,664 | $27,548 | $32,491 | 4.52 |
Nervous system177 discharges in 7 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 | 63 | $47,563 | $5,438 | $8,323 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 32 | $80,032 | $12,290 | $14,006 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 23 | $46,901 | $4,627 | $8,208 | 0.91 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 19 | $44,684 | $3,243 | $7,820 | 0.69 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 17 | $40,985 | $3,646 | $7,172 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 12 | $46,446 | $11,204 | $8,128 | 1.98 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 11 | $155,886 | $9,587 | $27,280 | 1.87 |
Endocrine, nutritional and metabolic173 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 without MCCMS-DRG 641, medical | 65 | $30,185 | $3,906 | $5,282 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 56 | $54,300 | $7,335 | $9,503 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 31 | $30,311 | $5,220 | $5,304 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 21 | $40,908 | $7,277 | $7,159 | 1.45 |
Musculoskeletal system and connective tissue124 discharges in 6 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 | 37 | $91,960 | $11,659 | $16,093 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 26 | $113,686 | $12,109 | $19,895 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 20 | $122,269 | $16,943 | $21,397 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 17 | $109,052 | $16,803 | $19,084 | 2.99 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 12 | $76,835 | $8,897 | $13,446 | 1.59 |
| Medical back problems without MCCMS-DRG 552, medical | 12 | $35,609 | $5,315 | $6,232 | 0.97 |
Liver, gallbladder and pancreas48 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 13 | $31,794 | $4,287 | $5,564 | 0.86 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 13 | $36,233 | $4,885 | $6,341 | 0.95 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 11 | $93,274 | $9,165 | $16,323 | 1.63 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 11 | $61,517 | $10,767 | $10,765 | 1.83 |
Mental diseases and disorders42 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 42 | $21,843 | $7,935 | $3,823 | 1.37 |
Skin, subcutaneous tissue and breast42 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 28 | $28,400 | $4,756 | $4,970 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 14 | $62,713 | $8,496 | $10,975 | 1.49 |
Blood and immune system20 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 | 20 | $32,455 | $4,248 | $5,680 | 0.90 |
Other20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 20 | $189,093 | $26,397 | $33,091 | 4.74 |
Factors influencing health status18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 18 | $44,130 | $4,041 | $7,723 | 0.80 |
Ear, nose, mouth and throat11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 11 | $43,564 | $4,011 | $7,624 | 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 | 283 | 278 | $105,086 | $9,349 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 264 | 254 | $28,545 | $1,837 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 232 | 217 | $13,919 | $1,289 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 225 | 219 | $18,207 | $1,082 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 176 | 171 | $16,632 | $1,377 | $1,516 |
| Level 5 Urology and Related ServicesAPC 5375 | 157 | 151 | $37,088 | $3,508 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 151 | 148 | $49,147 | $4,748 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 130 | 108 | $26,885 | $2,385 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 129 | 127 | $50,878 | $3,869 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 113 | 110 | $25,708 | $2,169 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 108 | 108 | $36,302 | $1,924 | $2,208 |
| Level 3 Lower GI ProceduresAPC 5313 | 90 | 87 | $20,533 | $1,995 | $2,176 |
| Level 5 Airway EndoscopyAPC 5155 | 89 | 87 | $45,196 | $4,593 | $5,183 |
| Level 4 Airway EndoscopyAPC 5154 | 75 | 72 | $29,044 | $2,568 | $2,833 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 69 | 68 | $21,510 | $2,156 | $2,373 |
| Level 3 Airway EndoscopyAPC 5153 | 66 | 62 | $16,323 | $1,115 | $1,264 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 64 | 63 | $24,051 | $1,887 | $2,141 |
| Level 1 Nerve ProceduresAPC 5431 | 54 | 51 | $14,407 | $1,301 | $1,407 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 53 | 51 | $141,973 | $14,120 | $15,763 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 52 | 52 | $13,824 | $1,103 | $1,196 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 48 | 42 | $26,219 | $2,617 | $2,930 |
| Level 2 Vascular ProceduresAPC 5182 | 48 | 46 | $13,575 | $1,071 | $1,204 |
| Level 3 Endovascular ProceduresAPC 5193 | 47 | 44 | $148,200 | $7,840 | $8,874 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 43 | 41 | $52,509 | $4,476 | $4,982 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 36 | 36 | $43,340 | $2,372 | $2,636 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 34 | 34 | $115,376 | $7,341 | $8,569 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 32 | 32 | $79,304 | $7,007 | $8,164 |
| Level 4 Gynecologic ProceduresAPC 5414 | 29 | 29 | $26,791 | $1,997 | $2,389 |
| Level 2 Endovascular ProceduresAPC 5192 | 26 | 23 | $84,775 | $3,923 | $4,338 |
| Level 6 Urology and Related ServicesAPC 5376 | 21 | 21 | $88,310 | $6,023 | $7,291 |
| Level 4 Vascular ProceduresAPC 5184 | 18 | 16 | $44,092 | $3,772 | $3,946 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 18 | 18 | $22,309 | $1,594 | $1,780 |
| Level 3 Breast/Lymphatic Surgery and Related ProceduresAPC 5093 | 15 | 13 | $152,603 | $6,489 | $7,546 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 14 | 14 | $309,841 | $26,613 | $29,375 |
| Level 3 Upper GI ProceduresAPC 5303 | 11 | 11 | $24,507 | $2,622 | $2,888 |
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.