Baptist Health Paducah Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Baptist Health Paducah, Paducah, KY in 2024, from traditional Medicare claims. Back to the Baptist Health Paducah profile, with quality ratings, finances and negotiated rates.
2,116
Medicare inpatient discharges
In 70 published DRGs
1.93
Case mix index
IPPS FY 2027
28%
Surgical stays
58%
Stays with complications
In DRGs with a CC or MCC
3,269
Medicare outpatient services
In 42 service groups
Inpatient stays by major diagnostic category
Circulatory system598 discharges in 18 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 150 | $42,708 | $7,968 | $6,620 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 53 | $38,054 | $4,045 | $5,898 | 0.74 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 45 | $261,281 | $25,062 | $40,499 | 4.04 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 44 | $292,206 | $21,807 | $45,292 | 3.24 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 38 | $167,140 | $11,229 | $25,907 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 37 | $45,611 | $7,454 | $7,070 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 33 | $211,935 | $18,750 | $32,850 | 2.87 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 27 | $22,950 | $2,738 | $3,557 | 0.55 |
| Syncope and collapseMS-DRG 312, medical | 21 | $30,934 | $5,059 | $4,795 | 0.86 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 20 | $479,116 | $40,830 | $74,263 | 5.24 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 20 | $51,207 | $9,313 | $7,937 | 1.59 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 19 | $339,526 | $32,712 | $52,627 | 5.20 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 19 | $83,301 | $5,962 | $12,912 | 1.08 |
| Heart failure and shock with CCMS-DRG 292, medical | 16 | $41,613 | $4,570 | $6,450 | 0.86 |
| Hypertension without MCCMS-DRG 305, medical | 16 | $28,141 | $4,015 | $4,362 | 0.75 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 14 | $315,775 | $28,275 | $48,945 | 4.16 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 14 | $59,079 | $12,845 | $9,157 | 2.09 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 221, surgical | 12 | $355,703 | $29,836 | $55,134 | 4.65 |
Respiratory system398 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 89 | $45,155 | $8,104 | $6,999 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 72 | $41,871 | $7,562 | $6,490 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 70 | $64,967 | $10,765 | $10,070 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 51 | $35,894 | $6,363 | $5,564 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 32 | $28,204 | $4,506 | $4,372 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 26 | $85,735 | $17,859 | $13,289 | 2.70 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 20 | $46,660 | $5,122 | $7,232 | 0.99 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 14 | $28,750 | $4,483 | $4,456 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 13 | $26,051 | $4,647 | $4,038 | 0.85 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 11 | $21,184 | $3,007 | $3,283 | 0.63 |
Nervous system201 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 78 | $137,481 | $11,325 | $21,310 | 1.81 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 56 | $147,677 | $15,140 | $22,890 | 2.30 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 29 | $46,790 | $5,595 | $7,253 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 15 | $65,989 | $11,302 | $10,228 | 2.00 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 12 | $39,496 | $2,937 | $6,122 | 0.69 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 11 | $69,969 | $8,213 | $10,845 | 1.36 |
Infectious and parasitic diseases192 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 | 117 | $66,049 | $12,082 | $10,238 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 45 | $43,652 | $6,120 | $6,766 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 18 | $204,849 | $28,132 | $31,752 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $62,117 | $11,416 | $9,628 | 2.04 |
Kidney and urinary tract192 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 58 | $30,576 | $4,436 | $4,739 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 41 | $31,322 | $4,921 | $4,855 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 39 | $42,489 | $9,322 | $6,586 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 29 | $45,548 | $7,272 | $7,060 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 25 | $63,739 | $10,262 | $9,880 | 1.65 |
Musculoskeletal system and connective tissue190 discharges in 11 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 | 38 | $124,942 | $13,156 | $19,366 | 2.07 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 23 | $284,894 | $22,859 | $44,159 | 3.66 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 23 | $105,784 | $12,834 | $16,396 | 2.11 |
| Cervical spinal fusion without cc/mccMS-DRG 473, surgical | 20 | $174,712 | $15,813 | $27,080 | 2.46 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 14 | $182,351 | $16,609 | $28,264 | 2.96 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 13 | $453,637 | $35,425 | $70,314 | 4.61 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 13 | $37,345 | $4,926 | $5,788 | 0.90 |
| Biopsies of musculoskeletal system and connective tissue with CCMS-DRG 478, surgical | 12 | $142,095 | $13,447 | $22,025 | 2.38 |
| Medical back problems without MCCMS-DRG 552, medical | 12 | $47,258 | $4,852 | $7,325 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 11 | $130,721 | $17,438 | $20,262 | 2.95 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 11 | $85,410 | $7,625 | $13,238 | 1.49 |
Digestive system185 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 43 | $47,174 | $5,692 | $7,312 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 29 | $28,604 | $4,311 | $4,434 | 0.79 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 19 | $107,704 | $9,670 | $16,694 | 1.67 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 15 | $179,015 | $26,920 | $27,747 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 15 | $22,289 | $3,930 | $3,455 | 0.80 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 15 | $23,986 | $2,410 | $3,718 | 0.56 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 13 | $42,127 | $6,149 | $6,530 | 1.04 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 13 | $88,392 | $10,415 | $13,701 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 12 | $26,186 | $5,490 | $4,059 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $48,854 | $7,750 | $7,572 | 1.28 |
Endocrine, nutritional and metabolic92 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 without MCCMS-DRG 641, medical | 50 | $24,957 | $4,363 | $3,868 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 30 | $36,597 | $8,224 | $5,673 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 12 | $30,903 | $5,255 | $4,790 | 0.90 |
Skin, subcutaneous tissue and breast34 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 34 | $23,672 | $4,776 | $3,669 | 0.88 |
Factors influencing health status20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 20 | $32,606 | $3,207 | $5,054 | 0.59 |
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 without MCCMS-DRG 812, medical | 14 | $44,331 | $5,291 | $6,871 | 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 | 489 | 457 | $29,180 | $1,963 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 258 | 257 | $37,595 | $2,110 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 222 | 204 | $17,144 | $1,157 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 137 | 136 | $61,777 | $5,133 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 134 | 122 | $44,648 | $3,720 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 133 | 132 | $53,646 | $4,088 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 118 | 107 | $15,520 | $1,395 | $1,445 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 117 | 113 | $353,514 | $19,527 | $21,117 |
| Level 4 Urology and Related ServicesAPC 5374 | 117 | 108 | $29,653 | $2,505 | $2,629 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 111 | 110 | $218,013 | $15,378 | $15,763 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 110 | 106 | $131,947 | $10,008 | $10,772 |
| Level 2 Urology and Related ServicesAPC 5372 | 100 | 18 | $3,605 | $444 | $502 |
| Level 3 Endovascular ProceduresAPC 5193 | 96 | 87 | $143,229 | $8,334 | $8,874 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 84 | 83 | $22,887 | $2,032 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 83 | 79 | $30,144 | $2,323 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 79 | 78 | $22,476 | $1,462 | $1,516 |
| Level 1 Nerve ProceduresAPC 5431 | 65 | 59 | $17,622 | $1,341 | $1,407 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 55 | 51 | $15,349 | $1,143 | $1,196 |
| Level 5 Airway EndoscopyAPC 5155 | 55 | 54 | $42,592 | $4,757 | $5,183 |
| Level 3 Airway EndoscopyAPC 5153 | 50 | 49 | $12,341 | $1,208 | $1,264 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 49 | 47 | $30,616 | $2,349 | $2,373 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 48 | 48 | $314,694 | $26,694 | $26,719 |
| Level 4 Airway EndoscopyAPC 5154 | 42 | 41 | $28,358 | $2,730 | $2,833 |
| Level 6 Urology and Related ServicesAPC 5376 | 41 | 41 | $94,564 | $6,629 | $7,291 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 40 | 38 | $50,017 | $4,660 | $4,982 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 40 | 40 | $138,030 | $8,130 | $8,569 |
| Level 4 Endovascular ProceduresAPC 5194 | 38 | 37 | $234,653 | $14,378 | $14,606 |
| Level 8 Urology and Related ServicesAPC 5378 | 36 | 36 | $233,399 | $16,767 | $17,428 |
| Level 5 Gynecologic ProceduresAPC 5415 | 34 | 34 | $37,633 | $3,519 | $3,792 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 33 | 32 | $28,161 | $2,691 | $2,930 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 32 | 32 | $95,559 | $7,780 | $8,164 |
| Level 5 ENT ProceduresAPC 5165 | 30 | 30 | $45,835 | $4,269 | $4,436 |
| Level 2 Vascular ProceduresAPC 5182 | 30 | 29 | $13,442 | $1,125 | $1,204 |
| Level 4 Gynecologic ProceduresAPC 5414 | 25 | 25 | $22,426 | $2,154 | $2,389 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 24 | 24 | $239,649 | $18,333 | $18,465 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 21 | 21 | $112,308 | $6,185 | $6,514 |
| Level 4 ENT ProceduresAPC 5164 | 20 | 20 | $32,783 | $2,347 | $2,217 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 19 | 19 | $360,037 | $28,377 | $29,375 |
| Level 2 Endovascular ProceduresAPC 5192 | 17 | 17 | $86,179 | $3,921 | $4,338 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 14 | 14 | $260,337 | $16,155 | $17,052 |
| Level 3 ENT ProceduresAPC 5163 | 12 | 12 | $18,016 | $1,112 | $1,106 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 11 | 11 | $38,653 | $2,517 | $2,636 |
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.