Baptist Health Richmond Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Baptist Health Richmond, Richmond, KY in 2024, from traditional Medicare claims. Back to the Baptist Health Richmond profile, with quality ratings, finances and negotiated rates.
482
Medicare inpatient discharges
In 18 published DRGs
1.41
Case mix index
IPPS FY 2027
3%
Surgical stays
76%
Stays with complications
In DRGs with a CC or MCC
981
Medicare outpatient services
In 18 service groups
Inpatient stays by major diagnostic category
Circulatory system134 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 92 | $38,659 | $8,073 | $7,577 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 16 | $27,522 | $4,523 | $5,394 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 15 | $176,483 | $10,057 | $34,591 | 1.82 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 11 | $39,555 | $4,624 | $7,753 | 0.91 |
Respiratory system129 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 40 | $46,255 | $8,157 | $9,066 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 32 | $44,467 | $10,406 | $8,715 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 26 | $37,778 | $6,949 | $7,405 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 17 | $35,766 | $7,953 | $7,010 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $35,985 | $5,044 | $7,053 | 0.82 |
Infectious and parasitic diseases94 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 | 81 | $55,797 | $12,540 | $10,936 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 13 | $38,932 | $5,947 | $7,631 | 1.03 |
Kidney and urinary tract63 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 24 | $33,348 | $4,768 | $6,536 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 21 | $30,401 | $4,974 | $5,959 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 18 | $33,735 | $7,137 | $6,612 | 1.17 |
Endocrine, nutritional and metabolic31 discharges in 2 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 | 17 | $41,079 | $8,627 | $8,052 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 14 | $26,060 | $4,550 | $5,108 | 0.78 |
Mental diseases and disorders18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 18 | $27,353 | $8,232 | $5,361 | 1.37 |
Digestive system13 discharges in 1 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 | 13 | $34,452 | $4,308 | $6,753 | 0.79 |
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 1 Intraocular ProceduresAPC 5491 | 387 | 225 | $15,380 | $1,575 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 226 | 210 | $29,176 | $1,832 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 67 | 58 | $14,302 | $1,310 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 60 | 60 | $41,054 | $3,906 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 27 | 26 | $24,836 | $2,186 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 24 | 24 | $49,401 | $3,403 | $3,918 |
| Level 4 Gynecologic ProceduresAPC 5414 | 23 | 23 | $19,820 | $2,144 | $2,389 |
| Level 6 Urology and Related ServicesAPC 5376 | 21 | 16 | $55,452 | $5,448 | $7,291 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 20 | 19 | $13,022 | $1,081 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 18 | 18 | $37,974 | $2,007 | $2,208 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 17 | 17 | $14,890 | $998 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 17 | 17 | $40,786 | $2,242 | $2,636 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 14 | 12 | $105,663 | $8,990 | $10,772 |
| Level 3 Lower GI ProceduresAPC 5313 | 13 | 13 | $27,944 | $1,999 | $2,176 |
| Level 4 Urology and Related ServicesAPC 5374 | 13 | 13 | $26,291 | $2,391 | $2,629 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 12 | 11 | $34,218 | $4,472 | $4,982 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 11 | 11 | $19,651 | $1,816 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 11 | 11 | $37,242 | $4,467 | $5,339 |
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.