Boone Hospital Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Boone Hospital Center, Columbia, MO in 2024, from traditional Medicare claims. Back to the Boone Hospital Center profile, with quality ratings, finances and negotiated rates.
3,470
Medicare inpatient discharges
In 99 published DRGs
2.15
Case mix index
IPPS FY 2027
32%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
4,319
Medicare outpatient services
In 42 service groups
Inpatient stays by major diagnostic category
Circulatory system861 discharges in 29 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 177 | $30,707 | $6,836 | $8,444 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 50 | $82,351 | $18,583 | $22,647 | 3.24 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 45 | $18,414 | $3,445 | $5,064 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 45 | $65,894 | $9,661 | $18,121 | 1.82 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 43 | $170,068 | $37,937 | $46,769 | 6.25 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 42 | $35,825 | $8,452 | $9,852 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 39 | $94,772 | $17,060 | $26,062 | 2.87 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 34 | $33,847 | $6,223 | $9,308 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 29 | $55,379 | $11,954 | $15,229 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 28 | $35,432 | $5,050 | $9,744 | 1.08 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 27 | $159,041 | $28,791 | $43,736 | 4.88 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 25 | $108,505 | $23,742 | $29,839 | 4.04 |
| Syncope and collapseMS-DRG 312, medical | 23 | $20,693 | $3,983 | $5,691 | 0.86 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 20 | $154,443 | $31,855 | $42,472 | 5.24 |
| Other vascular procedures with CCMS-DRG 253, surgical | 20 | $49,953 | $14,791 | $13,737 | 2.55 |
| Hypertension without MCCMS-DRG 305, medical | 20 | $18,170 | $3,247 | $4,997 | 0.75 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 19 | $96,756 | $20,835 | $26,608 | 3.46 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 19 | $78,368 | $14,411 | $21,551 | 2.28 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 19 | $13,225 | $1,818 | $3,637 | 0.55 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 19 | $50,505 | $11,870 | $13,889 | 2.09 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 18 | $132,753 | $25,504 | $36,507 | 4.16 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 18 | $29,383 | $4,172 | $8,080 | 0.91 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 13 | $120,941 | $23,871 | $33,259 | 3.90 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 12 | $155,062 | $30,974 | $42,642 | 5.20 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 12 | $110,280 | $20,875 | $30,327 | 3.35 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 12 | $148,037 | $30,813 | $40,710 | 5.06 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 11 | $131,718 | $35,344 | $36,222 | 5.88 |
| Other vascular procedures without cc/mccMS-DRG 254, surgical | 11 | $55,164 | $9,193 | $15,170 | 1.74 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 11 | $145,394 | $20,891 | $39,983 | 3.46 |
Infectious and parasitic diseases800 discharges in 5 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 | 589 | $45,089 | $10,825 | $12,400 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 84 | $94,003 | $27,766 | $25,851 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 83 | $25,561 | $5,108 | $7,029 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 25 | $46,555 | $10,790 | $12,802 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 19 | $173,363 | $41,430 | $47,675 | 6.96 |
Musculoskeletal system and connective tissue437 discharges in 14 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 | 64 | $52,372 | $10,105 | $14,402 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 54 | $52,900 | $11,419 | $14,547 | 2.07 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 50 | $101,744 | $26,061 | $27,980 | 4.61 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 38 | $52,579 | $11,630 | $14,459 | 2.11 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 36 | $57,773 | $13,699 | $15,888 | 2.48 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 31 | $115,035 | $35,606 | $31,635 | 6.12 |
| Medical back problems without MCCMS-DRG 552, medical | 26 | $19,514 | $4,667 | $5,366 | 0.97 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 23 | $94,500 | $19,189 | $25,987 | 3.49 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 22 | $80,257 | $21,346 | $22,071 | 3.66 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 22 | $55,637 | $13,047 | $15,300 | 2.40 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 20 | $69,183 | $16,570 | $19,025 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 19 | $70,982 | $16,363 | $19,520 | 2.99 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 17 | $74,579 | $14,959 | $20,509 | 2.67 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 15 | $32,416 | $5,289 | $8,914 | 1.09 |
Digestive system311 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 61 | $28,222 | $4,715 | $7,761 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 34 | $44,500 | $12,186 | $12,237 | 2.37 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 33 | $37,597 | $9,122 | $10,339 | 1.67 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 33 | $49,771 | $9,444 | $13,687 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 31 | $19,292 | $3,555 | $5,305 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 25 | $15,276 | $3,635 | $4,201 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 19 | $73,236 | $24,439 | $20,140 | 4.52 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 19 | $36,658 | $7,025 | $10,081 | 1.28 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 17 | $26,321 | $7,683 | $7,238 | 1.45 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 15 | $41,232 | $9,057 | $11,339 | 1.62 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 12 | $11,920 | $1,978 | $3,278 | 0.56 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 12 | $21,720 | $4,663 | $5,973 | 0.94 |
Respiratory system302 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 | 93 | $34,513 | $7,060 | $9,491 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 76 | $40,847 | $9,178 | $11,233 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 31 | $42,149 | $6,432 | $11,591 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 21 | $35,259 | $5,888 | $9,696 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 19 | $35,819 | $7,177 | $9,850 | 1.40 |
| Major chest procedures with MCCMS-DRG 163, surgical | 15 | $101,861 | $29,155 | $28,012 | 4.71 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 14 | $25,949 | $4,650 | $7,136 | 0.99 |
| Major chest procedures with CCMS-DRG 164, surgical | 11 | $70,922 | $13,230 | $19,504 | 2.55 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 11 | $24,801 | $3,766 | $6,820 | 0.82 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $25,470 | $3,811 | $7,004 | 0.82 |
Kidney and urinary tract252 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 67 | $19,851 | $4,326 | $5,459 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 63 | $31,097 | $8,223 | $8,552 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 45 | $24,001 | $6,205 | $6,600 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 45 | $19,630 | $3,702 | $5,398 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 32 | $48,946 | $10,089 | $13,460 | 1.65 |
Nervous system244 discharges in 11 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 | 61 | $28,024 | $4,908 | $7,707 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 48 | $45,345 | $10,797 | $12,470 | 2.00 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 22 | $25,402 | $2,829 | $6,985 | 0.69 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 19 | $23,965 | $3,459 | $6,590 | 0.80 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 18 | $32,290 | $5,684 | $8,880 | 1.14 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 14 | $82,455 | $22,818 | $22,675 | 4.42 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 14 | $53,258 | $8,501 | $14,646 | 1.81 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 13 | $24,162 | $4,940 | $6,645 | 1.03 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 12 | $57,845 | $12,953 | $15,907 | 2.30 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 12 | $55,567 | $10,484 | $15,281 | 1.87 |
| Extracranial procedures with CCMS-DRG 038, surgical | 11 | $35,185 | $8,661 | $9,676 | 1.60 |
Endocrine, nutritional and metabolic131 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 | 50 | $28,701 | $7,044 | $7,893 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 48 | $19,724 | $3,694 | $5,424 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 18 | $48,322 | $7,686 | $13,289 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 15 | $23,296 | $4,248 | $6,406 | 0.90 |
Liver, gallbladder and pancreas54 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 17 | $42,075 | $8,486 | $11,571 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 13 | $56,968 | $13,266 | $15,666 | 2.32 |
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 13 | $28,677 | $9,218 | $7,886 | 1.67 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 11 | $42,104 | $10,262 | $11,578 | 1.92 |
Skin, subcutaneous tissue and breast24 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 24 | $19,753 | $4,420 | $5,432 | 0.88 |
Blood and immune system18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 18 | $44,834 | $8,265 | $12,329 | 1.56 |
Other13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Single level combined anterior and posterior spinal fusion except cervicalMS-DRG 402 | 13 | $86,346 | $21,264 | $23,745 |
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 | $21,405 | $3,044 | $5,886 | 0.74 |
Factors influencing health status11 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 | 11 | $21,676 | $3,359 | $5,961 | 0.80 |
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 2 Upper GI ProceduresAPC 5302 | 481 | 422 | $8,638 | $1,274 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 369 | 368 | $17,873 | $1,966 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 333 | 320 | $42,687 | $9,468 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 288 | 275 | $10,049 | $1,081 | $1,220 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 229 | 218 | $117,335 | $18,457 | $21,117 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 200 | 195 | $24,503 | $4,775 | $5,339 |
| Level 1 Nerve ProceduresAPC 5431 | 182 | 143 | $13,786 | $1,297 | $1,407 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 176 | 175 | $19,088 | $3,890 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 176 | 152 | $14,219 | $2,325 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 166 | 153 | $13,179 | $2,146 | $2,405 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 148 | 148 | $36,675 | $7,423 | $8,569 |
| Level 3 Endovascular ProceduresAPC 5193 | 126 | 123 | $40,982 | $7,722 | $8,874 |
| Level 5 Urology and Related ServicesAPC 5375 | 126 | 124 | $18,767 | $3,480 | $3,918 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 122 | 122 | $55,109 | $13,961 | $15,763 |
| Level 2 Endovascular ProceduresAPC 5192 | 90 | 85 | $20,830 | $3,873 | $4,338 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 80 | 80 | $36,105 | $6,946 | $8,164 |
| Comprehensive Observation ServicesAPC 8011 | 79 | 78 | $10,261 | $1,853 | $2,090 |
| Level 4 Endovascular ProceduresAPC 5194 | 74 | 71 | $70,454 | $12,932 | $14,606 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 67 | 66 | $25,305 | $4,355 | $4,982 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 66 | 66 | $115,382 | $25,872 | $29,375 |
| Complex GI ProceduresAPC 5331 | 62 | 52 | $25,625 | $3,859 | $4,263 |
| Level 3 Urology and Related ServicesAPC 5373 | 54 | 48 | $10,610 | $1,377 | $1,516 |
| Level 4 Gynecologic ProceduresAPC 5414 | 53 | 52 | $12,088 | $2,117 | $2,389 |
| Level 4 Airway EndoscopyAPC 5154 | 47 | 46 | $22,655 | $2,485 | $2,833 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 46 | 46 | $17,565 | $1,926 | $2,141 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 45 | 45 | $67,794 | $14,563 | $17,052 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 44 | 42 | $14,994 | $2,194 | $2,373 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 39 | 39 | $18,685 | $2,518 | $2,930 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 38 | 37 | $19,777 | $2,279 | $2,636 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 35 | 34 | $27,691 | $5,758 | $6,514 |
| Level 3 Airway EndoscopyAPC 5153 | 31 | 31 | $9,742 | $1,115 | $1,264 |
| Level 2 Vascular ProceduresAPC 5182 | 29 | 29 | $6,330 | $1,086 | $1,204 |
| Level 2 Intraocular ProceduresAPC 5492 | 29 | 28 | $14,724 | $2,757 | $3,116 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 28 | 25 | $6,554 | $1,090 | $1,196 |
| Level 3 Upper GI ProceduresAPC 5303 | 28 | 26 | $19,950 | $2,503 | $2,888 |
| Level 3 Lower GI ProceduresAPC 5313 | 27 | 25 | $11,035 | $1,908 | $2,176 |
| Level 4 Vascular ProceduresAPC 5184 | 24 | 22 | $22,876 | $3,492 | $3,946 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 23 | 22 | $80,577 | $16,939 | $18,465 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 16 | 16 | $31,781 | $5,063 | $5,682 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 15 | 14 | $102,123 | $18,376 | $21,011 |
| Level 6 Urology and Related ServicesAPC 5376 | 15 | 15 | $30,528 | $6,246 | $7,291 |
| Level 8 Urology and Related ServicesAPC 5378 | 13 | 13 | $59,833 | $14,303 | $17,428 |
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.