Bothwell Regional Health Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Bothwell Regional Health Center, Sedalia, MO in 2024, from traditional Medicare claims. Back to the Bothwell Regional Health Center profile, with quality ratings, finances and negotiated rates.
472
Medicare inpatient discharges
In 16 published DRGs
1.53
Case mix index
IPPS FY 2027
11%
Surgical stays
79%
Stays with complications
In DRGs with a CC or MCC
1,142
Medicare outpatient services
In 21 service groups
Inpatient stays by major diagnostic category
Respiratory system130 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 41 | $31,659 | $9,026 | $11,460 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 33 | $37,984 | $11,665 | $13,750 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 33 | $21,132 | $5,340 | $7,650 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 23 | $28,674 | $8,474 | $10,380 | 1.23 |
Infectious and parasitic diseases115 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 | 94 | $37,644 | $13,416 | $13,627 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 21 | $26,120 | $7,028 | $9,455 | 1.03 |
Circulatory system85 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 72 | $24,866 | $8,716 | $9,001 | 1.28 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 13 | $25,854 | $8,475 | $9,359 | 1.20 |
Kidney and urinary tract64 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 | 26 | $21,494 | $5,193 | $7,781 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 22 | $23,299 | $5,776 | $8,434 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 16 | $26,179 | $10,269 | $9,477 | 1.50 |
Musculoskeletal system and connective tissue39 discharges in 2 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 | 22 | $40,071 | $14,080 | $14,506 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 17 | $44,024 | $14,354 | $15,937 | 2.11 |
Digestive system39 discharges in 3 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 | 14 | $22,956 | $4,955 | $8,310 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 13 | $32,625 | $15,239 | $11,810 | 2.37 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 12 | $26,493 | $6,677 | $9,591 | 0.98 |
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 | 294 | 271 | $18,976 | $1,997 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 189 | 133 | $2,015 | $500 | $502 |
| Level 1 Nerve ProceduresAPC 5431 | 112 | 103 | $5,459 | $1,425 | $1,407 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 98 | 93 | $37,146 | $10,334 | $10,772 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 63 | 58 | $7,768 | $2,411 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 48 | 48 | $18,660 | $5,331 | $5,339 |
| Level 3 Urology and Related ServicesAPC 5373 | 40 | 36 | $5,212 | $1,517 | $1,516 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 39 | 37 | $6,365 | $1,208 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 31 | 30 | $9,770 | $2,375 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 28 | 28 | $15,048 | $4,139 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 25 | 25 | $21,794 | $2,103 | $2,208 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 24 | 24 | $6,777 | $1,192 | $1,196 |
| Level 6 Urology and Related ServicesAPC 5376 | 23 | 23 | $10,003 | $6,982 | $7,291 |
| Level 4 Urology and Related ServicesAPC 5374 | 22 | 17 | $9,556 | $2,598 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 22 | 21 | $24,011 | $3,853 | $3,918 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 21 | 21 | $10,840 | $2,573 | $2,636 |
| Level 2 Vascular ProceduresAPC 5182 | 17 | 13 | $4,426 | $1,193 | $1,204 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 12 | 12 | $45,492 | $6,330 | $6,514 |
| Level 2 Upper GI ProceduresAPC 5302 | 12 | 11 | $9,603 | $1,418 | $1,445 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 11 | 11 | $51,676 | $15,760 | $15,763 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 11 | 11 | $31,179 | $8,348 | $8,569 |
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.