Cgh Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Cgh Medical Center, Sterling, IL in 2024, from traditional Medicare claims. Back to the Cgh Medical Center profile, with quality ratings, finances and negotiated rates.
930
Medicare inpatient discharges
In 34 published DRGs
1.56
Case mix index
IPPS FY 2027
12%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
2,081
Medicare outpatient services
In 30 service groups
Inpatient stays by major diagnostic category
Circulatory system257 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 75 | $44,728 | $8,412 | $11,629 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 30 | $196,864 | $18,319 | $51,185 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 29 | $33,143 | $4,323 | $8,617 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 26 | $89,013 | $14,638 | $23,143 | 2.16 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 20 | $34,813 | $2,986 | $9,051 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 18 | $87,583 | $6,313 | $22,772 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 18 | $224,716 | $26,393 | $58,426 | 2.87 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 16 | $57,335 | $7,877 | $14,907 | 1.20 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 13 | $77,556 | $10,984 | $20,165 | 1.59 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 12 | $57,674 | $5,586 | $14,995 | 0.91 |
Infectious and parasitic diseases218 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 | 139 | $60,232 | $13,328 | $15,660 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 54 | $44,418 | $6,488 | $11,549 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 14 | $135,434 | $35,677 | $35,213 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 11 | $103,536 | $13,939 | $26,919 | 2.04 |
Respiratory system202 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 45 | $52,432 | $8,755 | $13,632 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 33 | $53,850 | $7,278 | $14,001 | 1.10 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 31 | $59,294 | $11,176 | $15,417 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 28 | $32,644 | $4,743 | $8,488 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 27 | $54,613 | $8,270 | $14,199 | 1.23 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 24 | $32,216 | $5,261 | $8,376 | 0.85 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 14 | $31,744 | $6,293 | $8,254 | 0.99 |
Kidney and urinary tract82 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 | 31 | $34,654 | $4,854 | $9,010 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 28 | $44,775 | $11,278 | $11,641 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 23 | $38,619 | $7,469 | $10,041 | 1.17 |
Digestive system57 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 19 | $41,437 | $6,100 | $10,773 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 14 | $33,545 | $4,513 | $8,722 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 13 | $53,029 | $12,082 | $13,788 | 1.79 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 11 | $25,220 | $2,952 | $6,557 | 0.56 |
Endocrine, nutritional and metabolic38 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 without MCCMS-DRG 641, medical | 21 | $25,740 | $4,783 | $6,692 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 17 | $40,294 | $8,672 | $10,476 | 1.32 |
Musculoskeletal system and connective tissue35 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 19 | $91,822 | $14,171 | $23,874 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 16 | $80,346 | $12,827 | $20,890 | 2.07 |
Mental diseases and disorders25 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 25 | $25,963 | $8,409 | $6,750 | 1.37 |
Skin, subcutaneous tissue and breast16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 16 | $30,646 | $5,297 | $7,968 | 0.88 |
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 | 463 | 281 | $12,475 | $1,700 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 276 | 248 | $24,253 | $2,000 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 183 | 150 | $1,730 | $501 | $502 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 150 | 141 | $14,925 | $1,176 | $1,220 |
| Level 1 Nerve ProceduresAPC 5431 | 114 | 107 | $13,416 | $1,408 | $1,407 |
| Level 1 Endovascular ProceduresAPC 5191 | 109 | 107 | $44,322 | $2,125 | $2,208 |
| Level 3 Urology and Related ServicesAPC 5373 | 99 | 77 | $7,147 | $1,484 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 86 | 64 | $30,412 | $2,567 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 74 | 73 | $26,646 | $2,315 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 68 | 65 | $80,118 | $10,514 | $10,772 |
| Level 3 Endovascular ProceduresAPC 5193 | 61 | 55 | $109,523 | $8,524 | $8,874 |
| Level 5 Urology and Related ServicesAPC 5375 | 49 | 48 | $40,288 | $3,810 | $3,918 |
| Level 2 Endovascular ProceduresAPC 5192 | 48 | 46 | $53,346 | $4,121 | $4,338 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 25 | 25 | $29,495 | $2,442 | $2,636 |
| Level 3 Intraocular ProceduresAPC 5493 | 23 | 15 | $17,226 | $3,848 | $4,004 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 22 | 21 | $27,378 | $2,383 | $2,373 |
| Level 4 Endovascular ProceduresAPC 5194 | 22 | 19 | $113,298 | $14,540 | $14,606 |
| Level 2 Upper GI ProceduresAPC 5302 | 21 | 21 | $14,760 | $1,401 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 20 | 19 | $58,684 | $5,263 | $5,339 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 20 | 20 | $57,834 | $7,817 | $8,569 |
| Level 3 Airway EndoscopyAPC 5153 | 19 | 18 | $9,510 | $1,246 | $1,264 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 18 | 16 | $23,499 | $2,804 | $2,930 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 17 | 17 | $47,592 | $3,745 | $4,358 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 16 | 14 | $15,077 | $1,146 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 15 | 15 | $3,505 | $1,101 | $1,204 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 15 | 15 | $37,091 | $6,256 | $6,514 |
| Level 4 Vascular ProceduresAPC 5184 | 14 | 13 | $32,112 | $4,046 | $3,946 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 12 | $40,974 | $5,036 | $4,524 | |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 11 | 11 | $47,267 | $4,802 | $4,982 |
| Level 4 Gynecologic ProceduresAPC 5414 | 11 | $18,242 | $2,093 | $2,389 |
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.