Clark Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Clark Regional Medical Center, Winchester, KY in 2024, from traditional Medicare claims. Back to the Clark Regional Medical Center profile, with quality ratings, finances and negotiated rates.
235
Medicare inpatient discharges
In 9 published DRGs
1.63
Case mix index
IPPS FY 2027
0%
Surgical stays
86%
Stays with complications
In DRGs with a CC or MCC
673
Medicare outpatient services
In 19 service groups
Inpatient stays by major diagnostic category
Respiratory system97 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 33 | $60,835 | $6,948 | $7,969 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 32 | $90,968 | $9,361 | $11,917 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 32 | $65,608 | $7,726 | $8,595 | 1.33 |
Circulatory system66 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 34 | $62,737 | $7,315 | $8,219 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 19 | $75,538 | $8,292 | $9,895 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 13 | $44,466 | $7,266 | $5,825 | 1.20 |
Infectious and parasitic diseases46 discharges in 1 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 | 46 | $93,726 | $10,323 | $12,278 | 1.98 |
Kidney and urinary tract26 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 13 | $64,977 | $9,575 | $8,512 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 13 | $40,576 | $5,159 | $5,315 | 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 | 121 | 117 | $33,179 | $1,857 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 101 | 66 | $11,743 | $1,576 | $1,752 |
| Level 2 Upper GI ProceduresAPC 5302 | 60 | 55 | $10,261 | $1,299 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 55 | 53 | $90,461 | $9,574 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 35 | 35 | $46,108 | $4,649 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 34 | 33 | $33,750 | $3,864 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 33 | 33 | $11,859 | $1,079 | $1,220 |
| Level 4 Urology and Related ServicesAPC 5374 | 31 | 26 | $28,252 | $2,399 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 31 | 30 | $32,432 | $3,570 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 24 | 22 | $17,112 | $1,339 | $1,516 |
| Level 3 Vascular ProceduresAPC 5183 | 22 | 21 | $29,021 | $2,199 | $2,405 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 20 | 19 | $15,214 | $1,052 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 19 | 19 | $12,719 | $1,101 | $1,204 |
| Level 3 Endovascular ProceduresAPC 5193 | 17 | 17 | $148,092 | $7,882 | $8,874 |
| Level 1 Endovascular ProceduresAPC 5191 | 16 | 16 | $42,458 | $2,029 | $2,208 |
| Level 1 Nerve ProceduresAPC 5431 | 16 | 15 | $13,775 | $1,332 | $1,407 |
| Level 4 Endovascular ProceduresAPC 5194 | 15 | 14 | $189,100 | $13,524 | $14,606 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 12 | 12 | $22,293 | $2,047 | $2,373 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 11 | $118,011 | $14,474 | $15,763 |
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.