Community Hospital Anderson Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Community Hospital Anderson, Anderson, IN in 2024, from traditional Medicare claims. Back to the Community Hospital Anderson profile, with quality ratings, finances and negotiated rates.
686
Medicare inpatient discharges
In 25 published DRGs
1.67
Case mix index
IPPS FY 2027
6%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
925
Medicare outpatient services
In 26 service groups
Inpatient stays by major diagnostic category
Respiratory system166 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 | 47 | $27,929 | $8,203 | $8,043 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 40 | $34,788 | $10,348 | $10,019 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 35 | $36,374 | $7,775 | $10,476 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 23 | $30,949 | $6,637 | $8,913 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 21 | $21,793 | $4,913 | $6,276 | 0.82 |
Circulatory system137 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 | 99 | $33,484 | $7,995 | $9,643 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 20 | $20,839 | $4,406 | $6,001 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 18 | $44,373 | $7,560 | $12,779 | 1.20 |
Infectious and parasitic diseases95 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 | 80 | $47,236 | $12,626 | $13,604 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 15 | $26,517 | $6,158 | $7,637 | 1.03 |
Kidney and urinary tract86 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 34 | $20,579 | $4,828 | $5,927 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 24 | $29,940 | $7,554 | $8,623 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 17 | $30,394 | $10,488 | $8,753 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 11 | $23,717 | $4,900 | $6,831 | 0.90 |
Digestive system63 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 23 | $30,535 | $5,877 | $8,794 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 21 | $25,221 | $4,865 | $7,264 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 19 | $25,630 | $4,639 | $7,381 | 0.80 |
Musculoskeletal system and connective tissue44 discharges in 3 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 | 18 | $60,604 | $13,684 | $17,454 | 2.07 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 15 | $182,936 | $27,346 | $52,686 | 3.66 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 11 | $149,498 | $21,270 | $43,055 | 2.96 |
Endocrine, nutritional and metabolic40 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 | 20 | $46,131 | $9,718 | $13,286 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 20 | $19,989 | $4,833 | $5,757 | 0.78 |
Nervous system22 discharges in 1 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 | 22 | $34,604 | $6,197 | $9,966 | 1.02 |
Skin, subcutaneous tissue and breast20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 20 | $26,739 | $5,299 | $7,701 | 0.88 |
Factors influencing health status13 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 | 13 | $24,732 | $4,595 | $7,123 | 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 1 Intraocular ProceduresAPC 5491 | 117 | 62 | $15,472 | $1,634 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 113 | 101 | $8,796 | $1,155 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 62 | 56 | $11,167 | $1,307 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 48 | 48 | $14,423 | $2,294 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 45 | 45 | $41,184 | $2,023 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 42 | 42 | $46,641 | $5,026 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 41 | 40 | $35,290 | $4,057 | $4,358 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 40 | 39 | $121,506 | $15,165 | $15,763 |
| Level 5 Urology and Related ServicesAPC 5375 | 37 | 36 | $29,859 | $3,623 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 36 | 33 | $26,269 | $2,506 | $2,629 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 35 | 32 | $88,859 | $10,240 | $10,772 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 32 | 27 | $16,336 | $2,329 | $2,373 |
| Comprehensive Observation ServicesAPC 8011 | 31 | 31 | $17,857 | $1,843 | $2,090 |
| Level 1 Nerve ProceduresAPC 5431 | 29 | 26 | $13,253 | $1,387 | $1,407 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 28 | 26 | $55,711 | $4,693 | $4,982 |
| Level 2 Vascular ProceduresAPC 5182 | 22 | 22 | $8,151 | $1,153 | $1,204 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 21 | 18 | $13,623 | $1,850 | $2,141 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 21 | 17 | $23,895 | $2,743 | $2,930 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 20 | 20 | $19,394 | $2,365 | $2,636 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 20 | 20 | $90,128 | $7,660 | $8,164 |
| Level 3 Urology and Related ServicesAPC 5373 | 20 | 18 | $24,572 | $1,466 | $1,516 |
| Level 3 Endovascular ProceduresAPC 5193 | 16 | 15 | $94,975 | $8,297 | $8,874 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 13 | $9,677 | $1,157 | $1,196 |
| Complex GI ProceduresAPC 5331 | 13 | $21,356 | $3,786 | $4,263 | |
| Level 4 Gynecologic ProceduresAPC 5414 | 12 | 12 | $21,701 | $2,228 | $2,389 |
| Level 2 Intraocular ProceduresAPC 5492 | 11 | $21,602 | $2,394 | $3,116 |
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.