Community Howard Regional Health Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Community Howard Regional Health, Kokomo, IN in 2024, from traditional Medicare claims. Back to the Community Howard Regional Health profile, with quality ratings, finances and negotiated rates.
616
Medicare inpatient discharges
In 24 published DRGs
1.89
Case mix index
IPPS FY 2027
12%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
644
Medicare outpatient services
In 17 service groups
Inpatient stays by major diagnostic category
Respiratory system167 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 51 | $41,985 | $7,988 | $11,126 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 38 | $36,621 | $8,027 | $9,705 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 32 | $46,877 | $10,248 | $12,422 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 24 | $44,704 | $6,948 | $11,847 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $28,951 | $5,181 | $7,672 | 0.82 |
Kidney and urinary tract101 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 39 | $22,093 | $5,585 | $5,855 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 27 | $37,917 | $9,078 | $10,048 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 21 | $20,789 | $4,963 | $5,509 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 14 | $39,069 | $7,458 | $10,353 | 1.17 |
Circulatory system91 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 46 | $31,064 | $8,311 | $8,232 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 16 | $49,197 | $9,097 | $13,037 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 16 | $90,875 | $15,500 | $24,082 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 13 | $129,812 | $10,886 | $34,400 | 1.82 |
Infectious and parasitic diseases75 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 | 62 | $45,729 | $12,308 | $12,118 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 13 | $34,713 | $6,509 | $9,199 | 1.03 |
Musculoskeletal system and connective tissue59 discharges in 3 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 | 28 | $82,457 | $12,395 | $21,851 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 17 | $61,504 | $12,437 | $16,299 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 14 | $97,870 | $14,310 | $25,936 | 2.11 |
Mental diseases and disorders35 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 35 | $24,774 | $9,036 | $6,565 | 1.37 |
Endocrine, nutritional and metabolic35 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 | $23,603 | $4,772 | $6,255 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 14 | $38,951 | $7,911 | $10,322 | 1.32 |
Nervous system32 discharges in 2 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 | 16 | $35,238 | $6,441 | $9,338 | 1.02 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 16 | $33,705 | $6,459 | $8,932 | 1.06 |
Digestive system21 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 21 | $30,268 | $6,387 | $8,021 | 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 | 133 | 129 | $18,359 | $1,979 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 102 | 102 | $41,239 | $2,077 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 73 | 64 | $8,769 | $1,165 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 45 | 43 | $83,867 | $9,692 | $10,772 |
| Level 3 Endovascular ProceduresAPC 5193 | 36 | 33 | $102,811 | $7,716 | $8,874 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 33 | 31 | $17,794 | $2,070 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 31 | 31 | $24,150 | $2,322 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 29 | 24 | $6,716 | $1,338 | $1,445 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 25 | 23 | $19,966 | $2,258 | $2,373 |
| Level 2 Endovascular ProceduresAPC 5192 | 23 | 16 | $53,392 | $3,620 | $4,338 |
| Level 4 Urology and Related ServicesAPC 5374 | 20 | 16 | $23,442 | $2,410 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 19 | 17 | $32,432 | $3,571 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 18 | 18 | $44,832 | $4,632 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 18 | 18 | $46,002 | $3,503 | $4,358 |
| Level 4 Endovascular ProceduresAPC 5194 | 15 | 15 | $113,467 | $14,367 | $14,606 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 13 | 13 | $97,016 | $14,191 | $15,763 |
| Level 2 Vascular ProceduresAPC 5182 | 11 | $15,928 | $1,167 | $1,204 |
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.