Deaconess Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Deaconess Hospital, Evansville, IN in 2024, from traditional Medicare claims. Back to the Deaconess Hospital profile, with quality ratings, finances and negotiated rates.
10,146
Medicare inpatient discharges
In 216 published DRGs
2.03
Case mix index
IPPS FY 2027
27%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
8,239
Medicare outpatient services
In 44 service groups
Inpatient stays by major diagnostic category
Circulatory system2,511 discharges in 42 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 518 | $32,726 | $7,984 | $9,752 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 192 | $19,484 | $4,223 | $5,806 | 0.74 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 171 | $60,738 | $21,578 | $18,100 | 3.24 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 120 | $47,975 | $13,526 | $14,297 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 109 | $33,350 | $6,385 | $9,938 | 1.08 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 108 | $39,062 | $7,075 | $11,641 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 87 | $16,415 | $2,700 | $4,892 | 0.55 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 83 | $154,505 | $33,067 | $46,042 | 4.88 |
| Syncope and collapseMS-DRG 312, medical | 82 | $21,967 | $5,162 | $6,546 | 0.86 |
| Hypertension without MCCMS-DRG 305, medical | 81 | $22,639 | $4,134 | $6,746 | 0.75 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 78 | $75,045 | $10,583 | $22,363 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 73 | $48,316 | $9,819 | $14,398 | 1.59 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 61 | $190,656 | $43,876 | $56,815 | 6.25 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 61 | $106,828 | $18,029 | $31,835 | 2.87 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 52 | $50,367 | $13,560 | $15,009 | 2.09 |
| Other vascular procedures with CCMS-DRG 253, surgical | 44 | $76,811 | $15,884 | $22,890 | 2.55 |
| Chest painMS-DRG 313, medical | 39 | $20,138 | $4,161 | $6,001 | 0.72 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 38 | $27,577 | $5,577 | $8,218 | 0.91 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 36 | $91,416 | $21,901 | $27,242 | 3.46 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 34 | $60,199 | $14,507 | $17,939 | 2.28 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 32 | $135,332 | $32,219 | $40,329 | 5.20 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 31 | $31,071 | $9,847 | $9,259 | 1.58 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 30 | $198,633 | $50,898 | $59,193 | 7.80 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 30 | $82,077 | $25,545 | $24,459 | 4.16 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 30 | $19,918 | $5,635 | $5,935 | 0.97 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 29 | $105,807 | $23,705 | $31,530 | 4.04 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 28 | $131,559 | $34,200 | $39,204 | 5.06 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 27 | $22,003 | $6,181 | $6,557 | 1.07 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 25 | $93,856 | $21,765 | $27,969 | 3.35 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 20 | $91,669 | $25,556 | $27,317 | 3.90 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 18 | $69,460 | $20,465 | $20,699 | 3.27 |
| Atherosclerosis without MCCMS-DRG 303, medical | 15 | $22,636 | $3,470 | $6,746 | 0.66 |
| Hypertension with MCCMS-DRG 304, medical | 15 | $40,770 | $7,579 | $12,149 | 1.15 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 14 | $141,170 | $23,889 | $42,069 | 3.46 |
| Cardiac defibrillator implant without MCCMS-DRG 277, surgical | 14 | $117,657 | $22,868 | $35,062 | 4.78 |
| Amputation for circulatory system disorders except upper limb and toe with MCCMS-DRG 239, surgical | 13 | $108,718 | $31,076 | $32,398 | 4.81 |
| Cardiac defibrillator implant with cardiac catheterization and MCCMS-DRG 275, surgical | 13 | $190,266 | $45,433 | $56,699 | 7.04 |
| Acute myocardial infarction, expired with MCCMS-DRG 283, medical | 13 | $31,260 | $11,781 | $9,315 | 1.97 |
| Heart failure and shock with CCMS-DRG 292, medical | 13 | $23,364 | $5,300 | $6,962 | 0.86 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 12 | $49,993 | $11,501 | $14,898 | 1.83 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 11 | $26,098 | $3,968 | $7,777 | 0.72 |
| Coronary intravascular lithotripsy with intraluminal device with MCCMS-DRG 323, surgical | 11 | $115,863 | $27,977 | $34,527 | 4.14 |
Infectious and parasitic diseases1,298 discharges in 7 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 | 863 | $53,041 | $12,187 | $15,806 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 162 | $140,017 | $32,702 | $41,725 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 136 | $28,645 | $6,182 | $8,536 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 73 | $186,903 | $43,470 | $55,697 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 24 | $45,679 | $11,619 | $13,612 | 2.04 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 23 | $44,003 | $11,714 | $13,113 | 1.84 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 17 | $100,981 | $25,464 | $30,092 | 4.43 |
Digestive system1,036 discharges in 22 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 167 | $29,269 | $5,854 | $8,722 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 147 | $62,795 | $12,070 | $18,713 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 116 | $21,954 | $4,511 | $6,542 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 65 | $62,801 | $14,789 | $18,715 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 62 | $122,975 | $28,633 | $36,647 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 50 | $22,184 | $4,520 | $6,611 | 0.80 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 49 | $46,751 | $9,936 | $13,932 | 1.67 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 47 | $41,368 | $10,570 | $12,328 | 1.62 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 46 | $23,090 | $5,735 | $6,881 | 0.94 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 43 | $23,856 | $6,346 | $7,109 | 1.04 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 41 | $34,187 | $8,121 | $10,188 | 1.28 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 27 | $56,251 | $11,198 | $16,763 | 1.75 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 24 | $28,678 | $9,142 | $8,546 | 1.45 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 23 | $128,594 | $31,263 | $38,321 | 5.08 |
| Digestive malignancy with MCCMS-DRG 374, medical | 20 | $58,026 | $12,768 | $17,292 | 2.10 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 20 | $18,025 | $2,733 | $5,371 | 0.56 |
| Other digestive system o.r. procedures with MCCMS-DRG 356, surgical | 19 | $100,227 | $28,920 | $29,868 | 4.28 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 17 | $81,617 | $15,604 | $24,322 | 2.50 |
| Complicated peptic ulcer with MCCMS-DRG 380, medical | 17 | $66,483 | $12,623 | $19,812 | 1.95 |
| Hernia procedures except inguinal and femoral with CCMS-DRG 354, surgical | 13 | $46,454 | $9,837 | $13,843 | 1.72 |
| Digestive malignancy with CCMS-DRG 375, medical | 12 | $36,896 | $6,401 | $10,995 | 1.20 |
| Inflammatory bowel disease with CCMS-DRG 386, medical | 11 | $22,009 | $5,614 | $6,559 | 0.97 |
Nervous system999 discharges in 28 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 133 | $46,078 | $12,223 | $13,731 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 122 | $36,642 | $5,680 | $10,919 | 1.02 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 62 | $41,551 | $12,029 | $12,382 | 1.81 |
| Seizures with MCCMS-DRG 100, medical | 49 | $43,559 | $12,092 | $12,980 | 1.98 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 42 | $37,550 | $6,131 | $11,190 | 1.14 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 41 | $60,933 | $13,991 | $18,158 | 2.28 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 40 | $84,614 | $28,997 | $25,215 | 4.42 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 38 | $49,351 | $14,892 | $14,707 | 2.30 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 37 | $24,965 | $7,158 | $7,440 | 1.36 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 36 | $38,316 | $8,667 | $11,418 | 1.36 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 36 | $30,764 | $8,084 | $9,168 | 1.32 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 34 | $68,845 | $15,016 | $20,516 | 2.27 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 31 | $25,343 | $6,379 | $7,552 | 1.06 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 28 | $44,544 | $15,223 | $13,274 | 2.39 |
| Seizures without MCCMS-DRG 101, medical | 28 | $21,787 | $5,577 | $6,492 | 0.91 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 26 | $129,737 | $37,778 | $38,662 | 5.67 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 25 | $25,152 | $3,379 | $7,495 | 0.69 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 25 | $49,786 | $10,764 | $14,836 | 1.79 |
| Carotid artery stent procedures with MCCMS-DRG 034, surgical | 23 | $96,010 | $27,458 | $28,611 | 3.90 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 23 | $23,910 | $4,544 | $7,125 | 0.80 |
| Extracranial procedures with CCMS-DRG 038, surgical | 20 | $45,416 | $9,310 | $13,534 | 1.60 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 17 | $33,014 | $7,414 | $9,838 | 1.47 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 16 | $33,578 | $10,273 | $10,006 | 1.79 |
| Traumatic stupor and coma <1 hour without cc/mccMS-DRG 087, medical | 16 | $28,229 | $4,958 | $8,412 | 0.89 |
| Traumatic stupor and coma >1 hour without cc/mccMS-DRG 084, medical | 14 | $30,847 | $5,209 | $9,193 | 0.92 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 14 | $22,564 | $5,742 | $6,724 | 1.03 |
| Hypertensive encephalopathy with CCMS-DRG 078, medical | 12 | $28,111 | $5,583 | $8,377 | 1.02 |
| Spinal procedures with CC or spinal neurostimulatorsMS-DRG 029, surgical | 11 | $63,213 | $22,343 | $18,837 | 3.43 |
Respiratory system990 discharges in 23 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 237 | $41,227 | $10,281 | $12,286 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 167 | $33,924 | $7,855 | $10,109 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 134 | $29,729 | $7,464 | $8,859 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 47 | $91,123 | $17,804 | $27,155 | 2.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 39 | $28,565 | $6,988 | $8,512 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 39 | $23,296 | $4,755 | $6,942 | 0.82 |
| Major chest procedures with MCCMS-DRG 163, surgical | 35 | $113,692 | $26,894 | $33,880 | 4.71 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 35 | $37,424 | $8,775 | $11,152 | 1.40 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 35 | $20,126 | $5,743 | $5,998 | 0.99 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 23 | $63,093 | $11,099 | $18,802 | 1.74 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 20 | $23,016 | $4,645 | $6,859 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 20 | $26,803 | $4,615 | $7,987 | 0.85 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 20 | $47,709 | $11,734 | $14,217 | 1.81 |
| Pneumothorax with MCCMS-DRG 199, medical | 18 | $52,097 | $10,497 | $15,525 | 1.77 |
| Ultrasound accelerated and other thrombolysis with principal diagnosis pulmonary embolisMS-DRG 173, surgical | 17 | $67,930 | $21,099 | $20,243 | 3.08 |
| Major chest trauma with CCMS-DRG 184, medical | 15 | $36,245 | $5,810 | $10,801 | 1.05 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 15 | $19,968 | $4,729 | $5,951 | 0.96 |
| Major chest procedures with CCMS-DRG 164, surgical | 14 | $63,850 | $15,818 | $19,027 | 2.55 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 14 | $127,126 | $44,807 | $37,884 | 6.91 |
| Major chest trauma with MCCMS-DRG 183, medical | 12 | $58,794 | $10,287 | $17,521 | 1.57 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 12 | $16,755 | $3,168 | $4,993 | 0.63 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 11 | $112,690 | $22,380 | $33,582 | 4.06 |
| Other respiratory system diagnoses without MCCMS-DRG 206, medical | 11 | $34,923 | $5,691 | $10,407 | 0.91 |
Musculoskeletal system and connective tissue951 discharges in 30 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 109 | $26,936 | $5,670 | $8,027 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 93 | $51,108 | $12,223 | $15,230 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 78 | $41,844 | $11,261 | $12,469 | 1.88 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 55 | $56,624 | $12,419 | $16,874 | 2.04 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 52 | $71,888 | $18,350 | $21,423 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 43 | $51,871 | $12,785 | $15,458 | 2.11 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 40 | $64,100 | $22,406 | $19,102 | 3.66 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 40 | $26,893 | $6,406 | $8,014 | 1.09 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 33 | $68,473 | $12,810 | $20,405 | 2.40 |
| Medical back problems with MCCMS-DRG 551, medical | 32 | $39,975 | $9,868 | $11,912 | 1.70 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 31 | $38,563 | $10,167 | $11,492 | 1.82 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 30 | $53,849 | $11,196 | $16,047 | 1.97 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 27 | $94,429 | $22,383 | $28,140 | 3.49 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 26 | $42,819 | $8,990 | $12,760 | 1.59 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 26 | $36,679 | $9,028 | $10,930 | 1.49 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 22 | $62,036 | $16,813 | $18,487 | 2.67 |
| Other musculoskeletal system and connective tissue o.r. procedures with MCCMS-DRG 515, surgical | 22 | $81,072 | $19,976 | $24,159 | 3.16 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 21 | $68,588 | $18,240 | $20,439 | 2.99 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 18 | $68,360 | $28,197 | $20,371 | 4.61 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 464, surgical | 17 | $77,993 | $17,750 | $23,242 | 3.00 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 16 | $55,337 | $16,214 | $16,490 | 2.48 |
| Back and neck procedures except spinal fusion without cc/mccMS-DRG 520, surgical | 16 | $36,114 | $8,341 | $10,762 | 1.43 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 16 | $21,316 | $4,720 | $6,352 | 0.79 |
| Major hip and knee joint replacement or reattachment of lower extremity with MCC or totaMS-DRG 469, surgical | 14 | $83,387 | $22,127 | $24,849 | 3.33 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 14 | $26,263 | $5,189 | $7,826 | 0.90 |
| Other musculoskeletal system and connective tissue diagnoses with CCMS-DRG 565, medical | 14 | $31,704 | $5,180 | $9,448 | 1.00 |
| Lower extremity and humerus procedures except hip, foot and femur with MCCMS-DRG 492, surgical | 13 | $93,956 | $21,059 | $27,999 | 3.46 |
| Lower extremity and humerus procedures except hip, foot and femur without cc/mccMS-DRG 494, surgical | 11 | $49,620 | $12,021 | $14,787 | 1.87 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 11 | $19,963 | $5,359 | $5,949 | 0.82 |
| Tendonitis, myositis and bursitis without MCCMS-DRG 558, medical | 11 | $23,245 | $4,924 | $6,927 | 0.88 |
Kidney and urinary tract867 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 212 | $22,891 | $5,389 | $6,822 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 194 | $35,679 | $9,113 | $10,632 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 108 | $19,230 | $4,667 | $5,731 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 94 | $27,686 | $6,854 | $8,250 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 92 | $51,874 | $10,944 | $15,458 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 51 | $22,161 | $6,413 | $6,604 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 36 | $39,030 | $8,148 | $11,631 | 1.35 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 27 | $27,474 | $6,015 | $8,187 | 1.05 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 22 | $112,656 | $21,364 | $33,571 | 3.70 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 18 | $64,782 | $15,894 | $19,305 | 2.59 |
| Renal failure without cc/mccMS-DRG 684, medical | 13 | $14,499 | $3,260 | $4,321 | 0.61 |
Liver, gallbladder and pancreas374 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 45 | $46,028 | $10,097 | $13,716 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 36 | $63,723 | $15,118 | $18,989 | 2.32 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 34 | $30,865 | $6,062 | $9,198 | 1.09 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 31 | $44,476 | $11,593 | $13,254 | 1.92 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 31 | $56,086 | $12,085 | $16,714 | 1.76 |
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 29 | $49,832 | $10,425 | $14,850 | 1.67 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 28 | $33,678 | $11,288 | $10,036 | 1.83 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 23 | $45,365 | $10,567 | $13,519 | 1.63 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 22 | $23,446 | $4,796 | $6,987 | 0.86 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 16 | $29,067 | $6,892 | $8,662 | 1.03 |
| Malignancy of hepatobiliary system or pancreas with CCMS-DRG 436, medical | 15 | $45,350 | $6,951 | $13,514 | 1.10 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 14 | $40,471 | $8,018 | $12,060 | 1.31 |
| Disorders of the biliary tract without cc/mccMS-DRG 446, medical | 14 | $25,571 | $4,170 | $7,620 | 0.80 |
| Pancreas, liver and shunt procedures with CCMS-DRG 406, surgical | 13 | $116,337 | $18,938 | $34,668 | 2.89 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 12 | $19,301 | $5,844 | $5,752 | 0.95 |
| Pancreas, liver and shunt procedures with MCCMS-DRG 405, surgical | 11 | $142,586 | $36,786 | $42,491 | 5.51 |
Endocrine, nutritional and metabolic318 discharges in 7 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 | 82 | $31,589 | $7,997 | $9,414 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 78 | $20,406 | $4,510 | $6,081 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 59 | $30,490 | $5,304 | $9,086 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 33 | $36,173 | $9,062 | $10,780 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 23 | $40,298 | $9,333 | $12,009 | 1.65 |
| Endocrine disorders with CCMS-DRG 644, medical | 23 | $28,309 | $6,399 | $8,436 | 1.06 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 20 | $60,839 | $12,081 | $18,130 | 1.98 |
Skin, subcutaneous tissue and breast163 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 86 | $21,065 | $5,033 | $6,277 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 40 | $32,678 | $9,376 | $9,738 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 14 | $26,177 | $5,356 | $7,801 | 0.91 |
| Other skin, subcutaneous tissue and breast procedures with CCMS-DRG 580, surgical | 12 | $46,800 | $8,417 | $13,946 | 1.75 |
| Minor skin disorders without MCCMS-DRG 607, medical | 11 | $22,906 | $5,503 | $6,826 | 0.89 |
Blood and immune system153 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 46 | $56,215 | $10,525 | $16,752 | 1.56 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 36 | $27,547 | $5,523 | $8,209 | 0.90 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 26 | $61,375 | $15,354 | $18,290 | 2.19 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 24 | $42,465 | $9,301 | $12,654 | 1.40 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 21 | $47,758 | $6,964 | $14,232 | 1.20 |
Mental diseases and disorders140 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 107 | $31,396 | $8,507 | $9,356 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 33 | $36,969 | $10,101 | $11,017 | 1.76 |
Injuries, poisonings and toxic effects of drugs101 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with CCMS-DRG 920, medical | 23 | $23,996 | $6,407 | $7,151 | 1.03 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 21 | $41,488 | $9,119 | $12,363 | 1.60 |
| Complications of treatment with MCCMS-DRG 919, medical | 21 | $31,594 | $11,338 | $9,415 | 1.82 |
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 18 | $96,737 | $23,308 | $28,828 | 3.72 |
| Other o.r. procedures for injuries with CCMS-DRG 908, surgical | 18 | $61,064 | $12,367 | $18,197 | 2.00 |
Other65 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 32 | $111,308 | $29,787 | $33,170 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 20 | $56,172 | $16,178 | $16,739 | 2.49 |
| Single level spinal fusion except cervical without MCCMS-DRG 451 | 13 | $68,250 | $22,331 | $20,338 |
Transplants, ECMO and tracheostomy (pre-MDC)38 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 20 | $321,064 | $79,991 | $95,677 | 14.70 |
| ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical | 18 | $536,549 | $137,317 | $159,892 | 21.32 |
Blood cancers and poorly differentiated neoplasms32 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 21 | $67,548 | $20,232 | $20,129 | 3.13 |
| Lymphoma and non-acute leukemia with CCMS-DRG 841, medical | 11 | $98,074 | $15,914 | $29,226 | 1.57 |
Multiple significant trauma32 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Limb reattachment, hip and femur procedures for multiple significant traumaMS-DRG 956, surgical | 17 | $131,581 | $24,619 | $39,211 | 3.88 |
| Other multiple significant trauma with MCCMS-DRG 963, medical | 15 | $84,402 | $17,853 | $25,152 | 2.73 |
Ear, nose, mouth and throat29 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 17 | $19,647 | $4,078 | $5,855 | 0.74 |
| Dental and oral diseases with CCMS-DRG 158, medical | 12 | $30,314 | $5,464 | $9,034 | 0.94 |
Alcohol and drug use26 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 26 | $19,065 | $4,626 | $5,681 | 0.86 |
Factors influencing health status23 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 | 23 | $22,332 | $4,160 | $6,655 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 1,200 | 1,128 | $12,918 | $1,906 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 960 | 629 | $4,918 | $474 | $502 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 834 | 717 | $6,853 | $847 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 535 | 454 | $9,891 | $1,437 | $1,516 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 517 | 495 | $32,093 | $9,986 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 492 | 439 | $9,074 | $1,349 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 420 | 418 | $15,638 | $2,038 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 302 | 292 | $25,671 | $5,062 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 226 | 176 | $14,934 | $2,457 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 219 | 189 | $17,908 | $3,675 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 218 | 199 | $17,151 | $2,242 | $2,405 |
| Level 1 Nerve ProceduresAPC 5431 | 213 | 192 | $10,914 | $1,332 | $1,407 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 171 | 169 | $81,404 | $19,485 | $21,117 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 165 | 161 | $12,925 | $1,825 | $2,141 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 155 | 151 | $24,132 | $4,070 | $4,358 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 124 | 123 | $41,754 | $14,704 | $15,763 |
| Level 3 Endovascular ProceduresAPC 5193 | 114 | 111 | $52,987 | $8,167 | $8,874 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 106 | 106 | $40,076 | $7,393 | $8,164 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 99 | 98 | $17,376 | $2,456 | $2,636 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 85 | 81 | $13,942 | $2,272 | $2,373 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 85 | 85 | $32,933 | $7,880 | $8,569 |
| Level 4 Airway EndoscopyAPC 5154 | 83 | 79 | $15,110 | $2,660 | $2,833 |
| Level 1 Intraocular ProceduresAPC 5491 | 81 | 75 | $10,331 | $1,634 | $1,752 |
| Level 2 Vascular ProceduresAPC 5182 | 72 | 68 | $5,548 | $1,136 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 71 | 63 | $26,011 | $4,058 | $4,338 |
| Complex GI ProceduresAPC 5331 | 66 | 49 | $16,383 | $3,618 | $4,263 |
| Level 3 Lower GI ProceduresAPC 5313 | 59 | 57 | $11,157 | $2,060 | $2,176 |
| Level 3 Upper GI ProceduresAPC 5303 | 57 | 56 | $11,945 | $2,717 | $2,888 |
| Level 4 Vascular ProceduresAPC 5184 | 51 | 46 | $26,105 | $3,672 | $3,946 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 50 | 48 | $7,409 | $1,085 | $1,196 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 48 | 48 | $23,570 | $5,905 | $6,514 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 41 | 37 | $21,437 | $2,707 | $2,930 |
| Level 6 Urology and Related ServicesAPC 5376 | 41 | 39 | $26,037 | $6,573 | $7,291 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 39 | 39 | $94,400 | $27,606 | $29,375 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 38 | 38 | $34,913 | $4,631 | $4,982 |
| Level 4 Endovascular ProceduresAPC 5194 | 38 | 35 | $64,655 | $13,594 | $14,606 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 29 | 26 | $33,836 | $17,820 | $18,465 |
| Level 5 ENT ProceduresAPC 5165 | 28 | 28 | $37,550 | $4,159 | $4,436 |
| Level 5 Airway EndoscopyAPC 5155 | 25 | 25 | $21,635 | $4,861 | $5,183 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 20 | 20 | $69,733 | $19,310 | $21,011 |
| Level 4 ENT ProceduresAPC 5164 | 18 | 18 | $16,236 | $2,284 | $2,217 |
| Level 3 Airway EndoscopyAPC 5153 | 16 | 15 | $10,969 | $1,130 | $1,264 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 16 | 16 | $13,768 | $4,857 | $4,524 |
| Level 5 Gynecologic ProceduresAPC 5415 | 12 | 12 | $18,987 | $3,528 | $3,792 |
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.