Decatur Memorial Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Decatur Memorial Hospital, Decatur, IL in 2024, from traditional Medicare claims. Back to the Decatur Memorial Hospital profile, with quality ratings, finances and negotiated rates.
2,197
Medicare inpatient discharges
In 67 published DRGs
1.62
Case mix index
IPPS FY 2027
14%
Surgical stays
67%
Stays with complications
In DRGs with a CC or MCC
2,974
Medicare outpatient services
In 34 service groups
Inpatient stays by major diagnostic category
Circulatory system442 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 188 | $33,789 | $8,434 | $8,785 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 41 | $22,193 | $3,904 | $5,770 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 39 | $30,103 | $6,784 | $7,827 | 1.20 |
| Hypertension without MCCMS-DRG 305, medical | 26 | $27,770 | $4,534 | $7,220 | 0.75 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 23 | $105,058 | $12,661 | $27,315 | 1.82 |
| Chest painMS-DRG 313, medical | 20 | $26,437 | $4,441 | $6,874 | 0.72 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 19 | $64,848 | $9,562 | $16,860 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 18 | $133,260 | $18,846 | $34,648 | 2.87 |
| Syncope and collapseMS-DRG 312, medical | 16 | $28,547 | $5,153 | $7,422 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 14 | $53,397 | $11,625 | $13,883 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 14 | $46,593 | $6,356 | $12,114 | 1.08 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 13 | $26,473 | $2,717 | $6,883 | 0.55 |
| Hypertension with MCCMS-DRG 304, medical | 11 | $30,339 | $7,683 | $7,888 | 1.15 |
Respiratory system432 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 93 | $42,542 | $10,572 | $11,061 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 86 | $55,165 | $8,606 | $14,343 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 72 | $40,673 | $8,610 | $10,575 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 58 | $25,086 | $4,756 | $6,522 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 51 | $39,127 | $6,799 | $10,173 | 1.10 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 24 | $28,713 | $4,895 | $7,465 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 19 | $30,213 | $5,912 | $7,855 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 15 | $82,167 | $19,025 | $21,363 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 14 | $53,490 | $9,718 | $13,908 | 1.40 |
Kidney and urinary tract264 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 67 | $23,484 | $4,927 | $6,106 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 65 | $30,517 | $7,279 | $7,934 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 41 | $47,810 | $12,130 | $12,431 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 41 | $28,191 | $5,827 | $7,330 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 23 | $45,115 | $10,283 | $11,730 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 15 | $25,327 | $6,501 | $6,585 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 12 | $31,544 | $9,349 | $8,201 | 1.35 |
Digestive system253 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 47 | $27,455 | $4,899 | $7,138 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 39 | $32,204 | $6,514 | $8,373 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 25 | $27,343 | $4,810 | $7,109 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 23 | $40,869 | $7,425 | $10,626 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 18 | $32,399 | $12,187 | $8,424 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 18 | $24,009 | $6,128 | $6,242 | 0.94 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 16 | $141,143 | $31,807 | $36,697 | 4.52 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 15 | $75,420 | $16,064 | $19,609 | 2.37 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 15 | $55,637 | $11,007 | $14,466 | 1.67 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 15 | $37,387 | $10,964 | $9,721 | 1.62 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 11 | $31,078 | $6,895 | $8,080 | 1.04 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 11 | $16,393 | $2,869 | $4,262 | 0.56 |
Infectious and parasitic diseases249 discharges in 3 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 | 192 | $59,569 | $13,358 | $15,488 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 31 | $34,975 | $6,483 | $9,093 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 26 | $140,344 | $35,023 | $36,490 | 5.00 |
Musculoskeletal system and connective tissue187 discharges in 9 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 | 41 | $80,719 | $13,749 | $20,987 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 37 | $79,820 | $12,658 | $20,753 | 2.07 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 24 | $164,293 | $20,913 | $42,716 | 2.48 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 20 | $127,695 | $17,864 | $33,201 | 2.67 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 16 | $149,726 | $22,456 | $38,929 | 3.49 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 15 | $94,217 | $13,778 | $24,496 | 1.88 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 12 | $115,164 | $22,814 | $29,943 | 3.66 |
| Medical back problems without MCCMS-DRG 552, medical | 11 | $32,574 | $5,507 | $8,469 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 11 | $22,260 | $5,658 | $5,788 | 0.90 |
Endocrine, nutritional and metabolic124 discharges in 4 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 | 48 | $28,569 | $5,014 | $7,428 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 37 | $34,709 | $8,792 | $9,024 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 20 | $32,212 | $6,047 | $8,375 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 19 | $36,194 | $9,672 | $9,410 | 1.45 |
Nervous system94 discharges in 3 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 | 59 | $36,007 | $5,970 | $9,362 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 18 | $51,937 | $11,985 | $13,504 | 2.00 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 17 | $33,439 | $3,314 | $8,694 | 0.69 |
Blood and immune system62 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 44 | $26,361 | $4,654 | $6,854 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 18 | $39,932 | $9,934 | $10,382 | 1.40 |
Skin, subcutaneous tissue and breast50 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 38 | $28,039 | $5,494 | $7,290 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 12 | $40,881 | $9,862 | $10,629 | 1.49 |
Factors influencing health status16 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 | 16 | $22,847 | $5,424 | $5,940 | 0.80 |
Liver, gallbladder and pancreas13 discharges in 1 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 | 13 | $54,270 | $11,018 | $14,110 | 1.63 |
Ear, nose, mouth and throat11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 11 | $30,825 | $4,141 | $8,014 | 0.74 |
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 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 414 | 385 | $10,746 | $1,184 | $1,220 |
| Comprehensive Observation ServicesAPC 8011 | 245 | 234 | $16,023 | $2,006 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 236 | 233 | $74,214 | $10,417 | $10,772 |
| Level 3 Urology and Related ServicesAPC 5373 | 234 | 182 | $8,620 | $1,495 | $1,516 |
| Level 1 Nerve ProceduresAPC 5431 | 158 | 127 | $14,886 | $1,404 | $1,407 |
| Level 4 Urology and Related ServicesAPC 5374 | 138 | 113 | $15,643 | $2,562 | $2,629 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 109 | 107 | $9,709 | $1,157 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 108 | 103 | $19,403 | $2,383 | $2,373 |
| Level 5 Urology and Related ServicesAPC 5375 | 104 | 101 | $27,787 | $3,808 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 103 | 101 | $40,605 | $5,217 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 98 | 97 | $17,156 | $2,323 | $2,405 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 86 | 74 | $17,126 | $2,527 | $2,636 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 83 | 82 | $26,563 | $4,192 | $4,358 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 77 | 75 | $14,543 | $2,085 | $2,141 |
| Level 2 Upper GI ProceduresAPC 5302 | 72 | 62 | $10,197 | $1,384 | $1,445 |
| Level 1 Intraocular ProceduresAPC 5491 | 71 | 45 | $12,842 | $1,716 | $1,752 |
| Level 3 Endovascular ProceduresAPC 5193 | 69 | 64 | $76,713 | $8,526 | $8,874 |
| Level 1 Endovascular ProceduresAPC 5191 | 65 | 65 | $20,928 | $2,131 | $2,208 |
| Level 2 Vascular ProceduresAPC 5182 | 61 | 55 | $6,722 | $1,175 | $1,204 |
| Level 2 Urology and Related ServicesAPC 5372 | 55 | 29 | $3,662 | $503 | $502 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 53 | 52 | $119,918 | $15,553 | $15,763 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 44 | 44 | $37,947 | $4,798 | $4,982 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 41 | 40 | $19,857 | $2,793 | $2,930 |
| Level 3 Airway EndoscopyAPC 5153 | 39 | 30 | $7,031 | $1,224 | $1,264 |
| Level 2 Endovascular ProceduresAPC 5192 | 30 | 29 | $33,994 | $4,209 | $4,338 |
| Level 4 Airway EndoscopyAPC 5154 | 28 | 27 | $13,362 | $2,704 | $2,833 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 27 | 26 | $43,778 | $7,666 | $8,164 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 24 | 23 | $167,799 | $20,261 | $21,117 |
| Level 3 Lower GI ProceduresAPC 5313 | 22 | 20 | $16,235 | $2,084 | $2,176 |
| Level 4 Gynecologic ProceduresAPC 5414 | 22 | 22 | $9,206 | $2,250 | $2,389 |
| Level 5 ENT ProceduresAPC 5165 | 17 | 17 | $30,347 | $4,304 | $4,436 |
| Level 5 Gynecologic ProceduresAPC 5415 | 15 | 15 | $21,871 | $3,662 | $3,792 |
| Level 4 Endovascular ProceduresAPC 5194 | 14 | 13 | $90,593 | $14,523 | $14,606 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 12 | 12 | $121,254 | $24,733 | $26,719 |
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.