Duncan Regional Hospital Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Duncan Regional Hospital, Duncan, OK in 2024, from traditional Medicare claims. Back to the Duncan Regional Hospital profile, with quality ratings, finances and negotiated rates.

1,099
Medicare inpatient discharges
In 34 published DRGs
1.55
Case mix index
IPPS FY 2027
6%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
1,501
Medicare outpatient services
In 26 service groups

Inpatient stays by major diagnostic category

Respiratory system293 discharges in 9 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	65	$38,561	$8,030	$8,291	1.33
Simple pneumonia and pleurisy with CCMS-DRG 194, medical	53	$26,050	$4,603	$5,601	0.82
Respiratory infections and inflammations with MCCMS-DRG 177, medical	49	$43,880	$10,275	$9,434	1.70
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	39	$35,280	$6,463	$7,585	1.10
Pulmonary edema and respiratory failureMS-DRG 189, medical	34	$42,381	$7,929	$9,112	1.23
Respiratory infections and inflammations with CCMS-DRG 178, medical	17	$37,208	$5,504	$8,000	0.99
Chronic obstructive pulmonary disease with CCMS-DRG 191, medical	14	$23,703	$4,547	$5,096	0.85
Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical	11	$44,691	$8,847	$9,609	1.40
Respiratory neoplasms with MCCMS-DRG 180, medical	11	$54,220	$10,810	$11,657	1.74

Infectious and parasitic diseases253 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	211	$50,630	$12,594	$10,886	1.98
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	42	$28,850	$6,106	$6,203	1.03

Circulatory system141 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	110	$34,856	$7,862	$7,494	1.28
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical	17	$38,706	$7,166	$8,322	1.20
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical	14	$24,351	$4,249	$5,235	0.74

Kidney and urinary tract124 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	51	$27,920	$4,675	$6,003	0.81
Renal failure with CCMS-DRG 683, medical	29	$26,543	$5,272	$5,707	0.90
Kidney and urinary tract infections with MCCMS-DRG 689, medical	23	$28,228	$7,079	$6,069	1.17
Renal failure with MCCMS-DRG 682, medical	21	$42,452	$9,352	$9,127	1.50

Musculoskeletal system and connective tissue81 discharges in 5 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	28	$60,192	$12,909	$12,941	2.07
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical	17	$83,324	$13,448	$17,915	2.11
Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical	12	$81,426	$12,005	$17,507	1.88
Fractures of hip and pelvis without MCCMS-DRG 536, medical	12	$27,291	$4,344	$5,868	0.79
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical	12	$25,690	$5,265	$5,523	0.90

Digestive system80 discharges in 4 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Gastrointestinal hemorrhage with CCMS-DRG 378, medical	31	$30,588	$5,748	$6,576	0.98
Gastrointestinal obstruction with CCMS-DRG 389, medical	19	$26,905	$4,476	$5,785	0.80
Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical	19	$25,709	$4,581	$5,527	0.79
Major small and large bowel procedures with CCMS-DRG 330, surgical	11	$77,838	$14,658	$16,735	2.37

Endocrine, nutritional and metabolic68 discharges in 3 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	42	$26,163	$4,439	$5,625	0.78
Diabetes with CCMS-DRG 638, medical	13	$26,720	$5,475	$5,745	0.90
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical	13	$31,684	$7,845	$6,812	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	20	$34,201	$6,139	$7,353	1.02
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical	12	$63,536	$12,693	$13,660	2.00

Skin, subcutaneous tissue and breast16 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Cellulitis without MCCMS-DRG 603, medical	16	$30,186	$4,577	$6,490	0.88

Liver, gallbladder and pancreas11 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Disorders of pancreas except malignancy with CCMS-DRG 439, medical	11	$30,200	$4,488	$6,493	0.86

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	344	319	$19,817	$1,972	$2,090
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	149	138	$11,878	$1,165	$1,220
Level 2 Upper GI ProceduresAPC 5302	139	136	$8,354	$1,345	$1,445
Level 5 Musculoskeletal ProceduresAPC 5115	112	104	$67,647	$10,323	$10,772
Level 3 Vascular ProceduresAPC 5183	87	76	$17,116	$2,310	$2,405
Level 4 Musculoskeletal ProceduresAPC 5114	80	77	$51,294	$5,120	$5,339
Level 1 Laparoscopy and Related ServicesAPC 5361	66	66	$28,816	$4,182	$4,358
Level 3 Musculoskeletal ProceduresAPC 5113	61	55	$19,312	$2,308	$2,373
Level 1 Nerve ProceduresAPC 5431	50	50	$15,267	$1,388	$1,407
Level 2 Neurostimulator and Related ProceduresAPC 5462	43	24	$20,619	$2,762	$4,524
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073	39	39	$12,314	$2,060	$2,141
Level 3 Airway EndoscopyAPC 5153	36	35	$8,937	$1,230	$1,264
Level 1 Endovascular ProceduresAPC 5191	31	31	$19,317	$2,115	$2,208
Level 4 Vascular ProceduresAPC 5184	30	16	$16,825	$3,983	$3,946
Level 6 Musculoskeletal ProceduresAPC 5116	25	24	$82,253	$14,670	$15,763
Level 2 Musculoskeletal ProceduresAPC 5112	24	23	$10,520	$1,157	$1,196
Level 2 Vascular ProceduresAPC 5182	24	23	$8,877	$1,161	$1,204
Level 4 Urology and Related ServicesAPC 5374	20	18	$19,264	$2,527	$2,629
Level 1 Intraocular ProceduresAPC 5491	20	14	$10,989	$1,605	$1,752
Level 4 Airway EndoscopyAPC 5154	19	18	$14,648	$2,714	$2,833
Level 3 Endovascular ProceduresAPC 5193	19	18	$48,873	$8,368	$8,874
Level 3 Lower GI ProceduresAPC 5313	19	19	$12,843	$2,027	$2,176
Level 2 Pacemaker and Similar ProceduresAPC 5222	17	17	$29,366	$5,785	$6,514
Level 5 Urology and Related ServicesAPC 5375	17	16	$24,463	$3,751	$3,918
Level 5 Airway EndoscopyAPC 5155	15	15	$32,898	$4,961	$5,183
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341	15	15	$20,097	$2,508	$2,636

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.