Ephraim Mcdowell Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ephraim Mcdowell Regional Medical Center, Danville, KY in 2024, from traditional Medicare claims. Back to the Ephraim Mcdowell Regional Medical Center profile, with quality ratings, finances and negotiated rates.
867
Medicare inpatient discharges
In 30 published DRGs
1.82
Case mix index
IPPS FY 2027
14%
Surgical stays
82%
Stays with complications
In DRGs with a CC or MCC
1,968
Medicare outpatient services
In 38 service groups
Inpatient stays by major diagnostic category
Respiratory system238 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 78 | $30,644 | $7,216 | $11,522 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 53 | $34,131 | $9,362 | $12,833 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 43 | $30,997 | $7,238 | $11,655 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 19 | $46,432 | $16,059 | $17,458 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 16 | $19,200 | $4,117 | $7,219 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 15 | $38,294 | $7,626 | $14,399 | 1.40 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 14 | $27,611 | $6,042 | $10,382 | 1.10 |
Infectious and parasitic diseases171 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 | 131 | $34,157 | $11,538 | $12,843 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 27 | $72,010 | $28,268 | $27,076 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 13 | $21,627 | $5,357 | $8,132 | 1.03 |
Circulatory system163 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 97 | $28,133 | $7,480 | $10,578 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 22 | $13,623 | $3,676 | $5,122 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 17 | $75,176 | $10,766 | $28,266 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 16 | $20,693 | $6,664 | $7,780 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 11 | $47,773 | $12,257 | $17,962 | 2.16 |
Kidney and urinary tract116 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 33 | $21,119 | $6,661 | $7,941 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 28 | $18,412 | $4,624 | $6,923 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 20 | $28,431 | $9,329 | $10,690 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 19 | $17,361 | $4,148 | $6,528 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 16 | $23,496 | $9,295 | $8,834 | 1.50 |
Digestive system66 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 28 | $19,580 | $5,492 | $7,362 | 0.98 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 13 | $78,522 | $26,824 | $29,524 | 4.52 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 13 | $40,740 | $14,166 | $15,318 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 12 | $16,353 | $4,457 | $6,149 | 0.80 |
Musculoskeletal system and connective tissue48 discharges in 2 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 | 29 | $49,154 | $12,406 | $18,482 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 19 | $48,569 | $12,503 | $18,262 | 2.11 |
Endocrine, nutritional and metabolic33 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 | 21 | $20,735 | $7,921 | $7,796 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 12 | $14,449 | $3,783 | $5,433 | 0.78 |
Nervous system17 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 | 17 | $24,640 | $5,118 | $9,265 | 1.02 |
Mental diseases and disorders15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 15 | $23,570 | $7,847 | $8,862 | 1.37 |
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 | 368 | 218 | $10,929 | $1,563 | $1,752 |
| Level 2 Urology and Related ServicesAPC 5372 | 226 | 134 | $978 | $446 | $502 |
| Comprehensive Observation ServicesAPC 8011 | 225 | 208 | $13,169 | $1,869 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 114 | 108 | $47,367 | $9,427 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 103 | 102 | $17,627 | $3,918 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 101 | 86 | $6,854 | $1,280 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 81 | 71 | $4,163 | $987 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 70 | 67 | $3,578 | $1,395 | $1,516 |
| Level 3 Vascular ProceduresAPC 5183 | 52 | 49 | $10,815 | $2,186 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 48 | 46 | $17,341 | $3,548 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 45 | 45 | $27,251 | $4,906 | $5,339 |
| Level 1 Endovascular ProceduresAPC 5191 | 45 | 44 | $20,059 | $2,012 | $2,208 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 36 | 36 | $9,890 | $1,884 | $2,141 |
| Level 3 Upper GI ProceduresAPC 5303 | 32 | 31 | $11,664 | $2,626 | $2,888 |
| Level 3 Endovascular ProceduresAPC 5193 | 31 | 28 | $52,892 | $7,830 | $8,874 |
| Level 3 Airway EndoscopyAPC 5153 | 28 | 27 | $4,155 | $1,114 | $1,264 |
| Complex GI ProceduresAPC 5331 | 28 | 25 | $16,424 | $3,769 | $4,263 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 26 | 26 | $30,722 | $7,215 | $8,164 |
| Level 4 Urology and Related ServicesAPC 5374 | 24 | 24 | $14,184 | $2,391 | $2,629 |
| Level 4 Airway EndoscopyAPC 5154 | 22 | 21 | $9,417 | $2,568 | $2,833 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 21 | 21 | $6,616 | $1,050 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 21 | 17 | $3,597 | $753 | $1,204 |
| Level 1 Nerve ProceduresAPC 5431 | 20 | 19 | $8,960 | $1,315 | $1,407 |
| Level 4 Endovascular ProceduresAPC 5194 | 19 | 16 | $65,035 | $11,298 | $14,606 |
| Level 3 Lower GI ProceduresAPC 5313 | 17 | 17 | $9,387 | $1,940 | $2,176 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 16 | 16 | $47,942 | $7,554 | $8,569 |
| Level 5 Gynecologic ProceduresAPC 5415 | 16 | 16 | $11,806 | $3,411 | $3,792 |
| Level 6 Urology and Related ServicesAPC 5376 | 15 | 15 | $30,661 | $6,317 | $7,291 |
| Level 5 ENT ProceduresAPC 5165 | 14 | 14 | $14,650 | $4,016 | $4,436 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 14 | 13 | $14,857 | $2,203 | $2,636 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 12 | 12 | $10,255 | $2,220 | $2,373 |
| Level 2 Intraocular ProceduresAPC 5492 | 12 | $11,932 | $2,788 | $3,116 | |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 11 | 11 | $12,763 | $2,614 | $2,930 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 11 | 11 | $32,988 | $4,472 | $4,982 |
| Level 3 ENT ProceduresAPC 5163 | 11 | $5,212 | $818 | $1,106 | |
| Level 2 Endovascular ProceduresAPC 5192 | 11 | 11 | $33,341 | $3,919 | $4,338 |
| Level 4 Gynecologic ProceduresAPC 5414 | 11 | 11 | $11,420 | $2,135 | $2,389 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 11 | 11 | $66,783 | $25,017 | $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.