Eskenazi Health Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Eskenazi Health, Indianapolis, IN in 2024, from traditional Medicare claims. Back to the Eskenazi Health profile, with quality ratings, finances and negotiated rates.

584
Medicare inpatient discharges
In 25 published DRGs
1.97
Case mix index
IPPS FY 2027
6%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
673
Medicare outpatient services
In 15 service groups

Inpatient stays by major diagnostic category

Infectious and parasitic diseases166 discharges in 4 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	117	$78,695	$22,818	$22,035	1.98
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	21	$192,040	$52,065	$53,771	5.00
Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical	14	$375,112	$84,468	$105,031	6.96
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	14	$33,293	$14,663	$9,322	1.03

Respiratory system121 discharges in 6 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Pulmonary edema and respiratory failureMS-DRG 189, medical	47	$51,528	$15,779	$14,428	1.23
Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical	19	$118,117	$30,528	$33,073	2.70
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	18	$46,383	$16,108	$12,987	1.33
Respiratory infections and inflammations with MCCMS-DRG 177, medical	14	$62,275	$18,092	$17,437	1.70
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	12	$67,503	$15,858	$18,901	1.10
Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical	11	$38,056	$18,535	$10,656	1.40

Circulatory system85 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Heart failure and shock with MCCMS-DRG 291, medical	68	$50,677	$16,880	$14,189	1.28
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical	17	$63,901	$18,188	$17,892	1.59

Nervous system52 discharges in 4 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	$42,133	$12,364	$11,797	1.02
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical	12	$76,059	$23,371	$21,297	2.00
Other disorders of nervous system with CCMS-DRG 092, medical	12	$39,930	$15,122	$11,180	1.03
Other cerebrovascular disorders with CCMS-DRG 071, medical	11	$40,624	$15,474	$11,375	1.06

Endocrine, nutritional and metabolic49 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	33	$38,779	$17,472	$10,858	1.32
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical	16	$27,260	$12,564	$7,633	0.78

Blood and immune system43 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	32	$25,364	$14,905	$7,102	0.90
Red blood cell disorders with MCCMS-DRG 811, medical	11	$38,073	$17,376	$10,660	1.40

Kidney and urinary tract29 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Renal failure with MCCMS-DRG 682, medical	17	$45,696	$18,850	$12,795	1.50
Renal failure with CCMS-DRG 683, medical	12	$33,678	$14,390	$9,430	0.90

Digestive system14 discharges in 1 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	14	$37,096	$12,889	$10,387	0.79

Skin, subcutaneous tissue and breast13 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Cellulitis without MCCMS-DRG 603, medical	13	$31,364	$12,961	$8,782	0.88

Musculoskeletal system and connective tissue12 discharges in 1 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	12	$93,612	$24,332	$26,211	2.07

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	295	259	$22,077	$1,963	$2,090
Level 1 Intraocular ProceduresAPC 5491	86	64	$16,043	$1,673	$1,752
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	50	49	$12,136	$1,130	$1,220
Level 2 Urology and Related ServicesAPC 5372	50	39	$3,151	$478	$502
Level 3 Vascular ProceduresAPC 5183	30	24	$25,630	$2,256	$2,405
Level 3 Urology and Related ServicesAPC 5373	26	23	$14,307	$1,454	$1,516
Level 2 Intraocular ProceduresAPC 5492	26	21	$27,245	$2,926	$3,116
Level 1 Endovascular ProceduresAPC 5191	20	20	$33,163	$2,116	$2,208
Level 5 Musculoskeletal ProceduresAPC 5115	17	14	$74,248	$10,240	$10,772
Level 5 Urology and Related ServicesAPC 5375	14	13	$37,086	$3,720	$3,918
Level 4 Musculoskeletal ProceduresAPC 5114	13	13	$54,928	$4,752	$5,339
Level 2 Endovascular ProceduresAPC 5192	13	11	$33,823	$4,112	$4,338
Level 4 Vascular ProceduresAPC 5184	11	11	$59,161	$3,955	$3,946
Level 2 Upper GI ProceduresAPC 5302	11	11	$10,987	$1,368	$1,445
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341	11		$24,185	$2,490	$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.