Franciscan Health Lafayette Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Franciscan Health Lafayette, Lafayette, IN in 2024, from traditional Medicare claims. Back to the Franciscan Health Lafayette profile, with quality ratings, finances and negotiated rates.
1,401
Medicare inpatient discharges
In 46 published DRGs
1.88
Case mix index
IPPS FY 2027
21%
Surgical stays
79%
Stays with complications
In DRGs with a CC or MCC
1,811
Medicare outpatient services
In 31 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases359 discharges in 5 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 | 257 | $65,340 | $12,301 | $15,093 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 42 | $36,791 | $5,994 | $8,499 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 28 | $163,200 | $29,851 | $37,699 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 16 | $84,164 | $13,452 | $19,442 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 16 | $215,741 | $45,595 | $49,836 | 6.96 |
Circulatory system336 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 112 | $49,274 | $8,397 | $11,382 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 81 | $64,957 | $10,235 | $15,005 | 1.59 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 21 | $55,070 | $6,003 | $12,721 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 21 | $126,814 | $11,867 | $29,294 | 1.82 |
| Syncope and collapseMS-DRG 312, medical | 19 | $29,672 | $5,824 | $6,854 | 0.86 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 16 | $123,523 | $23,441 | $28,534 | 3.35 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 15 | $99,007 | $15,350 | $22,871 | 2.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 15 | $32,971 | $4,660 | $7,616 | 0.74 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 13 | $159,703 | $24,714 | $36,891 | 3.46 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 12 | $39,982 | $8,318 | $9,236 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 11 | $75,323 | $6,727 | $17,400 | 1.08 |
Respiratory system174 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 57 | $37,905 | $8,415 | $8,756 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 50 | $35,971 | $8,444 | $8,309 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 46 | $54,436 | $10,470 | $12,575 | 1.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 21 | $61,648 | $8,402 | $14,241 | 1.40 |
Kidney and urinary tract141 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 44 | $35,555 | $5,847 | $8,213 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 32 | $63,540 | $9,648 | $14,678 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 20 | $37,021 | $5,446 | $8,552 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 19 | $38,312 | $7,284 | $8,850 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 14 | $60,427 | $11,005 | $13,959 | 1.65 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 12 | $120,922 | $24,286 | $27,933 | 3.70 |
Digestive system130 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 36 | $43,439 | $6,503 | $10,034 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 28 | $76,393 | $11,945 | $17,647 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 21 | $174,195 | $15,795 | $40,239 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 17 | $36,219 | $4,855 | $8,366 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $37,907 | $5,146 | $8,757 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 12 | $31,942 | $8,918 | $7,379 | 1.28 |
Musculoskeletal system and connective tissue122 discharges in 7 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 | 32 | $109,075 | $13,223 | $25,196 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 21 | $134,909 | $13,088 | $31,164 | 2.11 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 18 | $290,043 | $27,239 | $67,000 | 4.61 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 15 | $179,968 | $21,719 | $41,573 | 2.95 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 14 | $142,959 | $12,173 | $33,023 | 1.88 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 11 | $286,779 | $42,849 | $66,246 | 6.12 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 11 | $120,536 | $15,185 | $27,844 | 2.40 |
Nervous system59 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 | 26 | $44,537 | $6,726 | $10,288 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 21 | $54,766 | $12,759 | $12,651 | 2.00 |
| Extracranial procedures with CCMS-DRG 038, surgical | 12 | $136,850 | $10,981 | $31,612 | 1.60 |
Endocrine, nutritional and metabolic48 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 | 27 | $39,322 | $8,373 | $9,083 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 21 | $34,213 | $5,204 | $7,903 | 0.78 |
Other19 discharges in 1 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 | 19 | $122,689 | $27,282 | $28,341 | 4.74 |
Mental diseases and disorders13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 13 | $42,939 | $10,748 | $9,919 | 1.76 |
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 5 Musculoskeletal ProceduresAPC 5115 | 390 | 373 | $120,550 | $10,005 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 220 | 215 | $21,875 | $1,908 | $2,090 |
| Level 3 Vascular ProceduresAPC 5183 | 141 | 126 | $25,561 | $2,231 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 114 | 109 | $13,541 | $1,127 | $1,220 |
| Level 4 Airway EndoscopyAPC 5154 | 77 | 73 | $46,129 | $2,629 | $2,833 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 70 | 65 | $25,761 | $1,985 | $2,141 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 67 | 65 | $62,354 | $4,935 | $5,339 |
| Level 1 Endovascular ProceduresAPC 5191 | 67 | 67 | $38,491 | $2,085 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 63 | 62 | $78,145 | $3,899 | $4,358 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 61 | 60 | $157,971 | $14,697 | $15,763 |
| Level 2 Endovascular ProceduresAPC 5192 | 54 | 44 | $47,257 | $4,056 | $4,338 |
| Level 3 Endovascular ProceduresAPC 5193 | 46 | 44 | $95,740 | $8,167 | $8,874 |
| Level 2 Vascular ProceduresAPC 5182 | 41 | 39 | $9,088 | $1,124 | $1,204 |
| Level 4 Urology and Related ServicesAPC 5374 | 40 | 34 | $32,909 | $2,382 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 39 | 39 | $36,082 | $2,176 | $2,373 |
| Level 1 Nerve ProceduresAPC 5431 | 36 | 35 | $18,305 | $1,366 | $1,407 |
| Level 3 Urology and Related ServicesAPC 5373 | 32 | 23 | $15,326 | $1,447 | $1,516 |
| Level 4 Gynecologic ProceduresAPC 5414 | 29 | 29 | $26,251 | $2,139 | $2,389 |
| Level 5 Urology and Related ServicesAPC 5375 | 28 | 25 | $57,004 | $3,675 | $3,918 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 27 | 27 | $50,465 | $2,449 | $2,636 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 21 | 21 | $165,184 | $18,557 | $21,117 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 18 | 18 | $15,190 | $1,141 | $1,196 |
| Level 4 Vascular ProceduresAPC 5184 | 17 | 17 | $54,678 | $3,888 | $3,946 |
| Level 2 Upper GI ProceduresAPC 5302 | 17 | 15 | $14,396 | $1,356 | $1,445 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 16 | 15 | $64,809 | $4,631 | $4,982 |
| Level 4 Endovascular ProceduresAPC 5194 | 16 | 16 | $134,045 | $13,967 | $14,606 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 15 | 15 | $52,615 | $7,880 | $8,569 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 14 | 14 | $100,949 | $7,539 | $8,164 |
| Level 5 Airway EndoscopyAPC 5155 | 12 | 12 | $64,665 | $4,861 | $5,183 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 12 | 12 | $28,972 | $4,452 | $4,524 |
| Level 3 Airway EndoscopyAPC 5153 | 11 | $7,325 | $1,205 | $1,264 |
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.