Franciscan Health Munster Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Franciscan Health Munster, Munster, IN in 2024, from traditional Medicare claims. Back to the Franciscan Health Munster profile, with quality ratings, finances and negotiated rates.
620
Medicare inpatient discharges
In 24 published DRGs
1.69
Case mix index
IPPS FY 2027
3%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
1,393
Medicare outpatient services
In 22 service groups
Inpatient stays by major diagnostic category
Respiratory system126 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 47 | $40,757 | $8,279 | $11,371 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 42 | $37,016 | $8,582 | $10,327 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 37 | $61,578 | $11,848 | $17,180 | 1.70 |
Infectious and parasitic diseases123 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 | 80 | $63,573 | $12,176 | $17,737 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 23 | $31,029 | $5,873 | $8,657 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 20 | $165,760 | $32,562 | $46,247 | 5.00 |
Kidney and urinary tract109 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 22 | $44,321 | $10,900 | $12,366 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 21 | $34,026 | $7,558 | $9,493 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 19 | $43,929 | $10,366 | $12,256 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 18 | $31,992 | $6,066 | $8,926 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 16 | $21,956 | $4,822 | $6,126 | 0.81 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 13 | $23,948 | $7,087 | $6,681 | 1.02 |
Circulatory system103 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 | 69 | $36,152 | $8,302 | $10,086 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 19 | $58,499 | $9,663 | $16,321 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 15 | $35,598 | $4,830 | $9,932 | 0.74 |
Digestive system79 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 | $40,931 | $6,463 | $11,420 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 23 | $25,882 | $5,135 | $7,221 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 14 | $58,451 | $10,844 | $16,308 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 14 | $27,266 | $5,266 | $7,607 | 0.94 |
Endocrine, nutritional and metabolic31 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 without MCCMS-DRG 641, medical | 18 | $26,107 | $4,900 | $7,284 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 13 | $43,253 | $7,017 | $12,068 | 1.32 |
Skin, subcutaneous tissue and breast17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 17 | $21,846 | $5,555 | $6,095 | 0.88 |
Blood and immune system17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 17 | $56,977 | $8,771 | $15,897 | 1.40 |
Musculoskeletal system and connective tissue15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 15 | $29,078 | $5,945 | $8,113 | 0.97 |
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 | 307 | 181 | $16,135 | $1,723 | $1,752 |
| Level 2 Upper GI ProceduresAPC 5302 | 172 | 155 | $10,895 | $1,414 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 157 | 147 | $65,209 | $10,589 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 148 | 144 | $20,987 | $1,954 | $2,090 |
| Level 2 Intraocular ProceduresAPC 5492 | 145 | 133 | $25,975 | $3,002 | $3,116 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 66 | 63 | $11,291 | $1,188 | $1,220 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 51 | 48 | $29,558 | $2,419 | $2,373 |
| Level 1 Endovascular ProceduresAPC 5191 | 46 | 46 | $31,001 | $1,963 | $2,208 |
| Level 4 Airway EndoscopyAPC 5154 | 38 | 36 | $47,764 | $2,806 | $2,833 |
| Level 3 Lower GI ProceduresAPC 5313 | 34 | 34 | $15,472 | $2,149 | $2,176 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 33 | 32 | $49,767 | $5,202 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 27 | 27 | $57,403 | $4,163 | $4,358 |
| Level 3 Endovascular ProceduresAPC 5193 | 25 | 25 | $67,273 | $8,357 | $8,874 |
| Level 3 Vascular ProceduresAPC 5183 | 22 | 22 | $23,713 | $2,271 | $2,405 |
| Level 4 Urology and Related ServicesAPC 5374 | 19 | 19 | $23,062 | $2,609 | $2,629 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 17 | 16 | $40,609 | $4,886 | $4,982 |
| Level 3 Urology and Related ServicesAPC 5373 | 17 | 16 | $19,953 | $1,522 | $1,516 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 16 | 16 | $16,215 | $2,119 | $2,141 |
| Level 3 Intraocular ProceduresAPC 5493 | 16 | 13 | $28,081 | $3,672 | $4,004 |
| Level 5 Urology and Related ServicesAPC 5375 | 14 | 13 | $32,911 | $3,877 | $3,918 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 12 | 12 | $25,170 | $2,856 | $2,930 |
| Level 4 Endovascular ProceduresAPC 5194 | 11 | 11 | $99,061 | $14,825 | $14,606 |
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.