Goshen Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Goshen Hospital, Goshen, IN in 2024, from traditional Medicare claims. Back to the Goshen Hospital profile, with quality ratings, finances and negotiated rates.
622
Medicare inpatient discharges
In 28 published DRGs
1.57
Case mix index
IPPS FY 2027
14%
Surgical stays
67%
Stays with complications
In DRGs with a CC or MCC
1,429
Medicare outpatient services
In 25 service groups
Inpatient stays by major diagnostic category
Circulatory system184 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 84 | $37,985 | $9,095 | $11,357 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 23 | $84,799 | $12,743 | $25,355 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 20 | $84,085 | $18,050 | $25,141 | 2.16 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 16 | $33,993 | $5,288 | $10,164 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 16 | $96,456 | $19,228 | $28,840 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 13 | $50,425 | $7,565 | $15,077 | 1.08 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 12 | $20,039 | $3,680 | $5,992 | 0.55 |
Respiratory system151 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 48 | $31,373 | $8,843 | $9,380 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 38 | $48,069 | $11,726 | $14,373 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 29 | $21,886 | $5,794 | $6,544 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 13 | $27,515 | $6,865 | $8,227 | 0.99 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 12 | $35,936 | $9,360 | $10,745 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 11 | $27,968 | $7,656 | $8,362 | 1.10 |
Infectious and parasitic diseases75 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 | 56 | $40,243 | $13,026 | $12,033 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 19 | $27,485 | $7,283 | $8,218 | 1.03 |
Kidney and urinary tract74 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 42 | $18,701 | $5,644 | $5,592 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 21 | $30,613 | $7,987 | $9,153 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 11 | $27,870 | $5,924 | $8,333 | 0.90 |
Digestive system54 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 22 | $28,079 | $6,987 | $8,396 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 20 | $19,489 | $5,436 | $5,827 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 12 | $76,469 | $16,559 | $22,864 | 2.37 |
Musculoskeletal system and connective tissue23 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 12 | $53,218 | $14,478 | $15,912 | 2.11 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 11 | $44,262 | $9,781 | $13,234 | 1.59 |
Endocrine, nutritional and metabolic23 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 | 12 | $21,665 | $5,419 | $6,478 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 11 | $24,963 | $9,255 | $7,464 | 1.32 |
Nervous system22 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 11 | $40,256 | $7,752 | $12,036 | 1.14 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 11 | $34,938 | $6,303 | $10,446 | 1.02 |
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 | $22,634 | $6,300 | $6,768 | 0.88 |
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 | 411 | 380 | $15,224 | $1,975 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 123 | 123 | $27,083 | $2,124 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 120 | 94 | $11,929 | $1,387 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 118 | 113 | $8,903 | $1,176 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 67 | 63 | $55,806 | $10,267 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 56 | 55 | $27,885 | $4,093 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 52 | 52 | $14,693 | $2,296 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 50 | 46 | $65,871 | $8,369 | $8,874 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 46 | 44 | $15,722 | $2,091 | $2,141 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 40 | 38 | $19,450 | $2,804 | $2,930 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 40 | 39 | $45,988 | $8,210 | $8,569 |
| Level 4 Urology and Related ServicesAPC 5374 | 40 | 35 | $13,489 | $2,498 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 32 | 32 | $10,338 | $1,499 | $1,516 |
| Level 5 Urology and Related ServicesAPC 5375 | 32 | 29 | $26,725 | $3,686 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 29 | 27 | $28,961 | $5,264 | $5,339 |
| Level 4 Airway EndoscopyAPC 5154 | 23 | 22 | $28,860 | $2,755 | $2,833 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 23 | 20 | $18,021 | $2,545 | $2,636 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 23 | 23 | $47,079 | $7,271 | $8,164 |
| Level 5 Gynecologic ProceduresAPC 5415 | 19 | $34,038 | $3,660 | $3,792 | |
| Level 4 Endovascular ProceduresAPC 5194 | 17 | 17 | $89,336 | $14,527 | $14,606 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 16 | 16 | $26,282 | $4,798 | $4,982 |
| Level 2 Vascular ProceduresAPC 5182 | 14 | 14 | $8,002 | $1,178 | $1,204 |
| Level 4 Gynecologic ProceduresAPC 5414 | 14 | 14 | $19,459 | $2,136 | $2,389 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 12 | 12 | $7,694 | $1,182 | $1,196 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 12 | 12 | $87,774 | $20,243 | $21,117 |
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.