Grand Island Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Grand Island Regional Medical Center, Grand Island, NE in 2024, from traditional Medicare claims. Back to the Grand Island Regional Medical Center profile, with quality ratings, finances and negotiated rates.
261
Medicare inpatient discharges
In 13 published DRGs
1.89
Case mix index
IPPS FY 2027
17%
Surgical stays
83%
Stays with complications
In DRGs with a CC or MCC
685
Medicare outpatient services
In 17 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases86 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 | 59 | $46,855 | $11,086 | $17,290 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 14 | $22,658 | $5,701 | $8,361 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 13 | $138,207 | $52,446 | $50,998 | 5.00 |
Digestive system64 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 21 | $37,266 | $13,918 | $13,751 | 2.37 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 18 | $22,466 | $5,140 | $8,290 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 14 | $20,583 | $4,446 | $7,595 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 11 | $66,998 | $29,377 | $24,722 | 4.52 |
Respiratory system61 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 23 | $33,515 | $8,238 | $12,367 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 19 | $32,318 | $7,314 | $11,925 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 19 | $33,806 | $7,398 | $12,475 | 1.33 |
Circulatory system39 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 | 23 | $30,350 | $9,801 | $11,199 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 16 | $58,318 | $12,313 | $21,519 | 1.59 |
Musculoskeletal system and connective tissue11 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 | 11 | $22,118 | $4,727 | $8,162 | 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 5 Musculoskeletal ProceduresAPC 5115 | 165 | 155 | $42,135 | $10,546 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 78 | 78 | $7,619 | $1,182 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 51 | 51 | $29,699 | $2,170 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 49 | 49 | $12,813 | $1,855 | $2,090 |
| Level 3 Vascular ProceduresAPC 5183 | 44 | 44 | $12,344 | $2,351 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 44 | 44 | $17,498 | $4,260 | $4,358 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 30 | 28 | $14,323 | $2,814 | $2,930 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 30 | 30 | $25,704 | $5,105 | $5,339 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 29 | 29 | $68,178 | $15,598 | $15,763 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 29 | 28 | $16,396 | $2,554 | $2,636 |
| Level 4 Endovascular ProceduresAPC 5194 | 28 | 22 | $88,368 | $14,061 | $14,606 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 26 | 26 | $21,958 | $4,814 | $4,982 |
| Level 2 Upper GI ProceduresAPC 5302 | 19 | 18 | $5,594 | $1,397 | $1,445 |
| Level 3 Endovascular ProceduresAPC 5193 | 18 | 17 | $73,615 | $8,553 | $8,874 |
| Level 4 Urology and Related ServicesAPC 5374 | 17 | 14 | $10,725 | $2,574 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 15 | 15 | $11,486 | $2,098 | $2,141 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 13 | 13 | $34,986 | $8,255 | $8,569 |
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.