Great River Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Great River Medical Center, West Burlington, IA in 2024, from traditional Medicare claims. Back to the Great River Medical Center profile, with quality ratings, finances and negotiated rates.
1,640
Medicare inpatient discharges
In 50 published DRGs
1.62
Case mix index
IPPS FY 2027
12%
Surgical stays
76%
Stays with complications
In DRGs with a CC or MCC
2,912
Medicare outpatient services
In 29 service groups
Inpatient stays by major diagnostic category
Circulatory system414 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 155 | $30,555 | $9,662 | $12,436 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 66 | $42,789 | $12,380 | $17,415 | 1.59 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 30 | $25,658 | $6,439 | $10,443 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 29 | $68,672 | $13,679 | $27,949 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 26 | $25,247 | $4,587 | $10,275 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 25 | $29,913 | $8,691 | $12,175 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 16 | $50,835 | $15,856 | $20,690 | 2.16 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 15 | $39,245 | $16,304 | $15,973 | 2.09 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 14 | $32,487 | $4,610 | $13,222 | 0.72 |
| Syncope and collapseMS-DRG 312, medical | 13 | $36,678 | $7,049 | $14,928 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 13 | $93,760 | $22,684 | $38,160 | 2.87 |
| Heart failure and shock with CCMS-DRG 292, medical | 12 | $32,643 | $5,446 | $13,286 | 0.86 |
Infectious and parasitic diseases388 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 | 262 | $37,839 | $15,013 | $15,401 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 65 | $23,492 | $7,325 | $9,561 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 39 | $93,657 | $41,630 | $38,119 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 22 | $42,979 | $15,578 | $17,493 | 2.04 |
Respiratory system282 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 58 | $34,505 | $12,125 | $14,044 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 58 | $29,676 | $9,739 | $12,078 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 56 | $26,408 | $9,266 | $10,748 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 29 | $23,752 | $8,138 | $9,667 | 1.10 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 23 | $59,954 | $21,395 | $24,401 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 18 | $24,016 | $5,583 | $9,774 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 16 | $16,828 | $5,997 | $6,849 | 0.85 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $35,296 | $10,530 | $14,366 | 1.40 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 11 | $30,884 | $7,354 | $12,570 | 0.99 |
Digestive system160 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 40 | $26,432 | $6,978 | $10,758 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 24 | $41,232 | $13,764 | $16,781 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 23 | $24,107 | $4,994 | $9,811 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 21 | $19,597 | $5,491 | $7,976 | 0.80 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 16 | $17,859 | $2,850 | $7,269 | 0.56 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 13 | $105,540 | $34,144 | $42,955 | 4.52 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 12 | $30,528 | $9,026 | $12,425 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 11 | $63,475 | $19,610 | $25,834 | 2.37 |
Kidney and urinary tract123 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 29 | $20,432 | $6,347 | $8,316 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 27 | $37,817 | $11,951 | $15,392 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 24 | $23,863 | $5,233 | $9,712 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 22 | $31,571 | $8,419 | $12,849 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 21 | $35,759 | $12,875 | $14,554 | 1.65 |
Musculoskeletal system and connective tissue83 discharges in 4 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 | 33 | $52,085 | $15,798 | $21,198 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 20 | $66,162 | $16,109 | $26,928 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 18 | $59,952 | $22,968 | $24,400 | 2.95 |
| Medical back problems without MCCMS-DRG 552, medical | 12 | $28,083 | $6,686 | $11,430 | 0.97 |
Endocrine, nutritional and metabolic66 discharges in 3 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 | 31 | $26,499 | $9,706 | $10,785 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 23 | $17,431 | $5,373 | $7,094 | 0.78 |
| Endocrine disorders with MCCMS-DRG 643, medical | 12 | $30,773 | $12,334 | $12,525 | 1.65 |
Mental diseases and disorders62 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 50 | $27,933 | $11,251 | $11,369 | 1.37 |
| Neuroses except depressiveMS-DRG 882, medical | 12 | $9,198 | $6,894 | $3,744 | 0.94 |
Nervous system44 discharges in 2 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 | 23 | $30,048 | $6,990 | $12,229 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 21 | $34,353 | $15,389 | $13,982 | 2.00 |
Skin, subcutaneous tissue and breast18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 18 | $28,298 | $6,883 | $11,517 | 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 | 700 | 630 | $15,768 | $2,005 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 209 | 134 | $1,077 | $495 | $502 |
| Level 2 Upper GI ProceduresAPC 5302 | 208 | 197 | $8,716 | $1,385 | $1,445 |
| Level 3 Urology and Related ServicesAPC 5373 | 203 | 188 | $3,992 | $1,497 | $1,516 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 158 | 132 | $5,385 | $1,177 | $1,220 |
| Level 1 Intraocular ProceduresAPC 5491 | 156 | 95 | $6,548 | $1,714 | $1,752 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 123 | 123 | $19,325 | $4,090 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 113 | 103 | $12,909 | $3,773 | $3,918 |
| Level 1 Endovascular ProceduresAPC 5191 | 108 | 106 | $17,797 | $2,163 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 100 | 85 | $13,282 | $2,297 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 99 | 94 | $40,186 | $10,301 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 91 | 79 | $9,832 | $2,537 | $2,629 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 84 | 78 | $4,629 | $1,175 | $1,196 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 64 | 61 | $28,558 | $5,100 | $5,339 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 58 | 55 | $9,274 | $2,091 | $2,141 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 58 | 56 | $12,226 | $2,341 | $2,373 |
| Level 2 Endovascular ProceduresAPC 5192 | 57 | 49 | $22,574 | $4,206 | $4,338 |
| Level 1 Nerve ProceduresAPC 5431 | 56 | 50 | $8,845 | $1,370 | $1,407 |
| Level 2 Vascular ProceduresAPC 5182 | 39 | 39 | $4,169 | $1,178 | $1,204 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 36 | 36 | $16,564 | $2,546 | $2,636 |
| Level 3 Endovascular ProceduresAPC 5193 | 33 | 29 | $47,221 | $8,520 | $8,874 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 28 | 28 | $47,114 | $15,542 | $15,763 |
| Level 4 Airway EndoscopyAPC 5154 | 28 | 26 | $9,456 | $2,756 | $2,833 |
| Level 3 Airway EndoscopyAPC 5153 | 26 | 26 | $7,378 | $1,249 | $1,264 |
| Level 4 ENT ProceduresAPC 5164 | 20 | 20 | $13,530 | $2,369 | $2,217 |
| Level 4 Gynecologic ProceduresAPC 5414 | 17 | 17 | $7,963 | $2,301 | $2,389 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 15 | 14 | $17,288 | $2,805 | $2,930 |
| Level 4 Vascular ProceduresAPC 5184 | 14 | 13 | $20,866 | $3,755 | $3,946 |
| Level 5 ENT ProceduresAPC 5165 | 11 | 11 | $16,146 | $4,309 | $4,436 |
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.