Hannibal Regional Healthcare System Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Hannibal Regional Healthcare System, Hannibal, MO in 2024, from traditional Medicare claims. Back to the Hannibal Regional Healthcare System profile, with quality ratings, finances and negotiated rates.
1,231
Medicare inpatient discharges
In 35 published DRGs
1.67
Case mix index
IPPS FY 2027
5%
Surgical stays
80%
Stays with complications
In DRGs with a CC or MCC
1,318
Medicare outpatient services
In 26 service groups
Inpatient stays by major diagnostic category
Respiratory system337 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 91 | $40,668 | $12,419 | $12,200 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 74 | $29,658 | $9,215 | $8,897 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 58 | $30,539 | $8,883 | $9,162 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 33 | $26,677 | $7,763 | $8,003 | 1.10 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 32 | $20,380 | $5,522 | $6,114 | 0.85 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 20 | $19,100 | $5,224 | $5,730 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 16 | $77,793 | $20,694 | $23,338 | 2.70 |
| Pleural effusion with MCCMS-DRG 186, medical | 13 | $35,051 | $11,215 | $10,515 | 1.55 |
Infectious and parasitic diseases323 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 | 263 | $56,162 | $15,320 | $16,848 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 41 | $35,507 | $7,150 | $10,652 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 19 | $123,371 | $38,597 | $37,011 | 5.00 |
Circulatory system256 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 121 | $28,766 | $9,402 | $8,630 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 47 | $33,055 | $12,006 | $9,916 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 19 | $21,521 | $5,102 | $6,456 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 17 | $59,122 | $16,322 | $17,737 | 2.16 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 16 | $26,067 | $6,070 | $7,820 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 13 | $32,135 | $8,648 | $9,640 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 12 | $29,876 | $5,990 | $8,963 | 0.86 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 11 | $33,203 | $16,085 | $9,961 | 2.09 |
Kidney and urinary tract113 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 40 | $24,636 | $5,281 | $7,391 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 30 | $32,269 | $8,446 | $9,681 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 25 | $23,745 | $6,247 | $7,123 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 18 | $28,669 | $11,178 | $8,601 | 1.50 |
Digestive system58 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 22 | $31,442 | $5,339 | $9,433 | 0.80 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 18 | $41,993 | $6,772 | $12,598 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 18 | $25,376 | $4,866 | $7,613 | 0.79 |
Endocrine, nutritional and metabolic50 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 without MCCMS-DRG 641, medical | 23 | $25,179 | $5,212 | $7,554 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 15 | $27,590 | $9,703 | $8,277 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 12 | $24,194 | $6,091 | $7,258 | 0.90 |
Musculoskeletal system and connective tissue37 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 24 | $91,719 | $13,646 | $27,516 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 13 | $76,863 | $15,372 | $23,059 | 2.07 |
Nervous system33 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 20 | $42,008 | $15,005 | $12,602 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 13 | $44,156 | $6,911 | $13,247 | 1.02 |
Skin, subcutaneous tissue and breast13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 13 | $30,386 | $5,981 | $9,116 | 0.88 |
Liver, gallbladder and pancreas11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 11 | $32,395 | $5,602 | $9,718 | 0.86 |
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 | 274 | 251 | $21,232 | $2,077 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 134 | 129 | $84,168 | $10,892 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 133 | 128 | $32,351 | $2,231 | $2,208 |
| Level 1 Intraocular ProceduresAPC 5491 | 110 | 61 | $10,671 | $1,770 | $1,752 |
| Level 1 Nerve ProceduresAPC 5431 | 75 | 63 | $14,484 | $1,466 | $1,407 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 56 | 53 | $12,336 | $1,231 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 50 | 50 | $55,648 | $5,433 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 50 | 47 | $21,358 | $2,418 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 48 | 48 | $62,231 | $4,382 | $4,358 |
| Level 2 Endovascular ProceduresAPC 5192 | 46 | 38 | $38,310 | $4,338 | $4,338 |
| Level 5 Urology and Related ServicesAPC 5375 | 40 | 37 | $40,529 | $3,929 | $3,918 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 35 | 33 | $118,914 | $16,091 | $15,763 |
| Level 3 Airway EndoscopyAPC 5153 | 28 | 26 | $29,306 | $1,287 | $1,264 |
| Level 2 Upper GI ProceduresAPC 5302 | 26 | 26 | $16,992 | $1,459 | $1,445 |
| Level 3 Endovascular ProceduresAPC 5193 | 24 | 22 | $123,735 | $8,844 | $8,874 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 23 | 23 | $34,348 | $6,465 | $6,514 |
| Level 4 Airway EndoscopyAPC 5154 | 22 | 22 | $51,917 | $2,844 | $2,833 |
| Level 2 Vascular ProceduresAPC 5182 | 21 | 19 | $10,710 | $1,187 | $1,204 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 20 | 20 | $88,963 | $27,878 | $26,719 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 19 | 13 | $15,927 | $3,554 | $4,524 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 15 | 15 | $49,377 | $2,627 | $2,636 |
| Level 5 Gynecologic ProceduresAPC 5415 | 15 | 15 | $43,814 | $3,777 | $3,792 |
| Level 4 Vascular ProceduresAPC 5184 | 14 | $55,490 | $4,173 | $3,946 | |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 14 | 14 | $152,706 | $20,946 | $21,117 |
| Level 4 Gynecologic ProceduresAPC 5414 | 14 | 14 | $34,719 | $2,374 | $2,389 |
| Level 4 Urology and Related ServicesAPC 5374 | 12 | $39,106 | $2,647 | $2,629 |
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.