Heartland Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Heartland Regional Medical Center, Marion, IL in 2024, from traditional Medicare claims. Back to the Heartland Regional Medical Center profile, with quality ratings, finances and negotiated rates.
634
Medicare inpatient discharges
In 25 published DRGs
1.61
Case mix index
IPPS FY 2027
6%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
564
Medicare outpatient services
In 17 service groups
Inpatient stays by major diagnostic category
Circulatory system268 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 76 | $70,393 | $7,933 | $11,544 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 37 | $101,465 | $10,075 | $16,640 | 1.59 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 23 | $85,918 | $5,200 | $14,091 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 22 | $266,552 | $12,964 | $43,714 | 1.82 |
| Syncope and collapseMS-DRG 312, medical | 20 | $53,629 | $5,298 | $8,795 | 0.86 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 19 | $53,489 | $2,647 | $8,772 | 0.55 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 17 | $49,199 | $4,127 | $8,069 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 15 | $125,111 | $6,575 | $20,518 | 1.08 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 14 | $66,441 | $7,636 | $10,896 | 1.20 |
| Chest painMS-DRG 313, medical | 14 | $56,177 | $4,162 | $9,213 | 0.72 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 11 | $163,610 | $13,792 | $26,832 | 2.16 |
Infectious and parasitic diseases155 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 | 134 | $101,808 | $12,090 | $16,696 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 21 | $52,677 | $5,834 | $8,639 | 1.03 |
Respiratory system88 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 33 | $71,429 | $7,615 | $11,714 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 22 | $65,485 | $8,227 | $10,740 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 21 | $71,421 | $9,818 | $11,713 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 12 | $46,838 | $6,329 | $7,681 | 1.10 |
Kidney and urinary tract60 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 20 | $76,701 | $9,396 | $12,579 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 16 | $53,113 | $5,548 | $8,711 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 13 | $56,180 | $4,397 | $9,214 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 11 | $79,318 | $10,699 | $13,008 | 1.65 |
Endocrine, nutritional and metabolic35 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 with MCCMS-DRG 640, medical | 21 | $67,634 | $8,534 | $11,092 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 14 | $41,357 | $4,323 | $6,783 | 0.78 |
Musculoskeletal system and connective tissue15 discharges in 1 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 | 15 | $120,141 | $13,521 | $19,703 | 2.07 |
Digestive system13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $39,419 | $4,539 | $6,465 | 0.80 |
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 | 132 | 123 | $29,092 | $2,041 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 69 | 68 | $86,124 | $2,165 | $2,208 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 58 | 58 | $91,829 | $6,253 | $6,514 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 41 | 41 | $42,082 | $2,383 | $2,373 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 37 | 36 | $113,328 | $10,512 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 35 | 34 | $71,179 | $5,117 | $5,339 |
| Level 1 Nerve ProceduresAPC 5431 | 35 | 32 | $30,686 | $1,376 | $1,407 |
| Level 2 Upper GI ProceduresAPC 5302 | 28 | 24 | $26,424 | $1,404 | $1,445 |
| Level 2 Endovascular ProceduresAPC 5192 | 18 | 18 | $124,610 | $4,209 | $4,338 |
| Level 3 Vascular ProceduresAPC 5183 | 17 | 17 | $44,174 | $2,347 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 17 | 16 | $39,099 | $1,500 | $1,516 |
| Level 3 Lower GI ProceduresAPC 5313 | 16 | 16 | $40,561 | $1,954 | $2,176 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 14 | 12 | $21,371 | $1,109 | $1,220 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 13 | $25,472 | $1,183 | $1,196 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 12 | 12 | $63,204 | $4,249 | $4,358 |
| Level 3 Endovascular ProceduresAPC 5193 | 11 | $226,885 | $8,525 | $8,874 | |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 11 | 11 | $137,763 | $8,229 | $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.