Herrin Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Herrin Hospital, Herrin, IL in 2024, from traditional Medicare claims. Back to the Herrin Hospital profile, with quality ratings, finances and negotiated rates.
1,493
Medicare inpatient discharges
In 54 published DRGs
1.46
Case mix index
IPPS FY 2027
6%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
837
Medicare outpatient services
In 14 service groups
Inpatient stays by major diagnostic category
Respiratory system312 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 82 | $33,225 | $7,953 | $9,835 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 72 | $38,714 | $7,597 | $11,459 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 57 | $44,152 | $10,545 | $13,069 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 35 | $29,234 | $6,710 | $8,653 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 23 | $30,050 | $4,638 | $8,895 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 17 | $26,987 | $5,334 | $7,988 | 0.85 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $48,902 | $8,825 | $14,475 | 1.40 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 13 | $32,053 | $5,404 | $9,488 | 0.99 |
Infectious and parasitic diseases258 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 | 190 | $55,012 | $12,850 | $16,283 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 41 | $34,405 | $5,979 | $10,184 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 14 | $59,400 | $13,037 | $17,582 | 2.04 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 13 | $129,248 | $35,847 | $38,257 | 5.00 |
Circulatory system219 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 | 88 | $33,389 | $8,116 | $9,883 | 1.28 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 25 | $45,167 | $7,477 | $13,369 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 25 | $29,450 | $4,087 | $8,717 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 23 | $34,341 | $10,166 | $10,165 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 20 | $30,694 | $5,182 | $9,085 | 0.86 |
| Hypertension without MCCMS-DRG 305, medical | 14 | $31,926 | $4,304 | $9,450 | 0.75 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 12 | $20,977 | $2,664 | $6,209 | 0.55 |
| Chest painMS-DRG 313, medical | 12 | $22,675 | $3,735 | $6,712 | 0.72 |
Kidney and urinary tract169 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 38 | $41,210 | $9,243 | $12,198 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 38 | $21,983 | $4,799 | $6,507 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 37 | $23,631 | $4,940 | $6,995 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 22 | $30,542 | $7,358 | $9,040 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 20 | $43,798 | $10,963 | $12,964 | 1.65 |
| Renal failure without cc/mccMS-DRG 684, medical | 14 | $21,222 | $2,989 | $6,282 | 0.61 |
Nervous system126 discharges in 7 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 | 35 | $42,017 | $5,540 | $12,437 | 1.02 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 18 | $30,185 | $6,500 | $8,935 | 1.06 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 17 | $65,197 | $13,102 | $19,298 | 2.00 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 16 | $46,975 | $10,772 | $13,905 | 1.79 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $40,964 | $4,305 | $12,125 | 0.80 |
| Seizures without MCCMS-DRG 101, medical | 14 | $28,623 | $5,207 | $8,472 | 0.91 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 11 | $54,965 | $6,390 | $16,270 | 1.03 |
Digestive system123 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 34 | $27,530 | $4,707 | $8,149 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 30 | $38,068 | $6,328 | $11,268 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 21 | $47,597 | $11,532 | $14,089 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 15 | $27,233 | $4,614 | $8,061 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 12 | $31,980 | $5,609 | $9,466 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $35,383 | $7,052 | $10,473 | 1.28 |
Endocrine, nutritional and metabolic100 discharges in 4 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 | 45 | $25,256 | $4,445 | $7,476 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 26 | $42,522 | $8,150 | $12,586 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 18 | $42,544 | $9,514 | $12,593 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 11 | $21,573 | $4,984 | $6,386 | 0.90 |
Musculoskeletal system and connective tissue98 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 22 | $104,194 | $19,681 | $30,841 | 2.95 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 19 | $88,404 | $13,325 | $26,168 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 16 | $90,680 | $13,708 | $26,841 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 16 | $29,731 | $5,639 | $8,800 | 0.97 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 13 | $98,721 | $10,230 | $29,221 | 1.88 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 12 | $21,892 | $4,536 | $6,480 | 0.79 |
Skin, subcutaneous tissue and breast47 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 33 | $25,424 | $5,069 | $7,526 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 14 | $31,680 | $9,263 | $9,377 | 1.49 |
Mental diseases and disorders15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 15 | $28,336 | $10,911 | $8,388 | 1.76 |
Blood and immune system13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 13 | $35,145 | $7,413 | $10,403 | 1.40 |
Factors influencing health status13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 13 | $22,268 | $4,264 | $6,591 | 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 | 264 | 249 | $26,134 | $1,977 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 121 | 115 | $85,003 | $10,339 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 71 | 68 | $34,174 | $2,455 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 66 | 62 | $23,653 | $1,470 | $1,516 |
| Level 5 Urology and Related ServicesAPC 5375 | 59 | 50 | $48,315 | $3,739 | $3,918 |
| Level 2 Urology and Related ServicesAPC 5372 | 52 | 46 | $17,507 | $494 | $502 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 48 | 47 | $57,897 | $4,826 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 33 | 32 | $37,325 | $2,311 | $2,373 |
| Level 2 Upper GI ProceduresAPC 5302 | 33 | 26 | $17,954 | $1,404 | $1,445 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 31 | 31 | $96,746 | $15,546 | $15,763 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 21 | 16 | $16,984 | $1,193 | $1,220 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 16 | $19,583 | $2,518 | $4,524 | |
| Level 3 Vascular ProceduresAPC 5183 | 11 | 11 | $35,863 | $2,347 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 11 | 11 | $81,667 | $4,249 | $4,358 |
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.