Hillcrest Hospital South Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Hillcrest Hospital South, Tulsa, OK in 2024, from traditional Medicare claims. Back to the Hillcrest Hospital South profile, with quality ratings, finances and negotiated rates.
1,713
Medicare inpatient discharges
In 57 published DRGs
1.76
Case mix index
IPPS FY 2027
16%
Surgical stays
79%
Stays with complications
In DRGs with a CC or MCC
1,558
Medicare outpatient services
In 34 service groups
Inpatient stays by major diagnostic category
Circulatory system480 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 149 | $62,685 | $9,343 | $9,842 | 1.59 |
| Heart failure and shock with MCCMS-DRG 291, medical | 87 | $45,794 | $7,902 | $7,190 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 46 | $135,423 | $17,202 | $21,261 | 2.87 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 39 | $94,394 | $9,832 | $14,820 | 1.82 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 36 | $39,935 | $5,076 | $6,270 | 0.91 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 22 | $31,242 | $4,124 | $4,905 | 0.74 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 20 | $37,263 | $4,103 | $5,850 | 0.72 |
| Syncope and collapseMS-DRG 312, medical | 16 | $25,137 | $4,767 | $3,946 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 15 | $44,399 | $6,112 | $6,971 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 14 | $64,482 | $12,357 | $10,124 | 2.16 |
| Chest painMS-DRG 313, medical | 13 | $36,536 | $4,161 | $5,736 | 0.72 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 12 | $46,550 | $3,510 | $7,308 | 1.08 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 11 | $24,293 | $2,614 | $3,814 | 0.55 |
Infectious and parasitic diseases329 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 | 258 | $80,058 | $11,436 | $12,569 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 37 | $39,908 | $5,716 | $6,266 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 34 | $182,333 | $28,812 | $28,626 | 5.00 |
Respiratory system238 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 79 | $62,736 | $7,626 | $9,850 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 57 | $52,310 | $9,710 | $8,213 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 26 | $47,585 | $6,653 | $7,471 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 25 | $48,919 | $8,102 | $7,680 | 1.40 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 20 | $51,928 | $7,409 | $8,153 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 17 | $45,899 | $4,426 | $7,206 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 14 | $142,610 | $17,108 | $22,390 | 2.70 |
Kidney and urinary tract214 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 45 | $50,164 | $8,579 | $7,876 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 33 | $44,846 | $6,568 | $7,041 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 33 | $70,884 | $9,716 | $11,129 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 31 | $34,422 | $4,220 | $5,404 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 30 | $32,632 | $4,739 | $5,123 | 0.90 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 16 | $61,786 | $7,520 | $9,700 | 1.35 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 15 | $37,438 | $5,770 | $5,878 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 11 | $110,026 | $15,489 | $17,274 | 2.59 |
Digestive system175 discharges in 8 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 | 39 | $30,536 | $4,125 | $4,794 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 28 | $45,499 | $5,714 | $7,143 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 26 | $49,468 | $7,971 | $7,766 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 24 | $78,251 | $10,681 | $12,285 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 20 | $29,759 | $4,292 | $4,672 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 14 | $202,103 | $26,434 | $31,730 | 4.52 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 13 | $74,424 | $9,246 | $11,685 | 1.45 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 11 | $92,033 | $15,049 | $14,449 | 2.50 |
Endocrine, nutritional and metabolic78 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 with MCCMS-DRG 640, medical | 23 | $44,655 | $7,669 | $7,011 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 22 | $67,054 | $8,524 | $10,528 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 17 | $28,440 | $4,119 | $4,465 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 16 | $39,796 | $5,527 | $6,248 | 0.90 |
Musculoskeletal system and connective tissue75 discharges in 5 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 | 18 | $109,219 | $17,840 | $17,147 | 2.95 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 18 | $71,354 | $12,405 | $11,203 | 2.07 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 13 | $126,924 | $22,539 | $19,927 | 3.66 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 13 | $124,149 | $18,708 | $19,491 | 2.99 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 13 | $91,084 | $12,149 | $14,300 | 2.11 |
Nervous system40 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 16 | $59,611 | $11,545 | $9,359 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 12 | $38,425 | $4,559 | $6,033 | 0.80 |
| Seizures without MCCMS-DRG 101, medical | 12 | $34,925 | $5,501 | $5,483 | 0.91 |
Liver, gallbladder and pancreas37 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 14 | $67,524 | $9,638 | $10,601 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 12 | $93,299 | $12,076 | $14,648 | 2.32 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 11 | $72,093 | $11,013 | $11,319 | 1.92 |
Blood and immune system30 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 19 | $38,486 | $5,255 | $6,042 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 11 | $62,367 | $7,110 | $9,792 | 1.40 |
Skin, subcutaneous tissue and breast17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 17 | $29,902 | $4,620 | $4,695 | 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 | 176 | 169 | $27,307 | $1,868 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 120 | 120 | $22,202 | $2,000 | $2,208 |
| Level 1 Nerve ProceduresAPC 5431 | 104 | 82 | $14,920 | $1,312 | $1,407 |
| Level 2 Upper GI ProceduresAPC 5302 | 98 | 75 | $15,933 | $1,309 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 86 | 82 | $30,923 | $3,428 | $3,918 |
| Level 3 Endovascular ProceduresAPC 5193 | 77 | 73 | $60,705 | $7,637 | $8,874 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 68 | 66 | $12,041 | $1,080 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 60 | 60 | $49,701 | $3,826 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 57 | 50 | $23,899 | $2,348 | $2,629 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 55 | 54 | $66,095 | $9,517 | $10,772 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 47 | 47 | $44,434 | $5,831 | $6,514 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 47 | 47 | $62,023 | $7,563 | $8,569 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 45 | 43 | $18,721 | $1,103 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 45 | 45 | $24,955 | $2,080 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 41 | 40 | $48,359 | $4,671 | $5,339 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 41 | 41 | $181,441 | $26,630 | $29,375 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 40 | 40 | $72,511 | $7,048 | $8,164 |
| Level 3 Urology and Related ServicesAPC 5373 | 37 | 35 | $19,320 | $1,398 | $1,516 |
| Level 2 Vascular ProceduresAPC 5182 | 32 | 28 | $11,509 | $1,063 | $1,204 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 28 | 27 | $81,245 | $13,877 | $15,763 |
| Level 3 Vascular ProceduresAPC 5183 | 27 | 27 | $23,374 | $2,038 | $2,405 |
| Level 3 Airway EndoscopyAPC 5153 | 25 | 23 | $14,009 | $1,165 | $1,264 |
| Level 5 Airway EndoscopyAPC 5155 | 24 | 24 | $35,081 | $4,502 | $5,183 |
| Level 4 Endovascular ProceduresAPC 5194 | 23 | 19 | $76,302 | $13,447 | $14,606 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 22 | 21 | $25,847 | $1,873 | $2,141 |
| Level 5 ENT ProceduresAPC 5165 | 22 | 21 | $63,977 | $4,013 | $4,436 |
| Level 4 Gynecologic ProceduresAPC 5414 | 21 | 21 | $22,214 | $2,044 | $2,389 |
| Level 4 ENT ProceduresAPC 5164 | 17 | 17 | $23,680 | $2,210 | $2,217 |
| Level 4 Airway EndoscopyAPC 5154 | 13 | 13 | $20,157 | $2,429 | $2,833 |
| Level 2 Endovascular ProceduresAPC 5192 | 13 | 12 | $35,094 | $3,923 | $4,338 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 13 | 13 | $163,040 | $15,913 | $21,011 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 12 | 12 | $108,677 | $15,120 | $17,052 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 11 | 11 | $86,369 | $17,072 | $21,117 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 11 | 11 | $93,799 | $17,171 | $18,465 |
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.