Hilo Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Hilo Medical Center, Hilo, HI in 2024, from traditional Medicare claims. Back to the Hilo Medical Center profile, with quality ratings, finances and negotiated rates.
1,094
Medicare inpatient discharges
In 40 published DRGs
1.63
Case mix index
IPPS FY 2027
9%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
871
Medicare outpatient services
In 28 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases257 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 | 177 | $58,769 | $21,999 | $23,449 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 45 | $37,917 | $11,099 | $15,129 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 24 | $178,810 | $60,063 | $71,345 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 11 | $238,568 | $78,185 | $95,189 | 6.96 |
Circulatory system229 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 | 78 | $40,932 | $13,728 | $16,332 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 22 | $46,020 | $18,939 | $18,362 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 20 | $22,198 | $6,833 | $8,857 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 16 | $29,980 | $9,342 | $11,962 | 0.86 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 15 | $17,132 | $5,327 | $6,836 | 0.55 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 14 | $49,070 | $12,728 | $19,579 | 1.20 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 14 | $41,970 | $23,249 | $16,746 | 2.09 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 13 | $61,898 | $17,168 | $24,697 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 13 | $59,159 | $33,664 | $23,604 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 12 | $52,916 | $19,342 | $21,113 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 12 | $35,049 | $12,118 | $13,984 | 1.08 |
Respiratory system184 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 64 | $50,002 | $14,351 | $19,951 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 35 | $54,571 | $11,374 | $21,774 | 1.10 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 34 | $59,919 | $20,523 | $23,908 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 21 | $40,333 | $13,567 | $16,093 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 16 | $120,450 | $35,838 | $48,059 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $27,028 | $8,769 | $10,784 | 0.82 |
Digestive system106 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 59 | $45,005 | $9,862 | $17,957 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 18 | $75,309 | $19,227 | $30,048 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 15 | $25,881 | $8,240 | $10,326 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 14 | $16,449 | $8,356 | $6,563 | 0.80 |
Nervous system94 discharges in 3 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 | 49 | $30,852 | $10,423 | $12,310 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 28 | $79,013 | $26,694 | $31,526 | 2.00 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 17 | $21,337 | $6,986 | $8,513 | 0.69 |
Kidney and urinary tract64 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 23 | $34,387 | $12,576 | $13,720 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 17 | $23,178 | $8,727 | $9,248 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 13 | $24,812 | $9,843 | $9,900 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 11 | $44,274 | $17,536 | $17,665 | 1.50 |
Endocrine, nutritional and metabolic58 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 | 26 | $22,724 | $8,156 | $9,067 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 21 | $55,150 | $14,880 | $22,005 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 11 | $30,004 | $9,870 | $11,972 | 0.90 |
Musculoskeletal system and connective tissue46 discharges in 3 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 | 19 | $61,514 | $21,560 | $24,544 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 16 | $61,453 | $24,473 | $24,520 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 11 | $23,490 | $9,005 | $9,372 | 0.97 |
Mental diseases and disorders35 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 35 | $31,005 | $15,501 | $12,371 | 1.37 |
Skin, subcutaneous tissue and breast21 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 21 | $22,616 | $9,594 | $9,024 | 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 |
|---|---|---|---|---|---|
| Level 1 Endovascular ProceduresAPC 5191 | 103 | 103 | $14,959 | $2,829 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 63 | 61 | $13,645 | $3,029 | $2,405 |
| Level 2 Endovascular ProceduresAPC 5192 | 63 | 45 | $28,028 | $5,601 | $4,338 |
| Level 3 Endovascular ProceduresAPC 5193 | 58 | 55 | $64,693 | $11,890 | $8,874 |
| Level 5 Urology and Related ServicesAPC 5375 | 58 | 47 | $14,787 | $5,075 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 55 | 55 | $19,474 | $5,363 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 51 | 39 | $14,308 | $3,286 | $2,629 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 47 | 46 | $17,606 | $1,517 | $1,220 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 40 | 38 | $32,438 | $2,787 | $2,141 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 36 | 35 | $45,150 | $14,142 | $10,772 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 25 | 25 | $40,663 | $6,145 | $4,982 |
| Comprehensive Observation ServicesAPC 8011 | 24 | 24 | $12,915 | $2,487 | $2,090 |
| Level 3 Urology and Related ServicesAPC 5373 | 21 | 19 | $19,671 | $1,996 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 19 | 19 | $30,104 | $7,177 | $5,339 |
| Level 4 Endovascular ProceduresAPC 5194 | 19 | 19 | $92,111 | $19,900 | $14,606 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 19 | 19 | $60,245 | $11,501 | $8,569 |
| Level 4 Vascular ProceduresAPC 5184 | 18 | 16 | $26,313 | $5,393 | $3,946 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 17 | 16 | $18,674 | $3,360 | $2,930 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 16 | 16 | $10,469 | $1,566 | $1,196 |
| Level 5 ENT ProceduresAPC 5165 | 16 | 16 | $21,628 | $5,388 | $4,436 |
| Level 2 Urology and Related ServicesAPC 5372 | 16 | $4,430 | $663 | $502 | |
| Level 1 Nerve ProceduresAPC 5431 | 15 | 13 | $6,053 | $1,895 | $1,407 |
| Level 5 Airway EndoscopyAPC 5155 | 13 | 13 | $17,460 | $5,751 | $5,183 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 13 | 13 | $16,602 | $3,395 | $2,636 |
| Level 3 Airway EndoscopyAPC 5153 | 12 | 12 | $8,487 | $1,665 | $1,264 |
| Level 4 Gynecologic ProceduresAPC 5414 | 12 | 12 | $9,278 | $3,068 | $2,389 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 11 | 11 | $17,151 | $3,177 | $2,373 |
| Level 2 Upper GI ProceduresAPC 5302 | 11 | $10,938 | $1,860 | $1,445 |
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.