Integris Health Edmond Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Integris Health Edmond, Edmond, OK in 2024, from traditional Medicare claims. Back to the Integris Health Edmond profile, with quality ratings, finances and negotiated rates.
699
Medicare inpatient discharges
In 29 published DRGs
1.49
Case mix index
IPPS FY 2027
14%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
1,393
Medicare outpatient services
In 28 service groups
Inpatient stays by major diagnostic category
Respiratory system184 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 50 | $63,944 | $9,058 | $11,126 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 35 | $36,945 | $4,686 | $6,428 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 30 | $50,722 | $5,263 | $8,826 | 0.99 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 27 | $55,019 | $8,145 | $9,573 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 17 | $64,768 | $7,954 | $11,270 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 14 | $50,333 | $6,328 | $8,758 | 1.10 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $140,578 | $17,862 | $24,461 | 2.70 |
Kidney and urinary tract124 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 | 53 | $29,380 | $4,570 | $5,112 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 29 | $31,866 | $5,375 | $5,545 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 21 | $60,577 | $8,206 | $10,540 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 21 | $35,903 | $7,345 | $6,247 | 1.17 |
Circulatory system107 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 47 | $45,630 | $7,901 | $7,940 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 19 | $112,064 | $9,817 | $19,499 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 15 | $58,180 | $9,850 | $10,123 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 13 | $37,266 | $3,994 | $6,484 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 13 | $28,152 | $5,104 | $4,898 | 0.86 |
Digestive system89 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 33 | $34,200 | $6,093 | $5,951 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 21 | $35,928 | $4,348 | $6,251 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 20 | $29,846 | $4,322 | $5,193 | 0.80 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 15 | $51,031 | $10,541 | $8,879 | 1.79 |
Infectious and parasitic diseases84 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 | 68 | $80,170 | $11,767 | $13,950 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 16 | $243,195 | $24,843 | $42,316 | 5.00 |
Musculoskeletal system and connective tissue50 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 | 21 | $97,784 | $11,494 | $17,014 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 17 | $106,985 | $12,433 | $18,615 | 2.11 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 12 | $80,277 | $9,485 | $13,968 | 1.59 |
Endocrine, nutritional and metabolic39 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 without MCCMS-DRG 641, medical | 25 | $29,727 | $4,520 | $5,172 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 14 | $55,933 | $7,469 | $9,732 | 1.32 |
Nervous system11 discharges in 1 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 | 11 | $40,963 | $6,012 | $7,128 | 1.02 |
Liver, gallbladder and pancreas11 discharges in 1 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 | 11 | $83,564 | $9,695 | $14,540 | 1.63 |
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 | 244 | 225 | $22,723 | $1,863 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 118 | 115 | $129,720 | $9,529 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 89 | 89 | $33,894 | $1,988 | $2,208 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 75 | 75 | $191,115 | $25,038 | $26,719 |
| Level 1 Intraocular ProceduresAPC 5491 | 70 | 43 | $14,710 | $1,600 | $1,752 |
| Level 3 Airway EndoscopyAPC 5153 | 67 | 67 | $29,293 | $1,106 | $1,264 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 66 | 66 | $35,147 | $2,614 | $2,930 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 64 | 63 | $75,758 | $4,842 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 61 | 59 | $30,353 | $2,152 | $2,373 |
| Level 4 Urology and Related ServicesAPC 5374 | 54 | 48 | $32,559 | $2,393 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 49 | 49 | $52,170 | $3,875 | $4,358 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 49 | 49 | $92,986 | $6,925 | $8,164 |
| Level 3 Urology and Related ServicesAPC 5373 | 44 | 36 | $23,703 | $1,397 | $1,516 |
| Level 3 Vascular ProceduresAPC 5183 | 35 | 35 | $22,727 | $2,188 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 35 | 35 | $79,411 | $7,386 | $8,874 |
| Level 5 ENT ProceduresAPC 5165 | 32 | 31 | $42,081 | $4,003 | $4,436 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 31 | 17 | $9,805 | $1,107 | $1,220 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 31 | 31 | $62,110 | $4,188 | $4,982 |
| Level 5 Gynecologic ProceduresAPC 5415 | 31 | 31 | $39,527 | $3,093 | $3,792 |
| Level 1 Nerve ProceduresAPC 5431 | 29 | 26 | $16,377 | $1,318 | $1,407 |
| Level 2 Intraocular ProceduresAPC 5492 | 20 | 13 | $20,589 | $2,791 | $3,116 |
| Level 2 Upper GI ProceduresAPC 5302 | 19 | 18 | $14,287 | $1,242 | $1,445 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 17 | 17 | $155,210 | $13,545 | $15,763 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 14 | 13 | $39,392 | $4,340 | $4,524 |
| Cochlear Implant ProcedureAPC 5166 | 13 | 13 | $123,398 | $27,170 | $29,489 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 12 | 11 | $17,729 | $1,103 | $1,196 |
| Level 4 Gynecologic ProceduresAPC 5414 | 12 | 12 | $24,253 | $2,146 | $2,389 |
| Level 6 Gynecologic ProceduresAPC 5416 | 12 | 12 | $76,272 | $5,179 | $5,836 |
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.