Iu Health Bloomington Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Iu Health Bloomington Hospital, Bloomington, IN in 2024, from traditional Medicare claims. Back to the Iu Health Bloomington Hospital profile, with quality ratings, finances and negotiated rates.
2,156
Medicare inpatient discharges
In 68 published DRGs
1.92
Case mix index
IPPS FY 2027
22%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
2,371
Medicare outpatient services
In 37 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases552 discharges in 5 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 | 376 | $67,546 | $12,662 | $14,792 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 86 | $44,088 | $6,478 | $9,655 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 56 | $165,756 | $32,726 | $36,301 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 20 | $229,827 | $42,699 | $50,332 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 14 | $122,735 | $16,424 | $26,879 | 2.04 |
Circulatory system524 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 176 | $42,916 | $8,389 | $9,399 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 75 | $153,032 | $21,523 | $33,514 | 3.24 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 45 | $119,665 | $11,637 | $26,207 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 34 | $30,815 | $4,336 | $6,749 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 24 | $42,161 | $5,406 | $9,233 | 0.86 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 23 | $191,623 | $40,278 | $41,965 | 6.25 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 20 | $143,940 | $19,570 | $31,523 | 2.87 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 18 | $69,023 | $10,222 | $15,116 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 18 | $47,550 | $7,410 | $10,414 | 1.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 17 | $50,378 | $5,962 | $11,033 | 0.91 |
| Hypertension with MCCMS-DRG 304, medical | 14 | $54,521 | $7,167 | $11,940 | 1.15 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 14 | $87,866 | $15,505 | $19,243 | 2.09 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 12 | $131,243 | $22,564 | $28,742 | 3.46 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 12 | $189,747 | $33,615 | $41,555 | 4.88 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 11 | $61,898 | $10,626 | $13,556 | 1.58 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 11 | $25,767 | $2,866 | $5,643 | 0.55 |
Digestive system205 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 44 | $50,631 | $6,377 | $11,088 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 32 | $37,733 | $4,751 | $8,264 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 23 | $80,185 | $11,431 | $17,561 | 1.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 22 | $185,415 | $30,547 | $40,606 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 19 | $32,769 | $4,741 | $7,176 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 15 | $57,870 | $8,047 | $12,674 | 1.28 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 13 | $24,800 | $3,051 | $5,431 | 0.56 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 13 | $33,260 | $6,058 | $7,284 | 0.94 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 12 | $148,964 | $17,600 | $32,623 | 2.37 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 12 | $59,165 | $10,677 | $12,957 | 1.62 |
Musculoskeletal system and connective tissue197 discharges in 9 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 | 50 | $103,927 | $12,955 | $22,760 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 44 | $124,430 | $13,193 | $27,250 | 2.11 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 20 | $266,873 | $25,863 | $58,445 | 3.66 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 16 | $135,008 | $18,843 | $29,567 | 2.95 |
| Medical back problems without MCCMS-DRG 552, medical | 15 | $37,987 | $5,491 | $8,319 | 0.97 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 14 | $343,483 | $46,015 | $75,223 | 6.12 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 14 | $91,027 | $10,531 | $19,935 | 1.59 |
| Medical back problems with MCCMS-DRG 551, medical | 12 | $62,603 | $10,585 | $13,710 | 1.70 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 12 | $36,626 | $5,080 | $8,021 | 0.90 |
Respiratory system192 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 | 82 | $43,383 | $8,412 | $9,501 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 34 | $44,936 | $10,395 | $9,841 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 28 | $44,315 | $7,098 | $9,705 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 21 | $55,428 | $6,008 | $12,139 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 16 | $101,333 | $18,578 | $22,192 | 2.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 11 | $51,397 | $8,113 | $11,256 | 1.23 |
Nervous system143 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 48 | $53,858 | $12,053 | $11,795 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 39 | $39,289 | $5,954 | $8,604 | 1.02 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 17 | $66,145 | $11,125 | $14,486 | 1.79 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 16 | $46,199 | $4,650 | $10,117 | 0.80 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 12 | $99,303 | $8,359 | $21,747 | 1.36 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 11 | $40,408 | $6,810 | $8,849 | 1.03 |
Kidney and urinary tract136 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 32 | $33,183 | $4,744 | $7,267 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 31 | $39,231 | $5,425 | $8,592 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 27 | $47,541 | $10,172 | $10,412 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 23 | $40,347 | $6,571 | $8,836 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 12 | $56,859 | $9,302 | $12,452 | 1.50 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 11 | $62,452 | $8,468 | $13,677 | 1.35 |
Endocrine, nutritional and metabolic73 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 with MCCMS-DRG 640, medical | 46 | $46,870 | $8,631 | $10,265 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 14 | $34,012 | $4,516 | $7,449 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 13 | $50,893 | $5,508 | $11,146 | 0.90 |
Mental diseases and disorders48 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 48 | $67,759 | $9,124 | $14,839 | 1.37 |
Liver, gallbladder and pancreas23 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 12 | $95,547 | $12,262 | $20,925 | 1.83 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 11 | $56,630 | $14,108 | $12,402 | 1.92 |
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 | $41,477 | $5,411 | $9,084 | 0.88 |
Other18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 18 | $187,583 | $32,985 | $41,081 | 4.74 |
Injuries, poisonings and toxic effects of drugs13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 13 | $72,062 | $11,346 | $15,782 | 1.60 |
Factors influencing health status11 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 | 11 | $29,323 | $4,522 | $6,422 | 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 | 255 | 245 | $25,408 | $1,963 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 196 | 166 | $20,933 | $1,360 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 158 | 158 | $38,218 | $2,102 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 145 | 141 | $116,964 | $10,169 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 139 | 135 | $51,109 | $4,121 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 124 | 111 | $36,983 | $3,722 | $3,918 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 121 | 116 | $223,276 | $19,766 | $21,117 |
| Level 4 Urology and Related ServicesAPC 5374 | 121 | 98 | $26,525 | $2,507 | $2,629 |
| Level 2 Urology and Related ServicesAPC 5372 | 111 | 23 | $2,628 | $485 | $502 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 101 | 97 | $67,601 | $5,148 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 97 | 92 | $29,519 | $2,294 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 68 | 68 | $15,976 | $1,150 | $1,220 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 64 | 64 | $15,409 | $2,045 | $2,141 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 56 | 53 | $32,912 | $2,401 | $2,636 |
| Level 3 Urology and Related ServicesAPC 5373 | 51 | 41 | $18,898 | $1,464 | $1,516 |
| Level 4 Airway EndoscopyAPC 5154 | 50 | 49 | $30,824 | $2,695 | $2,833 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 40 | 38 | $152,332 | $15,165 | $15,763 |
| Level 3 Endovascular ProceduresAPC 5193 | 39 | 38 | $107,357 | $8,297 | $8,874 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 39 | 39 | $71,080 | $8,004 | $8,569 |
| Level 2 Vascular ProceduresAPC 5182 | 38 | 36 | $16,611 | $1,148 | $1,204 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 35 | 35 | $50,387 | $4,693 | $4,982 |
| Level 4 Gynecologic ProceduresAPC 5414 | 34 | 34 | $27,638 | $2,243 | $2,389 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 32 | 32 | $40,413 | $6,110 | $6,514 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 30 | 30 | $31,052 | $2,329 | $2,373 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 27 | 24 | $26,711 | $2,743 | $2,930 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 25 | 25 | $71,175 | $7,660 | $8,164 |
| Level 2 Endovascular ProceduresAPC 5192 | 23 | 23 | $56,638 | $4,113 | $4,338 |
| Level 5 ENT ProceduresAPC 5165 | 22 | 22 | $50,223 | $4,214 | $4,436 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 22 | 22 | $107,702 | $27,995 | $29,375 |
| Level 1 Nerve ProceduresAPC 5431 | 18 | 17 | $11,321 | $1,389 | $1,407 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 16 | 16 | $117,186 | $15,929 | $17,052 |
| Level 4 Endovascular ProceduresAPC 5194 | 15 | 15 | $130,405 | $14,175 | $14,606 |
| Level 4 Vascular ProceduresAPC 5184 | 14 | 13 | $38,512 | $3,672 | $3,946 |
| Level 3 Airway EndoscopyAPC 5153 | 12 | 12 | $18,801 | $1,221 | $1,264 |
| Level 5 Airway EndoscopyAPC 5155 | 11 | 11 | $40,258 | $4,925 | $5,183 |
| Level 3 Upper GI ProceduresAPC 5303 | 11 | 11 | $37,595 | $2,756 | $2,888 |
| Level 3 Lower GI ProceduresAPC 5313 | 11 | 11 | $19,542 | $2,021 | $2,176 |
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.