Iu Health West Hospital Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Iu Health West Hospital, Avon, IN in 2024, from traditional Medicare claims. Back to the Iu Health West Hospital profile, with quality ratings, finances and negotiated rates.

1,333
Medicare inpatient discharges
In 47 published DRGs
1.67
Case mix index
IPPS FY 2027
11%
Surgical stays
79%
Stays with complications
In DRGs with a CC or MCC
1,295
Medicare outpatient services
In 28 service groups

Inpatient stays by major diagnostic category

Infectious and parasitic diseases321 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	257	$71,828	$12,404	$16,449	1.98
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	31	$37,369	$6,294	$8,557	1.03
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	21	$210,658	$34,240	$48,241	5.00
Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical	12	$70,652	$12,160	$16,179	2.04

Circulatory system308 discharges in 10 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Heart failure and shock with MCCMS-DRG 291, medical	144	$49,930	$8,162	$11,434	1.28
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical	33	$44,875	$7,592	$10,276	1.20
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical	21	$31,017	$4,316	$7,103	0.74
Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical	21	$137,228	$11,055	$31,425	1.82
Syncope and collapseMS-DRG 312, medical	20	$31,275	$5,057	$7,162	0.86
Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical	19	$120,557	$15,053	$27,608	2.16
Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical	14	$190,900	$20,602	$43,716	2.87
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical	13	$60,588	$9,847	$13,875	1.59
Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical	12	$57,051	$6,026	$13,065	0.91
Other circulatory system diagnoses with MCCMS-DRG 314, medical	11	$215,509	$30,623	$49,352	2.09

Respiratory system176 discharges in 5 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	64	$56,807	$8,716	$13,009	1.33
Respiratory infections and inflammations with MCCMS-DRG 177, medical	37	$52,932	$10,737	$12,122	1.70
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	33	$42,634	$7,058	$9,763	1.10
Pulmonary edema and respiratory failureMS-DRG 189, medical	21	$39,174	$8,218	$8,971	1.23
Simple pneumonia and pleurisy with CCMS-DRG 194, medical	21	$31,388	$4,884	$7,188	0.82

Kidney and urinary tract130 discharges in 5 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical	34	$66,695	$10,074	$15,273	1.65
Kidney and urinary tract infections with MCCMS-DRG 689, medical	30	$41,265	$7,454	$9,450	1.17
Kidney and urinary tract infections without MCCMS-DRG 690, medical	28	$33,987	$4,697	$7,783	0.81
Renal failure with CCMS-DRG 683, medical	24	$29,486	$5,647	$6,752	0.90
Renal failure with MCCMS-DRG 682, medical	14	$66,089	$9,507	$15,134	1.50

Digestive system123 discharges in 5 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	35	$32,517	$4,743	$7,446	0.79
Gastrointestinal hemorrhage with CCMS-DRG 378, medical	30	$44,036	$6,078	$10,084	0.98
Gastrointestinal obstruction with CCMS-DRG 389, medical	22	$30,517	$4,434	$6,988	0.80
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical	21	$78,629	$12,148	$18,006	1.79
Other digestive system diagnoses with CCMS-DRG 394, medical	15	$39,757	$5,716	$9,104	0.94

Musculoskeletal system and connective tissue84 discharges in 6 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical	17	$129,983	$12,972	$29,766	1.88
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical	17	$120,292	$13,341	$27,547	2.11
Hip and femur procedures except major joint with CCMS-DRG 481, surgical	15	$111,527	$12,875	$25,540	2.07
Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical	12	$173,030	$16,266	$39,624	2.48
Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical	12	$173,182	$22,095	$39,659	2.99
Hip and femur procedures except major joint with MCCMS-DRG 480, surgical	11	$145,366	$20,502	$33,289	2.95

Nervous system63 discharges in 5 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical	13	$59,368	$11,610	$13,595	2.00
Other disorders of nervous system with MCCMS-DRG 091, medical	13	$68,403	$11,230	$15,664	1.79
Other disorders of nervous system with CCMS-DRG 092, medical	13	$43,572	$6,534	$9,978	1.03
Degenerative nervous system disorders without MCCMS-DRG 057, medical	12	$33,492	$7,934	$7,670	1.36
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical	12	$33,376	$5,207	$7,643	1.02

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 with MCCMS-DRG 640, medical	29	$51,238	$8,432	$11,734	1.32
Diabetes with CCMS-DRG 638, medical	15	$32,495	$5,535	$7,441	0.90
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical	14	$53,422	$4,743	$12,234	0.78

Blood and immune system41 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Red blood cell disorders with MCCMS-DRG 811, medical	21	$70,708	$9,595	$16,192	1.40
Red blood cell disorders without MCCMS-DRG 812, medical	20	$45,296	$5,886	$10,373	0.90

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	$37,372	$5,291	$8,558	0.88

Factors influencing health status12 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	12	$29,951	$5,147	$6,859	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	173	162	$19,461	$1,958	$2,090
Level 5 Musculoskeletal ProceduresAPC 5115	147	140	$111,273	$10,030	$10,772
Level 5 Urology and Related ServicesAPC 5375	139	137	$38,801	$3,720	$3,918
Level 4 Urology and Related ServicesAPC 5374	94	69	$25,290	$2,508	$2,629
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	92	92	$14,264	$1,166	$1,220
Level 1 Laparoscopy and Related ServicesAPC 5361	70	70	$47,762	$4,033	$4,358
Level 3 Urology and Related ServicesAPC 5373	55	42	$17,604	$1,409	$1,516
Level 1 Endovascular ProceduresAPC 5191	50	50	$49,581	$2,072	$2,208
Level 3 Vascular ProceduresAPC 5183	49	48	$32,249	$2,243	$2,405
Level 2 Upper GI ProceduresAPC 5302	39	26	$17,647	$1,372	$1,445
Level 4 Musculoskeletal ProceduresAPC 5114	35	35	$73,088	$5,130	$5,339
Level 3 Endovascular ProceduresAPC 5193	35	35	$116,993	$8,297	$8,874
Level 1 Nerve ProceduresAPC 5431	34	30	$14,392	$1,389	$1,407
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341	26	26	$34,644	$2,490	$2,636
Level 6 Musculoskeletal ProceduresAPC 5116	25	24	$136,235	$15,165	$15,763
Level 4 Gynecologic ProceduresAPC 5414	25	23	$23,072	$2,242	$2,389
Level 3 Musculoskeletal ProceduresAPC 5113	23	23	$32,499	$2,320	$2,373
Level 2 Endovascular ProceduresAPC 5192	22	21	$69,495	$4,113	$4,338
Level 6 Urology and Related ServicesAPC 5376	22	21	$63,772	$6,688	$7,291
Level 2 Musculoskeletal ProceduresAPC 5112	21	21	$13,915	$1,157	$1,196
Level 2 Laparoscopy and Related ServicesAPC 5362	20	20	$72,584	$7,645	$8,164
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073	18	18	$21,271	$2,035	$2,141
Level 3 Airway EndoscopyAPC 5153	16	15	$12,672	$1,138	$1,264
Level 2 Vascular ProceduresAPC 5182	15	15	$8,236	$1,076	$1,204
Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091	14	13	$36,345	$2,730	$2,930
Level 4 Vascular ProceduresAPC 5184	13	11	$35,405	$3,955	$3,946
Level 2 Neurostimulator and Related ProceduresAPC 5462	12	12	$70,808	$4,922	$4,524
Level 4 Endovascular ProceduresAPC 5194	11	11	$144,476	$14,175	$14,606

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.