Katherine Shaw Bethea Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Katherine Shaw Bethea, Dixon, IL in 2024, from traditional Medicare claims. Back to the Katherine Shaw Bethea profile, with quality ratings, finances and negotiated rates.
391
Medicare inpatient discharges
In 15 published DRGs
1.40
Case mix index
IPPS FY 2027
3%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
886
Medicare outpatient services
In 20 service groups
Inpatient stays by major diagnostic category
Respiratory system100 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 35 | $55,527 | $11,031 | $16,491 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 35 | $41,656 | $8,837 | $12,372 | 1.33 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 15 | $31,173 | $6,738 | $9,258 | 0.99 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 15 | $40,451 | $9,016 | $12,014 | 1.23 |
Circulatory system98 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 65 | $36,101 | $8,918 | $10,722 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 17 | $27,388 | $4,832 | $8,134 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 16 | $53,179 | $10,011 | $15,794 | 1.59 |
Infectious and parasitic diseases87 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 | 58 | $58,906 | $13,929 | $17,495 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 29 | $31,290 | $6,756 | $9,293 | 1.03 |
Mental diseases and disorders36 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 36 | $25,365 | $9,506 | $7,533 | 1.37 |
Kidney and urinary tract30 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 15 | $24,404 | $6,379 | $7,248 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 15 | $27,946 | $5,583 | $8,300 | 0.81 |
Endocrine, nutritional and metabolic15 discharges in 1 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 | 15 | $24,163 | $5,108 | $7,177 | 0.78 |
Musculoskeletal system and connective tissue13 discharges in 1 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 | 13 | $98,474 | $14,670 | $29,247 | 2.07 |
Digestive system12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 12 | $28,327 | $6,762 | $8,413 | 0.98 |
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 | 307 | 275 | $19,103 | $2,002 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 75 | 75 | $19,540 | $2,165 | $2,208 |
| Level 3 Endovascular ProceduresAPC 5193 | 58 | 51 | $72,845 | $8,379 | $8,874 |
| Level 2 Upper GI ProceduresAPC 5302 | 49 | 45 | $14,139 | $1,378 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 45 | 45 | $12,640 | $1,143 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 34 | 34 | $28,520 | $2,346 | $2,405 |
| Level 2 Endovascular ProceduresAPC 5192 | 33 | 33 | $40,524 | $4,209 | $4,338 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 29 | 25 | $18,754 | $2,235 | $2,373 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 28 | 26 | $71,784 | $10,514 | $10,772 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 24 | 24 | $19,728 | $2,547 | $2,636 |
| Level 2 Urology and Related ServicesAPC 5372 | 24 | $2,489 | $490 | $502 | |
| Level 4 Endovascular ProceduresAPC 5194 | 23 | 19 | $114,471 | $13,908 | $14,606 |
| Level 1 Nerve ProceduresAPC 5431 | 23 | 18 | $12,741 | $1,422 | $1,407 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 22 | 21 | $10,554 | $1,183 | $1,196 |
| Level 4 Vascular ProceduresAPC 5184 | 22 | 18 | $5,318 | $4,042 | $3,946 |
| Level 5 Urology and Related ServicesAPC 5375 | 22 | 17 | $29,985 | $3,810 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 20 | 20 | $43,469 | $5,268 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 18 | 18 | $25,739 | $2,567 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 16 | 16 | $37,177 | $4,249 | $4,358 |
| Level 1 Intraocular ProceduresAPC 5491 | 14 | $16,121 | $1,716 | $1,752 |
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.