King S Daughters Health Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for King S Daughters Health, Madison, IN in 2024, from traditional Medicare claims. Back to the King S Daughters Health profile, with quality ratings, finances and negotiated rates.

464
Medicare inpatient discharges
In 18 published DRGs
1.55
Case mix index
IPPS FY 2027
3%
Surgical stays
80%
Stays with complications
In DRGs with a CC or MCC
513
Medicare outpatient services
In 16 service groups

Inpatient stays by major diagnostic category

Respiratory system139 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	57	$29,974	$9,720	$10,311	1.33
Respiratory infections and inflammations with MCCMS-DRG 177, medical	38	$51,704	$12,411	$17,786	1.70
Simple pneumonia and pleurisy with CCMS-DRG 194, medical	17	$22,531	$5,460	$7,751	0.82
Pulmonary edema and respiratory failureMS-DRG 189, medical	14	$29,538	$9,219	$10,161	1.23
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	13	$25,376	$8,141	$8,729	1.10

Kidney and urinary tract111 discharges in 5 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Renal failure with CCMS-DRG 683, medical	29	$17,904	$6,518	$6,159	0.90
Kidney and urinary tract infections with MCCMS-DRG 689, medical	24	$21,810	$8,170	$7,503	1.17
Renal failure with MCCMS-DRG 682, medical	23	$36,863	$10,747	$12,681	1.50
Kidney and urinary tract infections without MCCMS-DRG 690, medical	21	$18,149	$5,096	$6,243	0.81
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical	14	$42,609	$13,782	$14,657	1.65

Infectious and parasitic diseases97 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	82	$46,620	$14,611	$16,037	1.98
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	15	$28,518	$7,271	$9,810	1.03

Circulatory system51 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Heart failure and shock with MCCMS-DRG 291, medical	51	$31,258	$9,370	$10,753	1.28

Endocrine, nutritional and metabolic22 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 with MCCMS-DRG 640, medical	11	$33,633	$9,745	$11,570	1.32
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical	11	$16,788	$5,452	$5,775	0.78

Digestive system16 discharges in 1 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	16	$22,675	$5,270	$7,800	0.79

Skin, subcutaneous tissue and breast16 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Cellulitis without MCCMS-DRG 603, medical	16	$25,261	$6,199	$8,690	0.88

Musculoskeletal system and connective tissue12 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	12	$62,664	$15,231	$21,557	2.07

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	148	141	$11,697	$2,025	$2,090
Level 5 Musculoskeletal ProceduresAPC 5115	77	74	$66,978	$10,770	$10,772
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	48	48	$6,558	$1,226	$1,220
Level 3 Airway EndoscopyAPC 5153	42	41	$11,588	$1,291	$1,264
Level 1 Laparoscopy and Related ServicesAPC 5361	34	33	$26,784	$4,389	$4,358
Level 4 Musculoskeletal ProceduresAPC 5114	27	27	$47,604	$5,436	$5,339
Level 6 Musculoskeletal ProceduresAPC 5116	19	18	$91,393	$15,258	$15,763
Level 1 Nerve ProceduresAPC 5431	16	16	$8,236	$1,469	$1,407
Level 3 Musculoskeletal ProceduresAPC 5113	15	14	$21,227	$2,462	$2,373
Level 3 Vascular ProceduresAPC 5183	14	14	$19,455	$2,251	$2,405
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073	13	13	$12,405	$2,155	$2,141
Level 2 Musculoskeletal ProceduresAPC 5112	13	13	$8,155	$1,222	$1,196
Level 1 Intraocular ProceduresAPC 5491	13		$8,987	$1,753	$1,752
Level 2 Upper GI ProceduresAPC 5302	12	11	$10,443	$1,453	$1,445
Level 4 Airway EndoscopyAPC 5154	11	11	$13,619	$2,848	$2,833
Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503	11		$13,658	$1,772	$1,780

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.