Macneal Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Macneal Hospital, Berwyn, IL in 2024, from traditional Medicare claims. Back to the Macneal Hospital profile, with quality ratings, finances and negotiated rates.
911
Medicare inpatient discharges
In 41 published DRGs
1.60
Case mix index
IPPS FY 2027
5%
Surgical stays
67%
Stays with complications
In DRGs with a CC or MCC
1,205
Medicare outpatient services
In 26 service groups
Inpatient stays by major diagnostic category
Circulatory system199 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 89 | $50,212 | $10,592 | $7,783 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 21 | $46,803 | $7,391 | $7,254 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 14 | $85,176 | $12,563 | $13,202 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 14 | $86,295 | $17,570 | $13,376 | 2.16 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 13 | $60,071 | $10,359 | $9,311 | 1.20 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 13 | $104,531 | $16,114 | $16,202 | 2.09 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 12 | $61,188 | $7,412 | $9,484 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 12 | $105,355 | $14,377 | $16,330 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 11 | $42,045 | $6,691 | $6,517 | 0.74 |
Respiratory system143 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 | 33 | $97,696 | $14,443 | $15,143 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 24 | $64,536 | $10,404 | $10,003 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 24 | $52,928 | $11,466 | $8,204 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $36,285 | $6,324 | $5,624 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 15 | $50,457 | $8,215 | $7,821 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 14 | $55,879 | $6,985 | $8,661 | 0.99 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 11 | $42,649 | $6,882 | $6,611 | 0.85 |
Infectious and parasitic diseases120 discharges in 3 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 | 87 | $112,058 | $15,920 | $17,369 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 18 | $183,648 | $37,081 | $28,465 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 15 | $48,653 | $8,285 | $7,541 | 1.03 |
Kidney and urinary tract105 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 39 | $45,695 | $6,264 | $7,083 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 19 | $64,173 | $9,493 | $9,947 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 18 | $46,484 | $6,723 | $7,205 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 15 | $67,401 | $13,232 | $10,447 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 14 | $31,687 | $8,216 | $4,911 | 1.02 |
Mental diseases and disorders88 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 88 | $25,833 | $11,195 | $4,004 | 1.37 |
Digestive system81 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 | 21 | $47,909 | $5,445 | $7,426 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 18 | $87,220 | $15,766 | $13,519 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 18 | $50,791 | $8,415 | $7,873 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 13 | $57,187 | $11,009 | $8,864 | 1.28 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 11 | $64,525 | $9,268 | $10,001 | 1.04 |
Endocrine, nutritional and metabolic71 discharges in 4 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 | 23 | $38,101 | $6,446 | $5,906 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 19 | $45,699 | $10,358 | $7,083 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 18 | $48,935 | $7,004 | $7,585 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 11 | $58,218 | $11,691 | $9,024 | 1.45 |
Nervous system40 discharges in 3 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 | 18 | $61,267 | $7,528 | $9,496 | 1.02 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 11 | $95,290 | $15,893 | $14,770 | 1.79 |
| Seizures without MCCMS-DRG 101, medical | 11 | $38,427 | $7,863 | $5,956 | 0.91 |
Musculoskeletal system and connective tissue28 discharges in 2 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 | 15 | $109,723 | $17,354 | $17,007 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 13 | $57,541 | $7,268 | $8,919 | 0.97 |
Skin, subcutaneous tissue and breast23 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 23 | $37,734 | $7,087 | $5,849 | 0.88 |
Blood and immune system13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 13 | $54,966 | $7,115 | $8,520 | 0.90 |
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 | 349 | 315 | $25,226 | $2,072 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 192 | 114 | $12,970 | $1,748 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 60 | 57 | $79,974 | $11,145 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 54 | 54 | $28,985 | $2,193 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 48 | 47 | $27,961 | $2,419 | $2,405 |
| Level 4 Urology and Related ServicesAPC 5374 | 48 | 37 | $27,689 | $2,589 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 43 | 43 | $51,525 | $5,414 | $5,339 |
| Level 2 Upper GI ProceduresAPC 5302 | 42 | 30 | $13,950 | $1,442 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 39 | 33 | $37,680 | $3,598 | $3,918 |
| Level 3 Endovascular ProceduresAPC 5193 | 34 | 34 | $69,898 | $8,790 | $8,874 |
| Level 2 Intraocular ProceduresAPC 5492 | 33 | 31 | $31,781 | $2,864 | $3,116 |
| Level 3 Urology and Related ServicesAPC 5373 | 31 | 30 | $23,152 | $1,476 | $1,516 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 25 | 25 | $29,492 | $2,307 | $2,373 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 24 | 23 | $17,466 | $1,204 | $1,220 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 19 | 19 | $37,688 | $5,787 | $5,682 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 19 | 18 | $44,919 | $4,236 | $4,358 |
| Level 1 Nerve ProceduresAPC 5431 | 19 | 18 | $28,316 | $1,260 | $1,407 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 18 | 18 | $18,227 | $1,168 | $1,196 |
| Level 4 Endovascular ProceduresAPC 5194 | 17 | 16 | $90,694 | $14,481 | $14,606 |
| Level 2 Endovascular ProceduresAPC 5192 | 16 | 14 | $39,599 | $4,429 | $4,338 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 14 | 14 | $19,838 | $2,202 | $2,141 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 13 | 13 | $56,117 | $5,053 | $4,982 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 12 | 12 | $128,342 | $16,452 | $15,763 |
| Level 2 Vascular ProceduresAPC 5182 | 12 | 12 | $7,980 | $1,238 | $1,204 |
| Level 4 Vascular ProceduresAPC 5184 | 12 | 12 | $53,105 | $4,258 | $3,946 |
| Level 3 Intraocular ProceduresAPC 5493 | 12 | 11 | $36,934 | $4,050 | $4,004 |
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.