Marshalltown Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Marshalltown, Marshalltown, IA in 2024, from traditional Medicare claims. Back to the Marshalltown profile, with quality ratings, finances and negotiated rates.
156
Medicare inpatient discharges
In 7 published DRGs
1.40
Case mix index
IPPS FY 2027
0%
Surgical stays
81%
Stays with complications
In DRGs with a CC or MCC
767
Medicare outpatient services
In 12 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases68 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 | 53 | $23,823 | $16,091 | $12,054 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 15 | $17,207 | $7,428 | $8,707 | 1.03 |
Respiratory system52 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 20 | $23,205 | $10,430 | $11,742 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 17 | $22,390 | $13,597 | $11,329 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 15 | $20,137 | $9,429 | $10,189 | 1.23 |
Circulatory system25 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 | 25 | $17,478 | $10,206 | $8,844 | 1.28 |
Kidney and urinary tract11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 11 | $24,078 | $9,079 | $12,184 | 1.17 |
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 |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 483 | 288 | $9,135 | $1,696 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 60 | 60 | $11,871 | $1,971 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 48 | 46 | $45,940 | $10,450 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 34 | 30 | $7,082 | $1,186 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 29 | 28 | $30,666 | $5,240 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 20 | 19 | $10,006 | $2,371 | $2,373 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 20 | 20 | $20,896 | $4,015 | $4,358 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 17 | 17 | $6,266 | $1,175 | $1,196 |
| Level 3 Vascular ProceduresAPC 5183 | 17 | 17 | $9,478 | $2,334 | $2,405 |
| Level 1 Nerve ProceduresAPC 5431 | 17 | 17 | $8,409 | $1,414 | $1,407 |
| Level 2 Upper GI ProceduresAPC 5302 | 11 | 11 | $7,756 | $1,404 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 11 | 11 | $14,854 | $2,534 | $2,636 |
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.