Mcalester Regional Health Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mcalester Regional Health Center, Mcalester, OK in 2024, from traditional Medicare claims. Back to the Mcalester Regional Health Center profile, with quality ratings, finances and negotiated rates.
560
Medicare inpatient discharges
In 19 published DRGs
1.51
Case mix index
IPPS FY 2027
23%
Surgical stays
59%
Stays with complications
In DRGs with a CC or MCC
479
Medicare outpatient services
In 15 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases161 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 | 124 | $34,867 | $14,206 | $13,493 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 37 | $19,049 | $6,967 | $7,372 | 1.03 |
Musculoskeletal system and connective tissue126 discharges in 4 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 | 58 | $32,243 | $13,237 | $12,478 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 30 | $43,663 | $15,052 | $16,898 | 2.11 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 26 | $46,988 | $17,817 | $18,184 | 2.48 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 12 | $40,823 | $14,725 | $15,798 | 2.07 |
Kidney and urinary tract109 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 31 | $14,070 | $5,508 | $5,445 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 26 | $18,284 | $6,146 | $7,076 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 15 | $21,294 | $8,139 | $8,241 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 14 | $36,194 | $11,565 | $14,007 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 12 | $17,025 | $11,935 | $6,589 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 11 | $14,746 | $7,186 | $5,707 | 1.02 |
Respiratory system96 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 37 | $38,872 | $9,641 | $15,044 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 34 | $20,168 | $8,741 | $7,805 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 14 | $44,431 | $13,535 | $17,195 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $16,410 | $5,753 | $6,351 | 0.82 |
Circulatory system54 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 41 | $24,697 | $9,388 | $9,558 | 1.28 |
| Heart failure and shock with CCMS-DRG 292, medical | 13 | $14,751 | $5,989 | $5,709 | 0.86 |
Endocrine, nutritional and metabolic14 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 | 14 | $9,601 | $4,704 | $3,715 | 0.78 |
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 | 162 | 154 | $11,808 | $1,970 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 56 | 55 | $12,765 | $2,089 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 37 | 36 | $14,729 | $5,044 | $5,339 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 34 | 33 | $9,490 | $2,433 | $2,636 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 29 | 29 | $5,813 | $1,174 | $1,220 |
| Level 4 Urology and Related ServicesAPC 5374 | 24 | 22 | $5,638 | $2,526 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 19 | 19 | $6,256 | $3,749 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 17 | 17 | $11,459 | $2,310 | $2,405 |
| Level 2 Endovascular ProceduresAPC 5192 | 17 | 16 | $16,956 | $3,898 | $4,338 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 16 | 16 | $11,503 | $3,920 | $4,358 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 15 | 15 | $4,787 | $1,149 | $1,196 |
| Level 2 Upper GI ProceduresAPC 5302 | 15 | 13 | $2,976 | $1,379 | $1,445 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 14 | 14 | $6,375 | $2,341 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 12 | 12 | $8,175 | $2,059 | $2,141 |
| Level 3 Urology and Related ServicesAPC 5373 | 12 | 12 | $4,393 | $1,476 | $1,516 |
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.