Memorial Hospital Of Carbondale Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Memorial Hospital Of Carbondale, Carbondale, IL in 2024, from traditional Medicare claims. Back to the Memorial Hospital Of Carbondale profile, with quality ratings, finances and negotiated rates.
1,681
Medicare inpatient discharges
In 59 published DRGs
1.87
Case mix index
IPPS FY 2027
20%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
1,977
Medicare outpatient services
In 28 service groups
Inpatient stays by major diagnostic category
Circulatory system644 discharges in 21 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 146 | $31,456 | $8,684 | $8,556 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 58 | $23,269 | $4,503 | $6,329 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 50 | $54,139 | $11,379 | $14,726 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 45 | $40,482 | $8,799 | $11,011 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 37 | $68,298 | $15,197 | $18,577 | 2.16 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 32 | $98,050 | $22,869 | $26,670 | 3.24 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 32 | $92,911 | $11,919 | $25,272 | 1.82 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 30 | $33,049 | $5,857 | $8,989 | 0.91 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 28 | $18,429 | $2,786 | $5,013 | 0.55 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 24 | $136,884 | $34,964 | $37,232 | 4.88 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 22 | $41,248 | $6,837 | $11,219 | 1.08 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 17 | $35,252 | $4,109 | $9,589 | 0.72 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 16 | $117,115 | $19,395 | $31,855 | 2.87 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 15 | $127,870 | $24,557 | $34,781 | 3.35 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 15 | $126,599 | $29,522 | $34,435 | 4.16 |
| Syncope and collapseMS-DRG 312, medical | 15 | $29,018 | $5,774 | $7,893 | 0.86 |
| Hypertension without MCCMS-DRG 305, medical | 14 | $29,514 | $4,763 | $8,028 | 0.75 |
| Other vascular procedures with CCMS-DRG 253, surgical | 13 | $147,742 | $21,939 | $40,186 | 2.55 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 12 | $89,427 | $20,787 | $24,324 | 3.18 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 12 | $39,250 | $12,390 | $10,676 | 2.09 |
| Chest painMS-DRG 313, medical | 11 | $23,339 | $4,349 | $6,348 | 0.72 |
Infectious and parasitic diseases265 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 | 201 | $63,096 | $13,523 | $17,162 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 34 | $40,548 | $6,278 | $11,029 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 30 | $171,015 | $37,730 | $46,516 | 5.00 |
Respiratory system230 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 79 | $43,618 | $8,572 | $11,864 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 59 | $42,152 | $8,700 | $11,465 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 47 | $60,733 | $11,046 | $16,520 | 1.70 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 17 | $69,141 | $19,011 | $18,806 | 2.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 14 | $37,873 | $7,668 | $10,301 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $25,652 | $4,957 | $6,977 | 0.82 |
Nervous system126 discharges in 7 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 | 30 | $47,341 | $6,568 | $12,877 | 1.02 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 26 | $56,987 | $10,707 | $15,500 | 1.79 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 22 | $58,521 | $13,202 | $15,918 | 2.00 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 13 | $41,343 | $6,783 | $11,245 | 1.03 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 12 | $48,092 | $6,856 | $13,081 | 1.06 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 12 | $46,420 | $11,047 | $12,626 | 1.79 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 11 | $36,677 | $4,537 | $9,976 | 0.80 |
Musculoskeletal system and connective tissue110 discharges in 5 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 | 51 | $88,636 | $13,717 | $24,109 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 23 | $110,720 | $14,738 | $30,116 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 13 | $101,351 | $20,561 | $27,567 | 2.95 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 12 | $149,445 | $16,651 | $40,649 | 2.40 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 11 | $211,443 | $26,529 | $57,513 | 3.66 |
Digestive system99 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 29 | $42,429 | $6,110 | $11,541 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 28 | $59,828 | $12,503 | $16,273 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 16 | $158,929 | $18,042 | $43,229 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 15 | $34,251 | $5,240 | $9,316 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $55,926 | $8,891 | $15,212 | 1.28 |
Kidney and urinary tract81 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 25 | $28,802 | $5,767 | $7,834 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 22 | $48,707 | $9,859 | $13,248 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 17 | $22,983 | $4,608 | $6,251 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 17 | $62,572 | $11,466 | $17,020 | 1.65 |
Endocrine, nutritional and metabolic72 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 with MCCMS-DRG 640, medical | 28 | $37,710 | $8,726 | $10,257 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 18 | $20,516 | $4,458 | $5,580 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $53,008 | $9,012 | $14,418 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 12 | $28,871 | $6,241 | $7,853 | 0.90 |
Factors influencing health status15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 15 | $28,170 | $4,876 | $7,662 | 0.80 |
Skin, subcutaneous tissue and breast13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 13 | $26,202 | $5,687 | $7,127 | 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 with MCCMS-DRG 811, medical | 13 | $54,462 | $9,824 | $14,814 | 1.40 |
Other13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 13 | $136,579 | $30,315 | $37,150 | 4.74 |
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 | 332 | 315 | $23,826 | $1,954 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 287 | 271 | $10,534 | $1,162 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 259 | 257 | $22,214 | $2,142 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 131 | 127 | $21,593 | $2,252 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 117 | 116 | $69,553 | $4,172 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 83 | 52 | $12,487 | $1,459 | $1,516 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 79 | 77 | $127,971 | $19,995 | $21,117 |
| Level 3 Endovascular ProceduresAPC 5193 | 66 | 64 | $65,983 | $8,510 | $8,874 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 62 | 62 | $61,958 | $8,213 | $8,569 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 60 | 60 | $41,926 | $6,139 | $6,514 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 52 | 49 | $24,189 | $2,048 | $2,141 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 43 | 43 | $98,702 | $4,802 | $4,982 |
| Level 2 Vascular ProceduresAPC 5182 | 42 | 42 | $8,063 | $1,149 | $1,204 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 39 | 39 | $137,600 | $26,467 | $29,375 |
| Level 4 Airway EndoscopyAPC 5154 | 36 | 36 | $40,013 | $2,757 | $2,833 |
| Level 2 Endovascular ProceduresAPC 5192 | 33 | 33 | $42,669 | $4,197 | $4,338 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 32 | 30 | $53,221 | $2,807 | $2,930 |
| Level 4 Urology and Related ServicesAPC 5374 | 30 | 27 | $33,480 | $2,481 | $2,629 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 29 | 27 | $41,817 | $2,539 | $2,636 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 26 | 24 | $49,496 | $5,065 | $5,339 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 26 | 26 | $98,015 | $16,335 | $17,052 |
| Level 4 Vascular ProceduresAPC 5184 | 25 | 25 | $36,895 | $4,046 | $3,946 |
| Level 5 Urology and Related ServicesAPC 5375 | 22 | 20 | $54,150 | $3,800 | $3,918 |
| Level 4 Endovascular ProceduresAPC 5194 | 15 | 14 | $93,946 | $13,571 | $14,606 |
| Level 4 Gynecologic ProceduresAPC 5414 | 15 | 15 | $27,448 | $2,289 | $2,389 |
| Level 3 Airway EndoscopyAPC 5153 | 14 | 14 | $21,099 | $1,250 | $1,264 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 11 | 11 | $114,419 | $7,875 | $8,164 |
| Level 2 Urology and Related ServicesAPC 5372 | 11 | 11 | $17,794 | $446 | $502 |
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.