Mercy Health - Lourdes Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mercy Health - Lourdes Hospital, Paducah, KY in 2024, from traditional Medicare claims. Back to the Mercy Health - Lourdes Hospital profile, with quality ratings, finances and negotiated rates.
1,725
Medicare inpatient discharges
In 58 published DRGs
1.76
Case mix index
IPPS FY 2027
18%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
1,597
Medicare outpatient services
In 33 service groups
Inpatient stays by major diagnostic category
Circulatory system324 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 89 | $48,363 | $8,069 | $8,657 | 1.28 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 35 | $46,553 | $7,209 | $8,333 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 35 | $36,623 | $4,110 | $6,556 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 22 | $56,073 | $9,531 | $10,037 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 22 | $101,385 | $17,491 | $18,148 | 2.87 |
| Syncope and collapseMS-DRG 312, medical | 20 | $33,402 | $4,637 | $5,979 | 0.86 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 17 | $58,875 | $13,425 | $10,539 | 2.09 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 13 | $78,188 | $13,880 | $13,996 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 13 | $54,586 | $5,682 | $9,771 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 13 | $76,354 | $11,146 | $13,667 | 1.82 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 12 | $42,652 | $5,680 | $7,635 | 0.91 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 11 | $118,771 | $22,315 | $21,260 | 3.35 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 11 | $127,594 | $22,374 | $22,839 | 3.46 |
| Chest painMS-DRG 313, medical | 11 | $44,838 | $4,149 | $8,026 | 0.72 |
Infectious and parasitic diseases271 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 | 197 | $61,052 | $12,042 | $10,928 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 43 | $39,046 | $5,874 | $6,989 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 31 | $137,054 | $30,163 | $24,533 | 5.00 |
Respiratory system249 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 51 | $42,576 | $7,944 | $7,621 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 37 | $44,961 | $8,037 | $8,048 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 32 | $53,958 | $6,347 | $9,658 | 1.10 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 29 | $45,782 | $10,210 | $8,195 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 27 | $29,821 | $4,233 | $5,338 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 20 | $39,908 | $4,770 | $7,143 | 0.85 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 17 | $38,800 | $5,613 | $6,945 | 0.99 |
| Major chest procedures with CCMS-DRG 164, surgical | 13 | $112,533 | $13,717 | $20,143 | 2.55 |
| Major chest procedures with MCCMS-DRG 163, surgical | 12 | $131,603 | $30,765 | $23,557 | 4.71 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $86,600 | $15,986 | $15,501 | 2.70 |
Kidney and urinary tract241 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 61 | $32,183 | $5,252 | $5,761 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 49 | $40,871 | $6,776 | $7,316 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 49 | $31,029 | $4,546 | $5,554 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 47 | $50,936 | $8,653 | $9,118 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 24 | $52,422 | $10,155 | $9,384 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 11 | $33,439 | $6,468 | $5,986 | 1.02 |
Musculoskeletal system and connective tissue207 discharges in 6 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 | 98 | $77,219 | $11,353 | $13,822 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 33 | $82,627 | $12,080 | $14,790 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 25 | $84,396 | $12,987 | $15,107 | 2.11 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 20 | $177,290 | $22,845 | $31,735 | 3.49 |
| Medical back problems without MCCMS-DRG 552, medical | 16 | $24,561 | $5,526 | $4,396 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 15 | $119,612 | $18,742 | $21,411 | 2.95 |
Digestive system125 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 | 39 | $28,622 | $4,124 | $5,123 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 29 | $42,421 | $5,831 | $7,593 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 25 | $58,411 | $10,534 | $10,456 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 18 | $37,625 | $5,671 | $6,735 | 0.94 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 14 | $43,428 | $5,991 | $7,774 | 1.04 |
Nervous system105 discharges in 6 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 | 27 | $38,289 | $5,070 | $6,854 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 25 | $54,016 | $11,205 | $9,669 | 2.00 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 14 | $34,507 | $6,001 | $6,177 | 1.03 |
| Seizures with MCCMS-DRG 100, medical | 14 | $99,068 | $12,548 | $17,733 | 1.98 |
| Seizures without MCCMS-DRG 101, medical | 14 | $29,692 | $5,116 | $5,315 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 11 | $33,630 | $7,709 | $6,020 | 1.36 |
Endocrine, nutritional and metabolic83 discharges in 3 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 | 41 | $44,643 | $7,797 | $7,991 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 27 | $33,316 | $3,918 | $5,963 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 15 | $35,220 | $4,823 | $6,304 | 0.90 |
Mental diseases and disorders70 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 46 | $15,398 | $7,947 | $2,756 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 24 | $33,149 | $9,590 | $5,934 | 1.76 |
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 | $30,756 | $4,730 | $5,505 | 0.88 |
Blood and immune system15 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 | 15 | $43,496 | $5,467 | $7,786 | 0.90 |
Factors influencing health status12 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 | 12 | $45,218 | $4,773 | $8,094 | 0.80 |
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 | 214 | 203 | $22,452 | $1,958 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 170 | 164 | $64,617 | $10,388 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 106 | 106 | $21,716 | $2,127 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 105 | 100 | $13,828 | $1,155 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 101 | 87 | $10,255 | $1,383 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 92 | 84 | $24,746 | $2,298 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 79 | 73 | $54,824 | $8,315 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 78 | 77 | $31,297 | $4,205 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 64 | 64 | $34,289 | $4,967 | $5,339 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 63 | 63 | $71,358 | $15,131 | $15,763 |
| Level 4 Urology and Related ServicesAPC 5374 | 49 | 41 | $32,898 | $2,541 | $2,629 |
| Level 4 Endovascular ProceduresAPC 5194 | 40 | 34 | $76,204 | $12,937 | $14,606 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 38 | 38 | $54,698 | $7,487 | $8,569 |
| Level 5 Urology and Related ServicesAPC 5375 | 35 | 33 | $27,333 | $3,772 | $3,918 |
| Level 2 Endovascular ProceduresAPC 5192 | 34 | 31 | $37,628 | $4,040 | $4,338 |
| Level 2 Vascular ProceduresAPC 5182 | 28 | 25 | $16,100 | $1,108 | $1,204 |
| Level 4 Vascular ProceduresAPC 5184 | 26 | 24 | $41,647 | $4,006 | $3,946 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 25 | 24 | $22,636 | $2,766 | $2,930 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 25 | 25 | $11,676 | $1,167 | $1,196 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 23 | 23 | $164,730 | $20,031 | $21,117 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 21 | 21 | $50,172 | $4,748 | $4,982 |
| Level 1 Nerve ProceduresAPC 5431 | 21 | 18 | $12,616 | $1,407 | $1,407 |
| Level 3 Upper GI ProceduresAPC 5303 | 20 | 19 | $13,218 | $2,787 | $2,888 |
| Complex GI ProceduresAPC 5331 | 17 | 13 | $26,437 | $3,907 | $4,263 |
| Level 7 Radiation TherapyAPC 5627 | 17 | 17 | $70,923 | $5,675 | $6,121 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 16 | 16 | $23,654 | $2,340 | $2,373 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 16 | 16 | $52,628 | $6,193 | $6,514 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 14 | 13 | $31,208 | $2,518 | $2,636 |
| Level 4 Airway EndoscopyAPC 5154 | 13 | 13 | $22,284 | $2,730 | $2,833 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 13 | 13 | $192,112 | $28,365 | $29,375 |
| Level 3 Urology and Related ServicesAPC 5373 | 12 | 12 | $16,863 | $1,485 | $1,516 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 11 | 11 | $18,458 | $2,067 | $2,141 |
| Level 6 Urology and Related ServicesAPC 5376 | 11 | 11 | $52,973 | $6,795 | $7,291 |
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.