Methodist Hospitals Inc Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Methodist Hospitals Inc, Gary, IN in 2024, from traditional Medicare claims. Back to the Methodist Hospitals Inc profile, with quality ratings, finances and negotiated rates.
1,591
Medicare inpatient discharges
In 52 published DRGs
1.70
Case mix index
IPPS FY 2027
5%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
964
Medicare outpatient services
In 26 service groups
Inpatient stays by major diagnostic category
Circulatory system384 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 172 | $38,600 | $8,615 | $8,994 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 29 | $36,164 | $5,614 | $8,426 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 26 | $61,405 | $11,123 | $14,307 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 25 | $65,980 | $14,629 | $15,373 | 2.16 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 24 | $34,086 | $4,920 | $7,942 | 0.74 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 22 | $111,437 | $23,741 | $25,965 | 3.24 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 21 | $52,020 | $6,973 | $12,121 | 1.08 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 16 | $42,255 | $9,002 | $9,845 | 1.20 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 13 | $105,092 | $13,500 | $24,486 | 2.09 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 13 | $108,152 | $12,571 | $25,199 | 1.82 |
| Chest painMS-DRG 313, medical | 12 | $31,309 | $4,756 | $7,295 | 0.72 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 11 | $25,871 | $6,262 | $6,028 | 0.97 |
Respiratory system280 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 69 | $49,888 | $9,310 | $11,624 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 48 | $59,178 | $10,904 | $13,788 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 38 | $50,244 | $9,121 | $11,707 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 33 | $42,380 | $7,618 | $9,874 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 25 | $38,702 | $5,818 | $9,018 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 22 | $38,451 | $6,448 | $8,959 | 0.99 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 17 | $33,016 | $5,893 | $7,693 | 0.85 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 16 | $94,643 | $17,165 | $22,052 | 2.70 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 12 | $39,490 | $6,409 | $9,201 | 0.96 |
Kidney and urinary tract247 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 63 | $29,590 | $5,516 | $6,895 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 53 | $37,663 | $6,192 | $8,776 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 48 | $52,991 | $10,613 | $12,347 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 39 | $48,640 | $8,158 | $11,333 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 20 | $43,677 | $10,655 | $10,177 | 1.65 |
| Renal failure without cc/mccMS-DRG 684, medical | 13 | $32,307 | $4,016 | $7,527 | 0.61 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 11 | $25,506 | $6,982 | $5,943 | 1.02 |
Infectious and parasitic diseases222 discharges in 4 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 | 155 | $89,489 | $13,630 | $20,851 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 26 | $295,891 | $46,575 | $68,943 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 25 | $44,437 | $7,157 | $10,354 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 16 | $187,427 | $38,568 | $43,671 | 6.96 |
Nervous system117 discharges in 5 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 | 40 | $55,196 | $6,783 | $12,861 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 31 | $99,824 | $14,543 | $23,259 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 18 | $37,439 | $6,202 | $8,723 | 0.91 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 14 | $41,742 | $5,249 | $9,726 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 14 | $66,594 | $14,605 | $15,516 | 1.98 |
Endocrine, nutritional and metabolic100 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Diabetes with CCMS-DRG 638, medical | 31 | $38,597 | $5,689 | $8,993 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 30 | $33,590 | $5,555 | $7,827 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 28 | $61,594 | $10,016 | $14,352 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 11 | $43,008 | $10,626 | $10,021 | 1.45 |
Digestive system77 discharges in 3 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 | 28 | $34,816 | $5,316 | $8,112 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 26 | $77,868 | $13,133 | $18,143 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 23 | $45,406 | $6,877 | $10,580 | 0.98 |
Blood and immune system56 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 41 | $24,640 | $6,111 | $5,741 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 15 | $62,244 | $9,960 | $14,503 | 1.40 |
Mental diseases and disorders39 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 39 | $21,944 | $9,693 | $5,113 | 1.37 |
Skin, subcutaneous tissue and breast36 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 25 | $24,179 | $5,757 | $5,634 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 11 | $67,391 | $9,174 | $15,702 | 1.49 |
Musculoskeletal system and connective tissue22 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 | 11 | $106,509 | $12,126 | $24,817 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 11 | $46,290 | $6,704 | $10,786 | 0.97 |
Liver, gallbladder and pancreas11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 11 | $55,698 | $7,792 | $12,978 | 1.03 |
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 | 221 | 209 | $21,318 | $2,022 | $2,090 |
| Level 3 Vascular ProceduresAPC 5183 | 89 | 81 | $24,258 | $2,358 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 87 | 87 | $25,102 | $2,121 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 65 | 59 | $11,512 | $1,212 | $1,220 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 53 | 48 | $224,365 | $20,257 | $21,117 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 38 | 37 | $53,486 | $5,361 | $5,339 |
| Level 3 Endovascular ProceduresAPC 5193 | 37 | 29 | $89,517 | $8,461 | $8,874 |
| Level 3 Urology and Related ServicesAPC 5373 | 35 | 26 | $16,851 | $1,436 | $1,516 |
| Level 1 Intraocular ProceduresAPC 5491 | 35 | 27 | $21,060 | $1,694 | $1,752 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 29 | 29 | $26,550 | $2,425 | $2,373 |
| Level 2 Endovascular ProceduresAPC 5192 | 28 | 26 | $72,510 | $4,130 | $4,338 |
| Level 5 Urology and Related ServicesAPC 5375 | 23 | 22 | $32,768 | $3,871 | $3,918 |
| Level 4 Gynecologic ProceduresAPC 5414 | 23 | 22 | $26,362 | $2,236 | $2,389 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 22 | 22 | $89,777 | $10,728 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 22 | 21 | $51,079 | $4,324 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 18 | 17 | $27,190 | $2,612 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 17 | 17 | $21,811 | $2,128 | $2,141 |
| Level 4 Endovascular ProceduresAPC 5194 | 17 | 15 | $140,845 | $13,961 | $14,606 |
| Level 2 Vascular ProceduresAPC 5182 | 16 | 14 | $11,108 | $1,187 | $1,204 |
| Level 2 Upper GI ProceduresAPC 5302 | 15 | 15 | $15,540 | $1,331 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 15 | 15 | $33,610 | $2,592 | $2,636 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 13 | 13 | $98,949 | $15,838 | $15,763 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 12 | 12 | $71,242 | $8,402 | $8,569 |
| Level 2 Urology and Related ServicesAPC 5372 | 12 | $12,188 | $512 | $502 | |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 11 | 11 | $76,598 | $8,042 | $8,164 |
| Level 1 Nerve ProceduresAPC 5431 | 11 | $8,276 | $1,447 | $1,407 |
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.