Northwestern Medicine Delnor Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Northwestern Medicine Delnor Hospital, Geneva, IL in 2024, from traditional Medicare claims. Back to the Northwestern Medicine Delnor Hospital profile, with quality ratings, finances and negotiated rates.
2,734
Medicare inpatient discharges
In 87 published DRGs
1.73
Case mix index
IPPS FY 2027
12%
Surgical stays
81%
Stays with complications
In DRGs with a CC or MCC
2,557
Medicare outpatient services
In 31 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases530 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 | 405 | $77,588 | $13,734 | $16,759 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 66 | $43,983 | $6,674 | $9,500 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 44 | $188,105 | $37,045 | $40,631 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 15 | $84,261 | $13,628 | $18,200 | 2.04 |
Circulatory system529 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 179 | $60,187 | $8,769 | $13,000 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 69 | $68,466 | $10,737 | $14,789 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 46 | $31,881 | $4,490 | $6,886 | 0.74 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 32 | $22,814 | $2,812 | $4,928 | 0.55 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 29 | $45,983 | $5,580 | $9,932 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 27 | $52,784 | $7,781 | $11,401 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 21 | $43,931 | $5,745 | $9,489 | 0.86 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 21 | $62,464 | $14,205 | $13,492 | 2.09 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 18 | $84,398 | $15,885 | $18,230 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 18 | $58,540 | $6,987 | $12,645 | 1.08 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 17 | $104,840 | $16,597 | $22,646 | 2.28 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 15 | $149,260 | $24,755 | $32,240 | 3.46 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 15 | $42,496 | $6,499 | $9,179 | 1.07 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 11 | $57,128 | $11,832 | $12,340 | 1.58 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 11 | $97,181 | $12,805 | $20,991 | 1.82 |
Respiratory system318 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 115 | $68,826 | $11,448 | $14,866 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 35 | $53,174 | $8,662 | $11,486 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 29 | $52,028 | $6,672 | $11,238 | 0.99 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 29 | $46,643 | $8,797 | $10,075 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 28 | $58,226 | $7,269 | $12,577 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 25 | $61,227 | $9,708 | $13,225 | 1.40 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 19 | $115,209 | $13,254 | $24,885 | 1.74 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 14 | $98,123 | $19,171 | $21,195 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 13 | $36,880 | $4,916 | $7,966 | 0.82 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 11 | $46,684 | $5,639 | $10,084 | 0.96 |
Digestive system312 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 40 | $45,063 | $6,366 | $9,734 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 40 | $34,631 | $4,328 | $7,480 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 38 | $82,254 | $12,428 | $17,767 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 30 | $59,018 | $8,361 | $12,748 | 1.28 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 29 | $37,030 | $5,048 | $7,998 | 0.80 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 27 | $45,934 | $9,809 | $9,922 | 1.45 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 25 | $163,354 | $16,644 | $35,284 | 2.37 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 23 | $61,010 | $10,873 | $13,178 | 1.62 |
| Digestive malignancy with MCCMS-DRG 374, medical | 17 | $100,513 | $13,642 | $21,711 | 2.10 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 17 | $46,111 | $5,851 | $9,960 | 0.94 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 13 | $225,154 | $33,205 | $48,633 | 4.52 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 13 | $26,475 | $2,910 | $5,719 | 0.56 |
Musculoskeletal system and connective tissue266 discharges in 12 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 | 44 | $109,213 | $14,467 | $23,590 | 2.07 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 36 | $45,029 | $6,691 | $9,726 | 1.09 |
| Medical back problems without MCCMS-DRG 552, medical | 35 | $40,835 | $6,312 | $8,820 | 0.97 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 26 | $51,723 | $12,294 | $11,172 | 1.82 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 23 | $143,570 | $26,261 | $31,011 | 3.66 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 20 | $113,904 | $15,099 | $24,603 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 19 | $135,597 | $21,430 | $29,289 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 15 | $139,206 | $21,151 | $30,068 | 2.99 |
| Medical back problems with MCCMS-DRG 551, medical | 13 | $108,322 | $16,877 | $23,398 | 1.70 |
| Biopsies of musculoskeletal system and connective tissue with CCMS-DRG 478, surgical | 12 | $142,209 | $17,224 | $30,717 | 2.38 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 12 | $100,789 | $14,845 | $21,770 | 2.04 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 11 | $85,158 | $14,016 | $18,394 | 1.97 |
Nervous system261 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 40 | $66,719 | $12,770 | $14,411 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 38 | $50,880 | $6,306 | $10,990 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 35 | $43,246 | $9,098 | $9,341 | 1.36 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 29 | $88,685 | $16,619 | $19,156 | 2.39 |
| Seizures without MCCMS-DRG 101, medical | 23 | $42,888 | $4,839 | $9,264 | 0.91 |
| Seizures with MCCMS-DRG 100, medical | 21 | $76,051 | $12,953 | $16,427 | 1.98 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 17 | $79,556 | $12,894 | $17,184 | 1.79 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 16 | $47,679 | $6,889 | $10,299 | 1.03 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 15 | $37,126 | $3,591 | $8,019 | 0.69 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 14 | $63,666 | $8,064 | $13,752 | 1.47 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 13 | $56,161 | $10,919 | $12,131 | 1.79 |
Kidney and urinary tract209 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 50 | $61,519 | $10,418 | $13,288 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 40 | $35,176 | $5,759 | $7,598 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 36 | $42,507 | $9,544 | $9,181 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 32 | $34,895 | $4,724 | $7,537 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 28 | $40,377 | $7,970 | $8,721 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 23 | $37,863 | $5,873 | $8,179 | 1.02 |
Endocrine, nutritional and metabolic112 discharges in 5 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 | 43 | $64,340 | $8,987 | $13,897 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 21 | $35,026 | $4,777 | $7,566 | 0.78 |
| Endocrine disorders with CCMS-DRG 644, medical | 17 | $40,439 | $6,805 | $8,735 | 1.06 |
| Endocrine disorders with MCCMS-DRG 643, medical | 16 | $52,337 | $10,616 | $11,305 | 1.65 |
| Diabetes with MCCMS-DRG 637, medical | 15 | $46,992 | $9,335 | $10,150 | 1.45 |
Liver, gallbladder and pancreas81 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 17 | $81,360 | $11,893 | $17,574 | 1.76 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 15 | $93,028 | $11,039 | $20,094 | 1.63 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 14 | $83,121 | $11,976 | $17,954 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 12 | $121,858 | $16,841 | $26,321 | 2.32 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 12 | $56,871 | $6,743 | $12,284 | 1.09 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 11 | $64,608 | $14,353 | $13,955 | 1.92 |
Skin, subcutaneous tissue and breast51 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 33 | $36,138 | $4,594 | $7,806 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 18 | $58,121 | $10,611 | $12,554 | 1.49 |
Blood and immune system48 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 20 | $90,944 | $10,328 | $19,644 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 16 | $39,775 | $6,051 | $8,591 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 12 | $58,122 | $10,151 | $12,554 | 1.56 |
Mental diseases and disorders17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 17 | $42,315 | $10,682 | $9,140 | 1.76 |
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 | 319 | 187 | $17,205 | $1,792 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 237 | 227 | $28,222 | $2,095 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 235 | 216 | $17,130 | $1,249 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 228 | 213 | $18,255 | $1,566 | $1,516 |
| Level 2 Upper GI ProceduresAPC 5302 | 205 | 184 | $16,638 | $1,477 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 169 | 157 | $94,879 | $11,139 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 147 | 140 | $38,095 | $4,000 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 117 | 104 | $25,038 | $2,713 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 114 | 110 | $26,085 | $2,481 | $2,405 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 93 | 89 | $31,538 | $2,185 | $2,141 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 91 | 89 | $53,963 | $4,466 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 68 | 68 | $27,572 | $2,255 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 65 | 62 | $57,008 | $5,482 | $5,339 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 53 | 46 | $29,630 | $2,693 | $2,636 |
| Level 2 Vascular ProceduresAPC 5182 | 52 | 47 | $19,243 | $1,246 | $1,204 |
| Level 3 Lower GI ProceduresAPC 5313 | 39 | 39 | $27,583 | $2,176 | $2,176 |
| Level 2 Intraocular ProceduresAPC 5492 | 39 | 24 | $28,641 | $3,165 | $3,116 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 36 | 34 | $31,455 | $2,967 | $2,930 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 34 | 33 | $60,412 | $5,075 | $4,982 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 26 | 24 | $28,147 | $2,519 | $2,373 |
| Level 1 Nerve ProceduresAPC 5431 | 26 | 18 | $12,650 | $1,503 | $1,407 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 24 | 24 | $68,157 | $8,786 | $8,569 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 24 | 24 | $84,082 | $8,415 | $8,164 |
| Level 4 Airway EndoscopyAPC 5154 | 16 | 15 | $35,881 | $2,915 | $2,833 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 16 | 16 | $59,607 | $6,657 | $6,514 |
| Level 4 Gynecologic ProceduresAPC 5414 | 16 | 16 | $29,677 | $2,433 | $2,389 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 15 | 14 | $14,953 | $1,168 | $1,196 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 15 | 15 | $16,665 | $1,672 | $1,780 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 14 | 14 | $251,984 | $30,408 | $29,375 |
| Cochlear Implant ProcedureAPC 5166 | 13 | 13 | $283,643 | $31,026 | $29,489 |
| Level 6 Urology and Related ServicesAPC 5376 | 11 | $65,110 | $7,363 | $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.