Northwestern Medicine Huntley Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Northwestern Medicine Huntley Hospital, Huntley, IL in 2024, from traditional Medicare claims. Back to the Northwestern Medicine Huntley Hospital profile, with quality ratings, finances and negotiated rates.
6,249
Medicare inpatient discharges
In 147 published DRGs
1.84
Case mix index
IPPS FY 2027
16%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
4,508
Medicare outpatient services
In 39 service groups
Inpatient stays by major diagnostic category
Circulatory system1,292 discharges in 28 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 446 | $51,056 | $8,888 | $10,977 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 67 | $35,306 | $4,592 | $7,591 | 0.74 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 60 | $128,678 | $23,138 | $27,666 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 58 | $237,959 | $45,992 | $51,161 | 6.25 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 52 | $95,634 | $14,879 | $20,561 | 2.16 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 49 | $81,492 | $11,273 | $17,521 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 43 | $42,790 | $8,211 | $9,200 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 43 | $111,257 | $11,753 | $23,920 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 42 | $65,863 | $7,068 | $14,161 | 1.08 |
| Hypertension without MCCMS-DRG 305, medical | 42 | $36,092 | $4,592 | $7,760 | 0.75 |
| Syncope and collapseMS-DRG 312, medical | 42 | $40,369 | $5,679 | $8,679 | 0.86 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 36 | $68,654 | $13,683 | $14,761 | 2.09 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 32 | $138,625 | $18,858 | $29,804 | 2.87 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 30 | $45,782 | $6,870 | $9,843 | 1.07 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 24 | $387,314 | $58,959 | $83,272 | 7.80 |
| Hypertension with MCCMS-DRG 304, medical | 24 | $56,058 | $6,828 | $12,053 | 1.15 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 24 | $23,339 | $3,039 | $5,018 | 0.55 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 23 | $76,670 | $17,298 | $16,484 | 2.28 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 21 | $49,100 | $5,382 | $10,557 | 0.91 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 21 | $64,182 | $9,856 | $13,799 | 1.58 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 19 | $288,056 | $40,302 | $61,932 | 5.88 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 17 | $250,685 | $27,594 | $53,897 | 4.04 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 15 | $135,844 | $23,716 | $29,206 | 3.27 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 14 | $37,272 | $6,060 | $8,013 | 0.97 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 13 | $132,650 | $23,459 | $28,520 | 3.46 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 12 | $116,083 | $23,317 | $24,958 | 3.18 |
| Heart failure and shock with CCMS-DRG 292, medical | 12 | $36,874 | $5,931 | $7,928 | 0.86 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 11 | $235,803 | $37,811 | $50,698 | 5.06 |
Respiratory system950 discharges in 18 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 223 | $60,835 | $11,316 | $13,079 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 115 | $50,675 | $8,368 | $10,895 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 95 | $48,582 | $8,685 | $10,445 | 1.33 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 76 | $44,362 | $6,643 | $9,538 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 68 | $36,395 | $4,974 | $7,825 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 59 | $40,410 | $7,341 | $8,688 | 1.10 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 49 | $33,872 | $5,585 | $7,283 | 0.85 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 49 | $36,799 | $6,075 | $7,912 | 0.96 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 36 | $117,331 | $19,808 | $25,226 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 35 | $65,459 | $9,636 | $14,074 | 1.40 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 31 | $38,042 | $5,084 | $8,179 | 0.82 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 28 | $67,291 | $12,628 | $14,468 | 1.74 |
| Major chest procedures with CCMS-DRG 164, surgical | 19 | $127,073 | $16,150 | $27,321 | 2.55 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 19 | $72,274 | $11,186 | $15,539 | 1.81 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 15 | $80,010 | $26,908 | $17,202 | 4.06 |
| Major chest trauma with CCMS-DRG 184, medical | 11 | $42,381 | $5,702 | $9,112 | 1.05 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 11 | $35,444 | $3,039 | $7,620 | 0.63 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 11 | $91,604 | $13,759 | $19,695 | 1.90 |
Infectious and parasitic diseases865 discharges in 6 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 | 621 | $71,758 | $13,738 | $15,428 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 117 | $39,125 | $6,313 | $8,412 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 79 | $170,158 | $35,886 | $36,584 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 19 | $95,485 | $14,492 | $20,529 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 16 | $223,919 | $51,738 | $48,143 | 6.96 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 13 | $55,661 | $13,838 | $11,967 | 1.84 |
Digestive system650 discharges in 17 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 | 109 | $37,769 | $4,899 | $8,120 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 91 | $47,894 | $6,491 | $10,297 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 73 | $71,266 | $12,385 | $15,322 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 57 | $34,711 | $5,310 | $7,463 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 51 | $46,810 | $8,605 | $10,064 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 39 | $64,377 | $11,658 | $13,841 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 36 | $150,707 | $31,196 | $32,402 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 34 | $40,677 | $5,678 | $8,746 | 0.94 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 26 | $96,837 | $16,071 | $20,820 | 2.37 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 24 | $25,929 | $3,189 | $5,575 | 0.56 |
| Digestive malignancy with MCCMS-DRG 374, medical | 21 | $80,871 | $14,112 | $17,387 | 2.10 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 21 | $53,210 | $10,173 | $11,440 | 1.45 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 17 | $60,514 | $12,552 | $13,011 | 1.75 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 16 | $38,164 | $6,884 | $8,205 | 1.04 |
| Digestive malignancy with CCMS-DRG 375, medical | 12 | $56,201 | $8,291 | $12,083 | 1.20 |
| Complicated peptic ulcer with MCCMS-DRG 380, medical | 12 | $63,608 | $13,842 | $13,676 | 1.95 |
| Other digestive system o.r. procedures with MCCMS-DRG 356, surgical | 11 | $188,575 | $35,002 | $40,544 | 4.28 |
Kidney and urinary tract598 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 116 | $38,523 | $5,736 | $8,282 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 109 | $57,077 | $10,560 | $12,271 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 95 | $41,329 | $8,075 | $8,886 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 92 | $36,185 | $5,177 | $7,780 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 80 | $54,436 | $10,668 | $11,704 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 50 | $38,940 | $6,529 | $8,372 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 31 | $89,753 | $27,375 | $19,297 | 3.70 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 13 | $79,231 | $9,406 | $17,035 | 1.35 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 12 | $106,127 | $17,802 | $22,817 | 2.59 |
Nervous system527 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 82 | $77,228 | $13,761 | $16,604 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 67 | $54,349 | $6,435 | $11,685 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 53 | $43,503 | $8,575 | $9,353 | 1.36 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 47 | $74,571 | $17,734 | $16,033 | 2.39 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 27 | $46,346 | $6,913 | $9,964 | 1.03 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 26 | $46,856 | $5,096 | $10,074 | 0.80 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 26 | $76,510 | $16,114 | $16,450 | 2.28 |
| Seizures with MCCMS-DRG 100, medical | 22 | $69,733 | $14,229 | $14,993 | 1.98 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 21 | $63,470 | $12,585 | $13,646 | 1.79 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 20 | $59,628 | $9,228 | $12,820 | 1.32 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 20 | $40,260 | $6,676 | $8,656 | 1.03 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 18 | $50,233 | $9,322 | $10,800 | 1.36 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 16 | $301,537 | $33,418 | $64,831 | 4.42 |
| Seizures without MCCMS-DRG 101, medical | 16 | $47,048 | $6,101 | $10,115 | 0.91 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 15 | $111,115 | $13,185 | $23,890 | 1.87 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 14 | $51,162 | $6,135 | $11,000 | 1.06 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 14 | $96,102 | $18,839 | $20,662 | 2.27 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 12 | $40,666 | $10,556 | $8,743 | 1.79 |
| Headaches without MCCMS-DRG 103, medical | 11 | $45,371 | $4,987 | $9,755 | 0.84 |
Musculoskeletal system and connective tissue490 discharges in 15 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 | 87 | $95,078 | $14,206 | $20,442 | 2.07 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 59 | $43,407 | $6,909 | $9,332 | 1.09 |
| Medical back problems without MCCMS-DRG 552, medical | 58 | $42,315 | $6,079 | $9,098 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 43 | $128,351 | $20,110 | $27,596 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 40 | $98,157 | $14,400 | $21,104 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 36 | $88,270 | $12,642 | $18,978 | 1.88 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 33 | $57,974 | $11,586 | $12,464 | 1.82 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 31 | $141,746 | $23,782 | $30,475 | 3.49 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 19 | $113,277 | $20,388 | $24,355 | 2.99 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 18 | $127,698 | $17,989 | $27,455 | 2.67 |
| Medical back problems with MCCMS-DRG 551, medical | 16 | $66,229 | $11,079 | $14,239 | 1.70 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 14 | $105,929 | $15,536 | $22,775 | 2.40 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 12 | $200,860 | $19,334 | $43,185 | 2.96 |
| Pathological fractures and musculoskeletal and connective tissue malignancy without cc/mMS-DRG 544, medical | 12 | $27,490 | $4,413 | $5,910 | 0.77 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 12 | $46,354 | $5,375 | $9,966 | 0.90 |
Endocrine, nutritional and metabolic233 discharges in 6 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 | 71 | $49,906 | $8,634 | $10,730 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 49 | $35,725 | $5,188 | $7,681 | 0.78 |
| Endocrine disorders with MCCMS-DRG 643, medical | 35 | $57,047 | $10,961 | $12,265 | 1.65 |
| Endocrine disorders with CCMS-DRG 644, medical | 27 | $35,773 | $6,435 | $7,691 | 1.06 |
| Diabetes with MCCMS-DRG 637, medical | 26 | $64,045 | $9,678 | $13,770 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 25 | $30,618 | $5,865 | $6,583 | 0.90 |
Liver, gallbladder and pancreas148 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 24 | $76,369 | $13,159 | $16,419 | 1.92 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 22 | $96,529 | $10,400 | $20,754 | 1.63 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 22 | $63,680 | $12,348 | $13,691 | 1.76 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 21 | $76,433 | $13,089 | $16,433 | 1.83 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 16 | $43,365 | $4,957 | $9,323 | 0.86 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 16 | $55,616 | $7,048 | $11,957 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 15 | $122,368 | $16,394 | $26,309 | 2.32 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 12 | $50,601 | $6,214 | $10,879 | 1.03 |
Blood and immune system114 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 31 | $53,571 | $11,267 | $11,518 | 1.56 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 28 | $65,198 | $9,446 | $14,018 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 28 | $40,831 | $6,228 | $8,779 | 0.90 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 16 | $58,227 | $16,447 | $12,519 | 2.19 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 11 | $37,828 | $7,592 | $8,133 | 1.20 |
Mental diseases and disorders110 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 79 | $37,952 | $9,503 | $8,160 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 31 | $39,697 | $11,181 | $8,535 | 1.76 |
Skin, subcutaneous tissue and breast96 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 57 | $30,044 | $5,325 | $6,460 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 26 | $43,415 | $10,181 | $9,334 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 13 | $36,038 | $5,972 | $7,748 | 0.91 |
Injuries, poisonings and toxic effects of drugs78 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 21 | $57,138 | $11,810 | $12,285 | 1.82 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 18 | $77,413 | $10,707 | $16,644 | 1.60 |
| Complications of treatment with CCMS-DRG 920, medical | 16 | $37,092 | $7,260 | $7,975 | 1.03 |
| Poisoning and toxic effects of drugs without MCCMS-DRG 918, medical | 12 | $34,009 | $5,555 | $7,312 | 0.86 |
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 11 | $107,500 | $25,639 | $23,112 | 3.72 |
Alcohol and drug use41 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 24 | $32,213 | $5,766 | $6,926 | 0.86 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 17 | $54,540 | $11,966 | $11,726 | 1.78 |
Factors influencing health status23 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 12 | $30,597 | $4,950 | $6,578 | 0.80 |
| Other factors influencing health statusMS-DRG 951, medical | 11 | $22,068 | $4,080 | $4,745 | 0.59 |
Ear, nose, mouth and throat17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 17 | $48,246 | $4,699 | $10,373 | 0.74 |
Other17 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 | 17 | $150,065 | $34,635 | $32,264 | 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 | 1,222 | 1,112 | $25,534 | $2,048 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 383 | 374 | $72,483 | $10,760 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 302 | 276 | $16,326 | $1,217 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 230 | 229 | $35,430 | $2,213 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 211 | 160 | $19,814 | $1,866 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 167 | 104 | $20,167 | $1,484 | $1,516 |
| Level 1 Intraocular ProceduresAPC 5491 | 165 | 132 | $14,521 | $1,719 | $1,752 |
| Level 2 Urology and Related ServicesAPC 5372 | 161 | 32 | $5,283 | $513 | $502 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 142 | 140 | $48,264 | $4,363 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 124 | 119 | $42,530 | $3,914 | $3,918 |
| Level 1 Nerve ProceduresAPC 5431 | 120 | 108 | $13,895 | $1,435 | $1,407 |
| Level 2 Upper GI ProceduresAPC 5302 | 116 | 110 | $19,589 | $1,404 | $1,445 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 99 | 91 | $25,640 | $2,019 | $2,141 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 95 | 89 | $28,608 | $2,293 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 92 | 88 | $57,268 | $5,351 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 87 | 72 | $30,215 | $2,606 | $2,629 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 80 | 79 | $103,341 | $20,857 | $21,117 |
| Level 3 Endovascular ProceduresAPC 5193 | 68 | 66 | $76,429 | $8,673 | $8,874 |
| Level 4 Airway EndoscopyAPC 5154 | 56 | 55 | $27,269 | $2,782 | $2,833 |
| Level 2 Vascular ProceduresAPC 5182 | 50 | 45 | $11,914 | $1,196 | $1,204 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 48 | 47 | $14,624 | $1,216 | $1,196 |
| Level 3 Airway EndoscopyAPC 5153 | 44 | 42 | $11,039 | $1,284 | $1,264 |
| Level 4 Endovascular ProceduresAPC 5194 | 44 | 39 | $78,125 | $14,637 | $14,606 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 37 | 34 | $33,637 | $2,883 | $2,930 |
| Level 5 Airway EndoscopyAPC 5155 | 36 | 35 | $45,604 | $5,034 | $5,183 |
| Level 6 Urology and Related ServicesAPC 5376 | 36 | 32 | $60,298 | $7,111 | $7,291 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 34 | 34 | $55,930 | $4,933 | $4,982 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 33 | 33 | $48,476 | $8,497 | $8,569 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 30 | 29 | $38,932 | $2,614 | $2,636 |
| Level 4 Gynecologic ProceduresAPC 5414 | 27 | 27 | $29,568 | $2,277 | $2,389 |
| Level 3 Lower GI ProceduresAPC 5313 | 26 | 25 | $25,442 | $2,098 | $2,176 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 24 | 24 | $40,871 | $6,434 | $6,514 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 22 | 22 | $95,667 | $16,816 | $17,052 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 21 | 20 | $152,684 | $29,504 | $29,375 |
| Level 2 Endovascular ProceduresAPC 5192 | 19 | 18 | $51,644 | $4,324 | $4,338 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 16 | 16 | $126,063 | $14,019 | $15,763 |
| Level 5 ENT ProceduresAPC 5165 | 14 | 14 | $53,359 | $4,430 | $4,436 |
| Level 3 Upper GI ProceduresAPC 5303 | 14 | 14 | $34,150 | $2,897 | $2,888 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 13 | 13 | $85,470 | $8,134 | $8,164 |
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.