Ottumwa Regional Health Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ottumwa Regional Health Center, Ottumwa, IA in 2024, from traditional Medicare claims. Back to the Ottumwa Regional Health Center profile, with quality ratings, finances and negotiated rates.
198
Medicare inpatient discharges
In 10 published DRGs
1.38
Case mix index
IPPS FY 2027
7%
Surgical stays
88%
Stays with complications
In DRGs with a CC or MCC
425
Medicare outpatient services
In 13 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases64 discharges in 2 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 | 53 | $53,490 | $15,467 | $12,303 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 11 | $38,473 | $7,336 | $8,849 | 1.03 |
Circulatory system55 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 27 | $37,331 | $10,418 | $8,586 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 15 | $46,334 | $11,168 | $10,657 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 13 | $28,002 | $5,127 | $6,441 | 0.74 |
Respiratory system51 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 23 | $42,931 | $9,652 | $9,874 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 16 | $43,746 | $12,732 | $10,062 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 12 | $49,819 | $9,233 | $11,458 | 1.23 |
Kidney and urinary tract15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 15 | $31,522 | $6,194 | $7,250 | 0.90 |
Musculoskeletal system and connective tissue13 discharges in 1 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 | 13 | $65,108 | $15,720 | $14,975 | 2.07 |
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 Endovascular ProceduresAPC 5191 | 105 | 105 | $23,912 | $2,139 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 64 | 61 | $21,311 | $1,981 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 51 | 43 | $54,977 | $10,503 | $10,772 |
| Level 3 Urology and Related ServicesAPC 5373 | 43 | 42 | $17,284 | $1,418 | $1,516 |
| Level 2 Upper GI ProceduresAPC 5302 | 26 | 25 | $18,175 | $1,400 | $1,445 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 24 | 24 | $58,261 | $8,223 | $8,569 |
| Level 5 Urology and Related ServicesAPC 5375 | 23 | 23 | $30,270 | $3,808 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 20 | 18 | $23,308 | $2,309 | $2,629 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 19 | 19 | $46,748 | $6,238 | $6,514 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 14 | 14 | $33,193 | $4,888 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 13 | 13 | $41,469 | $4,234 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 12 | 12 | $18,759 | $2,382 | $2,373 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 11 | 11 | $27,451 | $4,575 | $4,524 |
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.