Owensboro Health Regional Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Owensboro Health Regional Hospital, Owensboro, KY in 2024, from traditional Medicare claims. Back to the Owensboro Health Regional Hospital profile, with quality ratings, finances and negotiated rates.
2,466
Medicare inpatient discharges
In 76 published DRGs
1.89
Case mix index
IPPS FY 2027
22%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
3,035
Medicare outpatient services
In 38 service groups
Inpatient stays by major diagnostic category
Circulatory system587 discharges in 20 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 172 | $24,934 | $9,914 | $8,528 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 45 | $101,507 | $15,359 | $34,716 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 42 | $19,608 | $4,932 | $6,706 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 37 | $29,920 | $11,940 | $10,233 | 1.59 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 29 | $28,382 | $5,848 | $9,707 | 0.91 |
| Syncope and collapseMS-DRG 312, medical | 28 | $18,079 | $6,018 | $6,183 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 26 | $20,525 | $9,046 | $7,020 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 26 | $113,452 | $23,347 | $38,801 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 22 | $57,005 | $17,652 | $19,496 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 22 | $35,519 | $7,894 | $12,147 | 1.08 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 20 | $137,579 | $26,298 | $47,052 | 3.24 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 18 | $89,651 | $18,075 | $30,661 | 2.28 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 16 | $13,477 | $3,329 | $4,609 | 0.55 |
| Coronary intravascular lithotripsy with intraluminal device without MCCMS-DRG 324, surgical | 14 | $179,467 | $23,529 | $61,378 | 2.97 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 13 | $166,669 | $33,839 | $57,001 | 3.46 |
| Chest painMS-DRG 313, medical | 13 | $18,436 | $5,061 | $6,305 | 0.72 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 11 | $218,462 | $42,994 | $74,714 | 4.88 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 11 | $193,267 | $38,513 | $66,097 | 4.16 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 11 | $153,360 | $32,795 | $52,449 | 3.46 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 11 | $25,512 | $4,415 | $8,725 | 0.72 |
Infectious and parasitic diseases455 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 | 353 | $45,383 | $15,415 | $15,521 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 60 | $23,538 | $7,068 | $8,050 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 42 | $121,133 | $39,609 | $41,427 | 5.00 |
Respiratory system344 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 | 107 | $29,399 | $9,608 | $10,054 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 72 | $29,342 | $8,867 | $10,035 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 61 | $31,888 | $12,716 | $10,906 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 25 | $31,176 | $6,956 | $10,662 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 23 | $24,946 | $5,630 | $8,531 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 20 | $98,496 | $23,956 | $33,686 | 2.70 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 14 | $26,112 | $6,688 | $8,930 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $24,367 | $10,463 | $8,333 | 1.40 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 11 | $17,555 | $5,925 | $6,004 | 0.82 |
Kidney and urinary tract305 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 73 | $17,832 | $6,429 | $6,098 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 63 | $27,095 | $11,030 | $9,266 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 34 | $21,839 | $8,973 | $7,469 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 32 | $26,659 | $13,185 | $9,117 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 30 | $15,295 | $5,372 | $5,231 | 0.81 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 23 | $47,442 | $7,464 | $16,225 | 1.05 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 21 | $50,154 | $8,897 | $17,153 | 1.35 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 16 | $25,467 | $7,632 | $8,710 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 13 | $53,380 | $20,788 | $18,256 | 2.59 |
Nervous system208 discharges in 10 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 | 48 | $22,118 | $7,008 | $7,564 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 35 | $34,239 | $15,520 | $11,710 | 2.00 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 24 | $32,951 | $14,293 | $11,269 | 1.79 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 18 | $109,356 | $14,700 | $37,400 | 1.81 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 17 | $18,540 | $5,267 | $6,341 | 0.80 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 16 | $23,795 | $8,042 | $8,138 | 1.03 |
| Seizures without MCCMS-DRG 101, medical | 15 | $21,913 | $6,000 | $7,494 | 0.91 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 13 | $19,414 | $8,221 | $6,639 | 1.06 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 11 | $141,723 | $40,223 | $48,469 | 4.42 |
| Seizures with MCCMS-DRG 100, medical | 11 | $46,086 | $15,836 | $15,761 | 1.98 |
Musculoskeletal system and connective tissue205 discharges in 9 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 | 52 | $69,038 | $15,941 | $23,611 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 35 | $71,685 | $15,978 | $24,516 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 32 | $22,969 | $6,641 | $7,855 | 0.97 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 18 | $47,762 | $11,301 | $16,335 | 1.59 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 17 | $95,046 | $14,470 | $32,506 | 1.88 |
| Biopsies of musculoskeletal system and connective tissue with CCMS-DRG 478, surgical | 13 | $66,411 | $16,985 | $22,712 | 2.38 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 13 | $105,024 | $22,944 | $35,918 | 2.95 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 13 | $131,477 | $20,889 | $44,965 | 2.48 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 12 | $92,946 | $19,981 | $31,788 | 2.99 |
Digestive system170 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 39 | $31,830 | $7,818 | $10,886 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 37 | $17,443 | $5,201 | $5,965 | 0.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 28 | $197,370 | $49,850 | $67,500 | 4.52 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 21 | $38,789 | $14,498 | $13,266 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 16 | $23,642 | $9,101 | $8,085 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 15 | $85,111 | $17,668 | $29,108 | 2.37 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 14 | $59,682 | $12,797 | $20,411 | 1.67 |
Endocrine, nutritional and metabolic67 discharges in 2 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 | 38 | $26,543 | $10,195 | $9,078 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 29 | $17,754 | $5,069 | $6,072 | 0.78 |
Blood and immune system39 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 21 | $32,825 | $9,423 | $11,226 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 18 | $27,146 | $6,260 | $9,284 | 0.90 |
Mental diseases and disorders28 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 28 | $17,790 | $10,560 | $6,084 | 1.37 |
Skin, subcutaneous tissue and breast24 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 24 | $18,785 | $6,550 | $6,425 | 0.88 |
Alcohol and drug use12 discharges in 1 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 | 12 | $17,707 | $6,016 | $6,056 | 0.86 |
Liver, gallbladder and pancreas11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 11 | $33,052 | $12,052 | $11,304 | 1.67 |
Other11 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 | 11 | $152,097 | $37,001 | $52,017 | 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 | 631 | 561 | $10,583 | $1,981 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 263 | 231 | $10,684 | $1,175 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 184 | 177 | $82,341 | $10,409 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 172 | 164 | $33,386 | $3,769 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 149 | 124 | $12,223 | $1,395 | $1,445 |
| Level 4 Urology and Related ServicesAPC 5374 | 144 | 128 | $23,120 | $2,551 | $2,629 |
| Level 1 Endovascular ProceduresAPC 5191 | 142 | 141 | $20,965 | $2,137 | $2,208 |
| Level 3 Endovascular ProceduresAPC 5193 | 111 | 100 | $65,100 | $8,379 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 108 | 103 | $27,209 | $4,096 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 103 | 82 | $15,299 | $1,499 | $1,516 |
| Level 3 Vascular ProceduresAPC 5183 | 99 | 88 | $15,572 | $2,302 | $2,405 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 86 | 82 | $45,990 | $5,151 | $5,339 |
| Level 4 Airway EndoscopyAPC 5154 | 71 | 67 | $17,340 | $2,721 | $2,833 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 58 | 55 | $169,624 | $20,285 | $21,117 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 46 | 44 | $18,371 | $2,276 | $2,373 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 45 | 44 | $123,310 | $15,572 | $15,763 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 45 | 45 | $67,082 | $8,054 | $8,569 |
| Level 2 Endovascular ProceduresAPC 5192 | 44 | 33 | $26,049 | $4,213 | $4,338 |
| Level 4 Endovascular ProceduresAPC 5194 | 44 | 41 | $101,488 | $13,559 | $14,606 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 43 | 38 | $18,773 | $2,095 | $2,141 |
| Level 1 Nerve ProceduresAPC 5431 | 41 | 37 | $10,491 | $1,386 | $1,407 |
| Level 5 Airway EndoscopyAPC 5155 | 39 | 38 | $20,894 | $4,916 | $5,183 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 39 | 39 | $50,354 | $7,683 | $8,164 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 33 | 31 | $22,401 | $2,473 | $2,636 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 32 | 32 | $35,387 | $4,657 | $4,982 |
| Level 3 Upper GI ProceduresAPC 5303 | 31 | 29 | $36,130 | $2,823 | $2,888 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 30 | 30 | $196,398 | $28,712 | $29,375 |
| Level 5 ENT ProceduresAPC 5165 | 26 | 26 | $36,621 | $4,151 | $4,436 |
| Level 2 Vascular ProceduresAPC 5182 | 23 | 23 | $7,523 | $1,181 | $1,204 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 22 | 22 | $21,612 | $2,810 | $2,930 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 21 | 21 | $16,646 | $1,641 | $1,780 |
| Level 4 Vascular ProceduresAPC 5184 | 19 | 17 | $24,660 | $4,048 | $3,946 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 18 | 18 | $11,776 | $1,119 | $1,196 |
| Complex GI ProceduresAPC 5331 | 18 | 16 | $40,970 | $4,194 | $4,263 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 17 | 17 | $109,293 | $16,355 | $17,052 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 16 | 12 | $71,281 | $18,557 | $18,465 |
| Level 6 Urology and Related ServicesAPC 5376 | 11 | 11 | $45,444 | $6,889 | $7,291 |
| Level 4 Gynecologic ProceduresAPC 5414 | 11 | 11 | $13,059 | $2,287 | $2,389 |
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.