Penn State Health Lancaster Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Penn State Health Lancaster Medical Center, Lancaster, PA in 2024, from traditional Medicare claims. Back to the Penn State Health Lancaster Medical Center profile, with quality ratings, finances and negotiated rates.
853
Medicare inpatient discharges
In 41 published DRGs
1.48
Case mix index
IPPS FY 2027
11%
Surgical stays
63%
Stays with complications
In DRGs with a CC or MCC
971
Medicare outpatient services
In 22 service groups
Inpatient stays by major diagnostic category
Circulatory system195 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 77 | $53,820 | $7,302 | $18,084 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 21 | $32,427 | $3,217 | $10,895 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 19 | $52,632 | $7,260 | $17,684 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 16 | $67,668 | $8,434 | $22,736 | 1.20 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 14 | $58,266 | $7,982 | $19,577 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 14 | $158,571 | $13,902 | $53,280 | 1.82 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 12 | $158,822 | $21,426 | $53,364 | 2.87 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $29,757 | $3,497 | $9,998 | 0.75 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 11 | $23,474 | $1,461 | $7,887 | 0.55 |
Kidney and urinary tract146 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 | 31 | $29,357 | $3,473 | $9,864 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 25 | $55,667 | $8,229 | $18,704 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 23 | $42,616 | $4,807 | $14,319 | 1.02 |
| Renal failure with CCMS-DRG 683, medical | 20 | $34,416 | $4,438 | $11,564 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 20 | $49,125 | $6,364 | $16,506 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 15 | $55,400 | $9,282 | $18,614 | 1.50 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 12 | $68,195 | $6,208 | $22,913 | 1.35 |
Respiratory system131 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 48 | $50,975 | $6,351 | $17,128 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 34 | $57,001 | $9,984 | $19,152 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 24 | $43,108 | $5,658 | $14,484 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $31,334 | $3,951 | $10,528 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 11 | $44,584 | $4,854 | $14,980 | 0.99 |
Digestive system97 discharges in 5 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 | 45 | $30,672 | $3,320 | $10,306 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 14 | $46,185 | $4,521 | $15,518 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 14 | $32,950 | $6,929 | $11,071 | 1.28 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $30,283 | $4,199 | $10,175 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 11 | $107,086 | $12,515 | $35,981 | 2.37 |
Infectious and parasitic diseases86 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 | 59 | $78,260 | $11,138 | $26,295 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 15 | $152,028 | $24,275 | $51,082 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 12 | $39,486 | $4,758 | $13,267 | 1.03 |
Musculoskeletal system and connective tissue68 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 18 | $33,118 | $4,284 | $11,128 | 0.97 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 17 | $119,912 | $10,369 | $40,290 | 1.88 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 11 | $318,575 | $47,888 | $107,041 | 6.12 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 11 | $39,394 | $5,537 | $13,236 | 1.09 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 11 | $31,406 | $3,925 | $10,552 | 0.90 |
Nervous system51 discharges in 3 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 | 22 | $44,240 | $4,271 | $14,865 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 17 | $28,197 | $2,971 | $9,474 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 12 | $50,491 | $10,317 | $16,965 | 2.00 |
Skin, subcutaneous tissue and breast35 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 35 | $34,872 | $4,176 | $11,717 | 0.88 |
Endocrine, nutritional and metabolic32 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Diabetes with CCMS-DRG 638, medical | 18 | $28,380 | $4,400 | $9,536 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 14 | $34,278 | $3,530 | $11,517 | 0.78 |
Ear, nose, mouth and throat12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 12 | $24,382 | $3,098 | $8,192 | 0.74 |
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 |
|---|---|---|---|---|---|
| Level 5 Urology and Related ServicesAPC 5375 | 171 | 167 | $44,124 | $3,573 | $3,918 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 162 | 157 | $114,650 | $9,891 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 134 | 132 | $16,893 | $1,822 | $2,090 |
| Level 4 Urology and Related ServicesAPC 5374 | 82 | 77 | $33,108 | $2,388 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 61 | 54 | $18,201 | $1,428 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 45 | 45 | $55,047 | $3,958 | $4,358 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 32 | 32 | $166,751 | $14,756 | $15,763 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 26 | 25 | $16,084 | $1,139 | $1,220 |
| Level 6 Urology and Related ServicesAPC 5376 | 25 | 25 | $82,847 | $6,487 | $7,291 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 24 | 24 | $27,786 | $1,910 | $2,141 |
| Level 3 Airway EndoscopyAPC 5153 | 24 | 24 | $11,557 | $1,192 | $1,264 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 23 | 23 | $74,696 | $4,805 | $5,339 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 23 | 19 | $31,531 | $2,429 | $2,636 |
| Level 1 Endovascular ProceduresAPC 5191 | 22 | 21 | $21,998 | $2,065 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 21 | 20 | $22,204 | $1,336 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 16 | 15 | $24,249 | $2,234 | $2,405 |
| Level 2 Urology and Related ServicesAPC 5372 | 16 | 12 | $7,522 | $480 | $502 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 14 | 12 | $40,698 | $1,948 | $2,373 |
| Level 2 Vascular ProceduresAPC 5182 | 13 | 12 | $12,415 | $1,038 | $1,204 |
| Level 3 Endovascular ProceduresAPC 5193 | 13 | 12 | $97,400 | $8,057 | $8,874 |
| Level 4 Gynecologic ProceduresAPC 5414 | 12 | 12 | $26,485 | $2,195 | $2,389 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 12 | 12 | $306,674 | $25,657 | $26,719 |
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.