Phelps County Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Phelps County Regional Medical Center, Rolla, MO in 2024, from traditional Medicare claims. Back to the Phelps County Regional Medical Center profile, with quality ratings, finances and negotiated rates.
1,102
Medicare inpatient discharges
In 33 published DRGs
1.70
Case mix index
IPPS FY 2027
17%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
2,094
Medicare outpatient services
In 35 service groups
Inpatient stays by major diagnostic category
Circulatory system360 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 | 138 | $57,166 | $10,649 | $12,977 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 53 | $98,221 | $15,055 | $22,296 | 1.82 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 39 | $127,871 | $25,211 | $29,027 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 32 | $74,997 | $18,276 | $17,024 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 31 | $61,987 | $8,446 | $14,071 | 1.08 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 27 | $60,083 | $13,463 | $13,639 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 14 | $59,183 | $9,565 | $13,435 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 14 | $34,170 | $7,159 | $7,757 | 0.86 |
| Chest painMS-DRG 313, medical | 12 | $42,306 | $5,328 | $9,603 | 0.72 |
Infectious and parasitic diseases252 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 | 200 | $74,615 | $16,764 | $16,938 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 33 | $42,833 | $8,040 | $9,723 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 19 | $151,325 | $43,883 | $34,351 | 5.00 |
Respiratory system146 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 35 | $78,732 | $14,601 | $17,872 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 35 | $67,343 | $10,905 | $15,287 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 22 | $48,003 | $8,966 | $10,897 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $44,634 | $5,958 | $10,132 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 20 | $57,617 | $10,658 | $13,079 | 1.23 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 12 | $50,173 | $6,737 | $11,389 | 0.85 |
Kidney and urinary tract137 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 38 | $43,326 | $7,158 | $9,835 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 28 | $51,248 | $9,634 | $11,633 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 27 | $49,840 | $12,442 | $11,314 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 22 | $39,203 | $6,087 | $8,899 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 22 | $74,154 | $13,593 | $16,833 | 1.65 |
Musculoskeletal system and connective tissue77 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 30 | $100,407 | $17,611 | $22,792 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 27 | $98,615 | $17,455 | $22,386 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 20 | $100,322 | $15,445 | $22,773 | 1.88 |
Digestive system56 discharges in 3 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 | 30 | $47,445 | $5,925 | $10,770 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 14 | $41,492 | $6,176 | $9,419 | 0.80 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 12 | $34,520 | $7,986 | $7,836 | 0.98 |
Mental diseases and disorders35 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 35 | $32,674 | $11,395 | $7,417 | 1.37 |
Endocrine, nutritional and metabolic27 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 | 16 | $56,589 | $10,931 | $12,846 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 11 | $33,354 | $7,619 | $7,571 | 0.90 |
Nervous system12 discharges in 1 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 | 12 | $54,970 | $7,550 | $12,478 | 1.02 |
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 | 329 | 303 | $23,674 | $2,053 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 202 | 201 | $26,878 | $2,232 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 185 | 152 | $71,130 | $10,595 | $10,772 |
| Level 1 Intraocular ProceduresAPC 5491 | 173 | 107 | $12,179 | $1,724 | $1,752 |
| Level 2 Urology and Related ServicesAPC 5372 | 121 | 100 | $1,450 | $515 | $502 |
| Level 3 Endovascular ProceduresAPC 5193 | 99 | 85 | $64,110 | $8,754 | $8,874 |
| Level 1 Nerve ProceduresAPC 5431 | 96 | 81 | $11,680 | $1,466 | $1,407 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 89 | 86 | $10,912 | $1,169 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 77 | 76 | $43,967 | $5,359 | $5,339 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 68 | 64 | $11,072 | $1,203 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 59 | 58 | $21,186 | $2,330 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 57 | 56 | $26,136 | $2,336 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 48 | 48 | $28,741 | $3,848 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 42 | 34 | $10,311 | $1,455 | $1,445 |
| Level 3 Urology and Related ServicesAPC 5373 | 41 | 40 | $12,228 | $1,471 | $1,516 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 38 | 38 | $24,021 | $2,156 | $2,141 |
| Level 4 Urology and Related ServicesAPC 5374 | 37 | 33 | $20,026 | $2,647 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 36 | 35 | $42,754 | $4,138 | $4,358 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 34 | 34 | $27,237 | $2,627 | $2,636 |
| Level 2 Vascular ProceduresAPC 5182 | 24 | 24 | $7,645 | $1,216 | $1,204 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 23 | 23 | $96,777 | $16,088 | $15,763 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 21 | 21 | $45,224 | $6,459 | $6,514 |
| Level 4 Gynecologic ProceduresAPC 5414 | 20 | 20 | $21,860 | $2,374 | $2,389 |
| Level 6 Urology and Related ServicesAPC 5376 | 19 | 19 | $38,118 | $7,146 | $7,291 |
| Level 3 Airway EndoscopyAPC 5153 | 18 | 18 | $7,894 | $1,289 | $1,264 |
| Level 4 Endovascular ProceduresAPC 5194 | 18 | 18 | $77,631 | $15,046 | $14,606 |
| Level 4 Airway EndoscopyAPC 5154 | 17 | 17 | $21,353 | $2,844 | $2,833 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 17 | 17 | $89,185 | $29,628 | $29,375 |
| Level 3 ENT ProceduresAPC 5163 | 14 | 14 | $3,421 | $1,158 | $1,106 |
| Level 3 Intraocular ProceduresAPC 5493 | 14 | $18,753 | $3,969 | $4,004 | |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 13 | 13 | $57,316 | $8,537 | $8,569 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 12 | 11 | $37,932 | $2,895 | $2,930 |
| Level 4 ENT ProceduresAPC 5164 | 11 | 11 | $11,783 | $2,223 | $2,217 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 11 | 11 | $101,335 | $27,878 | $26,719 |
| Level 2 Intraocular ProceduresAPC 5492 | 11 | $17,284 | $3,088 | $3,116 |
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.