Progress West Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Progress West Hospital, O Fallon, MO in 2024, from traditional Medicare claims. Back to the Progress West Hospital profile, with quality ratings, finances and negotiated rates.
430
Medicare inpatient discharges
In 17 published DRGs
1.48
Case mix index
IPPS FY 2027
9%
Surgical stays
65%
Stays with complications
In DRGs with a CC or MCC
467
Medicare outpatient services
In 12 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases129 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 | 102 | $46,207 | $11,715 | $15,433 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 27 | $31,107 | $5,814 | $10,390 | 1.03 |
Respiratory system64 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 27 | $42,737 | $10,130 | $14,274 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 24 | $42,804 | $8,758 | $14,296 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 13 | $31,027 | $7,681 | $10,363 | 1.23 |
Digestive system62 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 | 29 | $33,820 | $4,681 | $11,296 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 21 | $32,849 | $5,879 | $10,971 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 12 | $34,020 | $3,873 | $11,363 | 0.80 |
Kidney and urinary tract60 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 28 | $27,910 | $4,487 | $9,322 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 20 | $34,096 | $7,621 | $11,388 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 12 | $54,837 | $10,700 | $18,316 | 1.50 |
Circulatory system52 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 40 | $37,437 | $7,900 | $12,504 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 12 | $32,797 | $5,572 | $10,954 | 0.86 |
Musculoskeletal system and connective tissue38 discharges in 2 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 | 22 | $69,823 | $12,505 | $23,321 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 16 | $53,173 | $10,299 | $17,760 | 1.88 |
Skin, subcutaneous tissue and breast14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 14 | $24,150 | $4,497 | $8,066 | 0.88 |
Endocrine, nutritional and metabolic11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 11 | $28,372 | $4,482 | $9,476 | 0.78 |
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 Musculoskeletal ProceduresAPC 5115 | 140 | 136 | $40,348 | $9,922 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 44 | 40 | $6,775 | $1,362 | $1,445 |
| Comprehensive Observation ServicesAPC 8011 | 42 | 41 | $17,007 | $1,890 | $2,090 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 35 | 35 | $16,343 | $2,033 | $2,373 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 34 | 22 | $7,109 | $1,048 | $1,220 |
| Level 1 Nerve ProceduresAPC 5431 | 34 | 31 | $9,981 | $1,369 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 30 | 30 | $30,567 | $4,923 | $5,339 |
| Level 1 Endovascular ProceduresAPC 5191 | 30 | 30 | $11,066 | $2,085 | $2,208 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 25 | 22 | $8,631 | $1,140 | $1,196 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 23 | 23 | $58,844 | $14,919 | $15,763 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 19 | 19 | $20,819 | $3,876 | $4,358 |
| Level 4 Gynecologic ProceduresAPC 5414 | 11 | 11 | $13,995 | $2,015 | $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.