Reid Hospital And Health Care Services Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Reid Hospital And Health Care Services, Richmond, IN in 2024, from traditional Medicare claims. Back to the Reid Hospital And Health Care Services profile, with quality ratings, finances and negotiated rates.
3,146
Medicare inpatient discharges
In 81 published DRGs
1.77
Case mix index
IPPS FY 2027
18%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
3,761
Medicare outpatient services
In 41 service groups
Inpatient stays by major diagnostic category
Circulatory system770 discharges in 18 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 226 | $25,614 | $9,280 | $8,709 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 111 | $104,747 | $23,977 | $35,614 | 3.24 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 78 | $38,543 | $11,762 | $13,105 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 45 | $75,076 | $13,009 | $25,526 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 42 | $41,532 | $7,280 | $14,121 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 41 | $98,707 | $20,987 | $33,560 | 2.87 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 33 | $16,877 | $4,829 | $5,738 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 32 | $30,700 | $6,121 | $10,438 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 25 | $49,120 | $15,910 | $16,701 | 2.16 |
| Syncope and collapseMS-DRG 312, medical | 25 | $21,370 | $5,685 | $7,266 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 23 | $31,721 | $8,398 | $10,785 | 1.20 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 15 | $55,095 | $17,206 | $18,732 | 2.28 |
| Other vascular procedures with CCMS-DRG 253, surgical | 15 | $67,498 | $16,698 | $22,949 | 2.55 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 13 | $33,003 | $14,917 | $11,221 | 2.09 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 12 | $98,688 | $24,145 | $33,554 | 3.18 |
| Hypertension without MCCMS-DRG 305, medical | 12 | $15,451 | $4,473 | $5,253 | 0.75 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 11 | $160,893 | $31,593 | $54,704 | 4.04 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 11 | $76,951 | $26,945 | $26,163 | 3.46 |
Infectious and parasitic diseases633 discharges in 5 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 | 467 | $38,439 | $14,329 | $13,069 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 83 | $23,227 | $6,956 | $7,897 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 49 | $89,316 | $37,591 | $30,368 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 18 | $53,134 | $15,205 | $18,066 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 16 | $118,802 | $54,743 | $40,393 | 6.96 |
Kidney and urinary tract400 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 102 | $32,951 | $12,411 | $11,203 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 78 | $19,182 | $6,141 | $6,522 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 59 | $20,772 | $8,370 | $7,062 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 54 | $32,514 | $10,397 | $11,055 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 53 | $20,991 | $5,150 | $7,137 | 0.81 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 22 | $21,716 | $7,302 | $7,383 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 17 | $47,484 | $9,794 | $16,144 | 1.35 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 15 | $72,738 | $20,682 | $24,731 | 2.59 |
Respiratory system385 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 96 | $26,497 | $9,429 | $9,009 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 88 | $30,144 | $12,013 | $10,249 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 58 | $33,782 | $8,909 | $11,486 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 32 | $26,424 | $7,377 | $8,984 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 25 | $20,946 | $5,237 | $7,122 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 24 | $23,193 | $6,461 | $7,886 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 18 | $45,385 | $20,915 | $15,431 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 17 | $30,664 | $10,360 | $10,426 | 1.40 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 16 | $25,610 | $5,548 | $8,708 | 0.85 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 11 | $18,968 | $6,620 | $6,449 | 0.96 |
Musculoskeletal system and connective tissue247 discharges in 12 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 | 39 | $51,425 | $15,637 | $17,485 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 32 | $22,488 | $6,648 | $7,646 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 30 | $59,421 | $22,398 | $20,203 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 27 | $52,746 | $15,649 | $17,934 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 24 | $65,997 | $13,809 | $22,439 | 1.88 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 16 | $19,617 | $7,580 | $6,670 | 1.09 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 15 | $82,626 | $27,008 | $28,093 | 3.49 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 14 | $130,582 | $44,285 | $44,398 | 6.12 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 14 | $105,423 | $33,116 | $35,844 | 4.61 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 14 | $69,873 | $18,699 | $23,757 | 2.48 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 11 | $17,012 | $5,525 | $5,784 | 0.82 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 11 | $19,852 | $5,632 | $6,750 | 0.90 |
Digestive system209 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 54 | $27,540 | $6,556 | $9,364 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 45 | $22,581 | $4,904 | $7,678 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 37 | $37,883 | $12,577 | $12,880 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 22 | $23,629 | $4,480 | $8,034 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 18 | $28,428 | $9,229 | $9,666 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 17 | $53,173 | $16,647 | $18,079 | 2.37 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 16 | $28,605 | $6,432 | $9,726 | 0.94 |
Nervous system164 discharges in 7 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 | 52 | $29,336 | $6,603 | $9,974 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 35 | $40,624 | $14,213 | $13,812 | 2.00 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 28 | $24,300 | $9,975 | $8,262 | 1.36 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 14 | $31,180 | $12,862 | $10,601 | 1.79 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 13 | $25,380 | $4,667 | $8,629 | 0.80 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 11 | $21,729 | $4,000 | $7,388 | 0.69 |
| Seizures with MCCMS-DRG 100, medical | 11 | $26,918 | $14,735 | $9,152 | 1.98 |
Endocrine, nutritional and metabolic112 discharges in 4 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 | 41 | $26,589 | $9,024 | $9,040 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 41 | $18,985 | $5,076 | $6,455 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 16 | $19,286 | $5,768 | $6,557 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $27,898 | $10,050 | $9,485 | 1.45 |
Mental diseases and disorders104 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 74 | $21,162 | $12,643 | $7,195 | 1.76 |
| PsychosesMS-DRG 885, medical | 30 | $19,537 | $9,807 | $6,643 | 1.37 |
Blood and immune system54 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 19 | $28,636 | $11,830 | $9,736 | 1.56 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 18 | $19,575 | $6,117 | $6,656 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 17 | $29,747 | $10,142 | $10,114 | 1.40 |
Liver, gallbladder and pancreas23 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 12 | $26,052 | $7,544 | $8,858 | 1.09 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 11 | $23,164 | $5,229 | $7,876 | 0.86 |
Skin, subcutaneous tissue and breast20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 20 | $20,996 | $5,960 | $7,139 | 0.88 |
Alcohol and drug use14 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 | 14 | $20,875 | $6,073 | $7,097 | 0.86 |
Injuries, poisonings and toxic effects of drugs11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 11 | $60,757 | $16,312 | $20,657 | 1.60 |
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 | 877 | 774 | $11,608 | $2,053 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 426 | 424 | $30,190 | $2,188 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 275 | 222 | $8,159 | $1,208 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 259 | 237 | $5,569 | $1,420 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 143 | 139 | $48,569 | $10,685 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 140 | 121 | $21,448 | $2,594 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 139 | 130 | $14,909 | $2,372 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 130 | 116 | $55,891 | $8,858 | $8,874 |
| Level 5 Urology and Related ServicesAPC 5375 | 98 | 93 | $26,720 | $3,896 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 97 | 67 | $11,944 | $1,541 | $1,516 |
| Level 1 Nerve ProceduresAPC 5431 | 96 | 82 | $8,153 | $1,423 | $1,407 |
| Level 3 Lower GI ProceduresAPC 5313 | 91 | 88 | $6,837 | $2,196 | $2,176 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 81 | 81 | $61,365 | $15,323 | $15,763 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 76 | 76 | $26,314 | $4,331 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 68 | 67 | $31,444 | $5,279 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 65 | 58 | $17,679 | $2,348 | $2,373 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 59 | 59 | $33,882 | $8,408 | $8,569 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 57 | 53 | $17,273 | $2,006 | $2,141 |
| Level 4 Vascular ProceduresAPC 5184 | 48 | 45 | $21,023 | $4,091 | $3,946 |
| Level 2 Urology and Related ServicesAPC 5372 | 46 | 14 | $5,014 | $518 | $502 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 43 | 43 | $20,831 | $2,509 | $2,636 |
| Level 4 Endovascular ProceduresAPC 5194 | 41 | 38 | $72,003 | $15,072 | $14,606 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 41 | 41 | $123,869 | $20,982 | $21,117 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 38 | 38 | $11,069 | $1,190 | $1,196 |
| Level 2 Endovascular ProceduresAPC 5192 | 37 | 34 | $32,224 | $4,112 | $4,338 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 27 | 26 | $32,172 | $4,776 | $4,982 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 27 | 27 | $22,476 | $6,235 | $6,514 |
| Level 2 Vascular ProceduresAPC 5182 | 26 | 26 | $5,893 | $1,171 | $1,204 |
| Level 4 Gynecologic ProceduresAPC 5414 | 24 | 24 | $15,968 | $2,378 | $2,389 |
| Level 6 Gynecologic ProceduresAPC 5416 | 23 | 23 | $28,023 | $5,748 | $5,836 |
| Level 5 ENT ProceduresAPC 5165 | 22 | 22 | $29,870 | $4,454 | $4,436 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 21 | 21 | $100,225 | $29,680 | $29,375 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 16 | 16 | $65,915 | $26,242 | $26,719 |
| Implantation of Drug Infusion DeviceAPC 5471 | 16 | 16 | $34,597 | $13,437 | $14,829 |
| Level 3 Airway EndoscopyAPC 5153 | 15 | 15 | $11,311 | $1,205 | $1,264 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 13 | 13 | $22,545 | $2,899 | $2,930 |
| Level 4 Airway EndoscopyAPC 5154 | 13 | 13 | $14,863 | $2,848 | $2,833 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 13 | 11 | $39,361 | $19,199 | $18,465 |
| Level 4 ENT ProceduresAPC 5164 | 12 | 12 | $17,266 | $2,449 | $2,217 |
| Level 5 Airway EndoscopyAPC 5155 | 11 | 11 | $30,962 | $4,259 | $5,183 |
| Level 5 Gynecologic ProceduresAPC 5415 | 11 | 11 | $25,528 | $3,783 | $3,792 |
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.