Riverside Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Riverside Medical Center, Kankakee, IL in 2024, from traditional Medicare claims. Back to the Riverside Medical Center profile, with quality ratings, finances and negotiated rates.
1,672
Medicare inpatient discharges
In 52 published DRGs
1.76
Case mix index
IPPS FY 2027
14%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
2,409
Medicare outpatient services
In 35 service groups
Inpatient stays by major diagnostic category
Circulatory system356 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 107 | $32,136 | $8,988 | $7,231 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 46 | $122,689 | $21,904 | $27,605 | 3.24 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 34 | $17,518 | $4,345 | $3,942 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 28 | $34,982 | $7,444 | $7,871 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 24 | $36,164 | $5,659 | $8,137 | 0.86 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 21 | $179,942 | $35,874 | $40,487 | 4.88 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 16 | $90,031 | $12,747 | $20,257 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 15 | $41,381 | $10,254 | $9,311 | 1.59 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 14 | $91,187 | $16,352 | $20,517 | 2.28 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $37,509 | $5,629 | $8,440 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 13 | $56,343 | $14,730 | $12,677 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 13 | $104,383 | $21,104 | $23,486 | 2.87 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 11 | $8,225 | $3,044 | $1,851 | 0.55 |
Respiratory system354 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 100 | $46,425 | $11,670 | $10,446 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 70 | $32,350 | $8,795 | $7,279 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 54 | $33,177 | $7,453 | $7,465 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 46 | $32,180 | $8,583 | $7,240 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 26 | $29,043 | $5,213 | $6,535 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 16 | $26,710 | $6,488 | $6,010 | 0.99 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 15 | $33,913 | $6,484 | $7,631 | 0.96 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 14 | $53,141 | $19,545 | $11,957 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $52,333 | $9,484 | $11,775 | 1.40 |
Infectious and parasitic diseases265 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 | 189 | $48,877 | $13,242 | $10,997 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 40 | $33,312 | $6,529 | $7,495 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 36 | $104,016 | $30,932 | $23,404 | 5.00 |
Kidney and urinary tract172 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 45 | $29,693 | $4,817 | $6,681 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 39 | $28,569 | $5,917 | $6,428 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 37 | $53,765 | $11,665 | $12,097 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 26 | $37,590 | $7,574 | $8,458 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 25 | $41,818 | $10,725 | $9,409 | 1.50 |
Digestive system161 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 49 | $34,782 | $6,489 | $7,826 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 31 | $33,356 | $4,968 | $7,505 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 23 | $23,860 | $5,550 | $5,368 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 17 | $82,611 | $16,240 | $18,588 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 15 | $47,667 | $12,563 | $10,725 | 1.79 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 14 | $25,951 | $3,097 | $5,839 | 0.56 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 12 | $36,946 | $6,813 | $8,313 | 0.94 |
Endocrine, nutritional and metabolic97 discharges in 3 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 | 45 | $32,650 | $8,739 | $7,346 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 40 | $24,095 | $5,063 | $5,421 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $35,299 | $6,911 | $7,942 | 1.45 |
Nervous system80 discharges in 4 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 | 29 | $40,892 | $6,574 | $9,201 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 26 | $61,664 | $12,684 | $13,874 | 2.00 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 13 | $28,786 | $4,593 | $6,477 | 0.69 |
| Seizures without MCCMS-DRG 101, medical | 12 | $35,680 | $6,227 | $8,028 | 0.91 |
Musculoskeletal system and connective tissue65 discharges in 3 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 | 38 | $67,385 | $14,356 | $15,162 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 15 | $66,595 | $13,379 | $14,984 | 2.11 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 12 | $55,885 | $10,038 | $12,574 | 1.59 |
Mental diseases and disorders60 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 60 | $15,634 | $8,561 | $3,518 | 1.37 |
Skin, subcutaneous tissue and breast29 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 29 | $26,686 | $5,762 | $6,004 | 0.88 |
Blood and immune system22 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 | 11 | $44,540 | $10,299 | $10,021 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 11 | $38,766 | $5,541 | $8,722 | 0.90 |
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 CCMS-DRG 982, surgical | 11 | $117,049 | $16,415 | $26,336 | 2.49 |
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 | 446 | 411 | $27,056 | $1,995 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 208 | 208 | $19,258 | $2,161 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 194 | 177 | $9,141 | $1,164 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 161 | 147 | $14,809 | $2,327 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 130 | 117 | $68,348 | $8,569 | $8,874 |
| Level 1 Nerve ProceduresAPC 5431 | 110 | 90 | $14,503 | $1,419 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 104 | 99 | $48,738 | $5,257 | $5,339 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 100 | 94 | $65,048 | $10,513 | $10,772 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 93 | 91 | $115,445 | $20,424 | $21,117 |
| Level 5 Urology and Related ServicesAPC 5375 | 72 | 68 | $30,402 | $3,823 | $3,918 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 59 | 59 | $58,900 | $8,402 | $8,569 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 56 | 51 | $24,459 | $2,129 | $2,141 |
| Level 4 Endovascular ProceduresAPC 5194 | 55 | 49 | $87,497 | $14,824 | $14,606 |
| Level 2 Upper GI ProceduresAPC 5302 | 51 | 44 | $15,617 | $1,400 | $1,445 |
| Level 4 Urology and Related ServicesAPC 5374 | 49 | 44 | $21,742 | $2,559 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 46 | 40 | $15,648 | $1,525 | $1,516 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 44 | 43 | $41,774 | $6,221 | $6,514 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 41 | 41 | $36,414 | $4,218 | $4,358 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 40 | 40 | $106,405 | $15,856 | $15,763 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 39 | 39 | $31,021 | $2,238 | $2,373 |
| Level 2 Endovascular ProceduresAPC 5192 | 38 | 37 | $35,655 | $4,283 | $4,338 |
| Level 4 Vascular ProceduresAPC 5184 | 31 | 29 | $40,984 | $3,985 | $3,946 |
| Level 2 Vascular ProceduresAPC 5182 | 30 | 28 | $5,267 | $1,160 | $1,204 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 25 | 25 | $168,206 | $29,216 | $29,375 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 23 | 23 | $51,188 | $4,886 | $4,982 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 22 | 22 | $30,261 | $2,725 | $2,930 |
| Level 4 Airway EndoscopyAPC 5154 | 22 | 22 | $27,029 | $2,679 | $2,833 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 21 | 21 | $26,127 | $2,337 | $2,636 |
| Level 2 Urology and Related ServicesAPC 5372 | 17 | 16 | $5,492 | $505 | $502 |
| Level 4 Gynecologic ProceduresAPC 5414 | 17 | 17 | $16,266 | $2,342 | $2,389 |
| Level 5 Airway EndoscopyAPC 5155 | 15 | 15 | $33,388 | $4,787 | $5,183 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 15 | 15 | $19,493 | $4,783 | $4,524 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 12 | $14,160 | $1,204 | $1,196 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 11 | 11 | $95,917 | $16,630 | $17,052 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 11 | 11 | $112,837 | $27,486 | $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.