Riverton Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Riverton Hospital, Riverton, UT in 2024, from traditional Medicare claims. Back to the Riverton Hospital profile, with quality ratings, finances and negotiated rates.
250
Medicare inpatient discharges
In 12 published DRGs
1.44
Case mix index
IPPS FY 2027
5%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
469
Medicare outpatient services
In 13 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases88 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 | 55 | $38,748 | $12,487 | $10,927 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 33 | $24,867 | $6,164 | $7,013 | 1.03 |
Respiratory system48 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 | 20 | $31,070 | $10,262 | $8,762 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 17 | $35,838 | $8,212 | $10,106 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 11 | $25,806 | $8,150 | $7,277 | 1.33 |
Kidney and urinary tract34 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 19 | $22,301 | $6,054 | $6,289 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 15 | $22,373 | $5,779 | $6,309 | 0.81 |
Digestive system29 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 17 | $21,988 | $5,310 | $6,201 | 0.80 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 12 | $24,814 | $6,151 | $6,998 | 0.98 |
Circulatory system27 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 27 | $32,375 | $8,882 | $9,130 | 1.28 |
Musculoskeletal system and connective tissue13 discharges in 1 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 | 13 | $56,102 | $13,745 | $15,821 | 2.07 |
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 | $20,460 | $4,857 | $5,770 | 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 2 Upper GI ProceduresAPC 5302 | 106 | 97 | $5,647 | $1,361 | $1,445 |
| Comprehensive Observation ServicesAPC 8011 | 72 | 71 | $14,490 | $1,953 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 67 | 49 | $8,129 | $1,641 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 56 | 51 | $41,682 | $8,694 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 38 | 38 | $22,698 | $4,118 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 30 | 27 | $23,007 | $3,590 | $3,918 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 19 | 19 | $39,138 | $7,584 | $8,164 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 16 | 16 | $6,254 | $1,147 | $1,196 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 16 | 16 | $24,371 | $5,106 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 14 | 14 | $11,351 | $2,297 | $2,373 |
| Level 4 ENT ProceduresAPC 5164 | 13 | 13 | $11,451 | $2,298 | $2,217 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 11 | 11 | $51,133 | $15,027 | $15,763 |
| Level 3 Urology and Related ServicesAPC 5373 | 11 | 11 | $12,217 | $1,454 | $1,516 |
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.