Riverview Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Riverview Hospital, Noblesville, IN in 2024, from traditional Medicare claims. Back to the Riverview Hospital profile, with quality ratings, finances and negotiated rates.
506
Medicare inpatient discharges
In 22 published DRGs
1.67
Case mix index
IPPS FY 2027
5%
Surgical stays
63%
Stays with complications
In DRGs with a CC or MCC
1,013
Medicare outpatient services
In 26 service groups
Inpatient stays by major diagnostic category
Respiratory system176 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 72 | $45,234 | $8,624 | $17,596 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 42 | $55,654 | $9,477 | $21,650 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 24 | $39,235 | $7,517 | $15,262 | 1.10 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 23 | $39,494 | $10,311 | $15,363 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $24,576 | $5,549 | $9,560 | 0.82 |
Infectious and parasitic diseases78 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 | 66 | $58,439 | $13,533 | $22,733 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 12 | $31,984 | $5,858 | $12,442 | 1.03 |
Circulatory system69 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 43 | $31,401 | $8,698 | $12,215 | 1.28 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 13 | $36,986 | $8,172 | $14,388 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 13 | $22,611 | $4,912 | $8,796 | 0.74 |
Kidney and urinary tract60 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 18 | $19,486 | $5,400 | $7,580 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 16 | $22,892 | $5,492 | $8,905 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 15 | $19,895 | $7,193 | $7,739 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 11 | $43,941 | $10,326 | $17,093 | 1.50 |
Digestive system58 discharges in 4 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 | 19 | $19,735 | $5,067 | $7,677 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 15 | $21,741 | $4,880 | $8,457 | 0.80 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 12 | $25,530 | $6,411 | $9,931 | 0.98 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 12 | $29,197 | $6,695 | $11,358 | 0.94 |
Endocrine, nutritional and metabolic24 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 | 24 | $16,147 | $5,486 | $6,281 | 0.78 |
Musculoskeletal system and connective tissue24 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 13 | $77,060 | $12,532 | $29,976 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 11 | $77,179 | $14,080 | $30,023 | 2.11 |
Skin, subcutaneous tissue and breast17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 17 | $19,855 | $5,782 | $7,724 | 0.88 |
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 | 133 | 128 | $66,954 | $10,084 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 130 | 124 | $16,227 | $1,939 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 69 | 61 | $11,005 | $1,133 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 64 | 64 | $42,955 | $5,028 | $5,339 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 57 | 56 | $102,240 | $14,899 | $15,763 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 55 | 54 | $17,881 | $2,209 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 54 | 49 | $9,118 | $1,152 | $1,196 |
| Level 1 Endovascular ProceduresAPC 5191 | 54 | 53 | $23,271 | $2,077 | $2,208 |
| Level 3 Airway EndoscopyAPC 5153 | 40 | 19 | $11,749 | $1,221 | $1,264 |
| Level 1 Intraocular ProceduresAPC 5491 | 35 | 19 | $8,106 | $1,674 | $1,752 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 33 | 33 | $36,281 | $4,025 | $4,358 |
| Level 1 Nerve ProceduresAPC 5431 | 32 | 30 | $15,206 | $1,303 | $1,407 |
| Level 3 Endovascular ProceduresAPC 5193 | 31 | 30 | $84,466 | $8,288 | $8,874 |
| Level 3 Vascular ProceduresAPC 5183 | 30 | 30 | $21,556 | $2,210 | $2,405 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 23 | 23 | $56,358 | $8,006 | $8,569 |
| Level 4 Urology and Related ServicesAPC 5374 | 23 | 20 | $18,824 | $2,509 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 23 | 22 | $23,269 | $3,562 | $3,918 |
| Level 4 Airway EndoscopyAPC 5154 | 16 | 16 | $26,681 | $2,695 | $2,833 |
| Level 2 Upper GI ProceduresAPC 5302 | 16 | 16 | $12,802 | $1,385 | $1,445 |
| Level 2 Urology and Related ServicesAPC 5372 | 16 | $4,508 | $486 | $502 | |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 15 | 15 | $34,819 | $2,490 | $2,636 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 14 | 12 | $19,109 | $1,899 | $2,141 |
| Level 4 Vascular ProceduresAPC 5184 | 14 | 14 | $30,604 | $3,955 | $3,946 |
| Level 2 Endovascular ProceduresAPC 5192 | 14 | 13 | $33,733 | $4,100 | $4,338 |
| Level 2 Vascular ProceduresAPC 5182 | 11 | 11 | $9,657 | $1,135 | $1,204 |
| Level 4 Endovascular ProceduresAPC 5194 | 11 | 11 | $124,723 | $12,877 | $14,606 |
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.