Rockford Memorial Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Rockford Memorial Hospital, Rockford, IL in 2024, from traditional Medicare claims. Back to the Rockford Memorial Hospital profile, with quality ratings, finances and negotiated rates.
1,098
Medicare inpatient discharges
In 43 published DRGs
1.95
Case mix index
IPPS FY 2027
13%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
1,448
Medicare outpatient services
In 31 service groups
Inpatient stays by major diagnostic category
Circulatory system244 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 86 | $43,138 | $9,884 | $9,533 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 31 | $109,756 | $24,733 | $24,256 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 31 | $43,209 | $6,027 | $9,549 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 23 | $74,451 | $12,826 | $16,454 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 21 | $32,746 | $5,705 | $7,237 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 17 | $56,689 | $9,452 | $12,528 | 1.20 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 12 | $213,073 | $42,209 | $47,089 | 5.06 |
| Chest painMS-DRG 313, medical | 12 | $33,502 | $5,264 | $7,404 | 0.72 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 11 | $60,165 | $6,708 | $13,296 | 0.91 |
Respiratory system218 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 96 | $57,986 | $9,818 | $12,815 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 45 | $71,919 | $13,449 | $15,894 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 32 | $56,137 | $10,046 | $12,406 | 1.33 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 16 | $151,398 | $21,975 | $33,459 | 2.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 15 | $45,426 | $7,557 | $10,039 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $37,030 | $5,451 | $8,184 | 0.82 |
Nervous system215 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 59 | $89,029 | $15,022 | $19,675 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 43 | $43,624 | $7,553 | $9,641 | 1.02 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 21 | $245,520 | $41,079 | $54,260 | 5.67 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $49,137 | $5,721 | $10,859 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 15 | $61,293 | $14,382 | $13,546 | 1.98 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 13 | $161,214 | $18,219 | $35,628 | 2.30 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 13 | $94,910 | $13,277 | $20,975 | 1.79 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 12 | $47,599 | $8,423 | $10,519 | 1.06 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 12 | $38,063 | $7,302 | $8,412 | 1.03 |
| Seizures without MCCMS-DRG 101, medical | 12 | $53,091 | $6,723 | $11,733 | 0.91 |
Infectious and parasitic diseases146 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 | 110 | $89,408 | $14,848 | $19,759 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 18 | $147,965 | $35,539 | $32,700 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 18 | $52,725 | $6,667 | $11,652 | 1.03 |
Kidney and urinary tract93 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 21 | $45,501 | $8,812 | $10,056 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 19 | $54,294 | $11,470 | $11,999 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 18 | $42,561 | $6,215 | $9,406 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 18 | $42,781 | $5,675 | $9,455 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 17 | $71,239 | $11,296 | $15,744 | 1.65 |
Musculoskeletal system and connective tissue69 discharges in 4 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 | 23 | $104,289 | $15,933 | $23,048 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 22 | $41,278 | $6,702 | $9,123 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 12 | $133,875 | $22,330 | $29,586 | 2.95 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 12 | $137,927 | $19,168 | $30,482 | 2.40 |
Digestive system63 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 29 | $40,056 | $7,617 | $8,852 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 17 | $71,238 | $13,699 | $15,744 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 17 | $41,007 | $5,631 | $9,063 | 0.79 |
Endocrine, nutritional and metabolic39 discharges in 2 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 | 23 | $53,658 | $10,515 | $11,858 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $33,350 | $5,545 | $7,370 | 0.78 |
Blood and immune system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 11 | $36,177 | $7,151 | $7,995 | 0.90 |
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 1 Intraocular ProceduresAPC 5491 | 371 | 219 | $14,662 | $1,691 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 199 | 188 | $27,052 | $1,943 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 130 | 118 | $8,093 | $890 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 84 | 71 | $13,024 | $1,391 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 54 | 53 | $30,102 | $2,065 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 43 | 42 | $21,050 | $2,320 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 42 | 41 | $91,624 | $10,013 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 40 | 40 | $33,443 | $4,249 | $4,358 |
| Level 1 Nerve ProceduresAPC 5431 | 37 | 29 | $11,142 | $1,382 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 36 | 34 | $40,826 | $5,121 | $5,339 |
| Level 4 Vascular ProceduresAPC 5184 | 35 | 22 | $28,997 | $4,046 | $3,946 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 31 | 30 | $25,770 | $2,547 | $2,636 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 29 | 28 | $16,497 | $2,006 | $2,141 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 28 | 27 | $156,354 | $20,261 | $21,117 |
| Level 3 Endovascular ProceduresAPC 5193 | 27 | 25 | $73,941 | $8,506 | $8,874 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 22 | 22 | $154,375 | $15,553 | $15,763 |
| Level 2 Endovascular ProceduresAPC 5192 | 22 | 17 | $34,547 | $4,209 | $4,338 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 21 | 20 | $17,818 | $1,929 | $2,373 |
| Level 2 Vascular ProceduresAPC 5182 | 20 | 20 | $7,130 | $1,179 | $1,204 |
| Level 5 Urology and Related ServicesAPC 5375 | 20 | 20 | $31,376 | $3,619 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 19 | 13 | $18,943 | $2,562 | $2,629 |
| Level 4 Endovascular ProceduresAPC 5194 | 18 | 14 | $107,068 | $12,924 | $14,606 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 17 | 17 | $9,785 | $947 | $1,196 |
| Level 3 Airway EndoscopyAPC 5153 | 17 | 15 | $3,877 | $1,250 | $1,264 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 15 | 15 | $42,959 | $8,229 | $8,569 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 13 | 13 | $36,995 | $5,765 | $6,514 |
| Level 3 Urology and Related ServicesAPC 5373 | 13 | $13,343 | $1,496 | $1,516 | |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 12 | 12 | $18,755 | $1,721 | $1,780 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 11 | 11 | $112,668 | $28,681 | $29,375 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 11 | 11 | $63,171 | $7,875 | $8,164 |
| Level 4 Gynecologic ProceduresAPC 5414 | 11 | $16,335 | $2,302 | $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.