Saint Francis Hospital Muskogee Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Saint Francis Hospital Muskogee, Muskogee, OK in 2024, from traditional Medicare claims. Back to the Saint Francis Hospital Muskogee profile, with quality ratings, finances and negotiated rates.
2,375
Medicare inpatient discharges
In 57 published DRGs
1.69
Case mix index
IPPS FY 2027
7%
Surgical stays
80%
Stays with complications
In DRGs with a CC or MCC
1,291
Medicare outpatient services
In 19 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases760 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 | 607 | $40,757 | $11,075 | $8,966 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 75 | $25,787 | $5,621 | $5,673 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 36 | $101,043 | $32,417 | $22,230 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 30 | $81,809 | $26,835 | $17,998 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $61,207 | $11,818 | $13,466 | 2.04 |
Circulatory system418 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 174 | $30,227 | $7,464 | $6,650 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 46 | $36,513 | $8,769 | $8,033 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 42 | $30,252 | $7,114 | $6,655 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 33 | $24,053 | $3,861 | $5,292 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 21 | $28,213 | $4,976 | $6,207 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 20 | $83,324 | $10,421 | $18,331 | 1.82 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 17 | $107,593 | $16,982 | $23,670 | 2.87 |
| Hypertension without MCCMS-DRG 305, medical | 14 | $22,497 | $4,223 | $4,949 | 0.75 |
| Syncope and collapseMS-DRG 312, medical | 14 | $23,946 | $4,598 | $5,268 | 0.86 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 14 | $33,611 | $10,595 | $7,394 | 2.09 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 12 | $17,429 | $6,169 | $3,834 | 1.07 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 11 | $45,289 | $6,036 | $9,964 | 1.08 |
Kidney and urinary tract335 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 83 | $29,116 | $8,595 | $6,406 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 82 | $35,390 | $9,732 | $7,786 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 78 | $23,378 | $6,875 | $5,143 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 43 | $20,814 | $4,615 | $4,579 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 29 | $21,222 | $4,738 | $4,669 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 20 | $25,466 | $6,403 | $5,603 | 1.02 |
Respiratory system308 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 104 | $32,286 | $9,818 | $7,103 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 87 | $25,897 | $7,493 | $5,697 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 34 | $22,569 | $7,386 | $4,965 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 29 | $21,325 | $6,642 | $4,692 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 28 | $24,702 | $5,522 | $5,434 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 26 | $54,129 | $15,572 | $11,908 | 2.70 |
Digestive system134 discharges in 7 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 | 31 | $20,345 | $4,362 | $4,476 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 23 | $17,386 | $4,124 | $3,825 | 0.80 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 20 | $20,192 | $5,496 | $4,442 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 18 | $32,864 | $8,732 | $7,230 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 16 | $30,174 | $7,405 | $6,638 | 1.28 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 13 | $20,315 | $4,907 | $4,469 | 1.04 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 13 | $31,026 | $8,770 | $6,826 | 1.45 |
Nervous system106 discharges in 6 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 | 32 | $28,054 | $5,908 | $6,172 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 17 | $38,432 | $10,654 | $8,455 | 2.00 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 15 | $33,183 | $10,387 | $7,300 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 15 | $25,721 | $10,417 | $5,659 | 1.98 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 14 | $19,875 | $6,199 | $4,373 | 1.06 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 13 | $22,888 | $6,267 | $5,035 | 1.03 |
Musculoskeletal system and connective tissue103 discharges in 6 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 | 33 | $63,825 | $12,416 | $14,042 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 21 | $79,602 | $11,161 | $17,512 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 16 | $29,207 | $4,774 | $6,425 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 11 | $99,635 | $18,041 | $21,920 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 11 | $76,005 | $13,041 | $16,721 | 2.11 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 11 | $22,474 | $5,965 | $4,944 | 1.09 |
Endocrine, nutritional and metabolic98 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 | 56 | $27,985 | $7,736 | $6,157 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 25 | $19,447 | $4,086 | $4,278 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 17 | $29,935 | $8,573 | $6,586 | 1.45 |
Liver, gallbladder and pancreas36 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 18 | $36,988 | $11,638 | $8,137 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 18 | $41,080 | $10,698 | $9,038 | 1.83 |
Blood and immune system26 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 26 | $26,103 | $8,380 | $5,743 | 1.40 |
Skin, subcutaneous tissue and breast23 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 23 | $27,489 | $4,852 | $6,048 | 0.88 |
Injuries, poisonings and toxic effects of drugs15 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 | 15 | $33,647 | $9,935 | $7,402 | 1.60 |
Mental diseases and disorders13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 13 | $32,888 | $8,290 | $7,235 | 1.76 |
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 | 537 | 480 | $17,144 | $1,826 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 141 | 132 | $6,442 | $1,269 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 81 | 78 | $13,637 | $1,079 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 76 | 75 | $22,982 | $1,966 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 62 | 62 | $23,378 | $2,122 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 50 | 46 | $61,399 | $9,150 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 49 | 48 | $34,290 | $3,903 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 43 | 42 | $20,974 | $2,139 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 42 | 42 | $35,228 | $4,523 | $5,339 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 32 | 32 | $23,766 | $5,747 | $6,514 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 31 | 31 | $12,610 | $1,083 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 30 | 25 | $7,679 | $1,067 | $1,204 |
| Level 4 Urology and Related ServicesAPC 5374 | 24 | 22 | $18,966 | $2,351 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 20 | 20 | $20,324 | $1,923 | $2,141 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 19 | 19 | $49,004 | $7,431 | $8,569 |
| Level 5 Urology and Related ServicesAPC 5375 | 15 | 15 | $24,209 | $3,501 | $3,918 |
| Level 4 Gynecologic ProceduresAPC 5414 | 15 | 15 | $15,536 | $2,115 | $2,389 |
| Level 3 Endovascular ProceduresAPC 5193 | 12 | 12 | $66,371 | $7,695 | $8,874 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 12 | 12 | $25,522 | $2,146 | $2,636 |
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.