Saint Francis Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Saint Francis Medical Center, Cape Girardeau, MO in 2024, from traditional Medicare claims. Back to the Saint Francis Medical Center profile, with quality ratings, finances and negotiated rates.
1,873
Medicare inpatient discharges
In 54 published DRGs
1.93
Case mix index
IPPS FY 2027
27%
Surgical stays
66%
Stays with complications
In DRGs with a CC or MCC
3,681
Medicare outpatient services
In 43 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases538 discharges in 4 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 | 383 | $81,723 | $13,285 | $17,325 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 86 | $51,727 | $6,988 | $10,966 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 47 | $172,639 | $31,653 | $36,600 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 22 | $86,606 | $12,953 | $18,361 | 2.04 |
Circulatory system459 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 121 | $51,826 | $8,839 | $10,987 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 65 | $178,048 | $21,454 | $37,746 | 3.24 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 35 | $230,762 | $26,352 | $48,921 | 4.04 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 29 | $42,866 | $4,808 | $9,087 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 25 | $86,298 | $11,362 | $18,295 | 1.59 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 23 | $303,610 | $32,904 | $64,365 | 4.88 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 21 | $23,358 | $2,933 | $4,952 | 0.55 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 19 | $298,257 | $33,160 | $63,230 | 5.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 19 | $138,724 | $11,527 | $29,410 | 1.82 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 18 | $220,897 | $20,200 | $46,830 | 2.87 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 17 | $56,658 | $8,360 | $12,011 | 1.20 |
| Other vascular procedures without cc/mccMS-DRG 254, surgical | 16 | $120,329 | $10,988 | $25,510 | 1.74 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 15 | $78,823 | $14,093 | $16,711 | 2.16 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 13 | $159,331 | $15,419 | $33,778 | 2.28 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 12 | $238,509 | $34,777 | $50,564 | 5.04 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 11 | $100,223 | $14,431 | $21,247 | 2.09 |
Respiratory system234 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 | 106 | $65,753 | $8,609 | $13,940 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 48 | $63,599 | $11,025 | $13,483 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 40 | $71,563 | $9,031 | $15,171 | 1.33 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 18 | $157,419 | $18,761 | $33,373 | 2.70 |
| Major chest trauma with CCMS-DRG 184, medical | 11 | $33,693 | $7,300 | $7,143 | 1.05 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $49,536 | $5,586 | $10,502 | 0.82 |
Digestive system172 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 44 | $44,179 | $6,484 | $9,366 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 27 | $65,478 | $12,176 | $13,881 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 23 | $43,518 | $5,344 | $9,226 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 21 | $138,548 | $16,020 | $29,372 | 2.37 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 17 | $108,299 | $10,606 | $22,959 | 1.67 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 14 | $52,797 | $9,467 | $11,193 | 1.45 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 13 | $222,977 | $28,924 | $47,271 | 4.52 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 13 | $20,027 | $3,501 | $4,246 | 0.56 |
Kidney and urinary tract152 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 43 | $56,001 | $9,251 | $11,872 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 34 | $39,898 | $6,076 | $8,458 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 33 | $50,053 | $8,154 | $10,611 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 26 | $38,960 | $5,564 | $8,259 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 16 | $49,868 | $10,191 | $10,572 | 1.65 |
Musculoskeletal system and connective tissue128 discharges in 5 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 | 48 | $89,964 | $13,880 | $19,072 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 29 | $78,258 | $13,971 | $16,591 | 2.11 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 27 | $288,659 | $31,719 | $61,196 | 3.66 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 12 | $86,913 | $18,559 | $18,426 | 2.95 |
| Medical back problems with MCCMS-DRG 551, medical | 12 | $55,837 | $10,905 | $11,838 | 1.70 |
Nervous system122 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 | 29 | $51,284 | $6,610 | $10,872 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 28 | $82,671 | $13,092 | $17,526 | 2.00 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 24 | $54,738 | $7,806 | $11,605 | 1.14 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 16 | $35,518 | $4,496 | $7,530 | 0.69 |
| Seizures without MCCMS-DRG 101, medical | 14 | $27,274 | $5,908 | $5,782 | 0.91 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 11 | $49,452 | $8,697 | $10,484 | 1.32 |
Endocrine, nutritional and metabolic35 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 | 18 | $47,490 | $8,798 | $10,068 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 17 | $30,969 | $5,220 | $6,565 | 0.78 |
Other17 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 MCCMS-DRG 981, surgical | 17 | $194,715 | $32,256 | $41,280 | 4.74 |
Skin, subcutaneous tissue and breast16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 16 | $35,592 | $5,877 | $7,545 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 433 | 416 | $25,308 | $1,971 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 274 | 271 | $32,697 | $2,134 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 257 | 244 | $70,879 | $10,352 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 238 | 216 | $11,812 | $1,171 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 180 | 173 | $50,435 | $5,186 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 179 | 147 | $23,135 | $2,513 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 165 | 154 | $35,057 | $3,772 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 134 | 125 | $20,437 | $1,461 | $1,516 |
| Level 3 Vascular ProceduresAPC 5183 | 131 | 125 | $23,774 | $2,297 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 126 | 126 | $41,680 | $4,173 | $4,358 |
| Level 1 Nerve ProceduresAPC 5431 | 114 | 97 | $13,600 | $1,393 | $1,407 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 102 | 102 | $99,531 | $8,130 | $8,569 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 90 | 51 | $31,552 | $2,853 | $4,524 |
| Level 2 Endovascular ProceduresAPC 5192 | 81 | 80 | $48,161 | $4,166 | $4,338 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 80 | 80 | $214,769 | $26,360 | $26,719 |
| Level 3 Endovascular ProceduresAPC 5193 | 79 | 76 | $99,232 | $8,424 | $8,874 |
| Level 2 Intraocular ProceduresAPC 5492 | 78 | 73 | $33,752 | $2,926 | $3,116 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 67 | 66 | $21,111 | $2,323 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 63 | 63 | $21,975 | $2,071 | $2,141 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 61 | 61 | $63,624 | $6,191 | $6,514 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 57 | 55 | $158,022 | $20,040 | $21,117 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 53 | 48 | $14,206 | $1,136 | $1,196 |
| Level 2 Upper GI ProceduresAPC 5302 | 52 | 46 | $17,171 | $1,388 | $1,445 |
| Level 3 Airway EndoscopyAPC 5153 | 51 | 51 | $9,529 | $1,219 | $1,264 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 50 | 50 | $76,739 | $7,313 | $8,164 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 45 | 44 | $37,126 | $4,753 | $4,982 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 44 | 40 | $28,878 | $2,522 | $2,636 |
| Level 4 Airway EndoscopyAPC 5154 | 41 | 38 | $54,805 | $2,663 | $2,833 |
| Level 4 Gynecologic ProceduresAPC 5414 | 41 | 41 | $17,976 | $2,223 | $2,389 |
| Level 2 Vascular ProceduresAPC 5182 | 38 | 37 | $9,954 | $1,164 | $1,204 |
| Level 5 Airway EndoscopyAPC 5155 | 32 | 32 | $107,887 | $4,989 | $5,183 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 29 | 29 | $21,224 | $2,778 | $2,930 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 28 | 28 | $172,233 | $16,155 | $17,052 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 25 | 25 | $116,385 | $14,766 | $15,763 |
| Level 4 Vascular ProceduresAPC 5184 | 24 | 23 | $27,135 | $4,006 | $3,946 |
| Level 3 Lower GI ProceduresAPC 5313 | 23 | 22 | $19,985 | $2,058 | $2,176 |
| Level 1 Intraocular ProceduresAPC 5491 | 23 | 14 | $21,297 | $1,699 | $1,752 |
| Level 5 ENT ProceduresAPC 5165 | 21 | 21 | $37,961 | $3,862 | $4,436 |
| Level 4 Endovascular ProceduresAPC 5194 | 19 | 14 | $114,255 | $10,594 | $14,606 |
| Level 5 Gynecologic ProceduresAPC 5415 | 17 | 17 | $23,332 | $3,626 | $3,792 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 13 | 13 | $298,522 | $28,377 | $29,375 |
| Level 6 Urology and Related ServicesAPC 5376 | 12 | 11 | $70,504 | $6,795 | $7,291 |
| Level 4 ENT ProceduresAPC 5164 | 11 | 11 | $18,269 | $2,347 | $2,217 |
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.