Sarah Bush Lincoln Health Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Sarah Bush Lincoln Health Center, Mattoon, IL in 2024, from traditional Medicare claims. Back to the Sarah Bush Lincoln Health Center profile, with quality ratings, finances and negotiated rates.
1,924
Medicare inpatient discharges
In 59 published DRGs
1.56
Case mix index
IPPS FY 2027
17%
Surgical stays
65%
Stays with complications
In DRGs with a CC or MCC
4,246
Medicare outpatient services
In 34 service groups
Inpatient stays by major diagnostic category
Respiratory system379 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 80 | $54,889 | $11,861 | $17,674 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 66 | $38,432 | $7,472 | $12,375 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 55 | $29,873 | $4,521 | $9,619 | 0.82 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 45 | $41,590 | $8,171 | $13,392 | 1.33 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 35 | $26,374 | $5,072 | $8,492 | 0.85 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 33 | $29,352 | $6,736 | $9,451 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 30 | $40,464 | $5,652 | $13,029 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 12 | $75,477 | $8,069 | $24,304 | 1.40 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 12 | $20,774 | $3,531 | $6,689 | 0.63 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 11 | $30,693 | $5,032 | $9,883 | 0.82 |
Circulatory system375 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 238 | $35,970 | $8,447 | $11,582 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 40 | $49,006 | $10,346 | $15,780 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 25 | $27,927 | $4,123 | $8,992 | 0.74 |
| Hypertension without MCCMS-DRG 305, medical | 23 | $27,102 | $3,982 | $8,727 | 0.75 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 19 | $34,698 | $7,671 | $11,173 | 1.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 15 | $38,113 | $5,579 | $12,272 | 0.91 |
| Syncope and collapseMS-DRG 312, medical | 15 | $27,836 | $5,363 | $8,963 | 0.86 |
Musculoskeletal system and connective tissue298 discharges in 11 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 | 114 | $75,821 | $11,719 | $24,414 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 24 | $80,211 | $13,032 | $25,828 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 24 | $32,691 | $5,572 | $10,526 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 23 | $79,330 | $13,546 | $25,544 | 2.11 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 20 | $148,895 | $20,955 | $47,944 | 3.49 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 20 | $114,602 | $19,001 | $36,902 | 2.67 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 17 | $98,428 | $16,931 | $31,694 | 2.48 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 16 | $125,008 | $19,718 | $40,253 | 2.95 |
| Knee procedures without principal diagnosis of infection without cc/mccMS-DRG 489, surgical | 16 | $49,716 | $7,502 | $16,009 | 1.24 |
| Major hip and knee joint replacement or reattachment of lower extremity with MCC or totaMS-DRG 469, surgical | 12 | $104,271 | $22,478 | $33,575 | 3.33 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 12 | $31,969 | $5,157 | $10,294 | 0.90 |
Kidney and urinary tract213 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 65 | $25,839 | $4,680 | $8,320 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 40 | $28,008 | $5,387 | $9,018 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 36 | $38,366 | $7,615 | $12,354 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 28 | $44,337 | $10,528 | $14,276 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 27 | $42,065 | $9,720 | $13,545 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 17 | $33,072 | $6,561 | $10,649 | 1.02 |
Infectious and parasitic diseases190 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 | 136 | $54,999 | $12,741 | $17,710 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 42 | $40,861 | $6,885 | $13,157 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 12 | $143,259 | $34,754 | $46,129 | 5.00 |
Digestive system155 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 | 50 | $30,148 | $4,638 | $9,708 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 25 | $33,483 | $5,978 | $10,782 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 20 | $84,462 | $16,489 | $27,197 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $29,816 | $4,412 | $9,601 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 16 | $45,893 | $7,919 | $14,778 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 15 | $52,550 | $11,086 | $16,921 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 13 | $34,391 | $5,113 | $11,074 | 0.94 |
Nervous system144 discharges in 8 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 | 28 | $39,990 | $5,790 | $12,877 | 1.02 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 19 | $48,032 | $6,592 | $15,466 | 1.14 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 19 | $46,603 | $8,501 | $15,006 | 1.36 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 19 | $46,522 | $6,756 | $14,980 | 1.06 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 18 | $55,759 | $12,669 | $17,955 | 2.00 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 17 | $39,468 | $11,662 | $12,709 | 1.79 |
| Seizures without MCCMS-DRG 101, medical | 13 | $35,815 | $5,405 | $11,533 | 0.91 |
| Extracranial procedures with CCMS-DRG 038, surgical | 11 | $48,560 | $9,211 | $15,636 | 1.60 |
Endocrine, nutritional and metabolic82 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 without MCCMS-DRG 641, medical | 36 | $28,642 | $4,565 | $9,223 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 26 | $31,056 | $5,512 | $10,000 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 20 | $32,136 | $8,599 | $10,348 | 1.32 |
Skin, subcutaneous tissue and breast35 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 35 | $30,530 | $5,022 | $9,831 | 0.88 |
Blood and immune system28 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 15 | $63,926 | $9,569 | $20,584 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 13 | $33,746 | $5,720 | $10,866 | 0.90 |
Mental diseases and disorders25 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 | 25 | $29,549 | $11,049 | $9,515 | 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 | 1,064 | 871 | $20,877 | $2,121 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 688 | 398 | $7,451 | $1,732 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 406 | 386 | $62,887 | $11,242 | $10,772 |
| Level 2 Urology and Related ServicesAPC 5372 | 249 | 209 | $695 | $522 | $502 |
| Level 1 Nerve ProceduresAPC 5431 | 202 | 162 | $12,090 | $1,440 | $1,407 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 150 | 134 | $9,069 | $1,215 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 120 | 107 | $16,083 | $2,501 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 119 | 119 | $25,019 | $2,298 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 113 | 112 | $40,104 | $5,408 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 106 | 104 | $19,215 | $2,383 | $2,373 |
| Level 3 Urology and Related ServicesAPC 5373 | 102 | 94 | $4,279 | $1,597 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 95 | 95 | $31,141 | $4,541 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 90 | 72 | $22,953 | $2,658 | $2,629 |
| Level 2 Upper GI ProceduresAPC 5302 | 72 | 62 | $11,352 | $1,445 | $1,445 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 65 | 61 | $8,123 | $1,052 | $1,196 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 64 | 63 | $88,498 | $16,059 | $15,763 |
| Level 3 Endovascular ProceduresAPC 5193 | 64 | 64 | $74,878 | $9,169 | $8,874 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 49 | 49 | $42,625 | $6,772 | $6,514 |
| Level 4 Airway EndoscopyAPC 5154 | 48 | 46 | $23,055 | $2,892 | $2,833 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 45 | 39 | $18,596 | $2,129 | $2,141 |
| Level 2 Vascular ProceduresAPC 5182 | 40 | 37 | $7,445 | $1,261 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 37 | 34 | $37,337 | $4,506 | $4,338 |
| Level 5 Urology and Related ServicesAPC 5375 | 35 | 32 | $30,767 | $4,081 | $3,918 |
| Level 4 Vascular ProceduresAPC 5184 | 32 | 26 | $35,658 | $4,334 | $3,946 |
| Level 3 Airway EndoscopyAPC 5153 | 28 | 21 | $7,032 | $1,039 | $1,264 |
| Level 5 Airway EndoscopyAPC 5155 | 27 | 22 | $32,251 | $5,397 | $5,183 |
| Level 4 Endovascular ProceduresAPC 5194 | 25 | 19 | $112,341 | $15,058 | $14,606 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 24 | 24 | $28,159 | $2,728 | $2,636 |
| Level 4 ENT ProceduresAPC 5164 | 17 | 15 | $9,083 | $2,538 | $2,217 |
| Level 5 ENT ProceduresAPC 5165 | 17 | 17 | $37,563 | $4,618 | $4,436 |
| Level 3 Upper GI ProceduresAPC 5303 | 16 | $26,967 | $3,020 | $2,888 | |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 13 | 13 | $43,478 | $7,890 | $8,164 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 12 | 11 | $39,847 | $5,143 | $4,982 |
| Level 4 Gynecologic ProceduresAPC 5414 | 12 | 12 | $15,664 | $2,454 | $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.