Spencer Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Spencer Hospital, Spencer, IA in 2024, from traditional Medicare claims. Back to the Spencer Hospital profile, with quality ratings, finances and negotiated rates.
378
Medicare inpatient discharges
In 16 published DRGs
1.63
Case mix index
IPPS FY 2027
30%
Surgical stays
67%
Stays with complications
In DRGs with a CC or MCC
1,856
Medicare outpatient services
In 23 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases92 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 | 64 | $30,618 | $14,968 | $14,972 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 17 | $14,697 | $7,299 | $7,187 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 11 | $39,471 | $38,611 | $19,301 | 5.00 |
Musculoskeletal system and connective tissue90 discharges in 3 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 | 53 | $41,934 | $13,745 | $20,506 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 23 | $38,769 | $15,273 | $18,958 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 14 | $40,926 | $15,801 | $20,013 | 2.11 |
Respiratory system70 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 33 | $17,530 | $9,466 | $8,572 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 23 | $23,457 | $11,857 | $11,470 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 14 | $26,555 | $8,858 | $12,985 | 1.23 |
Circulatory system64 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 52 | $18,121 | $9,204 | $8,861 | 1.28 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 12 | $22,120 | $8,581 | $10,817 | 1.20 |
Kidney and urinary tract37 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 15 | $12,300 | $5,245 | $6,015 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 11 | $20,145 | $11,065 | $9,851 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 11 | $13,480 | $6,329 | $6,592 | 0.90 |
Digestive system25 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 13 | $32,675 | $18,357 | $15,978 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 12 | $12,690 | $5,101 | $6,205 | 0.79 |
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 | 514 | 311 | $6,890 | $1,578 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 189 | 178 | $37,855 | $9,511 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 189 | 144 | $13,726 | $2,375 | $2,629 |
| Comprehensive Observation ServicesAPC 8011 | 137 | 125 | $11,018 | $1,866 | $2,090 |
| Level 5 Urology and Related ServicesAPC 5375 | 120 | 111 | $14,946 | $3,497 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 73 | 59 | $10,340 | $1,387 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 71 | 69 | $25,875 | $4,739 | $5,339 |
| Level 2 Urology and Related ServicesAPC 5372 | 68 | 52 | $3,545 | $461 | $502 |
| Level 1 Nerve ProceduresAPC 5431 | 64 | 57 | $5,434 | $1,315 | $1,407 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 59 | 58 | $18,272 | $3,937 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 58 | 55 | $6,693 | $1,105 | $1,220 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 55 | 54 | $52,417 | $14,277 | $15,763 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 49 | 47 | $12,722 | $2,206 | $2,373 |
| Level 2 Upper GI ProceduresAPC 5302 | 41 | 39 | $6,097 | $1,299 | $1,445 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 34 | 33 | $6,852 | $1,060 | $1,196 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 22 | 22 | $22,944 | $7,170 | $8,164 |
| Level 4 Gynecologic ProceduresAPC 5414 | 21 | 20 | $8,691 | $2,029 | $2,389 |
| Level 4 ENT ProceduresAPC 5164 | 18 | 18 | $9,146 | $2,191 | $2,217 |
| Level 2 Intraocular ProceduresAPC 5492 | 18 | 13 | $13,698 | $2,766 | $3,116 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 16 | 16 | $14,287 | $2,358 | $2,636 |
| Level 3 Vascular ProceduresAPC 5183 | 14 | 14 | $10,972 | $2,172 | $2,405 |
| Level 5 Gynecologic ProceduresAPC 5415 | 14 | 14 | $21,558 | $3,390 | $3,792 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 12 | 12 | $10,247 | $1,937 | $2,141 |
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.