Ssm Health Good Samaritan Hospital - Mt. Vernon Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ssm Health Good Samaritan Hospital - Mt. Vernon, Mount Vernon, IL in 2024, from traditional Medicare claims. Back to the Ssm Health Good Samaritan Hospital - Mt. Vernon profile, with quality ratings, finances and negotiated rates.
1,766
Medicare inpatient discharges
In 53 published DRGs
1.70
Case mix index
IPPS FY 2027
16%
Surgical stays
64%
Stays with complications
In DRGs with a CC or MCC
1,025
Medicare outpatient services
In 24 service groups
Inpatient stays by major diagnostic category
Circulatory system423 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 128 | $36,144 | $8,049 | $11,349 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 37 | $21,552 | $4,221 | $6,767 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 34 | $97,262 | $11,079 | $30,540 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 32 | $45,255 | $9,406 | $14,210 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 30 | $30,936 | $5,311 | $9,714 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 26 | $30,586 | $7,651 | $9,604 | 1.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 23 | $38,839 | $5,232 | $12,195 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 21 | $122,010 | $18,355 | $38,311 | 2.87 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 20 | $14,999 | $2,607 | $4,710 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 17 | $41,803 | $5,731 | $13,126 | 1.08 |
| Chest painMS-DRG 313, medical | 16 | $28,969 | $4,247 | $9,096 | 0.72 |
| Hypertension without MCCMS-DRG 305, medical | 14 | $28,596 | $4,403 | $8,979 | 0.75 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 14 | $57,337 | $15,027 | $18,004 | 2.09 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 11 | $24,593 | $5,982 | $7,722 | 0.97 |
Infectious and parasitic diseases319 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 | 218 | $51,965 | $12,518 | $16,317 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 43 | $32,428 | $5,811 | $10,182 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 40 | $118,284 | $32,499 | $37,141 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 18 | $184,815 | $48,011 | $58,032 | 6.96 |
Respiratory system293 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 87 | $39,216 | $8,210 | $12,314 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 61 | $35,422 | $7,880 | $11,123 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 56 | $50,551 | $10,975 | $15,873 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 26 | $29,442 | $4,792 | $9,245 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 24 | $56,623 | $17,298 | $17,780 | 2.70 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 14 | $24,502 | $6,164 | $7,693 | 0.99 |
| Pleural effusion with MCCMS-DRG 186, medical | 14 | $36,051 | $9,994 | $11,320 | 1.55 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $41,079 | $8,776 | $12,899 | 1.40 |
Kidney and urinary tract187 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 46 | $24,117 | $5,205 | $7,573 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 44 | $28,089 | $9,442 | $8,820 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 32 | $35,131 | $7,208 | $11,031 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 28 | $24,702 | $5,102 | $7,756 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 26 | $57,316 | $10,697 | $17,997 | 1.65 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 11 | $77,844 | $26,279 | $24,443 | 3.70 |
Musculoskeletal system and connective tissue184 discharges in 4 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 | 122 | $79,268 | $11,374 | $24,890 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 26 | $70,139 | $13,316 | $22,024 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 24 | $77,833 | $13,332 | $24,440 | 2.11 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 12 | $27,415 | $5,217 | $8,608 | 0.82 |
Nervous system124 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 | $32,609 | $6,076 | $10,239 | 1.02 |
| Seizures without MCCMS-DRG 101, medical | 25 | $14,886 | $5,609 | $4,674 | 0.91 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 24 | $30,490 | $4,303 | $9,574 | 0.80 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 15 | $27,181 | $7,739 | $8,535 | 1.36 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 14 | $55,348 | $13,996 | $17,379 | 2.00 |
| Seizures with MCCMS-DRG 100, medical | 14 | $28,343 | $11,831 | $8,900 | 1.98 |
Endocrine, nutritional and metabolic105 discharges in 4 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 | 50 | $35,400 | $8,445 | $11,116 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 31 | $22,814 | $4,520 | $7,164 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $36,752 | $8,784 | $11,540 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 12 | $28,617 | $5,720 | $8,986 | 0.90 |
Digestive system85 discharges in 5 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 | 33 | $25,227 | $4,121 | $7,921 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $18,139 | $4,149 | $5,696 | 0.80 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 13 | $44,024 | $10,415 | $13,823 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 12 | $32,995 | $5,726 | $10,361 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $31,597 | $8,346 | $9,921 | 1.28 |
Skin, subcutaneous tissue and breast29 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 29 | $21,252 | $4,771 | $6,673 | 0.88 |
Factors influencing health status17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 17 | $27,331 | $4,878 | $8,582 | 0.80 |
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 Endovascular ProceduresAPC 5191 | 134 | 134 | $30,593 | $2,162 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 117 | 114 | $17,195 | $1,981 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 114 | 102 | $8,240 | $1,168 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 59 | 51 | $14,866 | $1,414 | $1,445 |
| Level 3 Endovascular ProceduresAPC 5193 | 57 | 55 | $64,982 | $8,374 | $8,874 |
| Level 3 Vascular ProceduresAPC 5183 | 56 | 54 | $16,050 | $2,347 | $2,405 |
| Level 2 Endovascular ProceduresAPC 5192 | 53 | 44 | $41,860 | $4,201 | $4,338 |
| Level 3 Urology and Related ServicesAPC 5373 | 46 | 35 | $18,336 | $1,398 | $1,516 |
| Level 4 Vascular ProceduresAPC 5184 | 44 | 40 | $37,905 | $4,046 | $3,946 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 40 | 39 | $16,944 | $2,040 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 39 | 39 | $31,825 | $3,807 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 37 | 37 | $48,164 | $4,249 | $4,358 |
| Level 2 Vascular ProceduresAPC 5182 | 33 | 31 | $5,518 | $1,115 | $1,204 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 27 | 26 | $40,889 | $5,268 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 24 | 21 | $24,889 | $2,383 | $2,373 |
| Level 4 Endovascular ProceduresAPC 5194 | 24 | 23 | $85,254 | $14,537 | $14,606 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 23 | 23 | $44,541 | $8,226 | $8,569 |
| Level 4 Urology and Related ServicesAPC 5374 | 21 | 20 | $28,279 | $2,445 | $2,629 |
| Level 4 Airway EndoscopyAPC 5154 | 16 | 16 | $28,193 | $2,585 | $2,833 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 15 | 15 | $81,841 | $7,342 | $8,164 |
| Level 3 Airway EndoscopyAPC 5153 | 12 | 12 | $23,541 | $1,250 | $1,264 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 12 | 12 | $34,533 | $2,547 | $2,636 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 11 | 11 | $29,412 | $6,254 | $6,514 |
| Level 3 Upper GI ProceduresAPC 5303 | 11 | $22,762 | $2,546 | $2,888 |
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.