Ssm Health Saint Louis University Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ssm Health Saint Louis University Hospital, Saint Louis, MO in 2024, from traditional Medicare claims. Back to the Ssm Health Saint Louis University Hospital profile, with quality ratings, finances and negotiated rates.
1,852
Medicare inpatient discharges
In 84 published DRGs
2.84
Case mix index
IPPS FY 2027
37%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
1,865
Medicare outpatient services
In 38 service groups
Inpatient stays by major diagnostic category
Circulatory system408 discharges in 17 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 70 | $192,154 | $43,823 | $43,811 | 4.88 |
| Heart failure and shock with MCCMS-DRG 291, medical | 60 | $54,784 | $12,899 | $12,491 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 38 | $112,884 | $29,895 | $25,737 | 3.24 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 22 | $103,536 | $23,772 | $23,606 | 2.09 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 21 | $68,989 | $15,085 | $15,730 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 21 | $113,022 | $21,633 | $25,769 | 2.16 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 20 | $111,013 | $33,425 | $25,311 | 3.35 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 19 | $221,271 | $37,561 | $50,450 | 4.04 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 19 | $223,952 | $59,032 | $51,061 | 6.25 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 18 | $286,299 | $54,066 | $65,276 | 5.88 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 18 | $171,991 | $27,061 | $39,214 | 2.87 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 17 | $117,025 | $15,709 | $26,682 | 1.82 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 16 | $340,981 | $71,882 | $77,744 | 7.71 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 13 | $234,211 | $52,463 | $53,400 | 5.06 |
| Syncope and collapseMS-DRG 312, medical | 13 | $41,088 | $8,562 | $9,368 | 0.86 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 12 | $98,843 | $16,236 | $22,536 | 1.58 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 11 | $28,750 | $7,318 | $6,555 | 0.74 |
Nervous system300 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 61 | $88,437 | $18,550 | $20,164 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 44 | $50,042 | $9,767 | $11,410 | 1.02 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 28 | $183,842 | $40,781 | $41,916 | 4.42 |
| Seizures without MCCMS-DRG 101, medical | 26 | $30,267 | $8,504 | $6,901 | 0.91 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 20 | $217,834 | $52,344 | $49,666 | 5.67 |
| Seizures with MCCMS-DRG 100, medical | 17 | $79,520 | $18,555 | $18,131 | 1.98 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 16 | $79,033 | $11,316 | $18,019 | 1.32 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 15 | $68,070 | $14,425 | $15,520 | 1.47 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 14 | $100,950 | $21,310 | $23,017 | 2.28 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 13 | $51,301 | $16,327 | $11,697 | 1.79 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 12 | $127,477 | $27,567 | $29,065 | 2.95 |
| Peripheral, cranial nerve and other nervous system procedures with MCCMS-DRG 040, surgical | 12 | $104,812 | $31,833 | $23,897 | 3.85 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 11 | $33,125 | $10,634 | $7,552 | 1.03 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 11 | $96,746 | $21,458 | $22,058 | 2.27 |
Infectious and parasitic diseases247 discharges in 6 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 | 142 | $107,454 | $18,473 | $24,499 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 39 | $273,673 | $51,264 | $62,397 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 28 | $220,676 | $58,552 | $50,314 | 6.96 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 14 | $164,048 | $40,488 | $37,403 | 4.43 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 13 | $52,875 | $10,012 | $12,056 | 1.03 |
| Postoperative or post-traumatic infections with o.r. procedures with CCMS-DRG 857, surgical | 11 | $120,965 | $18,684 | $27,580 | 2.14 |
Musculoskeletal system and connective tissue165 discharges in 8 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 | 38 | $111,789 | $19,358 | $25,488 | 2.07 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 28 | $134,877 | $26,553 | $30,752 | 2.95 |
| Medical back problems without MCCMS-DRG 552, medical | 27 | $51,079 | $9,438 | $11,646 | 0.97 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 20 | $132,031 | $21,750 | $30,103 | 2.40 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 16 | $124,324 | $24,742 | $28,346 | 2.96 |
| Medical back problems with MCCMS-DRG 551, medical | 13 | $88,725 | $15,604 | $20,229 | 1.70 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 12 | $55,014 | $9,941 | $12,543 | 1.09 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 11 | $166,591 | $27,360 | $37,983 | 3.66 |
Kidney and urinary tract154 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 31 | $46,156 | $9,530 | $10,524 | 1.02 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 29 | $83,338 | $16,326 | $19,001 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 26 | $54,520 | $14,211 | $12,431 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 21 | $59,136 | $10,792 | $13,483 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 18 | $30,756 | $8,320 | $7,012 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 15 | $32,061 | $7,992 | $7,310 | 0.81 |
| Kidney transplantMS-DRG 652, surgical | 14 | $342,387 | $28,318 | $78,064 | 3.00 |
Digestive system151 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 23 | $97,698 | $17,288 | $22,275 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 21 | $76,875 | $18,436 | $17,527 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 18 | $210,738 | $39,288 | $48,048 | 4.52 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 18 | $43,806 | $8,862 | $9,988 | 0.98 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 17 | $158,881 | $47,131 | $36,225 | 5.08 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 17 | $64,833 | $11,938 | $14,782 | 1.28 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 15 | $25,903 | $7,913 | $5,906 | 0.79 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 11 | $126,561 | $21,313 | $28,856 | 2.50 |
| Digestive malignancy with MCCMS-DRG 374, medical | 11 | $90,592 | $19,533 | $20,655 | 2.10 |
Respiratory system148 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 33 | $53,347 | $11,980 | $12,163 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 28 | $71,599 | $15,598 | $16,325 | 1.70 |
| Major chest procedures with MCCMS-DRG 163, surgical | 21 | $153,057 | $44,538 | $34,897 | 4.71 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 21 | $43,662 | $12,249 | $9,955 | 1.23 |
| Major chest trauma with CCMS-DRG 184, medical | 16 | $60,956 | $9,597 | $13,898 | 1.05 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 16 | $104,157 | $25,156 | $23,748 | 2.70 |
| Major chest procedures with CCMS-DRG 164, surgical | 13 | $82,532 | $24,188 | $18,817 | 2.55 |
Endocrine, nutritional and metabolic72 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 | 25 | $81,781 | $14,195 | $18,646 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 18 | $34,596 | $8,504 | $7,888 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $48,268 | $8,434 | $11,005 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $55,476 | $10,564 | $12,649 | 1.45 |
Liver, gallbladder and pancreas69 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 30 | $80,847 | $19,221 | $18,433 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 28 | $56,507 | $18,013 | $12,884 | 1.83 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 11 | $44,383 | $9,484 | $10,119 | 0.95 |
Injuries, poisonings and toxic effects of drugs40 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 16 | $59,953 | $17,277 | $13,669 | 1.82 |
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 13 | $150,558 | $31,496 | $34,327 | 3.72 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 11 | $82,461 | $15,653 | $18,801 | 1.60 |
Transplants, ECMO and tracheostomy (pre-MDC)39 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical | 27 | $558,365 | $165,842 | $127,307 | 21.32 |
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 12 | $302,074 | $105,916 | $68,873 | 14.70 |
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 | $26,508 | $8,399 | $6,044 | 0.88 |
Multiple significant trauma16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other multiple significant trauma with MCCMS-DRG 963, medical | 16 | $147,186 | $27,152 | $33,558 | 2.73 |
Other14 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 | 14 | $200,823 | $45,063 | $45,788 | 4.74 |
Blood and immune system13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 13 | $1,046,295 | $125,049 | $238,555 | 1.56 |
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 2 Upper GI ProceduresAPC 5302 | 202 | 164 | $11,623 | $1,319 | $1,445 |
| Comprehensive Observation ServicesAPC 8011 | 161 | 144 | $20,822 | $1,880 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 130 | 117 | $15,434 | $1,047 | $1,220 |
| Level 1 Intraocular ProceduresAPC 5491 | 126 | 78 | $18,449 | $1,622 | $1,752 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 99 | 81 | $35,324 | $1,977 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 76 | 68 | $26,183 | $2,118 | $2,405 |
| Level 4 Vascular ProceduresAPC 5184 | 76 | 61 | $44,558 | $3,222 | $3,946 |
| Level 3 Endovascular ProceduresAPC 5193 | 72 | 57 | $61,184 | $7,867 | $8,874 |
| Level 3 Airway EndoscopyAPC 5153 | 64 | 47 | $4,118 | $1,181 | $1,264 |
| Level 4 Airway EndoscopyAPC 5154 | 62 | 55 | $22,463 | $2,608 | $2,833 |
| Level 1 Endovascular ProceduresAPC 5191 | 53 | 52 | $21,698 | $2,046 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 51 | 48 | $34,568 | $4,018 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 51 | 40 | $12,913 | $1,417 | $1,516 |
| Level 3 Lower GI ProceduresAPC 5313 | 50 | 46 | $15,099 | $1,964 | $2,176 |
| Complex GI ProceduresAPC 5331 | 45 | 27 | $26,823 | $3,616 | $4,263 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 41 | 38 | $16,387 | $1,627 | $1,780 |
| Level 5 ENT ProceduresAPC 5165 | 36 | 36 | $36,787 | $4,078 | $4,436 |
| Level 2 Endovascular ProceduresAPC 5192 | 35 | 28 | $26,785 | $3,918 | $4,338 |
| Level 5 Airway EndoscopyAPC 5155 | 33 | 33 | $34,128 | $4,767 | $5,183 |
| Level 2 Urology and Related ServicesAPC 5372 | 30 | 28 | $1,027 | $465 | $502 |
| Level 2 Vascular ProceduresAPC 5182 | 29 | 29 | $10,974 | $1,115 | $1,204 |
| Level 3 Upper GI ProceduresAPC 5303 | 29 | 29 | $21,408 | $2,577 | $2,888 |
| Level 5 Urology and Related ServicesAPC 5375 | 29 | 26 | $28,492 | $3,473 | $3,918 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 27 | 19 | $18,307 | $2,320 | $2,636 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 25 | 25 | $28,504 | $2,655 | $2,930 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 25 | 24 | $21,260 | $1,097 | $1,196 |
| Level 4 Urology and Related ServicesAPC 5374 | 24 | 21 | $22,258 | $2,428 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 22 | 22 | $34,553 | $4,974 | $5,339 |
| Level 2 Intraocular ProceduresAPC 5492 | 22 | 19 | $32,661 | $2,832 | $3,116 |
| Level 4 Endovascular ProceduresAPC 5194 | 20 | 17 | $82,816 | $12,982 | $14,606 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 20 | 20 | $57,102 | $7,359 | $8,164 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 19 | 18 | $122,831 | $19,076 | $21,117 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 17 | 14 | $19,043 | $1,989 | $2,373 |
| Level 4 ENT ProceduresAPC 5164 | 13 | 12 | $12,433 | $2,232 | $2,217 |
| Level 1 Nerve ProceduresAPC 5431 | 13 | 12 | $19,956 | $1,330 | $1,407 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 13 | 13 | $143,592 | $17,444 | $18,465 |
| Level 3 Intraocular ProceduresAPC 5493 | 13 | $32,341 | $3,430 | $4,004 | |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 12 | 12 | $27,958 | $4,542 | $4,982 |
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.