Ssm Health St Anthony Hospital - Midwest Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ssm Health St Anthony Hospital - Midwest, Midwest City, OK in 2024, from traditional Medicare claims. Back to the Ssm Health St Anthony Hospital - Midwest profile, with quality ratings, finances and negotiated rates.
1,279
Medicare inpatient discharges
In 42 published DRGs
1.79
Case mix index
IPPS FY 2027
13%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
876
Medicare outpatient services
In 20 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases274 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 | 208 | $146,713 | $12,915 | $15,258 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 33 | $67,782 | $6,503 | $7,049 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 19 | $334,169 | $29,588 | $34,754 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 14 | $500,348 | $42,270 | $52,036 | 6.96 |
Kidney and urinary tract190 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 64 | $88,385 | $8,932 | $9,192 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 50 | $67,345 | $5,287 | $7,004 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 26 | $51,663 | $4,803 | $5,373 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 26 | $100,496 | $11,017 | $10,452 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 24 | $75,390 | $7,233 | $7,841 | 1.17 |
Respiratory system187 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 68 | $78,564 | $8,254 | $8,171 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 39 | $79,003 | $7,792 | $8,216 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 36 | $95,311 | $9,956 | $9,912 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 24 | $65,706 | $4,931 | $6,833 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 20 | $191,906 | $16,806 | $19,958 | 2.70 |
Circulatory system186 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 | 67 | $97,426 | $9,622 | $10,132 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 36 | $111,171 | $9,483 | $11,562 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 20 | $59,597 | $5,269 | $6,198 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 20 | $227,696 | $19,154 | $23,680 | 2.87 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 16 | $73,593 | $7,354 | $7,654 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 15 | $138,424 | $12,382 | $14,396 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 12 | $166,797 | $9,676 | $17,347 | 1.82 |
Musculoskeletal system and connective tissue96 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 | 22 | $148,819 | $13,021 | $15,477 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 21 | $144,040 | $10,667 | $14,980 | 1.88 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 21 | $193,520 | $17,555 | $20,126 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 20 | $153,457 | $13,507 | $15,960 | 2.11 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 12 | $296,541 | $28,745 | $30,840 | 4.61 |
Mental diseases and disorders86 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 86 | $36,738 | $8,939 | $3,821 | 1.37 |
Digestive system82 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 26 | $64,958 | $6,161 | $6,756 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 15 | $48,131 | $4,553 | $5,006 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 14 | $140,716 | $11,063 | $14,634 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 14 | $85,852 | $4,638 | $8,929 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 13 | $168,203 | $15,268 | $17,493 | 2.37 |
Endocrine, nutritional and metabolic77 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 | 30 | $76,860 | $8,370 | $7,993 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 17 | $53,372 | $5,102 | $5,551 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 16 | $61,739 | $5,612 | $6,421 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $80,120 | $8,714 | $8,332 | 1.45 |
Nervous system74 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Transient ischemia without thrombolyticMS-DRG 069, medical | 23 | $55,173 | $5,031 | $5,738 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 22 | $120,967 | $12,668 | $12,581 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 15 | $80,886 | $5,998 | $8,412 | 1.02 |
| Seizures without MCCMS-DRG 101, medical | 14 | $57,932 | $5,843 | $6,025 | 0.91 |
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 | $58,153 | $4,827 | $6,048 | 0.88 |
Blood and immune system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 11 | $59,948 | $6,332 | $6,235 | 0.90 |
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 | 169 | 153 | $36,677 | $1,868 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 123 | 122 | $49,369 | $1,944 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 65 | 58 | $16,259 | $1,107 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 61 | 57 | $45,604 | $3,831 | $4,358 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 56 | 56 | $51,884 | $5,719 | $6,514 |
| Level 3 Urology and Related ServicesAPC 5373 | 46 | 46 | $29,853 | $1,398 | $1,516 |
| Level 1 Nerve ProceduresAPC 5431 | 42 | 37 | $22,365 | $1,292 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 38 | 38 | $80,578 | $4,652 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 37 | 33 | $40,771 | $2,393 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 35 | 35 | $51,766 | $2,125 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 32 | 30 | $118,818 | $7,840 | $8,874 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 31 | 30 | $119,960 | $9,694 | $10,772 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 28 | 26 | $53,795 | $1,984 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 21 | 20 | $32,793 | $1,077 | $1,196 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 19 | 19 | $37,892 | $1,848 | $2,141 |
| Level 2 Upper GI ProceduresAPC 5302 | 18 | 17 | $16,811 | $1,234 | $1,445 |
| Level 2 Endovascular ProceduresAPC 5192 | 16 | 16 | $77,968 | $3,923 | $4,338 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 16 | 16 | $74,788 | $7,563 | $8,569 |
| Level 4 Vascular ProceduresAPC 5184 | 12 | 12 | $72,696 | $3,772 | $3,946 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 11 | 11 | $40,926 | $1,943 | $2,636 |
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.