Ssm Health St Anthony Hospital - Shawnee Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ssm Health St Anthony Hospital - Shawnee, Shawnee, OK in 2024, from traditional Medicare claims. Back to the Ssm Health St Anthony Hospital - Shawnee profile, with quality ratings, finances and negotiated rates.
728
Medicare inpatient discharges
In 24 published DRGs
1.73
Case mix index
IPPS FY 2027
17%
Surgical stays
88%
Stays with complications
In DRGs with a CC or MCC
1,311
Medicare outpatient services
In 16 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases267 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 | 233 | $33,758 | $12,368 | $8,777 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 21 | $20,952 | $6,559 | $5,448 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 13 | $67,542 | $25,445 | $17,561 | 5.00 |
Circulatory system107 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 44 | $21,706 | $8,572 | $5,644 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 25 | $37,363 | $10,262 | $9,714 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 20 | $47,782 | $12,764 | $12,423 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 18 | $79,416 | $19,070 | $20,648 | 2.87 |
Kidney and urinary tract102 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 36 | $25,778 | $9,796 | $6,702 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 35 | $18,462 | $5,690 | $4,800 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 18 | $27,446 | $8,798 | $7,136 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 13 | $18,085 | $7,657 | $4,702 | 1.17 |
Respiratory system96 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 38 | $28,091 | $8,286 | $7,304 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 24 | $27,000 | $8,448 | $7,020 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 21 | $34,918 | $10,836 | $9,079 | 1.70 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 13 | $68,464 | $18,700 | $17,801 | 2.70 |
Digestive system59 discharges in 4 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 | 18 | $39,519 | $15,553 | $10,275 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 15 | $81,677 | $28,378 | $21,236 | 4.52 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 15 | $39,134 | $11,257 | $10,175 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 11 | $25,051 | $5,856 | $6,513 | 0.98 |
Musculoskeletal system and connective tissue58 discharges in 3 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 | 29 | $37,014 | $13,590 | $9,624 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 15 | $42,392 | $14,137 | $11,022 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 14 | $43,066 | $18,172 | $11,197 | 2.95 |
Endocrine, nutritional and metabolic39 discharges in 2 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 | 23 | $21,990 | $8,458 | $5,717 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $19,799 | $5,499 | $5,148 | 0.78 |
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 | 365 | 221 | $7,674 | $1,580 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 253 | 238 | $12,524 | $1,856 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 125 | 116 | $3,605 | $1,086 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 107 | 106 | $18,804 | $2,018 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 79 | 79 | $15,349 | $3,908 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 60 | 57 | $13,009 | $2,187 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 56 | 53 | $14,374 | $2,180 | $2,373 |
| Level 2 Upper GI ProceduresAPC 5302 | 56 | 55 | $6,146 | $1,306 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 36 | 34 | $12,391 | $2,243 | $2,636 |
| Level 3 Endovascular ProceduresAPC 5193 | 35 | 29 | $41,386 | $7,607 | $8,874 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 34 | 26 | $8,798 | $1,836 | $2,141 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 29 | 28 | $7,058 | $1,088 | $1,196 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 28 | 28 | $38,475 | $7,293 | $8,569 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 23 | 23 | $18,853 | $4,476 | $4,982 |
| Level 3 Lower GI ProceduresAPC 5313 | 13 | 13 | $10,580 | $1,918 | $2,176 |
| Level 2 Endovascular ProceduresAPC 5192 | 12 | 12 | $26,409 | $3,923 | $4,338 |
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.