Ssm Health St. Joseph Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ssm Health St. Joseph Hospital, Saint Charles, MO in 2024, from traditional Medicare claims. Back to the Ssm Health St. Joseph Hospital profile, with quality ratings, finances and negotiated rates.
864
Medicare inpatient discharges
In 30 published DRGs
1.70
Case mix index
IPPS FY 2027
7%
Surgical stays
58%
Stays with complications
In DRGs with a CC or MCC
1,441
Medicare outpatient services
In 32 service groups
Inpatient stays by major diagnostic category
Mental diseases and disorders184 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 170 | $33,515 | $10,702 | $11,194 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 14 | $30,199 | $10,365 | $10,087 | 1.76 |
Circulatory system173 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 92 | $36,094 | $8,846 | $12,055 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 23 | $21,572 | $4,735 | $7,205 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 17 | $77,044 | $19,334 | $25,733 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 16 | $66,820 | $13,082 | $22,318 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 13 | $35,624 | $6,707 | $11,898 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 12 | $66,069 | $11,843 | $22,067 | 1.82 |
Respiratory system111 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 38 | $40,266 | $9,720 | $13,449 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 29 | $34,969 | $8,450 | $11,680 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 28 | $40,239 | $6,885 | $13,440 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 16 | $31,038 | $6,474 | $10,367 | 1.10 |
Infectious and parasitic diseases106 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 | 71 | $53,613 | $12,747 | $17,907 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 20 | $95,676 | $30,725 | $31,956 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 15 | $22,507 | $7,121 | $7,517 | 1.03 |
Kidney and urinary tract103 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 31 | $21,638 | $5,253 | $7,227 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 25 | $38,387 | $9,647 | $12,821 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 24 | $25,420 | $6,072 | $8,490 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 12 | $37,684 | $7,603 | $12,587 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 11 | $59,868 | $12,402 | $19,996 | 1.65 |
Digestive system82 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 33 | $28,771 | $6,377 | $9,610 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 25 | $22,033 | $4,989 | $7,359 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 13 | $65,424 | $12,463 | $21,852 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 11 | $28,653 | $5,058 | $9,570 | 0.80 |
Endocrine, nutritional and metabolic50 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 without MCCMS-DRG 641, medical | 28 | $25,944 | $5,194 | $8,665 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 22 | $35,392 | $8,481 | $11,821 | 1.32 |
Musculoskeletal system and connective tissue27 discharges in 2 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 | 15 | $43,683 | $13,624 | $14,590 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 12 | $26,666 | $6,536 | $8,906 | 0.97 |
Skin, subcutaneous tissue and breast15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 15 | $14,876 | $5,418 | $4,969 | 0.88 |
Nervous system13 discharges in 1 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 | 13 | $45,364 | $7,007 | $15,152 | 1.02 |
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 | 146 | 137 | $14,958 | $1,855 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 127 | 127 | $17,987 | $2,015 | $2,208 |
| Level 3 Urology and Related ServicesAPC 5373 | 101 | 91 | $10,011 | $1,404 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 91 | 80 | $12,944 | $2,400 | $2,629 |
| Level 1 Intraocular ProceduresAPC 5491 | 88 | 63 | $8,100 | $1,552 | $1,752 |
| Level 5 Urology and Related ServicesAPC 5375 | 84 | 77 | $16,853 | $3,518 | $3,918 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 74 | 70 | $8,008 | $1,100 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 71 | 64 | $5,911 | $1,336 | $1,445 |
| Level 1 Nerve ProceduresAPC 5431 | 70 | 64 | $11,550 | $823 | $1,407 |
| Level 3 Vascular ProceduresAPC 5183 | 60 | 58 | $14,169 | $2,217 | $2,405 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 53 | 53 | $26,540 | $3,046 | $5,339 |
| Level 4 Endovascular ProceduresAPC 5194 | 52 | 43 | $54,837 | $12,100 | $14,606 |
| Level 3 Endovascular ProceduresAPC 5193 | 43 | 40 | $40,398 | $7,635 | $8,874 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 38 | 37 | $15,260 | $1,542 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 31 | 30 | $10,694 | $1,941 | $2,141 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 26 | 26 | $25,411 | $3,926 | $4,358 |
| Level 6 Urology and Related ServicesAPC 5376 | 25 | 25 | $25,665 | $6,420 | $7,291 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 24 | 24 | $27,448 | $7,697 | $8,569 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 21 | 20 | $6,260 | $736 | $1,196 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 21 | 21 | $57,997 | $15,363 | $17,052 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 20 | 20 | $22,899 | $5,917 | $6,514 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 19 | 17 | $13,586 | $1,980 | $2,930 |
| Level 2 Endovascular ProceduresAPC 5192 | 19 | 16 | $19,861 | $3,981 | $4,338 |
| Level 2 Vascular ProceduresAPC 5182 | 18 | 17 | $5,071 | $1,115 | $1,204 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 18 | 18 | $79,818 | $19,076 | $21,117 |
| Level 3 Upper GI ProceduresAPC 5303 | 18 | 14 | $8,374 | $2,667 | $2,888 |
| Level 4 Vascular ProceduresAPC 5184 | 16 | 13 | $20,507 | $3,349 | $3,946 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 15 | 15 | $74,039 | $25,359 | $29,375 |
| Level 5 Airway EndoscopyAPC 5155 | 14 | 14 | $29,882 | $4,767 | $5,183 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 13 | 13 | $23,121 | $3,284 | $4,982 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 13 | $12,402 | $3,737 | $4,524 | |
| Level 4 Airway EndoscopyAPC 5154 | 12 | 11 | $12,005 | $2,608 | $2,833 |
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.