Ssm Health St. Mary S Hospital - Centralia Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ssm Health St. Mary S Hospital - Centralia, Centralia, IL in 2024, from traditional Medicare claims. Back to the Ssm Health St. Mary S Hospital - Centralia profile, with quality ratings, finances and negotiated rates.
712
Medicare inpatient discharges
In 21 published DRGs
1.37
Case mix index
IPPS FY 2027
0%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
322
Medicare outpatient services
In 7 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases210 discharges in 2 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 | 181 | $38,789 | $14,816 | $14,352 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 29 | $30,139 | $7,175 | $11,151 | 1.03 |
Respiratory system172 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 | $26,585 | $9,449 | $9,836 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 39 | $30,326 | $12,379 | $11,221 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 38 | $28,922 | $9,003 | $10,701 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 16 | $27,309 | $5,343 | $10,104 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 11 | $25,219 | $7,198 | $9,331 | 0.99 |
Kidney and urinary tract130 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 42 | $25,783 | $8,194 | $9,540 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 34 | $22,296 | $5,125 | $8,250 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 21 | $24,990 | $6,150 | $9,246 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 18 | $28,840 | $10,692 | $10,671 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 15 | $32,529 | $12,147 | $12,036 | 1.65 |
Circulatory system90 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 | 53 | $29,434 | $9,229 | $10,891 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 14 | $24,745 | $4,536 | $9,155 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 12 | $28,049 | $6,189 | $10,378 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 11 | $29,113 | $8,265 | $10,772 | 1.20 |
Skin, subcutaneous tissue and breast35 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 35 | $17,204 | $5,699 | $6,366 | 0.88 |
Endocrine, nutritional and metabolic32 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 | 20 | $14,457 | $5,135 | $5,349 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 12 | $21,898 | $6,441 | $8,102 | 0.90 |
Digestive system29 discharges in 1 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 | 29 | $22,265 | $4,927 | $8,238 | 0.79 |
Nervous system14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Seizures with MCCMS-DRG 100, medical | 14 | $27,196 | $14,974 | $10,063 | 1.98 |
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 | 160 | 146 | $15,791 | $1,964 | $2,090 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 39 | 39 | $46,936 | $4,998 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 37 | 29 | $22,585 | $2,319 | $2,373 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 32 | 32 | $10,626 | $1,156 | $1,220 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 26 | 16 | $19,017 | $2,012 | $2,141 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 15 | $26,321 | $4,700 | $4,524 | |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 13 | 12 | $37,462 | $4,249 | $4,358 |
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.