Ssm Health St. Mary S Hospital - Jefferson City Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ssm Health St. Mary S Hospital - Jefferson City, Jefferson City, MO in 2024, from traditional Medicare claims. Back to the Ssm Health St. Mary S Hospital - Jefferson City profile, with quality ratings, finances and negotiated rates.
620
Medicare inpatient discharges
In 26 published DRGs
1.70
Case mix index
IPPS FY 2027
10%
Surgical stays
62%
Stays with complications
In DRGs with a CC or MCC
831
Medicare outpatient services
In 24 service groups
Inpatient stays by major diagnostic category
Respiratory system134 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 46 | $33,931 | $7,860 | $11,978 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 28 | $35,099 | $10,022 | $12,390 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 20 | $28,484 | $8,198 | $10,055 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $21,225 | $4,872 | $7,492 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 13 | $27,337 | $6,870 | $9,650 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 12 | $23,129 | $6,039 | $8,165 | 0.99 |
Infectious and parasitic diseases132 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 | 102 | $43,999 | $11,881 | $15,532 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 16 | $25,560 | $6,039 | $9,023 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 14 | $87,075 | $25,441 | $30,738 | 5.00 |
Circulatory system93 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 38 | $26,876 | $7,825 | $9,487 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 16 | $57,728 | $11,419 | $20,378 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 13 | $39,772 | $9,237 | $14,039 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 13 | $18,373 | $4,363 | $6,486 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 13 | $28,176 | $6,181 | $9,946 | 0.86 |
Kidney and urinary tract85 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 30 | $19,553 | $5,196 | $6,902 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 25 | $20,555 | $4,904 | $7,256 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 16 | $29,664 | $9,024 | $10,471 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 14 | $27,776 | $7,621 | $9,805 | 1.17 |
Mental diseases and disorders61 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 61 | $25,060 | $8,818 | $8,846 | 1.37 |
Musculoskeletal system and connective tissue42 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 16 | $109,720 | $29,244 | $38,731 | 4.61 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 13 | $128,988 | $40,980 | $45,533 | 6.12 |
| Medical back problems without MCCMS-DRG 552, medical | 13 | $21,287 | $4,985 | $7,514 | 0.97 |
Digestive system40 discharges in 2 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 | 22 | $19,161 | $4,906 | $6,764 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 18 | $27,075 | $6,259 | $9,557 | 0.98 |
Factors influencing health status20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 20 | $19,345 | $4,676 | $6,829 | 0.80 |
Skin, subcutaneous tissue and breast13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 13 | $13,999 | $5,319 | $4,942 | 0.88 |
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 | 97 | 94 | $13,030 | $1,807 | $2,090 |
| Level 4 Urology and Related ServicesAPC 5374 | 95 | 75 | $26,247 | $2,251 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 82 | 82 | $13,239 | $1,373 | $1,516 |
| Level 1 Nerve ProceduresAPC 5431 | 57 | 52 | $4,016 | $1,296 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 56 | 53 | $35,621 | $4,767 | $5,339 |
| Level 2 Upper GI ProceduresAPC 5302 | 53 | 50 | $9,271 | $1,287 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 45 | 43 | $13,136 | $1,057 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 44 | 41 | $55,026 | $9,492 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 42 | 38 | $26,766 | $3,489 | $3,918 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 31 | 18 | $10,458 | $2,677 | $4,524 |
| Level 3 Vascular ProceduresAPC 5183 | 29 | 28 | $14,409 | $2,149 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 22 | 22 | $26,006 | $3,713 | $4,358 |
| Level 3 Endovascular ProceduresAPC 5193 | 21 | 19 | $40,943 | $7,672 | $8,874 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 19 | 19 | $21,826 | $7,374 | $8,569 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 18 | 18 | $67,519 | $24,570 | $26,719 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 17 | 15 | $22,273 | $2,054 | $2,373 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 17 | 17 | $21,922 | $2,333 | $2,636 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 15 | 15 | $22,608 | $1,916 | $2,141 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 15 | 15 | $33,192 | $4,397 | $4,982 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 12 | 11 | $53,236 | $16,836 | $18,465 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 11 | $9,883 | $1,084 | $1,196 | |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 11 | 11 | $80,068 | $14,106 | $15,763 |
| Level 1 Endovascular ProceduresAPC 5191 | 11 | 11 | $26,025 | $1,982 | $2,208 |
| Level 2 Endovascular ProceduresAPC 5192 | 11 | $18,787 | $3,854 | $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.