St. Anthonys Memorial Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St. Anthonys Memorial Hospital, Effingham, IL in 2024, from traditional Medicare claims. Back to the St. Anthonys Memorial Hospital profile, with quality ratings, finances and negotiated rates.
1,027
Medicare inpatient discharges
In 30 published DRGs
1.36
Case mix index
IPPS FY 2027
6%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
1,368
Medicare outpatient services
In 17 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases257 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 | 193 | $38,961 | $15,137 | $11,610 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 64 | $28,705 | $7,471 | $8,554 | 1.03 |
Respiratory system215 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 | 71 | $30,440 | $9,753 | $9,071 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 63 | $26,157 | $9,261 | $7,795 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 48 | $30,558 | $12,786 | $9,106 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 18 | $27,055 | $7,798 | $8,062 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $34,746 | $6,573 | $10,354 | 0.82 |
Circulatory system159 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 | 110 | $25,486 | $9,767 | $7,595 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 19 | $24,740 | $6,371 | $7,372 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 16 | $29,778 | $8,964 | $8,874 | 1.20 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 14 | $26,050 | $12,475 | $7,763 | 1.59 |
Kidney and urinary tract153 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 39 | $31,640 | $12,869 | $9,429 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 38 | $26,205 | $8,872 | $7,809 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 29 | $23,548 | $5,405 | $7,017 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 21 | $20,229 | $6,466 | $6,028 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 13 | $26,138 | $11,262 | $7,789 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 13 | $26,324 | $7,734 | $7,845 | 1.02 |
Musculoskeletal system and connective tissue60 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 | 36 | $60,851 | $15,599 | $18,133 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 24 | $59,319 | $16,302 | $17,677 | 2.11 |
Endocrine, nutritional and metabolic60 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 without MCCMS-DRG 641, medical | 21 | $22,169 | $5,287 | $6,606 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 16 | $32,258 | $10,136 | $9,613 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 12 | $19,456 | $7,052 | $5,798 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 11 | $36,598 | $11,350 | $10,906 | 1.45 |
Digestive system55 discharges in 3 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 | 23 | $24,199 | $5,419 | $7,211 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 17 | $24,276 | $5,585 | $7,234 | 0.80 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 15 | $22,006 | $7,212 | $6,558 | 0.98 |
Blood and immune system30 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 17 | $24,996 | $6,963 | $7,449 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 13 | $26,670 | $10,724 | $7,948 | 1.40 |
Skin, subcutaneous tissue and breast24 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 24 | $26,364 | $6,036 | $7,856 | 0.88 |
Nervous system14 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 | 14 | $27,771 | $7,151 | $8,276 | 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 | 460 | 407 | $17,221 | $2,147 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 273 | 170 | $5,917 | $1,818 | $1,752 |
| Level 4 Urology and Related ServicesAPC 5374 | 94 | 76 | $18,203 | $2,749 | $2,629 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 88 | 83 | $10,048 | $1,263 | $1,220 |
| Level 1 Nerve ProceduresAPC 5431 | 76 | 66 | $10,932 | $1,473 | $1,407 |
| Level 3 Urology and Related ServicesAPC 5373 | 61 | 57 | $10,447 | $1,580 | $1,516 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 52 | 50 | $49,083 | $11,374 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 51 | 49 | $31,769 | $4,081 | $3,918 |
| Level 2 Vascular ProceduresAPC 5182 | 39 | 38 | $11,487 | $1,214 | $1,204 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 35 | 33 | $12,443 | $2,334 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 29 | 29 | $33,918 | $5,447 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 28 | 28 | $17,101 | $2,514 | $2,405 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 22 | 22 | $48,621 | $4,675 | $4,982 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 20 | 20 | $29,897 | $4,323 | $4,358 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 14 | 14 | $36,075 | $3,006 | $2,930 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 14 | 14 | $40,006 | $6,748 | $6,514 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 12 | 12 | $14,941 | $2,241 | $2,141 |
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.