St. Claire Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St. Claire Medical Center, Morehead, KY in 2024, from traditional Medicare claims. Back to the St. Claire Medical Center profile, with quality ratings, finances and negotiated rates.
486
Medicare inpatient discharges
In 15 published DRGs
1.70
Case mix index
IPPS FY 2027
5%
Surgical stays
85%
Stays with complications
In DRGs with a CC or MCC
951
Medicare outpatient services
In 19 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases241 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 | 198 | $40,775 | $13,048 | $14,842 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 22 | $92,997 | $34,393 | $33,851 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 21 | $16,248 | $6,295 | $5,914 | 1.03 |
Kidney and urinary tract94 discharges in 5 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 | 35 | $42,167 | $11,681 | $15,349 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 23 | $17,100 | $5,335 | $6,224 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 13 | $23,129 | $9,779 | $8,419 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 12 | $16,857 | $4,655 | $6,136 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 11 | $18,413 | $6,581 | $6,702 | 1.17 |
Respiratory system73 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 28 | $26,711 | $8,201 | $9,723 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 25 | $37,393 | $10,072 | $13,611 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 20 | $28,497 | $8,382 | $10,373 | 1.33 |
Circulatory system66 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 39 | $24,350 | $8,318 | $8,863 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 14 | $15,715 | $4,445 | $5,720 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 13 | $35,254 | $6,584 | $12,832 | 1.08 |
Blood and immune system12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 12 | $23,438 | $9,475 | $8,532 | 1.40 |
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 | 187 | 103 | $10,096 | $1,711 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 179 | 165 | $13,328 | $2,009 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 84 | 68 | $1,411 | $499 | $502 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 78 | 49 | $5,244 | $1,189 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 54 | 40 | $7,604 | $1,495 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 47 | 40 | $16,586 | $2,560 | $2,629 |
| Level 1 Nerve ProceduresAPC 5431 | 46 | 38 | $8,770 | $1,413 | $1,407 |
| Level 1 Endovascular ProceduresAPC 5191 | 44 | 44 | $24,505 | $2,159 | $2,208 |
| Level 5 Urology and Related ServicesAPC 5375 | 34 | 30 | $22,241 | $3,799 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 29 | 28 | $13,517 | $2,341 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 23 | 22 | $12,958 | $2,377 | $2,373 |
| Level 2 Upper GI ProceduresAPC 5302 | 23 | 12 | $9,875 | $1,367 | $1,445 |
| Level 3 Endovascular ProceduresAPC 5193 | 21 | 19 | $58,662 | $8,500 | $8,874 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 20 | 20 | $31,182 | $5,254 | $5,339 |
| Level 2 Vascular ProceduresAPC 5182 | 19 | 19 | $4,484 | $1,145 | $1,204 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 19 | 19 | $16,704 | $2,535 | $2,636 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 16 | 16 | $56,284 | $10,483 | $10,772 |
| Level 4 Endovascular ProceduresAPC 5194 | 15 | 13 | $88,408 | $14,498 | $14,606 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 13 | 11 | $9,666 | $1,926 | $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.