St. Elizabeth Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St. Elizabeth Hospital, O Fallon, IL in 2024, from traditional Medicare claims. Back to the St. Elizabeth Hospital profile, with quality ratings, finances and negotiated rates.
2,225
Medicare inpatient discharges
In 66 published DRGs
1.97
Case mix index
IPPS FY 2027
23%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
2,589
Medicare outpatient services
In 34 service groups
Inpatient stays by major diagnostic category
Circulatory system748 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 231 | $48,049 | $8,668 | $10,186 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 90 | $112,718 | $22,618 | $23,896 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 55 | $155,458 | $34,248 | $32,957 | 4.88 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 52 | $59,130 | $10,582 | $12,536 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 32 | $26,047 | $4,356 | $5,522 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 30 | $34,813 | $5,603 | $7,380 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 29 | $75,492 | $14,610 | $16,004 | 2.16 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 28 | $66,851 | $7,962 | $14,172 | 1.20 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 25 | $85,699 | $15,568 | $18,168 | 2.28 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 25 | $27,669 | $3,291 | $5,866 | 0.55 |
| Syncope and collapseMS-DRG 312, medical | 25 | $52,599 | $5,306 | $11,151 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 24 | $47,688 | $6,950 | $10,110 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 21 | $104,623 | $11,648 | $22,180 | 1.82 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 20 | $127,162 | $16,894 | $26,958 | 2.87 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 14 | $213,968 | $40,351 | $45,361 | 6.25 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 13 | $148,950 | $24,208 | $31,577 | 3.46 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 12 | $73,602 | $11,161 | $15,604 | 1.83 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 11 | $180,958 | $27,796 | $38,363 | 4.04 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 11 | $59,636 | $14,945 | $12,643 | 2.09 |
Infectious and parasitic diseases455 discharges in 4 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 | 297 | $63,231 | $12,669 | $13,405 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 94 | $36,097 | $6,308 | $7,652 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 46 | $129,527 | $30,641 | $27,460 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 18 | $77,692 | $13,571 | $16,471 | 2.04 |
Kidney and urinary tract226 discharges in 7 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 | 48 | $49,116 | $10,587 | $10,413 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 41 | $32,194 | $5,624 | $6,825 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 40 | $52,388 | $9,985 | $11,106 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 32 | $31,025 | $5,022 | $6,577 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 28 | $37,445 | $7,517 | $7,938 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 21 | $31,733 | $6,490 | $6,727 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 16 | $31,781 | $8,359 | $6,738 | 1.35 |
Respiratory system201 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 59 | $51,690 | $7,931 | $10,958 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 41 | $45,318 | $9,101 | $9,607 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 36 | $59,995 | $10,573 | $12,719 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 19 | $31,063 | $4,970 | $6,585 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 17 | $54,487 | $9,426 | $11,551 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 16 | $76,036 | $16,867 | $16,120 | 2.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 13 | $44,509 | $6,210 | $9,436 | 1.10 |
Digestive system150 discharges in 7 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 | 35 | $32,028 | $4,908 | $6,790 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 33 | $36,835 | $6,612 | $7,809 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 21 | $80,460 | $15,188 | $17,058 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 18 | $55,216 | $11,063 | $11,706 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 18 | $24,477 | $5,106 | $5,189 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 13 | $44,072 | $6,503 | $9,343 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 12 | $66,088 | $8,691 | $14,011 | 1.28 |
Nervous system105 discharges in 5 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 | 41 | $44,866 | $6,312 | $9,512 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 23 | $50,451 | $11,303 | $10,696 | 2.00 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 18 | $43,450 | $6,812 | $9,211 | 1.14 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 12 | $52,030 | $7,170 | $11,030 | 1.06 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 11 | $45,524 | $4,170 | $9,651 | 0.69 |
Musculoskeletal system and connective tissue103 discharges in 5 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 | 28 | $56,288 | $13,850 | $11,933 | 2.07 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 22 | $105,468 | $22,733 | $22,359 | 3.66 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 22 | $65,904 | $14,447 | $13,972 | 2.11 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 18 | $97,416 | $16,975 | $20,652 | 2.96 |
| Medical back problems without MCCMS-DRG 552, medical | 13 | $31,988 | $5,969 | $6,781 | 0.97 |
Endocrine, nutritional and metabolic88 discharges in 5 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 | 25 | $40,210 | $4,795 | $8,525 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 24 | $45,457 | $8,837 | $9,637 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 15 | $38,289 | $5,771 | $8,117 | 0.90 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 13 | $56,535 | $13,628 | $11,985 | 1.98 |
| Diabetes with MCCMS-DRG 637, medical | 11 | $80,465 | $10,021 | $17,059 | 1.45 |
Skin, subcutaneous tissue and breast58 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 43 | $34,420 | $5,477 | $7,297 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 15 | $38,625 | $8,366 | $8,188 | 1.49 |
Blood and immune system50 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 | 34 | $35,771 | $4,943 | $7,584 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 16 | $54,353 | $9,795 | $11,523 | 1.40 |
Liver, gallbladder and pancreas23 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 12 | $42,647 | $7,259 | $9,041 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 11 | $65,619 | $8,414 | $13,911 | 1.31 |
Other18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 18 | $134,926 | $30,488 | $28,604 | 4.74 |
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 | 435 | 405 | $23,522 | $1,963 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 234 | 230 | $16,507 | $2,128 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 155 | 147 | $11,204 | $1,154 | $1,220 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 151 | 150 | $127,096 | $20,259 | $21,117 |
| Level 4 Urology and Related ServicesAPC 5374 | 133 | 111 | $21,901 | $2,493 | $2,629 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 125 | 120 | $53,522 | $10,430 | $10,772 |
| Level 1 Nerve ProceduresAPC 5431 | 115 | 87 | $11,501 | $1,397 | $1,407 |
| Level 5 Urology and Related ServicesAPC 5375 | 108 | 100 | $25,863 | $3,739 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 101 | 85 | $15,078 | $1,396 | $1,516 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 88 | 83 | $12,695 | $1,114 | $1,196 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 88 | 85 | $33,454 | $4,802 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 85 | 78 | $17,861 | $2,292 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 75 | 69 | $19,898 | $2,288 | $2,373 |
| Level 2 Upper GI ProceduresAPC 5302 | 72 | 66 | $12,139 | $1,401 | $1,445 |
| Level 3 Endovascular ProceduresAPC 5193 | 62 | 57 | $76,370 | $8,114 | $8,874 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 58 | 58 | $53,480 | $8,181 | $8,569 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 53 | 53 | $39,684 | $6,129 | $6,514 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 51 | 50 | $51,352 | $4,079 | $4,358 |
| Level 5 Airway EndoscopyAPC 5155 | 43 | 43 | $48,618 | $4,922 | $5,183 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 42 | 42 | $75,751 | $15,183 | $15,763 |
| Level 2 Vascular ProceduresAPC 5182 | 40 | 39 | $12,591 | $1,144 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 36 | 33 | $32,366 | $4,092 | $4,338 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 33 | 33 | $153,529 | $28,678 | $29,375 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 32 | 31 | $21,449 | $2,092 | $2,141 |
| Level 4 Airway EndoscopyAPC 5154 | 32 | 31 | $34,726 | $2,752 | $2,833 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 22 | 22 | $84,207 | $16,335 | $17,052 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 21 | 21 | $33,010 | $2,547 | $2,636 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 18 | 18 | $68,740 | $7,875 | $8,164 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 16 | 15 | $28,108 | $2,654 | $2,930 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 15 | 15 | $42,202 | $4,802 | $4,982 |
| Level 4 Endovascular ProceduresAPC 5194 | 13 | 13 | $103,865 | $14,540 | $14,606 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 13 | 13 | $36,373 | $5,499 | $5,682 |
| Level 6 Urology and Related ServicesAPC 5376 | 13 | 13 | $29,904 | $6,880 | $7,291 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 11 | $19,781 | $3,205 | $4,524 |
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.