St. Mary Medical Center Inc. Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St. Mary Medical Center Inc., Hobart, IN in 2024, from traditional Medicare claims. Back to the St. Mary Medical Center Inc. profile, with quality ratings, finances and negotiated rates.
1,856
Medicare inpatient discharges
In 63 published DRGs
1.71
Case mix index
IPPS FY 2027
21%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
3,878
Medicare outpatient services
In 42 service groups
Inpatient stays by major diagnostic category
Circulatory system459 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 173 | $37,550 | $7,673 | $8,749 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 49 | $24,640 | $3,852 | $5,741 | 0.74 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 43 | $103,712 | $21,038 | $24,165 | 3.24 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 25 | $41,525 | $6,709 | $9,675 | 1.20 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 19 | $65,764 | $9,679 | $15,323 | 1.59 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 18 | $132,801 | $24,341 | $30,943 | 3.35 |
| Syncope and collapseMS-DRG 312, medical | 17 | $28,390 | $4,716 | $6,615 | 0.86 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 16 | $30,335 | $6,784 | $7,068 | 1.07 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 16 | $97,206 | $12,026 | $22,649 | 1.82 |
| Other vascular procedures with CCMS-DRG 253, surgical | 15 | $71,232 | $16,629 | $16,597 | 2.55 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 15 | $59,950 | $4,893 | $13,968 | 1.08 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 15 | $22,136 | $2,537 | $5,158 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 15 | $107,914 | $17,977 | $25,144 | 2.87 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 12 | $137,367 | $24,579 | $32,006 | 4.04 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 11 | $78,769 | $13,521 | $18,353 | 2.16 |
Respiratory system380 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 129 | $45,467 | $9,898 | $10,594 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 67 | $36,495 | $6,743 | $8,503 | 1.10 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 45 | $40,095 | $7,694 | $9,342 | 1.33 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 40 | $31,161 | $5,864 | $7,260 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 25 | $73,036 | $17,349 | $17,017 | 2.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 18 | $32,286 | $7,096 | $7,523 | 1.23 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 18 | $35,433 | $4,893 | $8,256 | 0.85 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $24,361 | $4,392 | $5,676 | 0.82 |
| Major chest procedures with CCMS-DRG 164, surgical | 12 | $78,390 | $15,814 | $18,265 | 2.55 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 12 | $51,491 | $8,272 | $11,997 | 1.40 |
Kidney and urinary tract230 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 55 | $28,476 | $4,621 | $6,635 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 42 | $36,078 | $7,104 | $8,406 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 36 | $48,836 | $8,739 | $11,379 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 33 | $29,111 | $5,165 | $6,783 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 27 | $46,201 | $10,667 | $10,765 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 21 | $37,008 | $6,057 | $8,623 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 16 | $49,605 | $7,824 | $11,558 | 1.35 |
Digestive system209 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 61 | $39,129 | $5,753 | $9,117 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 44 | $36,130 | $4,529 | $8,418 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 37 | $58,856 | $11,714 | $13,714 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 17 | $74,810 | $14,466 | $17,431 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 14 | $121,444 | $29,304 | $28,296 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $27,636 | $4,232 | $6,439 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 12 | $36,999 | $6,126 | $8,621 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $35,449 | $8,118 | $8,260 | 1.28 |
Infectious and parasitic diseases164 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 | 116 | $67,480 | $12,307 | $15,723 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 29 | $150,233 | $31,007 | $35,004 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 19 | $41,941 | $6,142 | $9,772 | 1.03 |
Musculoskeletal system and connective tissue146 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 74 | $50,105 | $11,902 | $11,675 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 18 | $53,293 | $13,278 | $12,417 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 16 | $60,627 | $13,605 | $14,126 | 2.07 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 13 | $70,722 | $13,877 | $16,478 | 2.48 |
| Medical back problems without MCCMS-DRG 552, medical | 13 | $36,666 | $5,496 | $8,543 | 0.97 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 12 | $75,060 | $16,395 | $17,489 | 3.49 |
Nervous system117 discharges in 7 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 | 34 | $36,614 | $5,777 | $8,531 | 1.02 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 18 | $34,923 | $7,056 | $8,137 | 1.14 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 15 | $47,163 | $8,224 | $10,989 | 1.36 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $37,461 | $4,632 | $8,728 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 13 | $45,136 | $12,075 | $10,517 | 2.00 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 11 | $45,749 | $13,856 | $10,659 | 2.30 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 11 | $30,558 | $6,105 | $7,120 | 1.03 |
Endocrine, nutritional and metabolic88 discharges in 3 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 | 37 | $28,723 | $4,302 | $6,692 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 32 | $45,282 | $8,585 | $10,551 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 19 | $31,088 | $4,654 | $7,243 | 0.90 |
Liver, gallbladder and pancreas27 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 16 | $59,775 | $9,744 | $13,928 | 1.63 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 11 | $63,645 | $10,731 | $14,829 | 1.83 |
Skin, subcutaneous tissue and breast25 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 25 | $24,269 | $4,435 | $5,655 | 0.88 |
Other11 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 | 11 | $153,496 | $27,675 | $35,765 | 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 |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 704 | 397 | $16,476 | $1,687 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 515 | 462 | $20,458 | $2,021 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 251 | 250 | $31,520 | $2,178 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 234 | 225 | $9,442 | $1,175 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 185 | 176 | $16,633 | $2,284 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 179 | 167 | $48,493 | $10,608 | $10,772 |
| Level 3 Endovascular ProceduresAPC 5193 | 156 | 147 | $60,573 | $8,398 | $8,874 |
| Level 3 Urology and Related ServicesAPC 5373 | 139 | 108 | $16,179 | $1,456 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 124 | 109 | $22,954 | $2,566 | $2,629 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 97 | 93 | $145,737 | $20,008 | $21,117 |
| Level 2 Endovascular ProceduresAPC 5192 | 86 | 73 | $36,721 | $4,080 | $4,338 |
| Level 5 Urology and Related ServicesAPC 5375 | 84 | 79 | $24,773 | $3,831 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 83 | 75 | $10,907 | $1,379 | $1,445 |
| Level 1 Nerve ProceduresAPC 5431 | 75 | 57 | $11,256 | $1,447 | $1,407 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 73 | 73 | $30,156 | $4,200 | $4,358 |
| Level 4 Vascular ProceduresAPC 5184 | 67 | 61 | $21,822 | $4,012 | $3,946 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 64 | 63 | $35,675 | $8,401 | $8,569 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 63 | 61 | $16,128 | $2,057 | $2,141 |
| Level 3 Intraocular ProceduresAPC 5493 | 58 | 33 | $20,419 | $3,866 | $4,004 |
| Level 2 Vascular ProceduresAPC 5182 | 51 | 51 | $6,643 | $1,114 | $1,204 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 46 | 46 | $25,451 | $6,100 | $6,514 |
| Level 4 Endovascular ProceduresAPC 5194 | 43 | 42 | $67,210 | $14,811 | $14,606 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 41 | 39 | $39,062 | $4,961 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 40 | 39 | $23,227 | $2,361 | $2,373 |
| Level 3 Lower GI ProceduresAPC 5313 | 40 | 40 | $12,249 | $2,073 | $2,176 |
| Level 5 Airway EndoscopyAPC 5155 | 34 | 34 | $29,376 | $4,978 | $5,183 |
| Level 4 Airway EndoscopyAPC 5154 | 30 | 29 | $17,728 | $2,619 | $2,833 |
| Level 4 Gynecologic ProceduresAPC 5414 | 30 | 29 | $18,187 | $2,265 | $2,389 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 28 | 28 | $72,571 | $16,651 | $17,052 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 27 | 27 | $60,458 | $15,856 | $15,763 |
| Level 2 Urology and Related ServicesAPC 5372 | 27 | 26 | $13,069 | $488 | $502 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 26 | 26 | $36,541 | $4,886 | $4,982 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 25 | 25 | $43,413 | $7,399 | $8,164 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 21 | 21 | $20,806 | $2,853 | $2,930 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 19 | 19 | $110,093 | $29,216 | $29,375 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 18 | 16 | $20,873 | $2,592 | $2,636 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 18 | 18 | $13,659 | $1,751 | $1,780 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 17 | 17 | $14,068 | $1,193 | $1,196 |
| Level 5 Gynecologic ProceduresAPC 5415 | 16 | 16 | $27,482 | $3,715 | $3,792 |
| Level 4 ENT ProceduresAPC 5164 | 15 | 15 | $17,755 | $2,239 | $2,217 |
| Level 2 Intraocular ProceduresAPC 5492 | 15 | 13 | $17,837 | $3,047 | $3,116 |
| Level 5 ENT ProceduresAPC 5165 | 14 | 14 | $25,780 | $4,388 | $4,436 |
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.