St Mary S Hospital Decatur Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for St Mary S Hospital Decatur, Decatur, IL in 2024, from traditional Medicare claims. Back to the St Mary S Hospital Decatur profile, with quality ratings, finances and negotiated rates.

449
Medicare inpatient discharges
In 17 published DRGs
1.68
Case mix index
IPPS FY 2027
2%
Surgical stays
82%
Stays with complications
In DRGs with a CC or MCC
1,378
Medicare outpatient services
In 21 service groups

Inpatient stays by major diagnostic category

Circulatory system144 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	101	$37,073	$8,305	$10,195	1.28
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical	15	$48,054	$9,761	$13,215	1.59
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical	15	$25,105	$4,234	$6,904	0.74
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical	13	$30,265	$7,816	$8,323	1.20

Respiratory system117 discharges in 5 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Pulmonary edema and respiratory failureMS-DRG 189, medical	35	$43,604	$8,026	$11,991	1.23
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	27	$42,693	$7,708	$11,741	1.33
Respiratory infections and inflammations with MCCMS-DRG 177, medical	23	$50,551	$10,559	$13,901	1.70
Simple pneumonia and pleurisy with CCMS-DRG 194, medical	18	$34,308	$5,285	$9,435	0.82
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	14	$46,322	$7,124	$12,739	1.10

Infectious and parasitic diseases110 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	92	$56,815	$12,181	$15,624	1.98
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	18	$39,603	$5,932	$10,891	1.03

Kidney and urinary tract44 discharges in 3 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Kidney and urinary tract infections with MCCMS-DRG 689, medical	17	$35,006	$7,012	$9,627	1.17
Kidney and urinary tract infections without MCCMS-DRG 690, medical	15	$34,804	$4,988	$9,571	0.81
Renal failure with CCMS-DRG 683, medical	12	$26,242	$5,243	$7,217	0.90

Nervous system23 discharges in 2 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	12	$45,295	$5,863	$12,456	1.02
Extracranial procedures without cc/mccMS-DRG 039, surgical	11	$55,790	$7,002	$15,342	1.14

Endocrine, nutritional and metabolic11 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical	11	$51,855	$8,483	$14,260	1.32

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	281	160	$11,091	$1,677	$1,752
Level 1 Endovascular ProceduresAPC 5191	214	214	$20,046	$2,143	$2,208
Comprehensive Observation ServicesAPC 8011	113	109	$19,794	$1,977	$2,090
Level 3 Endovascular ProceduresAPC 5193	110	103	$50,255	$8,518	$8,874
Level 5 Musculoskeletal ProceduresAPC 5115	106	105	$64,805	$10,217	$10,772
Level 2 Upper GI ProceduresAPC 5302	68	61	$11,870	$1,408	$1,445
Level 3 Vascular ProceduresAPC 5183	61	52	$23,678	$2,231	$2,405
Level 1 Nerve ProceduresAPC 5431	56	53	$13,017	$1,422	$1,407
Level 3 Pacemaker and Similar ProceduresAPC 5223	48	48	$42,452	$8,055	$8,569
Level 2 Endovascular ProceduresAPC 5192	46	38	$25,607	$4,117	$4,338
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	42	41	$7,945	$1,191	$1,220
Level 4 Endovascular ProceduresAPC 5194	36	34	$67,087	$13,732	$14,606
Level 1 Laparoscopy and Related ServicesAPC 5361	36	36	$40,916	$4,131	$4,358
Level 3 Musculoskeletal ProceduresAPC 5113	28	26	$21,349	$2,383	$2,373
Level 4 Musculoskeletal ProceduresAPC 5114	27	27	$40,651	$4,877	$5,339
Level 2 ICD and Similar ProceduresAPC 5232	24	23	$103,271	$28,668	$29,375
Level 6 Musculoskeletal ProceduresAPC 5116	18	18	$83,617	$14,855	$15,763
Level 2 Vascular ProceduresAPC 5182	18	18	$11,803	$1,179	$1,204
Level 2 Musculoskeletal ProceduresAPC 5112	16	16	$12,081	$1,035	$1,196
Level 3 Airway EndoscopyAPC 5153	16	16	$14,322	$1,250	$1,264
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341	14	14	$25,987	$2,365	$2,636

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.