St. Mary S Regional Medical Center Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for St. Mary S Regional Medical Center, Enid, OK in 2024, from traditional Medicare claims. Back to the St. Mary S Regional Medical Center profile, with quality ratings, finances and negotiated rates.

624
Medicare inpatient discharges
In 22 published DRGs
1.68
Case mix index
IPPS FY 2027
21%
Surgical stays
80%
Stays with complications
In DRGs with a CC or MCC
1,148
Medicare outpatient services
In 19 service groups

Inpatient stays by major diagnostic category

Infectious and parasitic diseases143 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	113	$104,440	$11,801	$13,368	1.98
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	15	$255,803	$32,802	$32,743	5.00
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	15	$82,010	$5,650	$10,497	1.03

Respiratory system115 discharges in 3 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	75	$76,051	$7,848	$9,735	1.33
Respiratory infections and inflammations with MCCMS-DRG 177, medical	28	$111,379	$9,572	$14,257	1.70
Pulmonary edema and respiratory failureMS-DRG 189, medical	12	$88,456	$7,914	$11,322	1.23

Musculoskeletal system and connective tissue96 discharges in 4 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	33	$107,060	$12,391	$13,704	2.07
Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical	26	$94,998	$11,527	$12,160	1.88
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical	26	$122,141	$13,005	$15,634	2.11
Hip and femur procedures except major joint with MCCMS-DRG 480, surgical	11	$103,097	$17,572	$13,196	2.95

Circulatory system87 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Heart failure and shock with MCCMS-DRG 291, medical	67	$77,562	$7,632	$9,928	1.28
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical	20	$82,514	$7,435	$10,562	1.20

Kidney and urinary tract70 discharges in 4 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Kidney and urinary tract infections with MCCMS-DRG 689, medical	25	$70,507	$7,035	$9,025	1.17
Renal failure with MCCMS-DRG 682, medical	18	$84,246	$8,599	$10,783	1.50
Renal failure with CCMS-DRG 683, medical	14	$64,988	$5,097	$8,319	0.90
Kidney and urinary tract infections without MCCMS-DRG 690, medical	13	$43,711	$4,546	$5,595	0.81

Digestive system52 discharges in 4 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Gastrointestinal hemorrhage with CCMS-DRG 378, medical	16	$64,270	$5,365	$8,226	0.98
Gastrointestinal obstruction with CCMS-DRG 389, medical	13	$54,952	$4,462	$7,034	0.80
Major small and large bowel procedures with CCMS-DRG 330, surgical	12	$199,378	$15,176	$25,520	2.37
Major small and large bowel procedures with MCCMS-DRG 329, surgical	11	$246,650	$31,080	$31,571	4.52

Mental diseases and disorders34 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
PsychosesMS-DRG 885, medical	34	$24,963	$8,311	$3,195	1.37

Endocrine, nutritional and metabolic27 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	27	$70,600	$8,147	$9,037	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 5 Musculoskeletal ProceduresAPC 5115	198	190	$81,060	$9,432	$10,772
Level 2 Upper GI ProceduresAPC 5302	183	163	$23,038	$1,278	$1,445
Level 4 Urology and Related ServicesAPC 5374	175	122	$55,204	$2,325	$2,629
Comprehensive Observation ServicesAPC 8011	92	89	$34,754	$1,843	$2,090
Level 1 Endovascular ProceduresAPC 5191	61	61	$44,866	$1,941	$2,208
Level 3 Urology and Related ServicesAPC 5373	54	51	$25,849	$1,353	$1,516
Level 6 Musculoskeletal ProceduresAPC 5116	46	45	$102,342	$14,151	$15,763
Level 5 Urology and Related ServicesAPC 5375	46	44	$29,456	$3,425	$3,918
Level 2 Vascular ProceduresAPC 5182	45	37	$21,408	$795	$1,204
Level 3 Vascular ProceduresAPC 5183	43	37	$37,886	$2,154	$2,405
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	39	38	$12,328	$1,096	$1,220
Level 4 Musculoskeletal ProceduresAPC 5114	28	27	$39,012	$4,840	$5,339
Level 1 Laparoscopy and Related ServicesAPC 5361	27	27	$37,438	$3,902	$4,358
Level 3 Pacemaker and Similar ProceduresAPC 5223	25	25	$100,431	$7,422	$8,569
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341	24	24	$38,831	$2,138	$2,636
Level 3 Musculoskeletal ProceduresAPC 5113	22	22	$24,732	$2,188	$2,373
Level 2 Musculoskeletal ProceduresAPC 5112	14	14	$16,526	$1,074	$1,196
Level 3 Endovascular ProceduresAPC 5193	13	11	$113,225	$7,686	$8,874
Level 2 Pacemaker and Similar ProceduresAPC 5222	13	13	$34,420	$5,729	$6,514

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.