St. Vincent Anderson Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for St. Vincent Anderson, Anderson, IN in 2024, from traditional Medicare claims. Back to the St. Vincent Anderson profile, with quality ratings, finances and negotiated rates.

414
Medicare inpatient discharges
In 17 published DRGs
1.58
Case mix index
IPPS FY 2027
7%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
612
Medicare outpatient services
In 18 service groups

Inpatient stays by major diagnostic category

Respiratory system141 discharges in 5 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	73	$64,725	$9,905	$18,123	1.33
Respiratory infections and inflammations with MCCMS-DRG 177, medical	27	$77,560	$11,602	$21,717	1.70
Pulmonary edema and respiratory failureMS-DRG 189, medical	18	$49,535	$8,469	$13,870	1.23
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	12	$39,805	$7,683	$11,145	1.10
Simple pneumonia and pleurisy with CCMS-DRG 194, medical	11	$31,157	$5,101	$8,724	0.82

Kidney and urinary tract64 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	22	$34,080	$8,367	$9,542	1.17
Kidney and urinary tract infections without MCCMS-DRG 690, medical	15	$29,187	$5,566	$8,172	0.81
Renal failure with CCMS-DRG 683, medical	14	$26,086	$5,761	$7,304	0.90
Renal failure with MCCMS-DRG 682, medical	13	$63,340	$13,010	$17,735	1.50

Infectious and parasitic diseases62 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	51	$80,277	$15,015	$22,477	1.98
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	11	$45,083	$7,217	$12,623	1.03

Circulatory system46 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Heart failure and shock with MCCMS-DRG 291, medical	46	$48,854	$8,832	$13,679	1.28

Mental diseases and disorders37 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
PsychosesMS-DRG 885, medical	37	$20,661	$9,944	$5,785	1.37

Musculoskeletal system and connective tissue31 discharges in 2 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	18	$108,389	$13,082	$30,349	1.88
Hip and femur procedures except major joint with MCCMS-DRG 480, surgical	13	$91,858	$19,680	$25,720	2.95

Alcohol and drug use22 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical	22	$19,230	$6,319	$5,384	0.86

Skin, subcutaneous tissue and breast11 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Cellulitis without MCCMS-DRG 603, medical	11	$29,873	$6,054	$8,364	0.88

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	145	86	$14,721	$1,674	$1,752
Level 5 Musculoskeletal ProceduresAPC 5115	105	103	$95,556	$10,240	$10,772
Comprehensive Observation ServicesAPC 8011	62	58	$19,454	$1,968	$2,090
Level 4 Musculoskeletal ProceduresAPC 5114	43	43	$60,059	$5,148	$5,339
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	37	37	$12,194	$1,150	$1,220
Level 4 Urology and Related ServicesAPC 5374	34	33	$21,762	$2,509	$2,629
Level 5 Urology and Related ServicesAPC 5375	26	24	$24,822	$3,724	$3,918
Level 3 Musculoskeletal ProceduresAPC 5113	25	25	$26,393	$2,329	$2,373
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073	20	20	$27,373	$2,035	$2,141
Level 3 Vascular ProceduresAPC 5183	18	18	$33,304	$2,294	$2,405
Level 2 Upper GI ProceduresAPC 5302	14	13	$22,413	$1,369	$1,445
Level 3 Urology and Related ServicesAPC 5373	13	13	$20,038	$1,466	$1,516
Level 2 Musculoskeletal ProceduresAPC 5112	12	12	$11,444	$1,157	$1,196
Level 4 Airway EndoscopyAPC 5154	12		$23,412	$2,695	$2,833
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341	12	12	$22,055	$2,490	$2,636
Level 1 Nerve ProceduresAPC 5431	12		$11,453	$1,389	$1,407
Level 6 Musculoskeletal ProceduresAPC 5116	11	11	$108,760	$15,165	$15,763
Level 1 Laparoscopy and Related ServicesAPC 5361	11	11	$44,514	$4,152	$4,358

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.