St. Vincent Carmel Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St. Vincent Carmel Hospital, Carmel, IN in 2024, from traditional Medicare claims. Back to the St. Vincent Carmel Hospital profile, with quality ratings, finances and negotiated rates.
475
Medicare inpatient discharges
In 21 published DRGs
1.79
Case mix index
IPPS FY 2027
23%
Surgical stays
64%
Stays with complications
In DRGs with a CC or MCC
669
Medicare outpatient services
In 16 service groups
Inpatient stays by major diagnostic category
Digestive system111 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 33 | $37,605 | $6,359 | $8,311 | 0.98 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 20 | $83,494 | $10,148 | $18,452 | 1.67 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 19 | $29,068 | $4,668 | $6,424 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 15 | $98,433 | $13,843 | $21,754 | 2.37 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 12 | $92,158 | $14,732 | $20,367 | 2.50 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 12 | $78,784 | $13,966 | $17,411 | 1.79 |
Infectious and parasitic diseases79 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 | 60 | $59,718 | $12,444 | $13,198 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 19 | $38,774 | $6,294 | $8,569 | 1.03 |
Respiratory system77 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 32 | $48,085 | $8,268 | $10,627 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 21 | $50,759 | $10,891 | $11,218 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 13 | $36,320 | $7,255 | $8,027 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $29,126 | $4,955 | $6,437 | 0.82 |
Kidney and urinary tract76 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 | 29 | $34,159 | $7,411 | $7,549 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 19 | $28,066 | $4,817 | $6,203 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 16 | $29,329 | $5,705 | $6,482 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 12 | $67,401 | $10,925 | $14,896 | 1.65 |
Circulatory system49 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 | 49 | $52,510 | $8,058 | $11,605 | 1.28 |
Musculoskeletal system and connective tissue49 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 33 | $178,800 | $23,523 | $39,515 | 3.66 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 16 | $227,055 | $30,610 | $50,179 | 4.61 |
Endocrine, nutritional and metabolic34 discharges in 2 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 | 20 | $29,276 | $4,535 | $6,470 | 0.78 |
| O.r. procedures for obesity without cc/mccMS-DRG 621, surgical | 14 | $90,976 | $9,406 | $20,106 | 1.52 |
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 | 147 | 136 | $17,037 | $1,956 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 84 | 79 | $12,699 | $1,137 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 82 | 82 | $62,386 | $3,989 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 78 | 66 | $15,036 | $1,349 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 48 | 46 | $64,215 | $5,041 | $5,339 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 37 | 36 | $75,908 | $4,566 | $4,982 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 34 | 33 | $52,459 | $2,662 | $2,930 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 33 | 33 | $72,003 | $7,657 | $8,164 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 26 | 25 | $118,843 | $10,240 | $10,772 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 20 | 20 | $122,294 | $15,161 | $15,763 |
| Level 2 Intraocular ProceduresAPC 5492 | 18 | 18 | $50,535 | $2,926 | $3,116 |
| Level 4 Gynecologic ProceduresAPC 5414 | 13 | 13 | $31,911 | $2,250 | $2,389 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 13 | 13 | $151,611 | $24,308 | $26,719 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 12 | 11 | $35,429 | $2,329 | $2,373 |
| Complex GI ProceduresAPC 5331 | 12 | $28,641 | $3,760 | $4,263 | |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 12 | 11 | $56,134 | $2,474 | $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.