St. Vincent Evansville Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St. Vincent Evansville, Evansville, IN in 2024, from traditional Medicare claims. Back to the St. Vincent Evansville profile, with quality ratings, finances and negotiated rates.
2,672
Medicare inpatient discharges
In 79 published DRGs
2.10
Case mix index
IPPS FY 2027
40%
Surgical stays
54%
Stays with complications
In DRGs with a CC or MCC
5,328
Medicare outpatient services
In 53 service groups
Inpatient stays by major diagnostic category
Circulatory system861 discharges in 24 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 120 | $34,116 | $8,573 | $7,471 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 81 | $104,144 | $21,737 | $22,808 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 68 | $154,172 | $42,937 | $33,764 | 6.25 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 62 | $21,565 | $4,724 | $4,723 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 59 | $55,746 | $11,116 | $12,208 | 1.59 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 48 | $16,806 | $3,110 | $3,681 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 47 | $160,968 | $13,219 | $35,252 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 43 | $52,751 | $7,106 | $11,552 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 39 | $201,951 | $22,136 | $44,227 | 2.87 |
| Syncope and collapseMS-DRG 312, medical | 33 | $26,763 | $5,780 | $5,861 | 0.86 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 31 | $120,047 | $15,006 | $26,290 | 2.28 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 30 | $150,504 | $33,026 | $32,960 | 4.88 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 27 | $37,675 | $8,186 | $8,251 | 1.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 25 | $38,041 | $6,073 | $8,331 | 0.91 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 22 | $129,871 | $23,561 | $28,442 | 3.46 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 21 | $91,988 | $15,203 | $20,145 | 2.16 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 20 | $411,361 | $63,800 | $90,088 | 7.80 |
| Hypertension without MCCMS-DRG 305, medical | 14 | $28,144 | $4,540 | $6,164 | 0.75 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 13 | $340,533 | $40,944 | $74,577 | 5.20 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 12 | $23,064 | $7,201 | $5,051 | 1.07 |
| Chest painMS-DRG 313, medical | 12 | $26,770 | $3,891 | $5,863 | 0.72 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 12 | $73,750 | $14,114 | $16,151 | 2.09 |
| Other vascular procedures with CCMS-DRG 253, surgical | 11 | $147,026 | $19,997 | $32,199 | 2.55 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 11 | $40,411 | $4,449 | $8,850 | 0.72 |
Musculoskeletal system and connective tissue594 discharges in 9 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 | 370 | $92,593 | $12,497 | $20,278 | 1.88 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 62 | $111,798 | $17,015 | $24,484 | 2.48 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 40 | $83,821 | $13,555 | $18,357 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 34 | $30,533 | $6,265 | $6,687 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 29 | $105,712 | $14,474 | $23,151 | 2.11 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 23 | $130,665 | $17,805 | $28,616 | 2.67 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 13 | $139,446 | $20,944 | $30,539 | 2.96 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 12 | $24,091 | $4,640 | $5,276 | 0.79 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 11 | $58,895 | $10,801 | $12,898 | 1.59 |
Infectious and parasitic diseases264 discharges in 4 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 | 180 | $58,211 | $12,928 | $12,748 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 38 | $30,634 | $6,442 | $6,709 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 35 | $127,700 | $32,058 | $27,966 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 11 | $194,801 | $48,443 | $42,661 | 6.96 |
Respiratory system240 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 69 | $34,536 | $8,452 | $7,563 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 50 | $31,715 | $8,290 | $6,946 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 45 | $46,628 | $11,271 | $10,212 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 23 | $25,239 | $5,186 | $5,527 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 17 | $34,683 | $6,574 | $7,596 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 14 | $50,853 | $9,377 | $11,137 | 1.40 |
| Major chest procedures with CCMS-DRG 164, surgical | 11 | $139,845 | $17,925 | $30,626 | 2.55 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 11 | $25,994 | $4,532 | $5,693 | 0.82 |
Digestive system212 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 35 | $35,260 | $6,574 | $7,722 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 32 | $24,288 | $5,045 | $5,319 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 27 | $94,070 | $14,482 | $20,601 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 24 | $49,338 | $12,083 | $10,805 | 1.79 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 19 | $71,199 | $10,508 | $15,593 | 1.67 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 19 | $38,315 | $8,982 | $8,391 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 16 | $35,573 | $6,639 | $7,790 | 0.94 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 14 | $184,084 | $27,831 | $40,314 | 4.52 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $46,605 | $10,652 | $10,207 | 1.62 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 12 | $23,317 | $4,895 | $5,106 | 0.80 |
Kidney and urinary tract208 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 | 52 | $27,014 | $5,363 | $5,916 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 39 | $25,532 | $5,652 | $5,591 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 36 | $32,727 | $8,147 | $7,167 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 33 | $41,015 | $10,434 | $8,982 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 20 | $46,805 | $11,501 | $10,250 | 1.65 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 15 | $59,361 | $8,823 | $13,000 | 1.35 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 13 | $19,407 | $5,862 | $4,250 | 1.02 |
Nervous system135 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 | 39 | $33,748 | $6,429 | $7,391 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 26 | $59,426 | $13,057 | $13,014 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 17 | $29,983 | $4,931 | $6,566 | 0.80 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 15 | $92,653 | $12,560 | $20,291 | 1.81 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 13 | $27,538 | $4,342 | $6,031 | 0.69 |
| Seizures without MCCMS-DRG 101, medical | 13 | $22,759 | $6,330 | $4,984 | 0.91 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 12 | $70,567 | $7,452 | $15,454 | 1.14 |
Endocrine, nutritional and metabolic70 discharges in 4 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 | 24 | $53,915 | $9,274 | $11,807 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 20 | $23,369 | $5,100 | $5,118 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 15 | $28,396 | $6,051 | $6,219 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 11 | $53,013 | $9,848 | $11,610 | 1.45 |
Skin, subcutaneous tissue and breast24 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 24 | $22,798 | $5,838 | $4,993 | 0.88 |
Blood and immune system23 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 12 | $22,283 | $6,595 | $4,880 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 11 | $31,157 | $10,100 | $6,823 | 1.40 |
Factors influencing health status17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 17 | $23,361 | $5,364 | $5,116 | 0.80 |
Liver, gallbladder and pancreas12 discharges in 1 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 | 12 | $75,104 | $9,883 | $16,448 | 1.63 |
Mental diseases and disorders12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 12 | $19,978 | $10,743 | $4,375 | 1.76 |
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 | 912 | 519 | $17,350 | $1,647 | $1,752 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 346 | 342 | $59,363 | $4,961 | $5,339 |
| Level 1 Endovascular ProceduresAPC 5191 | 335 | 329 | $32,094 | $2,081 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 325 | 309 | $17,462 | $1,926 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 270 | 263 | $90,870 | $10,047 | $10,772 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 258 | 251 | $32,518 | $2,270 | $2,373 |
| Level 1 Nerve ProceduresAPC 5431 | 237 | 204 | $24,966 | $1,361 | $1,407 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 234 | 220 | $15,242 | $1,151 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 155 | 147 | $24,814 | $2,262 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 145 | 136 | $36,026 | $3,596 | $3,918 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 131 | 128 | $21,732 | $1,128 | $1,196 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 130 | 124 | $15,467 | $1,642 | $1,780 |
| Level 4 Urology and Related ServicesAPC 5374 | 128 | 111 | $25,667 | $2,475 | $2,629 |
| Level 2 Upper GI ProceduresAPC 5302 | 125 | 110 | $13,749 | $1,352 | $1,445 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 108 | 106 | $159,585 | $19,304 | $21,117 |
| Level 3 Urology and Related ServicesAPC 5373 | 107 | 88 | $18,063 | $1,433 | $1,516 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 95 | 95 | $73,989 | $7,795 | $8,569 |
| Level 3 Endovascular ProceduresAPC 5193 | 91 | 87 | $118,423 | $8,074 | $8,874 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 84 | 80 | $116,704 | $14,766 | $15,763 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 71 | 68 | $27,646 | $1,990 | $2,141 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 67 | 67 | $47,382 | $4,037 | $4,358 |
| Level 2 Endovascular ProceduresAPC 5192 | 64 | 58 | $44,493 | $4,059 | $4,338 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 63 | 63 | $76,139 | $7,357 | $8,164 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 55 | 54 | $71,711 | $17,820 | $18,465 |
| Level 4 Endovascular ProceduresAPC 5194 | 52 | 49 | $158,093 | $13,963 | $14,606 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 51 | 45 | $27,894 | $2,707 | $2,930 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 51 | 50 | $108,453 | $24,440 | $26,719 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 49 | 48 | $35,519 | $2,457 | $2,636 |
| Level 4 Airway EndoscopyAPC 5154 | 42 | 41 | $31,502 | $2,596 | $2,833 |
| Level 3 Lower GI ProceduresAPC 5313 | 42 | 42 | $18,417 | $1,947 | $2,176 |
| Level 5 Airway EndoscopyAPC 5155 | 38 | 38 | $51,354 | $4,859 | $5,183 |
| Level 2 Vascular ProceduresAPC 5182 | 34 | 31 | $7,028 | $1,098 | $1,204 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 31 | 31 | $60,350 | $5,839 | $6,514 |
| Level 6 Urology and Related ServicesAPC 5376 | 29 | 29 | $53,278 | $6,579 | $7,291 |
| Level 4 Gynecologic ProceduresAPC 5414 | 29 | 28 | $24,122 | $1,952 | $2,389 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 26 | 25 | $43,851 | $4,451 | $4,982 |
| Level 3 Airway EndoscopyAPC 5153 | 24 | 23 | $14,047 | $1,205 | $1,264 |
| Level 3 ENT ProceduresAPC 5163 | 24 | 24 | $14,257 | $1,083 | $1,106 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 23 | 23 | $151,828 | $27,606 | $29,375 |
| Level 4 ENT ProceduresAPC 5164 | 22 | 20 | $19,417 | $2,287 | $2,217 |
| Level 5 ENT ProceduresAPC 5165 | 22 | 21 | $40,827 | $4,150 | $4,436 |
| Complex GI ProceduresAPC 5331 | 22 | 18 | $30,650 | $3,864 | $4,263 |
| Level 3 Intraocular ProceduresAPC 5493 | 22 | 17 | $31,139 | $3,710 | $4,004 |
| Level 5 Gynecologic ProceduresAPC 5415 | 21 | 20 | $32,353 | $3,532 | $3,792 |
| Level 1 Neurostimulator and Related ProceduresAPC 5461 | 20 | 20 | $31,052 | $2,415 | $2,547 |
| Level 4 Vascular ProceduresAPC 5184 | 19 | 18 | $38,601 | $3,893 | $3,946 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 16 | 16 | $30,096 | $5,304 | $5,682 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 15 | 15 | $97,243 | $15,698 | $17,052 |
| Level 2 Urology and Related ServicesAPC 5372 | 15 | 15 | $11,794 | $485 | $502 |
| Implantation of Drug Infusion DeviceAPC 5471 | 15 | 15 | $75,172 | $13,284 | $14,829 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 14 | 14 | $41,518 | $4,857 | $4,524 |
| Level 3 Upper GI ProceduresAPC 5303 | 13 | 13 | $32,490 | $2,716 | $2,888 |
| Level 2 Intraocular ProceduresAPC 5492 | 11 | $27,415 | $2,888 | $3,116 |
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.