Summit Healthcare Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Summit Healthcare Regional Medical Center, Show Low, AZ in 2024, from traditional Medicare claims. Back to the Summit Healthcare Regional Medical Center profile, with quality ratings, finances and negotiated rates.
830
Medicare inpatient discharges
In 33 published DRGs
1.62
Case mix index
IPPS FY 2027
14%
Surgical stays
76%
Stays with complications
In DRGs with a CC or MCC
1,383
Medicare outpatient services
In 23 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases248 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 | 195 | $41,459 | $18,477 | $10,116 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 35 | $32,322 | $9,269 | $7,887 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 18 | $125,425 | $48,860 | $30,604 | 5.00 |
Circulatory system140 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 57 | $34,610 | $11,896 | $8,445 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 25 | $38,346 | $14,877 | $9,357 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 18 | $33,410 | $10,999 | $8,152 | 1.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $39,343 | $7,635 | $9,600 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 14 | $91,493 | $12,040 | $22,324 | 1.82 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 12 | $21,956 | $4,001 | $5,357 | 0.55 |
Respiratory system131 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 | 38 | $30,029 | $12,200 | $7,327 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 32 | $24,947 | $11,173 | $6,087 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 29 | $30,501 | $15,622 | $7,442 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 17 | $22,640 | $9,955 | $5,524 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 15 | $35,922 | $12,729 | $8,765 | 1.40 |
Musculoskeletal system and connective tissue82 discharges in 5 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 | $97,582 | $17,582 | $23,810 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 18 | $88,699 | $19,871 | $21,643 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 16 | $74,836 | $18,419 | $18,260 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 16 | $103,057 | $28,788 | $25,146 | 2.99 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 14 | $97,729 | $28,212 | $23,846 | 2.95 |
Digestive system73 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 23 | $25,810 | $6,417 | $6,298 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 15 | $24,549 | $6,829 | $5,990 | 0.80 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 13 | $45,001 | $8,508 | $10,980 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 11 | $48,901 | $16,951 | $11,932 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $36,331 | $11,782 | $8,865 | 1.28 |
Endocrine, nutritional and metabolic62 discharges in 3 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 | 28 | $30,222 | $12,139 | $7,374 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 21 | $25,188 | $6,507 | $6,146 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 13 | $32,541 | $7,636 | $7,940 | 0.90 |
Kidney and urinary tract40 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 14 | $35,551 | $14,244 | $8,675 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 13 | $25,624 | $7,173 | $6,252 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 13 | $34,175 | $11,126 | $8,339 | 1.17 |
Nervous system37 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 | 25 | $39,674 | $8,980 | $9,680 | 1.02 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 12 | $28,334 | $5,501 | $6,913 | 0.69 |
Skin, subcutaneous tissue and breast17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 17 | $28,627 | $7,633 | $6,985 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 189 | 184 | $24,574 | $2,253 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 166 | 98 | $8,765 | $1,348 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 138 | 130 | $83,746 | $12,002 | $10,772 |
| Level 1 Nerve ProceduresAPC 5431 | 115 | 107 | $10,448 | $1,588 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 91 | 91 | $33,176 | $5,953 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 74 | 68 | $14,458 | $2,620 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 70 | 68 | $11,531 | $2,360 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 66 | 64 | $22,222 | $4,298 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 61 | 58 | $18,943 | $2,650 | $2,405 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 60 | 59 | $88,192 | $17,783 | $15,763 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 54 | 54 | $16,650 | $2,871 | $2,636 |
| Level 1 Endovascular ProceduresAPC 5191 | 50 | 49 | $24,352 | $2,397 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 43 | 43 | $28,181 | $4,799 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 32 | 28 | $14,332 | $2,880 | $2,629 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 30 | 29 | $7,529 | $1,331 | $1,196 |
| Level 2 Upper GI ProceduresAPC 5302 | 26 | 23 | $8,900 | $1,587 | $1,445 |
| Level 3 Endovascular ProceduresAPC 5193 | 24 | 22 | $58,979 | $9,843 | $8,874 |
| Level 2 Vascular ProceduresAPC 5182 | 19 | 18 | $7,836 | $1,327 | $1,204 |
| Level 3 Urology and Related ServicesAPC 5373 | 18 | 13 | $7,355 | $1,682 | $1,516 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 17 | 16 | $93,083 | $30,698 | $26,719 |
| Level 2 Endovascular ProceduresAPC 5192 | 16 | 12 | $28,391 | $4,756 | $4,338 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 13 | 12 | $27,480 | $5,691 | $4,524 |
| Level 4 Endovascular ProceduresAPC 5194 | 11 | 11 | $51,230 | $15,126 | $14,606 |
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.