Swedish Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Swedish Hospital, Chicago, IL in 2024, from traditional Medicare claims. Back to the Swedish Hospital profile, with quality ratings, finances and negotiated rates.
1,232
Medicare inpatient discharges
In 41 published DRGs
1.82
Case mix index
IPPS FY 2027
8%
Surgical stays
79%
Stays with complications
In DRGs with a CC or MCC
2,501
Medicare outpatient services
In 34 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases349 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 | 260 | $58,855 | $15,016 | $11,065 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 38 | $169,297 | $39,190 | $31,828 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 32 | $35,048 | $7,642 | $6,589 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 19 | $201,878 | $52,778 | $37,953 | 6.96 |
Circulatory system264 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 88 | $39,403 | $10,392 | $7,408 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 32 | $85,837 | $12,655 | $16,137 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 27 | $94,592 | $13,088 | $17,783 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 25 | $30,573 | $5,946 | $5,748 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 18 | $82,000 | $17,583 | $15,416 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 17 | $133,364 | $23,383 | $25,072 | 2.87 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 16 | $50,961 | $7,286 | $9,581 | 0.91 |
| Hypertension without MCCMS-DRG 305, medical | 15 | $26,437 | $5,889 | $4,970 | 0.75 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 14 | $54,188 | $9,978 | $10,187 | 1.20 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 12 | $84,651 | $16,661 | $15,914 | 2.28 |
Kidney and urinary tract193 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 44 | $52,001 | $13,064 | $9,776 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 40 | $26,788 | $6,510 | $5,036 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 38 | $35,143 | $8,747 | $6,607 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 37 | $30,706 | $6,855 | $5,773 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 34 | $49,589 | $11,449 | $9,323 | 1.50 |
Respiratory system168 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 45 | $49,540 | $12,333 | $9,313 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 38 | $40,279 | $10,168 | $7,572 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 26 | $51,579 | $10,481 | $9,697 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 23 | $90,597 | $22,674 | $17,032 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 13 | $25,890 | $5,353 | $4,867 | 0.82 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 12 | $41,193 | $14,426 | $7,744 | 1.74 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 11 | $37,348 | $7,971 | $7,021 | 0.99 |
Digestive system83 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 27 | $29,335 | $7,580 | $5,515 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 25 | $58,758 | $13,535 | $11,047 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 19 | $27,619 | $6,271 | $5,192 | 0.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 12 | $32,036 | $7,936 | $6,023 | 0.94 |
Endocrine, nutritional and metabolic65 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 | 22 | $41,479 | $9,867 | $7,798 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 16 | $34,428 | $7,398 | $6,472 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 15 | $34,032 | $6,207 | $6,398 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $36,502 | $11,713 | $6,862 | 1.45 |
Nervous system52 discharges in 3 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 | 26 | $45,291 | $8,017 | $8,515 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $28,096 | $10,174 | $5,282 | 1.36 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 13 | $65,084 | $14,975 | $12,236 | 2.00 |
Musculoskeletal system and connective tissue24 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 13 | $41,548 | $7,420 | $7,811 | 0.97 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 11 | $26,177 | $8,051 | $4,921 | 1.09 |
Skin, subcutaneous tissue and breast20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 20 | $26,882 | $6,859 | $5,054 | 0.88 |
Liver, gallbladder and pancreas14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 14 | $43,688 | $15,784 | $8,213 | 1.92 |
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 | 697 | 624 | $17,824 | $2,049 | $2,090 |
| Level 1 Nerve ProceduresAPC 5431 | 397 | 303 | $13,323 | $1,452 | $1,407 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 173 | 163 | $15,216 | $974 | $2,141 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 131 | 126 | $113,086 | $20,699 | $21,117 |
| Level 1 Endovascular ProceduresAPC 5191 | 101 | 101 | $32,811 | $2,202 | $2,208 |
| Level 1 Intraocular ProceduresAPC 5491 | 92 | 69 | $15,579 | $1,762 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 88 | 81 | $10,495 | $1,224 | $1,220 |
| Level 2 Urology and Related ServicesAPC 5372 | 72 | 21 | $2,318 | $217 | $502 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 69 | 69 | $40,563 | $4,362 | $4,358 |
| Level 3 Endovascular ProceduresAPC 5193 | 66 | 57 | $68,447 | $8,536 | $8,874 |
| Level 3 Vascular ProceduresAPC 5183 | 57 | 54 | $20,992 | $2,411 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 51 | 50 | $26,106 | $3,837 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 43 | 42 | $36,734 | $5,412 | $5,339 |
| Level 2 Vascular ProceduresAPC 5182 | 43 | 41 | $7,376 | $1,182 | $1,204 |
| Level 4 Urology and Related ServicesAPC 5374 | 43 | 36 | $21,201 | $2,637 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 41 | 26 | $6,321 | $887 | $1,516 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 38 | 34 | $22,624 | $2,380 | $2,373 |
| Level 2 Upper GI ProceduresAPC 5302 | 28 | 28 | $11,570 | $1,439 | $1,445 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 24 | 24 | $9,288 | $1,212 | $1,196 |
| Level 2 Intraocular ProceduresAPC 5492 | 24 | 22 | $20,636 | $3,076 | $3,116 |
| Level 4 Endovascular ProceduresAPC 5194 | 22 | 20 | $68,613 | $13,619 | $14,606 |
| Level 6 Urology and Related ServicesAPC 5376 | 22 | 22 | $52,759 | $6,465 | $7,291 |
| Level 4 Vascular ProceduresAPC 5184 | 20 | 15 | $19,101 | $4,157 | $3,946 |
| Level 2 Endovascular ProceduresAPC 5192 | 20 | 17 | $37,026 | $4,324 | $4,338 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 20 | 20 | $45,728 | $8,498 | $8,569 |
| Level 4 Airway EndoscopyAPC 5154 | 16 | 15 | $31,221 | $2,833 | $2,833 |
| Level 4 Gynecologic ProceduresAPC 5414 | 15 | 15 | $12,225 | $2,081 | $2,389 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 14 | 11 | $22,040 | $2,883 | $2,930 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 13 | 13 | $70,795 | $16,022 | $15,763 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 13 | 13 | $166,191 | $29,509 | $29,375 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 13 | 12 | $14,438 | $1,768 | $1,780 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 12 | 12 | $69,549 | $10,845 | $10,772 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 12 | 12 | $28,603 | $6,427 | $6,514 |
| Level 3 Lower GI ProceduresAPC 5313 | 11 | 11 | $11,305 | $2,172 | $2,176 |
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.