Tahlequah City Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Tahlequah City Hospital, Tahlequah, OK in 2024, from traditional Medicare claims. Back to the Tahlequah City Hospital profile, with quality ratings, finances and negotiated rates.
489
Medicare inpatient discharges
In 24 published DRGs
1.84
Case mix index
IPPS FY 2027
14%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
983
Medicare outpatient services
In 21 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases120 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 | 104 | $39,478 | $12,973 | $14,528 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 16 | $17,190 | $6,171 | $6,326 | 1.03 |
Circulatory system113 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 | 42 | $21,802 | $8,049 | $8,023 | 1.28 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 18 | $109,649 | $22,768 | $40,351 | 3.46 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 15 | $16,225 | $4,021 | $5,971 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 14 | $43,372 | $10,602 | $15,961 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 12 | $41,919 | $11,408 | $15,426 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 12 | $17,552 | $7,463 | $6,459 | 1.20 |
Respiratory system65 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 20 | $19,419 | $4,844 | $7,146 | 0.82 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 16 | $22,107 | $7,953 | $8,135 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 15 | $25,090 | $8,185 | $9,233 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 14 | $23,271 | $6,596 | $8,564 | 1.10 |
Endocrine, nutritional and metabolic61 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 | 26 | $22,659 | $8,034 | $8,339 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 23 | $13,194 | $4,446 | $4,855 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 12 | $13,311 | $5,485 | $4,898 | 0.90 |
Kidney and urinary tract45 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 21 | $14,065 | $5,642 | $5,176 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 13 | $13,063 | $4,532 | $4,807 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 11 | $48,442 | $17,283 | $17,827 | 1.50 |
Musculoskeletal system and connective tissue37 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 | 26 | $47,123 | $11,784 | $17,341 | 1.88 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 11 | $45,317 | $23,834 | $16,677 | 3.66 |
Digestive system26 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $18,227 | $4,410 | $6,708 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 13 | $16,428 | $4,913 | $6,045 | 0.79 |
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 | $15,023 | $5,051 | $5,529 | 0.88 |
Blood and immune system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 11 | $13,418 | $5,494 | $4,938 | 0.90 |
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 | 180 | 167 | $9,307 | $1,930 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 121 | 114 | $4,227 | $1,360 | $1,445 |
| Level 1 Intraocular ProceduresAPC 5491 | 119 | 76 | $5,510 | $1,658 | $1,752 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 50 | 44 | $84,032 | $14,975 | $15,763 |
| Level 4 Endovascular ProceduresAPC 5194 | 49 | 38 | $77,112 | $13,736 | $14,606 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 46 | 45 | $40,297 | $10,115 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 45 | 43 | $20,228 | $4,992 | $5,339 |
| Level 1 Endovascular ProceduresAPC 5191 | 43 | 43 | $8,993 | $1,988 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 41 | 35 | $10,744 | $2,253 | $2,405 |
| Level 1 Nerve ProceduresAPC 5431 | 38 | 37 | $5,374 | $1,399 | $1,407 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 32 | 30 | $10,369 | $1,995 | $2,141 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 30 | 30 | $4,633 | $1,134 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 28 | 27 | $10,110 | $4,181 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 27 | 21 | $6,400 | $2,245 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 26 | 25 | $7,483 | $2,345 | $2,373 |
| Level 3 Endovascular ProceduresAPC 5193 | 26 | 26 | $34,346 | $8,365 | $8,874 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 22 | 20 | $7,338 | $1,109 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 21 | 18 | $6,602 | $1,060 | $1,204 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 14 | 14 | $34,345 | $8,073 | $8,569 |
| Level 5 Airway EndoscopyAPC 5155 | 13 | 13 | $12,215 | $4,578 | $5,183 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 12 | 12 | $34,718 | $6,156 | $6,514 |
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.