Women S Hospital At Saint Joseph East Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Women S Hospital At Saint Joseph East, Lexington, KY in 2024, from traditional Medicare claims. Back to the Women S Hospital At Saint Joseph East profile, with quality ratings, finances and negotiated rates.
219
Medicare inpatient discharges
In 10 published DRGs
1.66
Case mix index
IPPS FY 2027
11%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
600
Medicare outpatient services
In 19 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases91 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 | 70 | $44,835 | $11,788 | $13,540 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 21 | $33,676 | $6,486 | $10,170 | 1.03 |
Circulatory system46 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 33 | $37,312 | $8,756 | $11,268 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 13 | $21,674 | $5,190 | $6,546 | 0.74 |
Respiratory system44 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 16 | $28,723 | $8,517 | $8,674 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 15 | $19,820 | $7,609 | $5,986 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 13 | $34,874 | $9,935 | $10,532 | 1.70 |
Musculoskeletal system and connective tissue25 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 | 14 | $45,922 | $11,514 | $13,868 | 1.88 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 11 | $88,272 | $18,564 | $26,658 | 3.49 |
Kidney and urinary tract13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 13 | $44,001 | $10,137 | $13,288 | 1.50 |
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 4 Urology and Related ServicesAPC 5374 | 104 | 98 | $16,270 | $2,353 | $2,629 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 80 | 78 | $37,968 | $9,505 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 75 | 75 | $16,848 | $1,971 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 61 | 58 | $9,435 | $1,091 | $1,220 |
| Level 1 Nerve ProceduresAPC 5431 | 46 | 41 | $4,211 | $1,300 | $1,407 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 27 | 27 | $47,072 | $7,268 | $8,164 |
| Level 3 Urology and Related ServicesAPC 5373 | 23 | 20 | $18,984 | $1,340 | $1,516 |
| Level 5 Urology and Related ServicesAPC 5375 | 21 | 20 | $19,854 | $3,565 | $3,918 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 20 | 18 | $13,146 | $2,630 | $2,930 |
| Comprehensive Observation ServicesAPC 8011 | 20 | 20 | $14,851 | $1,889 | $2,090 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 19 | 19 | $17,326 | $3,772 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 16 | 16 | $29,295 | $4,926 | $5,339 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 15 | 15 | $16,580 | $7,610 | $8,569 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 13 | 12 | $23,147 | $4,499 | $4,982 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 13 | 12 | $14,815 | $2,233 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 12 | 12 | $14,294 | $1,961 | $2,141 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 12 | 12 | $9,118 | $924 | $1,196 |
| Level 4 Gynecologic ProceduresAPC 5414 | 12 | 12 | $11,719 | $2,157 | $2,389 |
| Level 3 Vascular ProceduresAPC 5183 | 11 | 11 | $10,643 | $2,199 | $2,405 |
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.