Inpatient Utilization

Based on Medicare IPPS claims data

  • Medicare IPPS claims data are for federal fiscal year ending 09/30/2024 (Final rule MedPAR).
  • These reports are consistent with CMS cell size suppression policy.
  • The Case Mix Index (CMI) for LTAC hospitals reflects LTAC regulations.

Sample Hospital

Louisville, KY  11111
CMS Certification Number: 000000
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Provider Analysis
Attending physician utilization measures including cases, CMI, cost, payment, length of stay and more.
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Key Attending Providers
  • Medicare IPPS claims data are for 4 quarters ending on 12/31/2024 (Quarterly Inpatient SAF). / Definitions
Name Cases Payment Cost CMI
Samer Alnabhan M.D. 342 $4,209,841 $4,237,250 1.7364
Taylor J. Burkhart DO 290 $3,343,786 $3,565,813 1.6651
Rajanbhai R Amin M.D. 285 $5,338,333 $6,326,042 2.2498
Market Analysis
Build color coded maps based on more detailed Patient Origin data
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Patient Origin
  • Medicare Hospital Market Service Area file for calendar year ending 12/31/2024 / Definitions
ZIP Code of Residence Discharges Days of Care Charges Discharges Inc/(Dec) Market Share Market Share
5-years prior
40216 1,080 6,325 $90,192,764 5.9% 41.8% 43.7%
40219 1,019 5,585 $75,560,508 0.1% 55.1% 61.4%
40229 859 4,551 $73,764,351 -16.5% 48.1% 61.8%
40291 845 4,301 $68,418,639 11.5% 41.8% 44.2%
40165 840 4,269 $76,078,935 -14.5% 43.5% 59.2%
40241 831 3,755 $59,116,224 7.1% 61.4% 58.6%
40214 806 4,515 $70,506,567 9.4% 42.2% 44.5%
40272 772 4,121 $63,184,940 3.3% 37.7% 42.9%
40245 734 3,664 $57,586,960 9.6% 53.9% 54.9%
40299 696 3,473 $54,610,558 4.3% 34.0% 37.5%
All other ZIP Codes 17,932 100,347 $1,602,588,605    
Total 26,414 144,906 $2,291,609,051 5.4%  
IPPS Dashboard
Analyze the factors that define a hospital's payment under IPPS
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Trend Report
Inpatient Utilization Statistics FY 2024 FY 2023 FY 2022 FY 2021 FY 2020
Case Mix Index 1.9704 2.1314 2.1484 2.1081 2.0413
Medical MS-DRGs 71.31% 67.85% 68.48% 70.64% 67.88%
Surgical MS-DRGs 28.69% 32.15% 31.52% 29.36% 32.12%
Routine Discharges to home 6,409 5,628 5,006 6,208 8,097
Discharges to other acute care hospitals 81 109 84 77 88
Discharges to Skilled Nursing Facilities (SNF) 2,685 2,836 2,695 2,886 3,226
Deaths 452 539 639 732 599
Other Discharges 4,882 3,963 4,473 4,935 4,244
Total Discharges 14,509 13,075 12,897 14,838 16,254
Psychiatric Discharges (DPU, included in Total)
Rehabilitation Discharges (DPU, included in Total)
Medicare Advantage (HMO) Discharges (NOT included in Total) 13,246 12,818 11,520 11,067 10,620
MS-DRG Coding Indicators
Use coding indicators and comparative data to identify areas for improvement
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Statistics for the Top 20 Base MS-DRGs
  • Costs calculated per hospital's cost report for the period ending 12/31/2024. / Definitions
Base MS-DRG Base MS-DRG Description IPPS Cases ALOS Average Charges Average Payment Average Cost Case Mix Index CC/MCC Rate MCC Rate
872-871 Septicemia or severe sepsis w/o MV 96+ hours 1,309 5.5 $59,134 $12,674 $10,780 1.8261 83.6% 83.6%
293-292-291 Heart failure & shock 751 4.8 $43,660 $8,732 $8,741 1.2717 99.7% 97.3%
310-309-308 Cardiac arrhythmia & conduction disorders 438 3.0 $31,772 $5,667 $5,868 0.8330 75.8% 29.5%
195-194-193 Simple pneumonia & pleurisy 418 4.2 $43,046 $8,188 $7,877 1.1914 96.9% 74.4%
179-178-177 Respiratory infections & inflammations 381 4.6 $46,206 $10,156 $8,807 1.5305 95.8% 78.0%
066-065-064 Intracranial hemorrhage or cerebral infarction 357 3.7 $54,971 $8,637 $8,364 1.2780 83.8% 31.9%
684-683-682 Renal failure 349 4.3 $35,946 $7,800 $7,263 1.1248 93.1% 40.7%
690-689 Kidney & urinary tract infections 287 3.3 $27,825 $6,811 $5,403 0.9964 51.6% 51.6%
641-640 Misc disorders of nutrition,metabolism,fluids/electrolytes 277 3.6 $33,895 $7,087 $6,780 1.0531 50.9% 50.9%
392-391 Esophagitis, gastroent & misc digest disorders 273 3.5 $31,867 $6,355 $6,166 0.9220 27.8% 27.8%
855-854-853 Infectious & parasitic diseases w O.R. procedure 243 11.5 $151,270 $31,888 $29,442 4.3656 100.0% 78.6%
379-378-377 G.I. hemorrhage 238 4.4 $47,443 $8,963 $9,613 1.2459 94.5% 34.9%
189 Pulmonary edema & respiratory failure 234 4.6 $48,826 $8,663 $9,041 1.2320 0.0% 0.0%
700-699-698 Other kidney & urinary tract diagnoses 218 4.8 $45,546 $9,777 $8,853 1.4277 99.1% 64.7%
322-321 Percutaneous cardiovascular procedures with intraluminal device 210 3.5 $136,609 $16,469 $20,990 2.2289 38.6% 38.6%
287-286 Circulatory disorders except AMI, w card cath 184 4.5 $76,993 $11,608 $12,161 1.6419 52.2% 52.2%
192-191-190 Chronic obstructive pulmonary disease 177 3.4 $36,367 $6,998 $6,589 1.0006 96.6% 62.7%
455-454-453 Combined anterior/posterior spinal fusion 172 5.0 $342,929 $55,691 $56,112 6.3237 88.4% 14.0%
331-330-329 Major small & large bowel procedures 170 8.2 $144,583 $23,196 $30,727 3.0143 80.0% 36.5%
812-811 Red blood cell disorders 158 4.7 $42,357 $7,853 $9,128 1.1108 41.8% 41.8%
All Other Base MS-DRGs 7,665 4.9 $95,799 $16,517 $17,962 2.2751
T O T A L S 14,509 4.8 $80,034 $14,241 $14,875 1.9704

Search for Individual MS-DRGs

  • Enter MS-DRG desired and statistics will appear in a new window.
  • (Only MS-DRGs representing more than 10 patients are reported.)
  • Click here for MS-DRG Definitions (PDF or Excel). / Definitions

Search for Prior DRGs and Statistics (FY 2003-2007)

  • Enter DRG desired and statistics will appear in a new window.
  • (Only DRGs representing more than 10 patients are reported.)
  • Please note that Prior DRGs numbers do not correspond to MS-DRGs.
  • Also please note that "Average Reimbursement" for DRGs is different than "Average Payment" now reported for MS-DRGs.
  • Click here for DRG Definitions (PDF or Excel). / Definitions
Clinical Cost Analyzer
Explore online costs by MS-DRG, medical service, routine service, or department
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Statistics by Medical Service
  • Costs calculated per hospital's cost report for the period ending 12/31/2024. / Definitions
  Number Medicare Inpatients Average Length of Stay Average Charges Average Cost Medicare CMI CMI Adjusted Avg. Cost
Cardiology 2,050 3.9 $44,378 $8,084 1.1617 $6,959
Cardiovascular Surgery 925 4.8 $228,373 $40,712 4.2255 $9,635
Gynecology 54 3.5 $67,215 $13,057 1.3469 $9,695
Medicine 3,830 4.7 $48,037 $9,215 1.4616 $6,305
Neurology 1,047 4.1 $50,921 $8,509 1.3539 $6,284
Neurosurgery 215 5.7 $187,265 $36,755 4.0221 $9,138
Obstetrics 29 4.4 $35,145 $9,374 0.9726 $9,638
Oncology 361 5.4 $73,143 $12,424 1.8903 $6,573
Orthopedic Surgery 1,044 4.7 $179,787 $31,022 3.4265 $9,054
Orthopedics 364 3.8 $34,901 $6,645 1.1306 $5,878
Psychiatry 199 6.2 $30,838 $10,260 1.3115 $7,823
Pulmonology 1,594 4.6 $50,391 $9,377 1.4346 $6,536
Surgery 1,347 8.0 $130,011 $25,757 3.4537 $7,458
Surgery for Malignancy 99 5.2 $105,324 $19,978 2.3935 $8,347
Urology 1,049 4.3 $40,277 $8,017 1.3004 $6,165
Vascular Surgery 298 4.5 $119,293 $23,842 2.8065 $8,495
Burns 0 0.0 $0 $0 0.0000 $0
TOTAL 14,509 4.83 $80,034 $14,875 1.9704 $7,549