BAYHEALTH HOSPITAL Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for BAYHEALTH HOSPITAL, Milford, DE in 2024, from traditional Medicare claims. Back to the BAYHEALTH HOSPITAL profile, with quality ratings, finances and negotiated rates.
1,877
Medicare inpatient discharges
In 59 published DRGs
1.54
Case mix index
IPPS FY 2027
6%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
1,439
Medicare outpatient services
In 23 service groups
Inpatient stays by major diagnostic category
Circulatory system379 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 | 197 | $38,077 | $9,566 | $12,527 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 36 | $25,429 | $5,159 | $8,366 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 26 | $33,847 | $6,175 | $11,136 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 25 | $45,960 | $8,792 | $15,121 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 23 | $20,847 | $3,525 | $6,859 | 0.55 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 20 | $34,605 | $10,903 | $11,385 | 1.59 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 14 | $48,419 | $14,326 | $15,930 | 2.09 |
| Hypertension with MCCMS-DRG 304, medical | 13 | $33,777 | $8,363 | $11,113 | 1.15 |
| Hypertension without MCCMS-DRG 305, medical | 13 | $21,137 | $5,123 | $6,954 | 0.75 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 12 | $28,178 | $7,660 | $9,271 | 1.07 |
Infectious and parasitic diseases365 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 | 275 | $55,323 | $14,424 | $18,201 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 55 | $39,376 | $7,461 | $12,955 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 35 | $101,132 | $35,831 | $33,272 | 5.00 |
Respiratory system330 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 77 | $38,061 | $9,399 | $12,522 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 67 | $56,728 | $11,813 | $18,663 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 65 | $35,913 | $7,425 | $11,815 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 38 | $28,248 | $5,578 | $9,293 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 21 | $45,505 | $8,967 | $14,971 | 1.23 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 16 | $48,405 | $10,288 | $15,925 | 1.40 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 13 | $34,794 | $6,768 | $11,447 | 0.96 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 11 | $27,394 | $6,896 | $9,013 | 0.99 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 11 | $30,776 | $6,222 | $10,125 | 0.85 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 11 | $43,624 | $13,093 | $14,352 | 1.81 |
Kidney and urinary tract215 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 50 | $24,462 | $5,583 | $8,048 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 41 | $31,666 | $8,485 | $10,418 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 32 | $50,754 | $13,123 | $16,698 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 32 | $30,708 | $6,633 | $10,103 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 18 | $44,523 | $11,442 | $14,648 | 1.65 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 15 | $30,506 | $7,183 | $10,036 | 1.05 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 14 | $32,303 | $5,812 | $10,628 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 13 | $41,143 | $10,073 | $13,536 | 1.35 |
Digestive system211 discharges in 10 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 | 55 | $25,464 | $5,169 | $8,378 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 32 | $27,431 | $5,566 | $9,025 | 0.80 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 24 | $32,107 | $6,850 | $10,563 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 20 | $43,839 | $8,904 | $14,423 | 1.28 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 15 | $33,984 | $10,236 | $11,181 | 1.45 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 15 | $20,795 | $3,401 | $6,842 | 0.56 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 14 | $41,297 | $12,885 | $13,587 | 1.79 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 13 | $45,954 | $12,640 | $15,119 | 1.62 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 12 | $99,734 | $16,511 | $32,812 | 2.37 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 11 | $30,542 | $7,486 | $10,048 | 1.04 |
Nervous system104 discharges in 5 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 | 35 | $39,196 | $6,662 | $12,896 | 1.02 |
| Seizures with MCCMS-DRG 100, medical | 20 | $63,024 | $16,682 | $20,735 | 1.98 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 19 | $71,070 | $12,146 | $23,382 | 2.00 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 15 | $33,063 | $4,576 | $10,878 | 0.69 |
| Seizures without MCCMS-DRG 101, medical | 15 | $42,849 | $6,688 | $14,097 | 0.91 |
Endocrine, nutritional and metabolic97 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 | 43 | $32,174 | $9,565 | $10,585 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 42 | $27,203 | $5,269 | $8,950 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $34,274 | $11,374 | $11,276 | 1.45 |
Blood and immune system59 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 22 | $26,881 | $6,564 | $8,844 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 21 | $42,626 | $13,542 | $14,024 | 1.56 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 16 | $68,882 | $13,939 | $22,662 | 1.40 |
Musculoskeletal system and connective tissue48 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 25 | $64,215 | $15,499 | $21,127 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 12 | $37,309 | $5,292 | $12,275 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 11 | $70,299 | $15,224 | $23,128 | 2.11 |
Skin, subcutaneous tissue and breast46 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 35 | $28,116 | $5,749 | $9,250 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 11 | $42,430 | $10,681 | $13,959 | 1.49 |
Alcohol and drug use12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 12 | $24,495 | $5,477 | $8,059 | 0.86 |
Ear, nose, mouth and throat11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 11 | $34,156 | $4,831 | $11,237 | 0.74 |
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 | 457 | 431 | $19,249 | $2,163 | $2,090 |
| Level 3 Urology and Related ServicesAPC 5373 | 127 | 83 | $11,395 | $1,408 | $1,516 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 121 | 119 | $52,394 | $11,552 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 94 | 92 | $11,775 | $1,278 | $1,220 |
| Level 4 Urology and Related ServicesAPC 5374 | 84 | 77 | $18,842 | $2,786 | $2,629 |
| Level 1 Nerve ProceduresAPC 5431 | 60 | 54 | $5,713 | $1,543 | $1,407 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 56 | 53 | $5,471 | $1,280 | $1,196 |
| Level 5 Urology and Related ServicesAPC 5375 | 54 | 53 | $27,453 | $4,136 | $3,918 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 48 | 48 | $68,805 | $8,686 | $8,164 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 45 | 44 | $40,175 | $4,612 | $4,358 |
| Level 2 Urology and Related ServicesAPC 5372 | 45 | 14 | $2,343 | $545 | $502 |
| Level 3 Vascular ProceduresAPC 5183 | 38 | 38 | $20,738 | $2,548 | $2,405 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 37 | 37 | $24,665 | $2,271 | $2,141 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 21 | 21 | $30,289 | $5,718 | $5,339 |
| Level 2 Upper GI ProceduresAPC 5302 | 20 | 19 | $10,121 | $1,526 | $1,445 |
| Level 3 Lower GI ProceduresAPC 5313 | 20 | 20 | $23,263 | $2,255 | $2,176 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 19 | 19 | $18,194 | $2,587 | $2,373 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 18 | 18 | $63,149 | $17,022 | $15,763 |
| Level 5 Gynecologic ProceduresAPC 5415 | 18 | 18 | $23,474 | $3,976 | $3,792 |
| Level 2 Vascular ProceduresAPC 5182 | 16 | 15 | $9,933 | $1,240 | $1,204 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 15 | 13 | $48,907 | $20,259 | $18,465 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 14 | 14 | $35,831 | $2,766 | $2,636 |
| Level 4 Gynecologic ProceduresAPC 5414 | 12 | 12 | $14,625 | $2,499 | $2,389 |
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.