Baystate Franklin Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Baystate Franklin Medical Center, Greenfield, MA in 2024, from traditional Medicare claims. Back to the Baystate Franklin Medical Center profile, with quality ratings, finances and negotiated rates.
1,097
Medicare inpatient discharges
In 37 published DRGs
1.33
Case mix index
IPPS FY 2027
0%
Surgical stays
66%
Stays with complications
In DRGs with a CC or MCC
1,174
Medicare outpatient services
In 19 service groups
Inpatient stays by major diagnostic category
Respiratory system198 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 47 | $17,436 | $11,977 | $8,683 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 36 | $17,859 | $9,632 | $8,894 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 28 | $14,973 | $7,738 | $7,457 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 27 | $21,191 | $8,802 | $10,553 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 23 | $13,291 | $5,427 | $6,619 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 14 | $13,250 | $6,070 | $6,598 | 0.85 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 12 | $26,692 | $9,546 | $13,293 | 1.40 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 11 | $16,919 | $6,706 | $8,426 | 0.99 |
Infectious and parasitic diseases189 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 | 143 | $26,125 | $14,387 | $13,010 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 46 | $15,456 | $7,201 | $7,697 | 1.03 |
Circulatory system187 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 129 | $19,155 | $9,435 | $9,539 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 17 | $11,228 | $5,055 | $5,592 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 17 | $13,989 | $6,057 | $6,966 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 13 | $21,361 | $8,407 | $10,638 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 11 | $9,939 | $3,791 | $4,950 | 0.55 |
Kidney and urinary tract160 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 41 | $11,393 | $5,370 | $5,674 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 39 | $13,247 | $5,950 | $6,597 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 24 | $13,101 | $8,239 | $6,524 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 22 | $19,922 | $11,623 | $9,921 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 19 | $19,290 | $11,445 | $9,607 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 15 | $11,042 | $7,403 | $5,499 | 1.02 |
Digestive system86 discharges in 4 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 | 38 | $13,797 | $5,149 | $6,871 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 22 | $21,300 | $6,927 | $10,607 | 0.98 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 14 | $15,860 | $6,674 | $7,898 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 12 | $14,730 | $5,211 | $7,336 | 0.80 |
Mental diseases and disorders67 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 67 | $43,249 | $12,479 | $21,538 | 1.37 |
Endocrine, nutritional and metabolic58 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Diabetes with CCMS-DRG 638, medical | 22 | $12,114 | $6,424 | $6,033 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 20 | $14,321 | $5,325 | $7,132 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 16 | $21,928 | $11,284 | $10,920 | 1.45 |
Skin, subcutaneous tissue and breast40 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 40 | $12,040 | $6,215 | $5,996 | 0.88 |
Alcohol and drug use35 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 | 35 | $18,326 | $6,128 | $9,126 | 0.86 |
Nervous system25 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other disorders of nervous system with CCMS-DRG 092, medical | 13 | $17,581 | $7,051 | $8,755 | 1.03 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 12 | $18,499 | $5,867 | $9,213 | 1.02 |
Liver, gallbladder and pancreas23 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 12 | $21,188 | $8,233 | $10,552 | 1.03 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 11 | $23,247 | $16,053 | $11,577 | 1.92 |
Blood and immune system15 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 | 15 | $13,521 | $6,658 | $6,734 | 0.90 |
Ear, nose, mouth and throat14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 14 | $15,338 | $4,601 | $7,638 | 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 | 364 | 335 | $10,703 | $2,316 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 185 | 116 | $1,056 | $576 | $502 |
| Level 2 Upper GI ProceduresAPC 5302 | 127 | 116 | $8,548 | $1,631 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 92 | 75 | $5,122 | $1,311 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 52 | 52 | $14,528 | $4,937 | $4,358 |
| Level 1 Intraocular ProceduresAPC 5491 | 44 | 36 | $5,001 | $1,992 | $1,752 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 39 | 38 | $4,050 | $1,373 | $1,196 |
| Level 3 Urology and Related ServicesAPC 5373 | 39 | 38 | $4,805 | $1,698 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 38 | 31 | $9,393 | $2,983 | $2,629 |
| Level 1 Nerve ProceduresAPC 5431 | 35 | 31 | $4,928 | $1,650 | $1,407 |
| Level 4 Gynecologic ProceduresAPC 5414 | 26 | 26 | $8,246 | $2,675 | $2,389 |
| Level 5 Urology and Related ServicesAPC 5375 | 24 | 24 | $14,727 | $4,428 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 22 | 22 | $8,809 | $2,770 | $2,373 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 21 | 21 | $13,542 | $3,106 | $2,930 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 18 | 18 | $20,200 | $6,111 | $5,339 |
| Level 5 Gynecologic ProceduresAPC 5415 | 14 | 14 | $10,780 | $4,256 | $3,792 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 12 | 12 | $11,535 | $2,257 | $2,141 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 11 | 11 | $8,887 | $2,960 | $2,636 |
| Level 2 Intraocular ProceduresAPC 5492 | 11 | $7,863 | $3,479 | $3,116 |
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.