Berkshire Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Berkshire Medical Center, Pittsfield, MA in 2024, from traditional Medicare claims. Back to the Berkshire Medical Center profile, with quality ratings, finances and negotiated rates.
3,813
Medicare inpatient discharges
In 95 published DRGs
1.69
Case mix index
IPPS FY 2027
14%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
5,340
Medicare outpatient services
In 41 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases654 discharges in 6 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 | 471 | $35,838 | $19,670 | $15,876 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 67 | $21,263 | $9,440 | $9,419 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 66 | $98,881 | $51,020 | $43,804 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 24 | $122,003 | $70,432 | $54,047 | 6.96 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 15 | $37,688 | $18,580 | $16,696 | 1.84 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 11 | $47,251 | $19,603 | $20,932 | 2.04 |
Respiratory system646 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 170 | $28,544 | $16,187 | $12,645 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 123 | $24,775 | $12,455 | $10,975 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 56 | $22,373 | $11,654 | $9,911 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 43 | $22,311 | $8,943 | $9,884 | 0.99 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 41 | $19,010 | $10,304 | $8,421 | 1.10 |
| Major chest procedures with CCMS-DRG 164, surgical | 33 | $87,547 | $25,099 | $38,784 | 2.55 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 33 | $19,411 | $7,297 | $8,599 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 28 | $22,840 | $13,584 | $10,118 | 1.40 |
| Major chest procedures with MCCMS-DRG 163, surgical | 26 | $114,013 | $48,174 | $50,508 | 4.71 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 26 | $67,295 | $27,695 | $29,811 | 2.70 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 16 | $16,372 | $7,665 | $7,253 | 0.85 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 13 | $20,323 | $6,897 | $9,003 | 0.82 |
| Major chest trauma with CCMS-DRG 184, medical | 13 | $20,551 | $9,468 | $9,104 | 1.05 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 13 | $15,143 | $8,814 | $6,708 | 0.96 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 12 | $65,652 | $41,361 | $29,084 | 4.06 |
Circulatory system591 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 | 367 | $22,230 | $12,390 | $9,848 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 47 | $25,174 | $15,811 | $11,152 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 47 | $16,769 | $6,596 | $7,429 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 37 | $19,510 | $11,618 | $8,643 | 1.20 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 22 | $41,439 | $20,913 | $18,357 | 2.09 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 18 | $10,431 | $4,412 | $4,621 | 0.55 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 16 | $52,273 | $22,396 | $23,157 | 2.28 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 14 | $29,417 | $16,792 | $13,032 | 1.58 |
| Syncope and collapseMS-DRG 312, medical | 12 | $26,174 | $7,918 | $11,595 | 0.86 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $15,795 | $6,346 | $6,997 | 0.75 |
Digestive system414 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 77 | $33,035 | $17,731 | $14,635 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 73 | $22,010 | $9,140 | $9,750 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 40 | $18,104 | $6,929 | $8,020 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 38 | $16,917 | $7,063 | $7,494 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 27 | $98,501 | $48,719 | $43,636 | 4.52 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 27 | $21,772 | $12,074 | $9,645 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 24 | $60,132 | $22,265 | $26,638 | 2.37 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 21 | $27,730 | $14,293 | $12,284 | 1.45 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 21 | $27,236 | $16,044 | $12,065 | 1.62 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 15 | $26,495 | $15,709 | $11,737 | 1.75 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 15 | $20,173 | $8,481 | $8,937 | 0.94 |
| Complicated peptic ulcer with MCCMS-DRG 380, medical | 13 | $37,814 | $20,092 | $16,752 | 1.95 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 12 | $11,598 | $4,220 | $5,138 | 0.56 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 11 | $17,849 | $9,536 | $7,907 | 1.04 |
Kidney and urinary tract366 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 99 | $23,554 | $14,555 | $10,435 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 75 | $31,217 | $16,554 | $13,829 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 53 | $20,459 | $7,191 | $9,063 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 47 | $14,166 | $8,226 | $6,276 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 34 | $22,340 | $11,281 | $9,897 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 23 | $19,002 | $9,270 | $8,418 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 21 | $24,296 | $12,557 | $10,763 | 1.35 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 14 | $95,657 | $44,238 | $42,376 | 3.70 |
Musculoskeletal system and connective tissue339 discharges in 12 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 | 73 | $59,207 | $20,387 | $26,229 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 56 | $50,823 | $17,927 | $22,515 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 48 | $51,319 | $20,412 | $22,734 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 33 | $24,401 | $8,569 | $10,810 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 23 | $57,339 | $29,384 | $25,401 | 2.95 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 21 | $24,374 | $9,693 | $10,798 | 1.09 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 15 | $67,612 | $30,075 | $29,952 | 2.99 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 15 | $15,938 | $7,027 | $7,061 | 0.79 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 15 | $36,710 | $17,425 | $16,263 | 1.82 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 15 | $20,912 | $7,919 | $9,264 | 0.90 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 13 | $44,582 | $14,883 | $19,750 | 1.59 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 12 | $52,724 | $21,704 | $23,357 | 2.40 |
Nervous system234 discharges in 9 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 | 73 | $25,915 | $9,199 | $11,480 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 47 | $38,796 | $19,262 | $17,187 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 22 | $19,586 | $8,351 | $8,677 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 20 | $27,244 | $12,905 | $12,069 | 1.36 |
| Extracranial procedures with CCMS-DRG 038, surgical | 16 | $37,427 | $15,861 | $16,580 | 1.60 |
| Seizures with MCCMS-DRG 100, medical | 16 | $43,300 | $18,918 | $19,182 | 1.98 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 15 | $13,977 | $5,487 | $6,192 | 0.69 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 13 | $45,422 | $23,609 | $20,122 | 2.39 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 12 | $38,042 | $10,737 | $16,853 | 1.14 |
Endocrine, nutritional and metabolic186 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 63 | $15,693 | $6,849 | $6,952 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 59 | $24,274 | $12,695 | $10,753 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 27 | $19,672 | $8,238 | $8,715 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 20 | $23,247 | $13,261 | $10,298 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 17 | $31,245 | $15,739 | $13,842 | 1.65 |
Alcohol and drug use181 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence with rehabilitation therapyMS-DRG 895, medical | 75 | $8,686 | $15,255 | $3,848 | 1.61 |
| Alcohol, drug abuse or dependence, left amaMS-DRG 894, medical | 42 | $7,128 | $5,068 | $3,158 | 0.57 |
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 36 | $25,544 | $10,327 | $11,316 | 0.86 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 28 | $25,863 | $17,395 | $11,457 | 1.78 |
Blood and immune system52 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 | 21 | $17,819 | $8,641 | $7,894 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 20 | $26,870 | $13,406 | $11,903 | 1.40 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 11 | $46,846 | $23,024 | $20,753 | 2.19 |
Injuries, poisonings and toxic effects of drugs40 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 24 | $39,671 | $15,767 | $17,574 | 1.60 |
| Complications of treatment with MCCMS-DRG 919, medical | 16 | $34,519 | $18,103 | $15,292 | 1.82 |
Liver, gallbladder and pancreas38 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 14 | $35,478 | $19,894 | $15,717 | 1.92 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 13 | $41,441 | $17,030 | $18,358 | 1.76 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 11 | $60,627 | $15,443 | $26,858 | 1.63 |
Skin, subcutaneous tissue and breast28 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 28 | $17,150 | $8,222 | $7,598 | 0.88 |
Factors influencing health status18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 18 | $11,525 | $5,088 | $5,105 | 0.59 |
Other14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 14 | $77,154 | $47,561 | $34,179 | 4.74 |
Blood cancers and poorly differentiated neoplasms12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 12 | $43,429 | $31,582 | $19,239 | 3.13 |
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 2 Urology and Related ServicesAPC 5372 | 1,034 | 532 | $923 | $609 | $502 |
| Comprehensive Observation ServicesAPC 8011 | 758 | 682 | $15,418 | $2,440 | $2,090 |
| Level 1 Nerve ProceduresAPC 5431 | 355 | 303 | $6,232 | $1,735 | $1,407 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 341 | 301 | $7,943 | $1,456 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 329 | 289 | $5,849 | $1,829 | $1,516 |
| Level 2 Upper GI ProceduresAPC 5302 | 314 | 291 | $12,021 | $1,703 | $1,445 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 249 | 222 | $4,683 | $1,439 | $1,196 |
| Level 3 Vascular ProceduresAPC 5183 | 199 | 184 | $9,669 | $2,833 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 185 | 173 | $22,304 | $4,650 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 177 | 173 | $32,682 | $5,126 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 172 | 170 | $42,894 | $13,108 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 135 | 121 | $14,301 | $3,109 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 121 | 118 | $29,481 | $6,437 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 105 | 102 | $14,541 | $2,862 | $2,373 |
| Level 1 Endovascular ProceduresAPC 5191 | 84 | 84 | $15,099 | $2,642 | $2,208 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 78 | 76 | $20,572 | $2,554 | $2,141 |
| Level 2 Vascular ProceduresAPC 5182 | 65 | 65 | $5,090 | $1,437 | $1,204 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 63 | 58 | $20,268 | $3,425 | $2,930 |
| Level 4 Gynecologic ProceduresAPC 5414 | 57 | 56 | $11,578 | $2,736 | $2,389 |
| Level 4 Airway EndoscopyAPC 5154 | 52 | 51 | $20,609 | $3,365 | $2,833 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 51 | 48 | $25,113 | $3,109 | $2,636 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 50 | 50 | $17,395 | $7,941 | $6,514 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 50 | 50 | $48,069 | $9,764 | $8,164 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 35 | 35 | $32,540 | $10,396 | $8,569 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 28 | 27 | $39,415 | $5,859 | $4,982 |
| Level 4 Endovascular ProceduresAPC 5194 | 25 | 19 | $53,650 | $17,374 | $14,606 |
| Level 3 Airway EndoscopyAPC 5153 | 23 | 22 | $9,896 | $1,525 | $1,264 |
| Level 3 Lower GI ProceduresAPC 5313 | 23 | 20 | $15,341 | $2,448 | $2,176 |
| Level 3 Upper GI ProceduresAPC 5303 | 20 | 19 | $23,019 | $3,442 | $2,888 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 18 | 18 | $49,428 | $25,080 | $21,117 |
| Level 5 Gynecologic ProceduresAPC 5415 | 18 | 18 | $24,044 | $4,470 | $3,792 |
| Level 5 ENT ProceduresAPC 5165 | 15 | 15 | $47,933 | $5,087 | $4,436 |
| Complex GI ProceduresAPC 5331 | 15 | 12 | $45,215 | $5,122 | $4,263 |
| Level 6 Urology and Related ServicesAPC 5376 | 14 | 14 | $32,658 | $8,749 | $7,291 |
| Level 4 Vascular ProceduresAPC 5184 | 13 | 11 | $11,475 | $4,922 | $3,946 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 13 | 13 | $38,273 | $6,146 | $4,524 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 12 | 12 | $85,868 | $19,335 | $15,763 |
| Level 3 ENT ProceduresAPC 5163 | 11 | 11 | $6,975 | $1,370 | $1,106 |
| Level 2 Endovascular ProceduresAPC 5192 | 11 | 11 | $24,721 | $5,136 | $4,338 |
| Level 3 Endovascular ProceduresAPC 5193 | 11 | $43,036 | $10,758 | $8,874 | |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 11 | $62,430 | $22,974 | $18,465 |
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.