Beth Israel Deaconess Hospital-Milton Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Beth Israel Deaconess Hospital-Milton, Milton, MA in 2024, from traditional Medicare claims. Back to the Beth Israel Deaconess Hospital-Milton profile, with quality ratings, finances and negotiated rates.
2,387
Medicare inpatient discharges
In 62 published DRGs
1.47
Case mix index
IPPS FY 2027
19%
Surgical stays
60%
Stays with complications
In DRGs with a CC or MCC
1,074
Medicare outpatient services
In 20 service groups
Inpatient stays by major diagnostic category
Musculoskeletal system and connective tissue471 discharges in 8 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 | 330 | $26,351 | $13,672 | $15,073 | 1.88 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 33 | $80,270 | $27,054 | $45,914 | 3.49 |
| Medical back problems without MCCMS-DRG 552, medical | 27 | $13,041 | $6,372 | $7,460 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 22 | $9,838 | $6,079 | $5,627 | 0.90 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 18 | $33,348 | $15,759 | $19,075 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 15 | $29,945 | $14,970 | $17,129 | 2.07 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 13 | $10,777 | $7,040 | $6,164 | 1.09 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 13 | $9,062 | $5,337 | $5,184 | 0.82 |
Infectious and parasitic diseases361 discharges in 4 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 | 268 | $26,740 | $13,875 | $15,295 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 58 | $14,366 | $7,114 | $8,217 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 20 | $39,732 | $36,481 | $22,727 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 15 | $23,131 | $14,774 | $13,231 | 2.04 |
Circulatory system352 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 198 | $15,647 | $8,882 | $8,950 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 29 | $10,198 | $4,752 | $5,833 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 29 | $11,499 | $5,858 | $6,577 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 27 | $17,578 | $10,937 | $10,054 | 1.59 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 16 | $7,634 | $3,204 | $4,367 | 0.55 |
| Chest painMS-DRG 313, medical | 16 | $7,954 | $4,831 | $4,549 | 0.72 |
| Other vascular procedures with CCMS-DRG 253, surgical | 13 | $32,323 | $20,117 | $18,489 | 2.55 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 12 | $25,479 | $26,187 | $14,574 | 3.35 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 12 | $12,078 | $8,766 | $6,909 | 1.20 |
Respiratory system332 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 97 | $19,164 | $11,619 | $10,962 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 95 | $18,874 | $8,922 | $10,796 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 34 | $19,284 | $8,465 | $11,030 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 28 | $13,820 | $6,316 | $7,905 | 0.99 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 27 | $18,444 | $7,808 | $10,550 | 1.10 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 17 | $14,738 | $6,667 | $8,430 | 0.96 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $14,560 | $5,522 | $8,328 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $16,974 | $10,033 | $9,709 | 1.40 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 11 | $14,870 | $5,604 | $8,506 | 0.85 |
Kidney and urinary tract275 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 | 71 | $10,223 | $5,311 | $5,848 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 65 | $13,944 | $7,882 | $7,976 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 57 | $12,667 | $5,930 | $7,245 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 35 | $15,807 | $11,709 | $9,042 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 28 | $17,003 | $10,374 | $9,726 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 19 | $9,887 | $6,554 | $5,655 | 1.02 |
Digestive system206 discharges in 7 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 | 98 | $11,215 | $5,094 | $6,415 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 27 | $12,946 | $9,235 | $7,405 | 1.28 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 23 | $17,730 | $6,358 | $10,142 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 18 | $12,061 | $4,838 | $6,899 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 15 | $11,087 | $6,480 | $6,342 | 0.94 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 13 | $14,765 | $7,656 | $8,445 | 1.04 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 12 | $25,255 | $13,022 | $14,446 | 1.79 |
Endocrine, nutritional and metabolic124 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 | 43 | $9,704 | $4,868 | $5,551 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 36 | $14,431 | $9,256 | $8,254 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 17 | $18,033 | $9,607 | $10,315 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 15 | $12,653 | $6,250 | $7,237 | 0.90 |
| Endocrine disorders with MCCMS-DRG 643, medical | 13 | $15,673 | $11,956 | $8,965 | 1.65 |
Nervous system97 discharges in 6 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 | 26 | $15,827 | $6,741 | $9,053 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 18 | $12,242 | $9,017 | $7,002 | 1.36 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $12,911 | $5,004 | $7,385 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 14 | $29,280 | $14,486 | $16,748 | 2.00 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 13 | $16,877 | $14,953 | $9,654 | 2.39 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 11 | $12,161 | $7,119 | $6,956 | 1.03 |
Skin, subcutaneous tissue and breast56 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 41 | $8,653 | $5,745 | $4,949 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 15 | $18,737 | $10,092 | $10,718 | 1.49 |
Blood and immune system51 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 20 | $18,597 | $11,185 | $10,637 | 1.56 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 18 | $24,142 | $10,572 | $13,809 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 13 | $18,306 | $5,764 | $10,471 | 0.90 |
Mental diseases and disorders27 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 27 | $22,545 | $10,750 | $12,896 | 1.76 |
Ear, nose, mouth and throat18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 18 | $11,855 | $4,507 | $6,781 | 0.74 |
Factors influencing health status17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 17 | $14,467 | $5,253 | $8,275 | 0.80 |
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 | 306 | 290 | $6,550 | $2,333 | $2,090 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 98 | 93 | $6,000 | $1,368 | $1,196 |
| Level 4 Urology and Related ServicesAPC 5374 | 78 | 68 | $6,014 | $2,980 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 73 | 73 | $8,112 | $4,428 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 63 | 58 | $4,262 | $1,635 | $1,445 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 56 | 56 | $5,951 | $2,765 | $2,373 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 53 | 53 | $10,003 | $4,936 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 42 | 38 | $13,278 | $2,723 | $2,405 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 42 | 42 | $6,654 | $2,959 | $2,636 |
| Level 3 Urology and Related ServicesAPC 5373 | 36 | 32 | $6,603 | $1,743 | $1,516 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 35 | 34 | $3,425 | $1,387 | $1,220 |
| Level 1 Nerve ProceduresAPC 5431 | 34 | 30 | $4,478 | $1,652 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 31 | 31 | $12,278 | $5,924 | $5,339 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 29 | 29 | $16,451 | $9,411 | $8,164 |
| Level 3 Lower GI ProceduresAPC 5313 | 21 | 21 | $4,923 | $2,381 | $2,176 |
| Level 4 Gynecologic ProceduresAPC 5414 | 21 | 21 | $7,929 | $2,675 | $2,389 |
| Level 2 Urology and Related ServicesAPC 5372 | 18 | 18 | $2,474 | $585 | $502 |
| Level 5 Gynecologic ProceduresAPC 5415 | 13 | 13 | $7,727 | $4,256 | $3,792 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 13 | 12 | $47,355 | $21,799 | $18,465 |
| Level 4 Vascular ProceduresAPC 5184 | 12 | $10,868 | $4,687 | $3,946 |
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.