Bethesda Hospital - East Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Bethesda Hospital - East, Boynton Beach, FL in 2024, from traditional Medicare claims. Back to the Bethesda Hospital - East profile, with quality ratings, finances and negotiated rates.
4,207
Medicare inpatient discharges
In 109 published DRGs
1.86
Case mix index
IPPS FY 2027
23%
Surgical stays
67%
Stays with complications
In DRGs with a CC or MCC
3,945
Medicare outpatient services
In 32 service groups
Inpatient stays by major diagnostic category
Circulatory system988 discharges in 29 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 201 | $70,998 | $8,426 | $11,786 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 99 | $145,924 | $23,705 | $24,223 | 3.24 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 62 | $46,837 | $4,755 | $7,775 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 61 | $49,755 | $5,571 | $8,259 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 46 | $105,281 | $12,201 | $17,477 | 1.59 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 43 | $67,763 | $6,062 | $11,249 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 36 | $155,853 | $12,370 | $25,872 | 1.82 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 32 | $178,580 | $25,724 | $29,644 | 3.35 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 30 | $37,396 | $3,592 | $6,208 | 0.55 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 29 | $269,775 | $36,576 | $44,783 | 4.88 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 28 | $252,491 | $41,329 | $41,914 | 5.06 |
| Other vascular procedures with CCMS-DRG 253, surgical | 26 | $200,103 | $21,368 | $33,217 | 2.55 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 24 | $200,352 | $25,518 | $33,258 | 3.46 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 23 | $96,038 | $15,073 | $15,942 | 2.09 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 23 | $232,420 | $23,522 | $38,582 | 2.87 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 22 | $158,157 | $16,044 | $26,254 | 2.28 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 21 | $118,960 | $14,471 | $19,747 | 2.16 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 20 | $164,101 | $24,564 | $27,241 | 3.46 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 20 | $63,523 | $7,884 | $10,545 | 1.20 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 17 | $120,599 | $12,822 | $20,019 | 1.83 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 17 | $56,527 | $6,744 | $9,383 | 1.07 |
| Heart failure and shock with CCMS-DRG 292, medical | 16 | $50,050 | $6,086 | $8,308 | 0.86 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 15 | $68,359 | $4,456 | $11,348 | 0.72 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 15 | $88,513 | $7,222 | $14,693 | 1.08 |
| Hypertension without MCCMS-DRG 305, medical | 15 | $40,940 | $4,916 | $6,796 | 0.75 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 13 | $53,555 | $6,384 | $8,890 | 0.97 |
| Coronary intravascular lithotripsy with intraluminal device without MCCMS-DRG 324, surgical | 12 | $243,979 | $22,703 | $40,501 | 2.97 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 11 | $275,736 | $35,067 | $45,772 | 5.20 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 11 | $186,126 | $24,795 | $30,897 | 3.27 |
Respiratory system740 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 157 | $103,389 | $11,471 | $17,163 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 157 | $82,866 | $9,241 | $13,756 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 89 | $81,439 | $7,725 | $13,519 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 81 | $59,503 | $5,747 | $9,877 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 56 | $63,065 | $9,001 | $10,469 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 46 | $57,939 | $6,578 | $9,618 | 0.99 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 29 | $66,021 | $6,523 | $10,959 | 0.96 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 27 | $41,185 | $3,531 | $6,837 | 0.63 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 22 | $59,506 | $5,410 | $9,878 | 0.85 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 19 | $95,049 | $10,161 | $15,778 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 16 | $222,072 | $21,505 | $36,864 | 2.70 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 14 | $57,166 | $6,074 | $9,490 | 0.82 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 14 | $61,940 | $12,267 | $10,282 | 1.90 |
| Major chest procedures with CCMS-DRG 164, surgical | 13 | $177,812 | $18,082 | $29,517 | 2.55 |
Infectious and parasitic diseases623 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 | 383 | $98,957 | $13,285 | $16,427 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 125 | $66,687 | $6,961 | $11,070 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 70 | $335,256 | $41,329 | $55,652 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 22 | $119,001 | $13,994 | $19,754 | 2.04 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 12 | $100,266 | $12,061 | $16,644 | 1.84 |
| Postoperative or post-traumatic infections with o.r. procedures with CCMS-DRG 857, surgical | 11 | $99,407 | $13,926 | $16,502 | 2.14 |
Digestive system503 discharges in 12 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 | 116 | $48,837 | $5,218 | $8,107 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 114 | $58,718 | $6,691 | $9,747 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 44 | $81,401 | $12,264 | $13,513 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 36 | $167,031 | $17,285 | $27,727 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 36 | $50,496 | $5,227 | $8,382 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 30 | $71,785 | $9,038 | $11,916 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 26 | $257,934 | $32,560 | $42,817 | 4.52 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 25 | $37,748 | $3,639 | $6,266 | 0.56 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 22 | $59,558 | $7,185 | $9,887 | 1.04 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 21 | $55,621 | $6,422 | $9,233 | 0.94 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 18 | $82,786 | $9,717 | $13,742 | 1.45 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 15 | $118,481 | $10,582 | $19,668 | 1.67 |
Kidney and urinary tract450 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 130 | $44,161 | $5,301 | $7,331 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 97 | $62,483 | $7,668 | $10,372 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 56 | $47,255 | $5,703 | $7,844 | 0.90 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 31 | $87,501 | $9,259 | $14,525 | 1.35 |
| Renal failure with MCCMS-DRG 682, medical | 29 | $63,919 | $9,627 | $10,611 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 27 | $73,606 | $11,605 | $12,219 | 1.65 |
| Kidney and ureter procedures for neoplasm with CCMS-DRG 657, surgical | 20 | $168,896 | $13,432 | $28,037 | 1.84 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 19 | $42,958 | $6,876 | $7,131 | 1.02 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 15 | $53,235 | $6,076 | $8,837 | 1.05 |
| Urinary stones without MCCMS-DRG 694, medical | 15 | $58,079 | $4,871 | $9,641 | 0.78 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 11 | $184,047 | $22,133 | $30,552 | 2.59 |
Musculoskeletal system and connective tissue331 discharges in 13 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 | 69 | $118,538 | $14,427 | $19,677 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 58 | $114,839 | $14,134 | $19,063 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 29 | $57,292 | $6,180 | $9,510 | 0.97 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 24 | $40,350 | $5,169 | $6,698 | 0.79 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 23 | $103,667 | $10,988 | $17,209 | 1.59 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 22 | $120,467 | $18,213 | $19,997 | 2.67 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 17 | $234,497 | $26,506 | $38,927 | 3.66 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 17 | $154,906 | $19,649 | $25,714 | 2.95 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 16 | $124,779 | $13,626 | $20,713 | 1.88 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 16 | $166,907 | $18,054 | $27,707 | 2.40 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 15 | $40,890 | $5,616 | $6,788 | 0.90 |
| Medical back problems with MCCMS-DRG 551, medical | 14 | $76,813 | $11,430 | $12,751 | 1.70 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 11 | $160,911 | $22,274 | $26,711 | 2.99 |
Skin, subcutaneous tissue and breast154 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 113 | $41,500 | $5,759 | $6,889 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 26 | $83,641 | $10,027 | $13,884 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 15 | $45,970 | $6,251 | $7,631 | 0.91 |
Endocrine, nutritional and metabolic138 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 | 54 | $37,451 | $5,176 | $6,217 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 33 | $68,919 | $9,497 | $11,440 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 22 | $81,880 | $9,462 | $13,592 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 18 | $43,667 | $5,681 | $7,249 | 0.90 |
| Endocrine disorders with CCMS-DRG 644, medical | 11 | $51,732 | $6,187 | $8,587 | 1.06 |
Nervous system100 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 | 35 | $73,562 | $6,437 | $12,211 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 15 | $103,903 | $13,943 | $17,248 | 2.00 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 14 | $52,300 | $6,908 | $8,682 | 1.06 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 13 | $64,593 | $7,039 | $10,722 | 1.03 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 12 | $62,173 | $5,062 | $10,321 | 0.80 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 11 | $64,614 | $4,676 | $10,726 | 0.69 |
Liver, gallbladder and pancreas69 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 23 | $118,999 | $11,035 | $19,754 | 1.63 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 19 | $60,242 | $7,405 | $10,000 | 1.09 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 14 | $45,190 | $6,011 | $7,502 | 0.86 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 13 | $96,368 | $9,196 | $15,997 | 1.31 |
Blood and immune system68 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 | 29 | $42,920 | $6,236 | $7,125 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 23 | $80,502 | $9,712 | $13,363 | 1.40 |
| Coagulation disordersMS-DRG 813, medical | 16 | $91,573 | $11,583 | $15,201 | 1.56 |
Other30 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 17 | $215,513 | $20,832 | $35,775 | 2.49 |
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 13 | $306,526 | $36,144 | $50,883 | 4.74 |
Alcohol and drug use13 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 | 13 | $39,654 | $6,175 | $6,583 | 0.86 |
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 | 1,638 | 1,485 | $23,231 | $1,958 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 370 | 361 | $85,007 | $10,270 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 187 | 187 | $38,872 | $2,094 | $2,208 |
| Level 5 Urology and Related ServicesAPC 5375 | 148 | 140 | $40,568 | $3,733 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 142 | 124 | $31,636 | $2,512 | $2,629 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 137 | 135 | $13,816 | $1,165 | $1,220 |
| Level 3 Endovascular ProceduresAPC 5193 | 137 | 116 | $86,958 | $8,322 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 122 | 118 | $54,082 | $4,026 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 110 | 108 | $14,510 | $1,365 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 105 | 102 | $30,380 | $2,300 | $2,405 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 103 | 101 | $146,263 | $19,816 | $21,117 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 94 | 93 | $69,320 | $5,163 | $5,339 |
| Level 2 Endovascular ProceduresAPC 5192 | 92 | 75 | $42,846 | $4,031 | $4,338 |
| Level 3 Urology and Related ServicesAPC 5373 | 88 | 68 | $18,397 | $1,433 | $1,516 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 48 | 47 | $28,610 | $1,985 | $2,141 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 46 | 44 | $91,694 | $7,515 | $8,164 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 44 | 43 | $32,950 | $2,334 | $2,373 |
| Level 4 Vascular ProceduresAPC 5184 | 39 | 36 | $49,551 | $3,966 | $3,946 |
| Level 4 Endovascular ProceduresAPC 5194 | 34 | 27 | $121,134 | $14,213 | $14,606 |
| Level 3 Airway EndoscopyAPC 5153 | 32 | 31 | $10,496 | $1,222 | $1,264 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 29 | 29 | $40,897 | $2,487 | $2,636 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 28 | 28 | $73,022 | $8,034 | $8,569 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 24 | 24 | $18,920 | $1,160 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 24 | 23 | $10,601 | $1,148 | $1,204 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 21 | 21 | $123,388 | $15,213 | $15,763 |
| Level 6 Gynecologic ProceduresAPC 5416 | 20 | 20 | $75,601 | $5,454 | $5,836 |
| Level 6 Urology and Related ServicesAPC 5376 | 17 | 13 | $71,684 | $6,711 | $7,291 |
| Level 4 Gynecologic ProceduresAPC 5414 | 16 | 16 | $28,552 | $2,139 | $2,389 |
| Level 4 Airway EndoscopyAPC 5154 | 15 | 15 | $24,571 | $2,552 | $2,833 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 13 | 13 | $56,977 | $6,131 | $6,514 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 11 | 11 | $158,696 | $25,634 | $29,375 |
| Level 3 Lower GI ProceduresAPC 5313 | 11 | 11 | $28,582 | $2,025 | $2,176 |
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.