Canton-Potsdam Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Canton-Potsdam Hospital, Potsdam, NY in 2024, from traditional Medicare claims. Back to the Canton-Potsdam Hospital profile, with quality ratings, finances and negotiated rates.
658
Medicare inpatient discharges
In 24 published DRGs
1.44
Case mix index
IPPS FY 2027
4%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
1,367
Medicare outpatient services
In 20 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases206 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 | 165 | $40,486 | $15,421 | $23,361 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 41 | $19,770 | $7,404 | $11,407 | 1.03 |
Circulatory system133 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 | 69 | $25,236 | $9,672 | $14,561 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 29 | $17,204 | $5,289 | $9,927 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 12 | $29,898 | $12,286 | $17,251 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 12 | $21,257 | $9,167 | $12,265 | 1.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 11 | $19,982 | $6,356 | $11,530 | 0.91 |
Respiratory system119 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 47 | $30,760 | $12,688 | $17,748 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 31 | $34,966 | $9,320 | $20,175 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 30 | $24,646 | $9,329 | $14,221 | 1.33 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 11 | $25,283 | $7,127 | $14,588 | 0.99 |
Digestive system82 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 33 | $23,983 | $7,452 | $13,838 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 17 | $34,200 | $13,942 | $19,733 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 17 | $20,584 | $5,416 | $11,877 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 15 | $17,774 | $5,323 | $10,255 | 0.80 |
Kidney and urinary tract28 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 16 | $27,127 | $12,723 | $15,652 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 12 | $21,676 | $5,520 | $12,507 | 0.81 |
Musculoskeletal system and connective tissue26 discharges in 2 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 | 15 | $40,350 | $15,825 | $23,282 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 11 | $37,156 | $16,041 | $21,439 | 2.11 |
Endocrine, nutritional and metabolic26 discharges in 2 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 | 15 | $16,649 | $5,724 | $9,607 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 11 | $25,767 | $6,216 | $14,867 | 0.90 |
Blood and immune system14 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 | 14 | $21,551 | $6,677 | $12,435 | 0.90 |
Nervous system13 discharges in 1 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 | 13 | $27,523 | $7,158 | $15,881 | 1.02 |
Alcohol and drug use11 discharges in 1 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 | 11 | $37,093 | $10,598 | $21,403 | 1.61 |
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 1 Intraocular ProceduresAPC 5491 | 204 | 125 | $6,988 | $2,087 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 204 | 190 | $13,868 | $2,451 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 171 | 164 | $4,337 | $1,322 | $1,220 |
| Level 2 Urology and Related ServicesAPC 5372 | 171 | 104 | $1,823 | $610 | $502 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 110 | 95 | $5,738 | $1,445 | $1,196 |
| Level 1 Nerve ProceduresAPC 5431 | 94 | 60 | $5,655 | $1,747 | $1,407 |
| Level 3 Urology and Related ServicesAPC 5373 | 55 | 55 | $7,373 | $1,832 | $1,516 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 46 | 44 | $8,101 | $2,801 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 42 | 42 | $10,026 | $2,884 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 40 | 40 | $19,799 | $5,219 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 40 | 34 | $10,481 | $3,075 | $2,629 |
| Level 2 Upper GI ProceduresAPC 5302 | 37 | 36 | $4,950 | $1,698 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 33 | 32 | $30,866 | $13,284 | $10,772 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 24 | 24 | $14,594 | $3,129 | $2,636 |
| Level 5 Urology and Related ServicesAPC 5375 | 23 | 23 | $9,509 | $4,681 | $3,918 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 20 | 19 | $8,412 | $2,264 | $2,141 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 17 | 17 | $13,609 | $5,900 | $4,982 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 12 | 12 | $12,811 | $6,491 | $5,339 |
| Level 2 Vascular ProceduresAPC 5182 | 12 | 11 | $3,582 | $1,253 | $1,204 |
| Level 4 Gynecologic ProceduresAPC 5414 | 12 | 12 | $8,625 | $2,827 | $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.