Champlain Valley Physicians Hospital Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Champlain Valley Physicians Hospital, Plattsburgh, NY in 2024, from traditional Medicare claims. Back to the Champlain Valley Physicians Hospital profile, with quality ratings, finances and negotiated rates.

1,812
Medicare inpatient discharges
In 57 published DRGs
1.56
Case mix index
IPPS FY 2027
12%
Surgical stays
66%
Stays with complications
In DRGs with a CC or MCC
2,596
Medicare outpatient services
In 35 service groups

Inpatient stays by major diagnostic category

Circulatory system502 discharges in 15 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Heart failure and shock with MCCMS-DRG 291, medical	175	$53,764	$12,357	$19,463	1.28
Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical	50	$87,633	$16,196	$31,723	1.82
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical	49	$48,830	$15,113	$17,676	1.59
Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical	27	$37,790	$6,106	$13,680	0.72
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical	25	$67,539	$11,536	$24,449	1.20
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical	24	$28,951	$6,449	$10,480	0.74
Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical	21	$127,510	$28,235	$46,159	2.87
Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical	20	$40,401	$8,176	$14,625	0.91
Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical	20	$42,152	$9,372	$15,259	1.08
Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical	20	$19,359	$3,775	$7,008	0.55
Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical	16	$76,067	$17,396	$27,536	1.83
Syncope and collapseMS-DRG 312, medical	16	$40,560	$7,834	$14,683	0.86
Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical	14	$73,806	$22,362	$26,718	2.28
Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical	13	$97,105	$34,112	$35,152	3.46
Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical	12	$76,244	$22,618	$27,600	2.16

Infectious and parasitic diseases350 discharges in 3 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	276	$80,899	$19,838	$29,286	1.98
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	53	$40,503	$9,393	$14,662	1.03
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	21	$220,176	$48,988	$79,704	5.00

Respiratory system314 discharges in 8 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Pulmonary edema and respiratory failureMS-DRG 189, medical	86	$60,971	$12,599	$22,072	1.23
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	71	$58,189	$12,520	$21,064	1.33
Respiratory infections and inflammations with MCCMS-DRG 177, medical	58	$63,920	$15,832	$23,139	1.70
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	29	$59,055	$12,334	$21,378	1.10
Simple pneumonia and pleurisy with CCMS-DRG 194, medical	23	$36,863	$7,192	$13,345	0.82
Respiratory infections and inflammations with CCMS-DRG 178, medical	19	$44,342	$8,670	$16,052	0.99
Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical	15	$129,846	$32,675	$47,004	2.70
Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical	13	$48,621	$12,919	$17,601	1.40

Digestive system156 discharges in 7 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Gastrointestinal hemorrhage with CCMS-DRG 378, medical	46	$45,882	$8,895	$16,609	0.98
Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical	38	$35,482	$6,731	$12,845	0.79
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical	20	$82,421	$17,681	$29,836	1.79
Major small and large bowel procedures with CCMS-DRG 330, surgical	16	$60,273	$19,979	$21,819	2.37
Gastrointestinal obstruction with CCMS-DRG 389, medical	13	$34,702	$6,800	$12,562	0.80
Other digestive system diagnoses with CCMS-DRG 394, medical	12	$42,308	$8,404	$15,316	0.94
Gastrointestinal obstruction without cc/mccMS-DRG 390, medical	11	$22,644	$3,733	$8,197	0.56

Kidney and urinary tract134 discharges in 5 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	32	$92,053	$17,269	$33,323	1.65
Kidney and urinary tract infections with MCCMS-DRG 689, medical	30	$64,386	$11,501	$23,308	1.17
Renal failure with CCMS-DRG 683, medical	26	$36,955	$8,071	$13,378	0.90
Kidney and urinary tract infections without MCCMS-DRG 690, medical	25	$40,657	$7,003	$14,718	0.81
Renal failure with MCCMS-DRG 682, medical	21	$69,754	$14,121	$25,251	1.50

Musculoskeletal system and connective tissue90 discharges in 5 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	27	$68,064	$19,695	$24,639	2.07
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical	19	$63,944	$20,252	$23,148	2.11
Medical back problems without MCCMS-DRG 552, medical	16	$39,428	$8,631	$14,273	0.97
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical	16	$42,506	$7,897	$15,387	0.90
Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical	12	$57,374	$17,568	$20,769	1.88

Endocrine, nutritional and metabolic76 discharges in 4 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	30	$29,468	$6,782	$10,667	0.78
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical	21	$75,849	$11,249	$27,457	1.32
Diabetes with MCCMS-DRG 637, medical	14	$55,772	$14,211	$20,190	1.45
Diabetes with CCMS-DRG 638, medical	11	$35,501	$7,708	$12,851	0.90

Nervous system63 discharges in 4 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	24	$56,300	$9,290	$20,381	1.02
Degenerative nervous system disorders without MCCMS-DRG 057, medical	16	$95,111	$14,744	$34,430	1.36
Other cerebrovascular disorders with CCMS-DRG 071, medical	12	$52,668	$9,183	$19,066	1.06
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical	11	$76,786	$19,491	$27,797	2.00

Factors influencing health status56 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Other factors influencing health statusMS-DRG 951, medical	38	$30,523	$4,787	$11,049	0.59
Signs and symptoms without MCCMS-DRG 948, medical	18	$46,665	$7,056	$16,893	0.80

Mental diseases and disorders44 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
PsychosesMS-DRG 885, medical	31	$74,095	$14,528	$26,822	1.37
Organic disturbances and intellectual disabilityMS-DRG 884, medical	13	$65,706	$16,971	$23,786	1.76

Skin, subcutaneous tissue and breast16 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Cellulitis without MCCMS-DRG 603, medical	16	$49,901	$7,998	$18,064	0.88

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 without rehabilitation therapy without MCCMS-DRG 897, medical	11	$48,856	$7,644	$17,686	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
Level 2 Urology and Related ServicesAPC 5372	334	150	$1,729	$612	$502
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	273	250	$7,246	$1,414	$1,220
Level 1 Endovascular ProceduresAPC 5191	231	231	$18,663	$2,614	$2,208
Comprehensive Observation ServicesAPC 8011	214	203	$20,918	$2,453	$2,090
Level 1 Laparoscopy and Related ServicesAPC 5361	136	136	$15,807	$5,182	$4,358
Level 2 Upper GI ProceduresAPC 5302	119	114	$9,536	$1,713	$1,445
Level 3 Endovascular ProceduresAPC 5193	108	92	$62,828	$10,842	$8,874
Level 3 Musculoskeletal ProceduresAPC 5113	98	90	$9,196	$2,899	$2,373
Level 3 Vascular ProceduresAPC 5183	96	92	$14,705	$2,829	$2,405
Level 3 Urology and Related ServicesAPC 5373	93	78	$8,455	$1,843	$1,516
Level 1 Nerve ProceduresAPC 5431	91	70	$2,089	$1,723	$1,407
Level 2 Musculoskeletal ProceduresAPC 5112	90	84	$2,771	$1,451	$1,196
Level 3 Pacemaker and Similar ProceduresAPC 5223	78	78	$48,038	$10,477	$8,569
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073	75	71	$13,552	$2,570	$2,141
Level 5 Musculoskeletal ProceduresAPC 5115	66	65	$39,688	$12,891	$10,772
Level 4 Musculoskeletal ProceduresAPC 5114	49	48	$29,117	$6,359	$5,339
Level 2 Endovascular ProceduresAPC 5192	44	43	$34,525	$5,054	$4,338
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341	42	33	$10,953	$3,130	$2,636
Level 4 Urology and Related ServicesAPC 5374	37	31	$13,477	$3,154	$2,629
Level 2 Pacemaker and Similar ProceduresAPC 5222	36	36	$38,430	$8,007	$6,514
Level 3 Lower GI ProceduresAPC 5313	33	30	$12,803	$2,605	$2,176
Level 2 Vascular ProceduresAPC 5182	31	31	$6,162	$1,420	$1,204
Level 5 Urology and Related ServicesAPC 5375	26	23	$17,505	$4,501	$3,918
Level 2 ICD and Similar ProceduresAPC 5232	24	24	$131,013	$35,606	$29,375
Level 2 Laparoscopy and Related ServicesAPC 5362	20	19	$31,818	$10,042	$8,164
Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092	19	18	$27,817	$5,900	$4,982
Level 4 Vascular ProceduresAPC 5184	19	18	$23,293	$4,972	$3,946
Level 4 Airway EndoscopyAPC 5154	18	17	$14,919	$3,388	$2,833
Level 4 Endovascular ProceduresAPC 5194	18	17	$89,946	$18,231	$14,606
Level 4 Gynecologic ProceduresAPC 5414	16	16	$6,308	$2,828	$2,389
Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091	15	14	$14,892	$3,449	$2,930
Level 4 Pacemaker and Similar ProceduresAPC 5224	13	13	$104,285	$20,436	$17,052
Level 2 Electrophysiologic ProceduresAPC 5212	12	12	$29,041	$6,846	$5,682
Level 5 Airway EndoscopyAPC 5155	11	11	$26,661	$6,192	$5,183
Level 3 Electrophysiologic ProceduresAPC 5213	11	11	$70,609	$25,260	$21,117

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.