Episcopal Health Services Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Episcopal Health Services, Far Rockaway, NY in 2024, from traditional Medicare claims. Back to the Episcopal Health Services profile, with quality ratings, finances and negotiated rates.

1,507
Medicare inpatient discharges
In 44 published DRGs
1.68
Case mix index
IPPS FY 2027
2%
Surgical stays
56%
Stays with complications
In DRGs with a CC or MCC
158
Medicare outpatient services
In 3 service groups

Inpatient stays by major diagnostic category

Infectious and parasitic diseases457 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	301	$84,459	$25,555	$32,432	1.98
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	76	$53,060	$12,593	$20,375	1.03
Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical	55	$171,595	$85,135	$65,892	6.96
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	25	$178,114	$61,784	$68,396	5.00

Circulatory system251 discharges in 8 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Syncope and collapseMS-DRG 312, medical	81	$36,688	$10,350	$14,088	0.86
Heart failure and shock with MCCMS-DRG 291, medical	53	$84,748	$17,337	$32,543	1.28
Chest painMS-DRG 313, medical	29	$29,744	$8,749	$11,422	0.72
Hypertension without MCCMS-DRG 305, medical	22	$43,360	$8,908	$16,650	0.75
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical	21	$51,175	$8,615	$19,651	0.74
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical	18	$102,133	$19,392	$39,219	1.59
Other circulatory system diagnoses with MCCMS-DRG 314, medical	16	$65,742	$25,250	$25,245	2.09
Peripheral vascular disorders with CCMS-DRG 300, medical	11	$53,369	$12,323	$20,494	1.07

Respiratory system213 discharges in 11 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Pulmonary edema and respiratory failureMS-DRG 189, medical	30	$66,948	$15,354	$25,708	1.23
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	29	$59,091	$14,826	$22,691	1.10
Chronic obstructive pulmonary disease with CCMS-DRG 191, medical	26	$53,375	$10,183	$20,496	0.85
Simple pneumonia and pleurisy with CCMS-DRG 194, medical	21	$40,829	$9,780	$15,678	0.82
Chronic obstructive pulmonary disease without cc/mccMS-DRG 192, medical	18	$37,892	$7,584	$14,551	0.64
Respiratory infections and inflammations with MCCMS-DRG 177, medical	17	$60,672	$20,863	$23,298	1.70
Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical	17	$151,760	$76,864	$58,276	6.91
Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical	15	$96,715	$32,738	$37,139	2.70
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	14	$78,306	$15,425	$30,069	1.33
Respiratory infections and inflammations with CCMS-DRG 178, medical	13	$62,889	$11,027	$24,150	0.99
Bronchitis and asthma with cc/mccMS-DRG 202, medical	13	$39,917	$10,278	$15,328	0.96

Kidney and urinary tract161 discharges in 5 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Kidney and urinary tract infections without MCCMS-DRG 690, medical	74	$41,892	$9,522	$16,087	0.81
Kidney and urinary tract infections with MCCMS-DRG 689, medical	29	$54,314	$14,054	$20,857	1.17
Renal failure with CCMS-DRG 683, medical	24	$52,307	$11,380	$20,086	0.90
Renal failure with MCCMS-DRG 682, medical	19	$90,040	$17,693	$34,575	1.50
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical	15	$73,386	$18,861	$28,180	1.65

Endocrine, nutritional and metabolic145 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 with MCCMS-DRG 640, medical	54	$61,150	$15,517	$23,482	1.32
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical	49	$42,644	$9,424	$16,375	0.78
Diabetes with CCMS-DRG 638, medical	22	$49,123	$9,948	$18,863	0.90
Diabetes without cc/mccMS-DRG 639, medical	20	$28,437	$7,294	$10,920	0.62

Digestive system95 discharges in 4 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	31	$39,826	$8,968	$15,293	0.79
Gastrointestinal hemorrhage with CCMS-DRG 378, medical	30	$65,901	$12,634	$25,306	0.98
Other digestive system diagnoses with CCMS-DRG 394, medical	19	$44,032	$11,636	$16,908	0.94
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical	15	$90,830	$22,995	$34,879	1.79

Nervous system60 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Seizures without MCCMS-DRG 101, medical	43	$37,185	$11,083	$14,279	0.91
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical	17	$58,188	$11,287	$22,344	1.02

Blood and immune system44 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Red blood cell disorders without MCCMS-DRG 812, medical	28	$50,185	$11,650	$19,271	0.90
Red blood cell disorders with MCCMS-DRG 811, medical	16	$51,667	$17,754	$19,840	1.40

Factors influencing health status34 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	34	$38,889	$9,420	$14,933	0.80

Skin, subcutaneous tissue and breast23 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Cellulitis without MCCMS-DRG 603, medical	23	$36,280	$9,871	$13,932	0.88

Musculoskeletal system and connective tissue12 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Medical back problems without MCCMS-DRG 552, medical	12	$44,556	$10,486	$17,110	0.97

Alcohol and drug use12 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	12	$46,356	$10,197	$17,801	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	84	81	$23,748	$2,482	$2,090
Level 1 Intraocular ProceduresAPC 5491	51	46	$18,770	$2,113	$1,752
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	23	19	$6,107	$1,227	$1,220

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.