Erie County Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Erie County Medical Center, Buffalo, NY in 2024, from traditional Medicare claims. Back to the Erie County Medical Center profile, with quality ratings, finances and negotiated rates.
1,263
Medicare inpatient discharges
In 55 published DRGs
1.97
Case mix index
IPPS FY 2027
24%
Surgical stays
60%
Stays with complications
In DRGs with a CC or MCC
1,239
Medicare outpatient services
In 23 service groups
Inpatient stays by major diagnostic category
Musculoskeletal system and connective tissue255 discharges in 10 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 | 54 | $52,459 | $19,267 | $19,777 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 32 | $35,825 | $17,921 | $13,506 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 32 | $35,894 | $8,894 | $13,532 | 0.97 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 31 | $52,902 | $21,145 | $19,944 | 2.40 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 24 | $69,584 | $27,998 | $26,233 | 2.95 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 23 | $58,352 | $22,637 | $21,999 | 2.48 |
| Lower extremity and humerus procedures except hip, foot and femur without cc/mccMS-DRG 494, surgical | 16 | $39,310 | $16,281 | $14,820 | 1.87 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 16 | $51,673 | $20,420 | $19,481 | 2.11 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 14 | $36,023 | $8,394 | $13,581 | 0.90 |
| Lower extremity and humerus procedures except hip, foot and femur with MCCMS-DRG 492, surgical | 13 | $96,425 | $35,534 | $36,352 | 3.46 |
Kidney and urinary tract224 discharges in 8 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 | 39 | $51,250 | $15,927 | $19,321 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 38 | $28,869 | $8,327 | $10,883 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 34 | $25,780 | $7,689 | $9,719 | 0.81 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 26 | $28,797 | $10,296 | $10,856 | 1.02 |
| Kidney transplant with hemodialysis with MCCMS-DRG 650, surgical | 25 | $252,862 | $45,175 | $95,329 | 4.50 |
| Kidney transplantMS-DRG 652, surgical | 24 | $215,017 | $27,937 | $81,062 | 3.00 |
| Renal failure with MCCMS-DRG 682, medical | 19 | $74,813 | $17,858 | $28,204 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 19 | $71,635 | $10,764 | $27,006 | 1.17 |
Respiratory system170 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 44 | $40,257 | $11,844 | $15,177 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 24 | $49,178 | $15,539 | $18,540 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 20 | $36,408 | $10,510 | $13,726 | 1.10 |
| Pneumothorax with CCMS-DRG 200, medical | 18 | $43,803 | $9,840 | $16,514 | 1.08 |
| Major chest trauma with CCMS-DRG 184, medical | 14 | $51,847 | $9,990 | $19,546 | 1.05 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 14 | $70,411 | $18,706 | $26,545 | 1.33 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 13 | $30,140 | $8,003 | $11,363 | 0.85 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 12 | $166,249 | $49,259 | $62,676 | 6.91 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $18,787 | $7,749 | $7,083 | 0.82 |
Infectious and parasitic diseases142 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 | 90 | $68,159 | $19,636 | $25,696 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 20 | $171,586 | $42,097 | $64,688 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 16 | $196,010 | $67,449 | $73,896 | 6.96 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 16 | $30,171 | $9,803 | $11,374 | 1.03 |
Alcohol and drug use104 discharges in 3 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 | 75 | $18,781 | $8,305 | $7,081 | 0.86 |
| Alcohol, drug abuse or dependence, left amaMS-DRG 894, medical | 17 | $12,241 | $5,038 | $4,615 | 0.57 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 12 | $48,212 | $16,317 | $18,176 | 1.78 |
Circulatory system100 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 60 | $37,333 | $12,336 | $14,075 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 17 | $35,518 | $8,168 | $13,390 | 0.86 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 12 | $47,337 | $20,502 | $17,846 | 2.09 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 11 | $51,444 | $31,165 | $19,394 | 3.35 |
Endocrine, nutritional and metabolic62 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Diabetes with CCMS-DRG 638, medical | 22 | $32,944 | $7,834 | $12,420 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 22 | $42,923 | $13,079 | $16,182 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 18 | $23,819 | $7,540 | $8,980 | 0.78 |
Nervous system54 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 17 | $54,944 | $11,882 | $20,714 | 1.36 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 15 | $89,511 | $21,026 | $33,746 | 2.28 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 11 | $60,440 | $17,702 | $22,786 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 11 | $28,720 | $8,880 | $10,827 | 0.91 |
Skin, subcutaneous tissue and breast41 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 27 | $24,541 | $8,206 | $9,252 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 14 | $28,440 | $12,057 | $10,722 | 1.49 |
Digestive system29 discharges in 2 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 | 15 | $26,060 | $6,998 | $9,825 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 14 | $42,361 | $12,740 | $15,970 | 1.28 |
Blood and immune system25 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 | 14 | $29,796 | $8,442 | $11,233 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 11 | $33,178 | $14,307 | $12,508 | 1.40 |
Liver, gallbladder and pancreas16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 16 | $29,794 | $11,109 | $11,232 | 1.03 |
Mental diseases and disorders15 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 | 15 | $39,035 | $17,092 | $14,716 | 1.76 |
Injuries, poisonings and toxic effects of drugs13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs without MCCMS-DRG 918, medical | 13 | $28,181 | $7,925 | $10,624 | 0.86 |
Other13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 13 | $62,024 | $42,930 | $23,383 | 4.74 |
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 | 252 | 229 | $15,706 | $2,284 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 123 | 120 | $23,465 | $12,019 | $10,772 |
| Level 4 ENT ProceduresAPC 5164 | 117 | 112 | $9,771 | $2,635 | $2,217 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 96 | 84 | $9,695 | $1,285 | $1,220 |
| Level 2 Endovascular ProceduresAPC 5192 | 72 | 44 | $9,018 | $4,761 | $4,338 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 62 | 58 | $15,493 | $5,875 | $5,339 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 62 | 60 | $33,633 | $17,787 | $15,763 |
| Level 3 Vascular ProceduresAPC 5183 | 55 | 49 | $9,289 | $2,527 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 49 | 47 | $7,926 | $2,729 | $2,373 |
| Level 5 Urology and Related ServicesAPC 5375 | 45 | 41 | $5,734 | $4,177 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 43 | 37 | $3,287 | $1,714 | $1,516 |
| Level 2 Urology and Related ServicesAPC 5372 | 38 | 34 | $1,252 | $535 | $502 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 37 | 33 | $6,302 | $1,347 | $1,196 |
| Level 1 Nerve ProceduresAPC 5431 | 27 | 25 | $5,970 | $1,571 | $1,407 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 23 | 22 | $9,304 | $2,201 | $2,141 |
| Level 2 Vascular ProceduresAPC 5182 | 22 | 21 | $5,448 | $1,353 | $1,204 |
| Level 4 Urology and Related ServicesAPC 5374 | 21 | 19 | $4,264 | $2,936 | $2,629 |
| Level 5 ENT ProceduresAPC 5165 | 20 | 20 | $13,501 | $4,947 | $4,436 |
| Level 3 Endovascular ProceduresAPC 5193 | 18 | 15 | $20,549 | $9,469 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 17 | 17 | $12,102 | $4,874 | $4,358 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 16 | 15 | $9,194 | $2,909 | $2,636 |
| Level 4 Airway EndoscopyAPC 5154 | 13 | 13 | $12,449 | $3,163 | $2,833 |
| Level 2 Upper GI ProceduresAPC 5302 | 11 | 11 | $5,678 | $1,617 | $1,445 |
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.