Faulkner Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Faulkner Hospital, Boston, MA in 2024, from traditional Medicare claims. Back to the Faulkner Hospital profile, with quality ratings, finances and negotiated rates.
2,600
Medicare inpatient discharges
In 75 published DRGs
1.45
Case mix index
IPPS FY 2027
8%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
4,753
Medicare outpatient services
In 34 service groups
Inpatient stays by major diagnostic category
Circulatory system453 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 204 | $43,870 | $10,851 | $14,784 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 82 | $50,731 | $13,737 | $17,096 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 37 | $25,614 | $7,040 | $8,632 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 31 | $28,669 | $5,759 | $9,662 | 0.74 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 26 | $55,061 | $17,099 | $18,556 | 2.09 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 17 | $47,394 | $10,164 | $15,972 | 1.20 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 16 | $81,942 | $31,395 | $27,614 | 3.35 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 16 | $38,488 | $13,295 | $12,971 | 1.58 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 12 | $28,448 | $7,355 | $9,587 | 0.91 |
| Hypertension without MCCMS-DRG 305, medical | 12 | $24,545 | $5,920 | $8,272 | 0.75 |
Respiratory system391 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 143 | $43,675 | $14,156 | $14,719 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 61 | $34,502 | $10,878 | $11,627 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 40 | $31,356 | $9,191 | $10,567 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 35 | $27,214 | $8,215 | $9,171 | 0.99 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 26 | $27,436 | $7,531 | $9,246 | 0.96 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 25 | $38,275 | $8,032 | $12,899 | 0.85 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 19 | $43,913 | $12,401 | $14,799 | 1.40 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 17 | $24,830 | $6,408 | $8,368 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 14 | $47,117 | $9,840 | $15,879 | 1.23 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 11 | $29,622 | $15,845 | $9,983 | 1.90 |
Digestive system313 discharges in 10 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 | 93 | $26,658 | $6,548 | $8,984 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 45 | $36,375 | $10,772 | $12,258 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 32 | $51,031 | $15,917 | $17,197 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 31 | $27,501 | $8,235 | $9,268 | 0.98 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 23 | $21,624 | $7,462 | $7,287 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 22 | $21,864 | $6,157 | $7,368 | 0.80 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 21 | $34,699 | $13,206 | $11,693 | 1.62 |
| Inflammatory bowel disease with CCMS-DRG 386, medical | 18 | $39,679 | $8,117 | $13,372 | 0.97 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 15 | $44,703 | $12,619 | $15,065 | 1.45 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 13 | $74,236 | $16,866 | $25,017 | 1.75 |
Kidney and urinary tract309 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 59 | $22,697 | $6,444 | $7,649 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 52 | $47,208 | $12,551 | $15,909 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 52 | $45,608 | $12,833 | $15,370 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 48 | $23,185 | $7,363 | $7,813 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 48 | $30,865 | $9,800 | $10,402 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 25 | $23,762 | $8,481 | $8,008 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 13 | $104,613 | $36,037 | $35,255 | 3.70 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 12 | $68,303 | $23,297 | $23,018 | 2.59 |
Infectious and parasitic diseases301 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 | 248 | $56,318 | $16,670 | $18,979 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 36 | $31,482 | $8,700 | $10,609 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 17 | $80,160 | $39,379 | $27,014 | 5.00 |
Musculoskeletal system and connective tissue255 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 88 | $45,547 | $15,458 | $15,349 | 1.88 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 29 | $27,959 | $8,699 | $9,422 | 1.09 |
| Medical back problems without MCCMS-DRG 552, medical | 28 | $28,470 | $7,022 | $9,595 | 0.97 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 24 | $56,442 | $32,578 | $19,021 | 3.66 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 23 | $66,855 | $21,358 | $22,530 | 2.48 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 18 | $38,297 | $15,659 | $12,906 | 1.82 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 17 | $22,639 | $6,697 | $7,629 | 0.90 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 14 | $48,984 | $23,459 | $16,508 | 2.67 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 14 | $21,434 | $6,576 | $7,223 | 0.82 |
Endocrine, nutritional and metabolic175 discharges in 6 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 | 51 | $35,458 | $10,877 | $11,949 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 32 | $23,018 | $6,112 | $7,757 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 30 | $27,014 | $7,581 | $9,104 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 23 | $42,207 | $12,015 | $14,224 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 21 | $37,309 | $13,574 | $12,573 | 1.65 |
| Endocrine disorders with CCMS-DRG 644, medical | 18 | $26,994 | $7,335 | $9,097 | 1.06 |
Nervous system142 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other disorders of nervous system with MCCMS-DRG 091, medical | 23 | $40,321 | $15,400 | $13,588 | 1.79 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 21 | $54,145 | $8,240 | $18,247 | 1.03 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 20 | $66,821 | $11,900 | $22,519 | 1.36 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 18 | $40,132 | $7,399 | $13,524 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 16 | $89,825 | $14,561 | $30,271 | 2.00 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 16 | $29,523 | $8,194 | $9,949 | 1.03 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 15 | $57,867 | $20,472 | $19,501 | 2.39 |
| Seizures without MCCMS-DRG 101, medical | 13 | $28,096 | $7,589 | $9,468 | 0.91 |
Skin, subcutaneous tissue and breast68 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 50 | $23,791 | $6,380 | $8,018 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 18 | $36,146 | $12,367 | $12,181 | 1.49 |
Blood and immune system67 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 31 | $39,531 | $13,245 | $13,322 | 1.56 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 22 | $48,855 | $12,701 | $16,464 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 14 | $25,615 | $7,353 | $8,632 | 0.90 |
Alcohol and drug use49 discharges in 2 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 | 27 | $22,928 | $7,282 | $7,727 | 0.86 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 22 | $36,156 | $14,554 | $12,184 | 1.78 |
Mental diseases and disorders35 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 | 35 | $34,307 | $13,556 | $11,561 | 1.76 |
Liver, gallbladder and pancreas15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 15 | $36,858 | $7,755 | $12,421 | 1.09 |
Factors influencing health status15 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 | 15 | $22,327 | $6,770 | $7,524 | 0.80 |
Ear, nose, mouth and throat12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 12 | $33,045 | $6,389 | $11,136 | 0.74 |
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 | 775 | 681 | $13,260 | $2,319 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 552 | 524 | $34,573 | $12,366 | $10,772 |
| Level 2 Endovascular ProceduresAPC 5192 | 365 | 247 | $15,656 | $4,864 | $4,338 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 318 | 298 | $3,566 | $1,382 | $1,220 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 281 | 243 | $16,648 | $3,250 | $2,930 |
| Level 4 Urology and Related ServicesAPC 5374 | 244 | 194 | $12,378 | $2,921 | $2,629 |
| Level 2 Upper GI ProceduresAPC 5302 | 232 | 220 | $6,709 | $1,615 | $1,445 |
| Level 3 Urology and Related ServicesAPC 5373 | 181 | 163 | $9,843 | $1,714 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 167 | 164 | $27,916 | $6,121 | $5,339 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 156 | 155 | $29,723 | $5,580 | $4,982 |
| Level 1 Nerve ProceduresAPC 5431 | 153 | 131 | $7,663 | $1,652 | $1,407 |
| Level 2 Vascular ProceduresAPC 5182 | 141 | 107 | $5,914 | $1,358 | $1,204 |
| Level 5 Urology and Related ServicesAPC 5375 | 132 | 128 | $17,557 | $4,394 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 130 | 127 | $16,015 | $2,623 | $2,373 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 127 | 127 | $38,268 | $9,336 | $8,164 |
| Level 3 Endovascular ProceduresAPC 5193 | 94 | 78 | $25,646 | $10,165 | $8,874 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 86 | 83 | $7,999 | $1,373 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 80 | 80 | $17,511 | $2,886 | $2,636 |
| Level 4 Gynecologic ProceduresAPC 5414 | 71 | 71 | $10,558 | $2,675 | $2,389 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 67 | 66 | $55,549 | $18,334 | $15,763 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 66 | 65 | $23,939 | $4,864 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 62 | 56 | $11,558 | $2,570 | $2,405 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 36 | 36 | $10,507 | $2,430 | $2,141 |
| Level 6 Urology and Related ServicesAPC 5376 | 33 | 32 | $27,671 | $8,254 | $7,291 |
| Level 4 Breast/Lymphatic Surgery and Related ProceduresAPC 5094 | 29 | 29 | $64,361 | $17,249 | $15,549 |
| Level 5 Airway EndoscopyAPC 5155 | 26 | 26 | $25,131 | $5,857 | $5,183 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 25 | 25 | $71,208 | $31,605 | $26,719 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 24 | 18 | $18,891 | $4,630 | $4,524 |
| Level 4 Endovascular ProceduresAPC 5194 | 21 | 19 | $38,252 | $17,156 | $14,606 |
| Level 3 Breast/Lymphatic Surgery and Related ProceduresAPC 5093 | 18 | 18 | $31,569 | $8,483 | $7,546 |
| Level 5 ENT ProceduresAPC 5165 | 17 | 17 | $28,197 | $4,716 | $4,436 |
| Level 3 Lower GI ProceduresAPC 5313 | 17 | 17 | $9,317 | $2,429 | $2,176 |
| Level 3 Airway EndoscopyAPC 5153 | 14 | 14 | $8,475 | $1,452 | $1,264 |
| Level 1 Neurostimulator and Related ProceduresAPC 5461 | 13 | 13 | $14,762 | $2,688 | $2,547 |
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.