Faxton-St. Lukes Healthcare Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Faxton-St. Lukes Healthcare, Utica, NY in 2024, from traditional Medicare claims. Back to the Faxton-St. Lukes Healthcare profile, with quality ratings, finances and negotiated rates.
3,533
Medicare inpatient discharges
In 93 published DRGs
1.69
Case mix index
IPPS FY 2027
12%
Surgical stays
59%
Stays with complications
In DRGs with a CC or MCC
2,462
Medicare outpatient services
In 38 service groups
Inpatient stays by major diagnostic category
Circulatory system738 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 204 | $42,928 | $10,385 | $11,118 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 56 | $101,562 | $13,640 | $26,305 | 1.82 |
| Syncope and collapseMS-DRG 312, medical | 53 | $32,653 | $6,328 | $8,457 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 47 | $66,956 | $11,691 | $17,341 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 43 | $37,468 | $5,552 | $9,704 | 0.74 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 41 | $233,936 | $41,490 | $60,590 | 4.88 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 37 | $57,235 | $8,064 | $14,824 | 1.08 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 34 | $77,321 | $13,258 | $20,026 | 1.59 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 33 | $76,081 | $16,531 | $19,705 | 2.09 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 29 | $140,021 | $23,459 | $36,266 | 3.24 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 26 | $24,680 | $3,485 | $6,392 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 26 | $168,075 | $25,723 | $43,531 | 2.87 |
| Chest painMS-DRG 313, medical | 22 | $23,721 | $5,561 | $6,144 | 0.72 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 17 | $50,843 | $4,905 | $13,168 | 0.72 |
| Hypertension without MCCMS-DRG 305, medical | 17 | $30,714 | $5,521 | $7,955 | 0.75 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 16 | $49,483 | $6,940 | $12,816 | 0.91 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 14 | $130,098 | $31,080 | $33,695 | 3.35 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 12 | $77,265 | $17,240 | $20,012 | 2.16 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 11 | $32,193 | $7,847 | $8,338 | 0.97 |
Respiratory system543 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 119 | $56,386 | $9,599 | $14,604 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 84 | $55,341 | $13,843 | $14,333 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 82 | $33,869 | $6,069 | $8,772 | 0.82 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 76 | $52,306 | $10,575 | $13,547 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 32 | $36,502 | $8,915 | $9,454 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 28 | $34,577 | $7,937 | $8,955 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 20 | $91,544 | $20,657 | $23,710 | 2.70 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 18 | $33,323 | $6,571 | $8,631 | 0.85 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 16 | $39,992 | $5,696 | $10,358 | 0.82 |
| Respiratory infections and inflammations without cc/mccMS-DRG 179, medical | 16 | $29,684 | $5,453 | $7,688 | 0.76 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 14 | $25,111 | $4,222 | $6,504 | 0.63 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $69,986 | $11,268 | $18,126 | 1.40 |
| Major chest trauma with CCMS-DRG 184, medical | 13 | $46,900 | $7,351 | $12,147 | 1.05 |
| Chronic obstructive pulmonary disease without cc/mccMS-DRG 192, medical | 12 | $20,473 | $4,586 | $5,302 | 0.64 |
Infectious and parasitic diseases454 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 | 325 | $71,645 | $16,073 | $18,556 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 55 | $43,508 | $7,911 | $11,269 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 53 | $149,676 | $40,760 | $38,766 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 21 | $242,571 | $61,855 | $62,826 | 6.96 |
Nervous system371 discharges in 13 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 | 76 | $53,785 | $7,425 | $13,930 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 42 | $93,198 | $17,157 | $24,138 | 2.00 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 40 | $38,064 | $8,178 | $9,859 | 1.06 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 32 | $35,363 | $5,569 | $9,159 | 0.80 |
| Seizures without MCCMS-DRG 101, medical | 31 | $36,775 | $6,840 | $9,525 | 0.91 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 30 | $30,079 | $3,948 | $7,791 | 0.69 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 21 | $50,570 | $8,241 | $13,098 | 1.14 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 21 | $61,827 | $13,880 | $16,013 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 19 | $89,288 | $15,466 | $23,126 | 1.98 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 18 | $48,313 | $10,022 | $12,513 | 1.32 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 17 | $57,759 | $10,030 | $14,960 | 1.36 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 12 | $183,785 | $49,220 | $47,600 | 5.67 |
| Traumatic stupor and coma >1 hour without cc/mccMS-DRG 084, medical | 12 | $55,660 | $6,881 | $14,416 | 0.92 |
Digestive system320 discharges in 9 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 | 78 | $30,842 | $5,856 | $7,988 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 76 | $43,862 | $7,511 | $11,360 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 62 | $66,899 | $14,547 | $17,327 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 22 | $23,332 | $6,033 | $6,043 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 22 | $58,058 | $9,968 | $15,037 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 20 | $48,351 | $12,498 | $12,523 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 16 | $175,791 | $40,615 | $45,530 | 4.52 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 13 | $24,911 | $3,778 | $6,452 | 0.56 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 11 | $37,145 | $7,529 | $9,621 | 0.94 |
Kidney and urinary tract282 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 | 64 | $27,989 | $6,140 | $7,249 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 49 | $52,400 | $13,129 | $13,572 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 42 | $67,609 | $12,179 | $17,511 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 41 | $34,495 | $6,784 | $8,934 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 39 | $41,682 | $9,323 | $10,796 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 20 | $37,133 | $8,262 | $9,617 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 15 | $120,171 | $29,004 | $31,124 | 3.70 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 12 | $48,611 | $10,794 | $12,590 | 1.35 |
Musculoskeletal system and connective tissue230 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 60 | $34,519 | $7,344 | $8,940 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 40 | $76,136 | $16,224 | $19,719 | 2.07 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 37 | $25,561 | $6,579 | $6,620 | 0.90 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 36 | $68,757 | $17,010 | $17,808 | 2.11 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 26 | $30,649 | $5,552 | $7,938 | 0.79 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 16 | $113,770 | $24,245 | $29,467 | 2.95 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 15 | $67,504 | $12,658 | $17,483 | 1.59 |
Endocrine, nutritional and metabolic164 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 | 71 | $31,775 | $5,743 | $8,230 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 54 | $53,281 | $10,642 | $13,800 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 22 | $45,784 | $11,719 | $11,858 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 17 | $36,933 | $7,135 | $9,566 | 0.90 |
Mental diseases and disorders138 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 112 | $42,125 | $10,873 | $10,910 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 26 | $38,183 | $12,989 | $9,889 | 1.76 |
Blood and immune system75 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 37 | $32,248 | $6,764 | $8,352 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 27 | $70,953 | $11,981 | $18,377 | 1.40 |
| Coagulation disordersMS-DRG 813, medical | 11 | $134,131 | $18,796 | $34,740 | 1.56 |
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 | 55 | $29,941 | $6,237 | $7,755 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 13 | $39,535 | $11,206 | $10,240 | 1.49 |
Factors influencing health status45 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 | 45 | $28,110 | $6,124 | $7,281 | 0.80 |
Liver, gallbladder and pancreas37 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 14 | $53,107 | $8,298 | $13,755 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 12 | $76,048 | $13,575 | $19,696 | 1.63 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 11 | $42,570 | $6,550 | $11,026 | 0.86 |
Other26 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 | 26 | $156,401 | $40,258 | $40,508 | 4.74 |
Alcohol and drug use20 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 | 20 | $23,545 | $6,518 | $6,098 | 0.86 |
Ear, nose, mouth and throat11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 11 | $26,081 | $5,384 | $6,755 | 0.74 |
Blood cancers and poorly differentiated neoplasms11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical | 11 | $26,210 | $10,512 | $6,788 | 1.21 |
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 | 306 | 147 | $864 | $571 | $502 |
| Comprehensive Observation ServicesAPC 8011 | 291 | 274 | $20,271 | $2,264 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 263 | 217 | $10,965 | $1,596 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 189 | 188 | $32,164 | $2,483 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 156 | 148 | $16,126 | $1,277 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 135 | 115 | $17,005 | $2,636 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 103 | 98 | $79,705 | $9,919 | $8,874 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 88 | 85 | $44,046 | $11,879 | $10,772 |
| Level 3 Urology and Related ServicesAPC 5373 | 88 | 59 | $7,758 | $1,636 | $1,516 |
| Level 2 Vascular ProceduresAPC 5182 | 73 | 66 | $7,897 | $1,334 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 68 | 60 | $34,496 | $4,827 | $4,338 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 58 | 57 | $28,344 | $4,622 | $4,358 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 54 | 54 | $40,872 | $9,497 | $8,569 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 46 | 43 | $19,611 | $2,859 | $2,636 |
| Level 3 Upper GI ProceduresAPC 5303 | 43 | 38 | $20,787 | $3,235 | $2,888 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 39 | 33 | $10,395 | $1,485 | $2,141 |
| Level 4 Vascular ProceduresAPC 5184 | 39 | 35 | $30,717 | $4,636 | $3,946 |
| Level 4 Urology and Related ServicesAPC 5374 | 33 | 30 | $17,119 | $2,856 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 30 | 30 | $27,214 | $4,225 | $3,918 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 29 | 28 | $90,569 | $23,479 | $21,117 |
| Level 4 Airway EndoscopyAPC 5154 | 28 | 28 | $21,022 | $3,163 | $2,833 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 27 | 26 | $43,626 | $9,270 | $8,164 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 26 | 26 | $130,417 | $33,140 | $29,375 |
| Level 4 Endovascular ProceduresAPC 5194 | 23 | 22 | $136,067 | $16,181 | $14,606 |
| Level 3 Lower GI ProceduresAPC 5313 | 23 | 20 | $18,575 | $2,371 | $2,176 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 22 | 22 | $26,250 | $6,035 | $5,339 |
| Level 3 Airway EndoscopyAPC 5153 | 22 | 21 | $11,128 | $1,434 | $1,264 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 20 | 18 | $16,079 | $2,570 | $2,373 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 18 | 17 | $19,645 | $3,220 | $2,930 |
| Level 4 Gynecologic ProceduresAPC 5414 | 18 | 18 | $13,918 | $2,634 | $2,389 |
| Level 6 Urology and Related ServicesAPC 5376 | 17 | 17 | $42,552 | $7,650 | $7,291 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 15 | 15 | $89,360 | $18,976 | $17,052 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 14 | 14 | $98,648 | $23,290 | $21,011 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 13 | $12,134 | $1,281 | $1,196 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 12 | 12 | $35,990 | $5,509 | $4,982 |
| Level 4 ENT ProceduresAPC 5164 | 11 | 11 | $9,809 | $2,720 | $2,217 |
| Complex GI ProceduresAPC 5331 | 11 | $29,072 | $4,377 | $4,263 | |
| Level 1 Nerve ProceduresAPC 5431 | 11 | $12,324 | $1,631 | $1,407 |
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.