Glens Falls Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Glens Falls Hospital, Glens Falls, NY in 2024, from traditional Medicare claims. Back to the Glens Falls Hospital profile, with quality ratings, finances and negotiated rates.
1,782
Medicare inpatient discharges
In 66 published DRGs
1.52
Case mix index
IPPS FY 2027
10%
Surgical stays
59%
Stays with complications
In DRGs with a CC or MCC
2,108
Medicare outpatient services
In 34 service groups
Inpatient stays by major diagnostic category
Respiratory system348 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 78 | $38,078 | $9,267 | $16,069 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 50 | $43,320 | $12,546 | $18,281 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 44 | $22,470 | $5,624 | $9,482 | 0.82 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 38 | $29,372 | $9,848 | $12,395 | 1.33 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 37 | $27,947 | $7,436 | $11,793 | 0.99 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 32 | $27,497 | $7,921 | $11,604 | 1.10 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 27 | $21,425 | $5,842 | $9,042 | 0.85 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 17 | $27,133 | $5,857 | $11,450 | 0.82 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 14 | $24,729 | $6,795 | $10,436 | 0.96 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $63,649 | $21,597 | $26,860 | 2.70 |
Circulatory system288 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 105 | $26,139 | $9,918 | $11,031 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 29 | $17,517 | $5,296 | $7,392 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 27 | $23,317 | $6,480 | $9,840 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 20 | $30,135 | $12,310 | $12,717 | 1.59 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 15 | $84,354 | $33,951 | $35,597 | 4.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 15 | $24,270 | $7,464 | $10,242 | 1.08 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 14 | $61,107 | $18,656 | $25,787 | 2.09 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 14 | $23,116 | $6,502 | $9,755 | 0.97 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 13 | $67,914 | $9,652 | $28,660 | 1.82 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 12 | $62,738 | $17,697 | $26,476 | 2.28 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 12 | $17,656 | $8,053 | $7,451 | 1.07 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 12 | $34,590 | $8,899 | $14,597 | 1.20 |
Infectious and parasitic diseases249 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 | 154 | $42,843 | $14,982 | $18,080 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 58 | $28,697 | $7,620 | $12,110 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 24 | $107,627 | $40,351 | $45,419 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 13 | $134,049 | $55,605 | $56,569 | 6.96 |
Digestive system168 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 34 | $22,474 | $7,203 | $9,484 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 33 | $18,738 | $5,556 | $7,907 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 17 | $17,644 | $5,538 | $7,446 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 15 | $121,184 | $39,940 | $51,140 | 4.52 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 15 | $50,452 | $13,577 | $21,291 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 14 | $51,579 | $18,609 | $21,766 | 2.37 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 14 | $15,957 | $3,392 | $6,734 | 0.56 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 14 | $24,509 | $6,860 | $10,343 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 12 | $37,079 | $9,496 | $15,647 | 1.28 |
Kidney and urinary tract167 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 46 | $21,968 | $6,616 | $9,271 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 40 | $23,939 | $5,506 | $10,102 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 33 | $40,966 | $12,591 | $17,287 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 17 | $39,609 | $10,586 | $16,715 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 17 | $30,564 | $8,965 | $12,898 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 14 | $21,985 | $7,796 | $9,278 | 1.02 |
Musculoskeletal system and connective tissue136 discharges in 7 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 | 35 | $46,533 | $15,624 | $19,637 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 22 | $53,561 | $16,009 | $22,603 | 2.11 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 18 | $24,146 | $7,874 | $10,190 | 1.09 |
| Medical back problems without MCCMS-DRG 552, medical | 18 | $21,789 | $6,782 | $9,195 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 17 | $21,124 | $6,693 | $8,914 | 0.90 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 15 | $57,915 | $14,523 | $24,440 | 1.88 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 11 | $50,218 | $21,044 | $21,192 | 2.67 |
Mental diseases and disorders123 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 106 | $45,913 | $11,820 | $19,375 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 17 | $31,112 | $13,200 | $13,129 | 1.76 |
Endocrine, nutritional and metabolic88 discharges in 3 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 | 45 | $21,477 | $5,681 | $9,063 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 28 | $27,649 | $9,916 | $11,668 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 15 | $27,587 | $6,594 | $11,642 | 0.90 |
Nervous system80 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 | 33 | $28,011 | $7,084 | $11,821 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 17 | $20,018 | $5,735 | $8,447 | 0.80 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 16 | $17,992 | $4,243 | $7,592 | 0.69 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 14 | $43,398 | $10,422 | $18,314 | 1.36 |
Skin, subcutaneous tissue and breast35 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 35 | $19,842 | $6,011 | $8,373 | 0.88 |
Factors influencing health status31 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 20 | $25,079 | $5,550 | $10,583 | 0.80 |
| Other factors influencing health statusMS-DRG 951, medical | 11 | $14,091 | $4,050 | $5,946 | 0.59 |
Blood and immune system24 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 | 13 | $29,468 | $6,717 | $12,435 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 11 | $36,003 | $10,859 | $15,193 | 1.40 |
Liver, gallbladder and pancreas22 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 11 | $47,356 | $12,384 | $19,984 | 1.63 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 11 | $19,905 | $6,078 | $8,400 | 0.86 |
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 | $20,089 | $4,842 | $8,477 | 0.74 |
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 | $17,608 | $5,473 | $7,430 | 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 | 309 | 215 | $1,381 | $571 | $502 |
| Comprehensive Observation ServicesAPC 8011 | 309 | 284 | $9,494 | $2,297 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 201 | 179 | $5,274 | $1,364 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 111 | 94 | $8,740 | $2,668 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 98 | 90 | $42,355 | $12,172 | $10,772 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 94 | 92 | $7,303 | $2,397 | $2,141 |
| Level 3 Urology and Related ServicesAPC 5373 | 91 | 69 | $5,223 | $1,716 | $1,516 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 78 | 73 | $5,964 | $1,313 | $1,196 |
| Level 2 Upper GI ProceduresAPC 5302 | 72 | 65 | $5,428 | $1,587 | $1,445 |
| Level 4 Urology and Related ServicesAPC 5374 | 71 | 62 | $8,053 | $2,945 | $2,629 |
| Level 1 Endovascular ProceduresAPC 5191 | 70 | 70 | $10,071 | $2,460 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 69 | 69 | $18,974 | $4,874 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 58 | 57 | $21,775 | $6,043 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 58 | 53 | $15,281 | $4,371 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 51 | 48 | $10,550 | $2,677 | $2,373 |
| Level 2 Vascular ProceduresAPC 5182 | 33 | 33 | $3,909 | $1,310 | $1,204 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 32 | 32 | $10,087 | $2,923 | $2,636 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 30 | 30 | $35,973 | $9,674 | $8,569 |
| Level 4 Gynecologic ProceduresAPC 5414 | 30 | 30 | $9,789 | $2,553 | $2,389 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 25 | 25 | $25,299 | $7,362 | $6,514 |
| Level 3 ENT ProceduresAPC 5163 | 22 | 22 | $5,377 | $1,221 | $1,106 |
| Level 3 Lower GI ProceduresAPC 5313 | 21 | 21 | $6,481 | $2,426 | $2,176 |
| Level 3 Endovascular ProceduresAPC 5193 | 19 | 18 | $41,600 | $10,017 | $8,874 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 18 | 18 | $10,312 | $3,220 | $2,930 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 17 | 16 | $17,096 | $5,509 | $4,982 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 17 | 17 | $65,063 | $18,079 | $15,763 |
| Level 3 Airway EndoscopyAPC 5153 | 16 | $4,199 | $1,434 | $1,264 | |
| Level 2 Endovascular ProceduresAPC 5192 | 15 | 15 | $16,345 | $4,828 | $4,338 |
| Level 1 Nerve ProceduresAPC 5431 | 15 | 12 | $7,132 | $1,624 | $1,407 |
| Level 4 Airway EndoscopyAPC 5154 | 12 | 12 | $8,572 | $3,163 | $2,833 |
| Level 4 ENT ProceduresAPC 5164 | 12 | 12 | $7,619 | $2,720 | $2,217 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 12 | 12 | $109,492 | $30,664 | $29,375 |
| Level 4 Vascular ProceduresAPC 5184 | 11 | 11 | $19,085 | $4,642 | $3,946 |
| Level 3 Upper GI ProceduresAPC 5303 | 11 | 11 | $10,493 | $3,235 | $2,888 |
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.