Good Samaritan Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Good Samaritan Hospital, Suffern, NY in 2024, from traditional Medicare claims. Back to the Good Samaritan Hospital profile, with quality ratings, finances and negotiated rates.
3,083
Medicare inpatient discharges
In 92 published DRGs
1.92
Case mix index
IPPS FY 2027
17%
Surgical stays
66%
Stays with complications
In DRGs with a CC or MCC
2,211
Medicare outpatient services
In 31 service groups
Inpatient stays by major diagnostic category
Circulatory system879 discharges in 26 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 186 | $115,127 | $10,624 | $17,845 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 112 | $206,907 | $27,382 | $32,071 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 62 | $84,909 | $6,596 | $13,161 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 60 | $137,050 | $13,197 | $21,243 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 50 | $102,293 | $9,904 | $15,855 | 1.20 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 39 | $326,303 | $41,914 | $50,577 | 4.88 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 35 | $100,934 | $6,754 | $15,645 | 0.91 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 31 | $72,721 | $5,522 | $11,272 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 31 | $171,974 | $13,431 | $26,656 | 1.82 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 24 | $232,536 | $30,126 | $36,043 | 3.35 |
| Other vascular procedures with CCMS-DRG 253, surgical | 21 | $212,961 | $21,569 | $33,009 | 2.55 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 21 | $107,767 | $7,351 | $16,704 | 1.08 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 21 | $61,533 | $3,699 | $9,538 | 0.55 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 20 | $167,294 | $16,965 | $25,931 | 2.09 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 19 | $208,236 | $18,107 | $32,277 | 2.16 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 18 | $365,772 | $53,703 | $56,695 | 6.25 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 16 | $213,185 | $35,541 | $33,044 | 4.16 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 15 | $340,572 | $29,488 | $52,789 | 3.46 |
| Amputation for circulatory system disorders except upper limb and toe with MCCMS-DRG 239, surgical | 14 | $314,325 | $39,430 | $48,720 | 4.81 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 14 | $185,767 | $24,365 | $28,794 | 2.87 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 13 | $215,646 | $19,162 | $33,425 | 2.28 |
| Hypertension without MCCMS-DRG 305, medical | 13 | $64,726 | $5,438 | $10,032 | 0.75 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 11 | $187,756 | $15,309 | $29,102 | 1.83 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 11 | $98,963 | $8,652 | $15,339 | 1.07 |
| Hypertension with MCCMS-DRG 304, medical | 11 | $71,659 | $9,466 | $11,107 | 1.15 |
| Chest painMS-DRG 313, medical | 11 | $66,812 | $5,190 | $10,356 | 0.72 |
Respiratory system495 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 134 | $111,918 | $10,750 | $17,347 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 120 | $117,669 | $13,704 | $18,239 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 58 | $99,543 | $8,901 | $15,429 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 28 | $99,500 | $7,907 | $15,422 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 28 | $77,595 | $6,059 | $12,027 | 0.82 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 22 | $83,246 | $7,494 | $12,903 | 0.96 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 22 | $184,914 | $22,698 | $28,662 | 2.70 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 17 | $80,092 | $6,556 | $12,414 | 0.85 |
| Major chest procedures with CCMS-DRG 164, surgical | 14 | $233,165 | $20,195 | $36,141 | 2.55 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 14 | $110,603 | $10,246 | $17,143 | 1.23 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 14 | $293,034 | $52,156 | $45,420 | 6.91 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 12 | $160,855 | $15,217 | $24,932 | 1.88 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 12 | $123,049 | $10,815 | $19,073 | 1.40 |
Infectious and parasitic diseases436 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 | 313 | $151,229 | $16,634 | $23,441 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 43 | $366,484 | $43,512 | $56,805 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 43 | $90,884 | $8,042 | $14,087 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 37 | $294,233 | $51,835 | $45,606 | 6.96 |
Kidney and urinary tract302 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 90 | $113,364 | $9,257 | $17,571 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 82 | $81,092 | $6,127 | $12,569 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 48 | $126,003 | $12,933 | $19,530 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 31 | $131,802 | $11,973 | $20,429 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 29 | $89,289 | $7,020 | $13,840 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 22 | $101,456 | $8,515 | $15,726 | 1.02 |
Digestive system241 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 54 | $125,021 | $7,563 | $19,378 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 45 | $94,542 | $5,527 | $14,654 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 33 | $169,913 | $14,702 | $26,336 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 20 | $217,283 | $18,701 | $33,679 | 2.37 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 20 | $100,914 | $7,581 | $15,642 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 17 | $72,851 | $5,980 | $11,292 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 15 | $140,545 | $10,475 | $21,784 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 15 | $132,922 | $13,701 | $20,603 | 1.62 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 11 | $143,132 | $11,947 | $22,186 | 1.45 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 11 | $82,080 | $3,721 | $12,722 | 0.56 |
Nervous system240 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Transient ischemia without thrombolyticMS-DRG 069, medical | 40 | $93,089 | $5,650 | $14,429 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 34 | $84,478 | $7,478 | $13,094 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 31 | $146,121 | $16,526 | $22,649 | 2.00 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 22 | $82,917 | $7,741 | $12,852 | 1.03 |
| Seizures without MCCMS-DRG 101, medical | 21 | $85,290 | $7,174 | $13,220 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 18 | $117,994 | $10,008 | $18,289 | 1.36 |
| Seizures with MCCMS-DRG 100, medical | 18 | $159,201 | $15,817 | $24,676 | 1.98 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 16 | $140,462 | $15,041 | $21,772 | 1.79 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 15 | $63,423 | $4,637 | $9,831 | 0.69 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 13 | $142,094 | $13,894 | $22,025 | 1.79 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 12 | $91,537 | $8,981 | $14,188 | 1.14 |
Musculoskeletal system and connective tissue175 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 32 | $85,950 | $7,434 | $13,322 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 26 | $170,784 | $17,122 | $26,471 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 25 | $145,401 | $15,334 | $22,537 | 1.88 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 23 | $80,378 | $6,790 | $12,459 | 0.90 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 22 | $167,963 | $16,284 | $26,034 | 2.11 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 19 | $77,696 | $5,860 | $12,043 | 0.79 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 14 | $202,088 | $24,002 | $31,324 | 2.95 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 14 | $80,249 | $5,538 | $12,439 | 0.82 |
Endocrine, nutritional and metabolic109 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 | 37 | $85,220 | $5,917 | $13,209 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 35 | $108,732 | $10,755 | $16,853 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 19 | $116,546 | $11,635 | $18,065 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 18 | $82,910 | $6,713 | $12,851 | 0.90 |
Skin, subcutaneous tissue and breast80 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 50 | $79,796 | $6,751 | $12,368 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 19 | $127,720 | $12,392 | $19,797 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 11 | $69,854 | $7,011 | $10,827 | 0.91 |
Blood and immune system37 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 | 22 | $98,073 | $7,536 | $15,201 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 15 | $123,665 | $11,815 | $19,168 | 1.40 |
Factors influencing health status25 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 | 25 | $87,562 | $6,054 | $13,572 | 0.80 |
Mental diseases and disorders23 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 | 23 | $123,897 | $13,327 | $19,204 | 1.76 |
Ear, nose, mouth and throat19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 19 | $75,727 | $5,403 | $11,738 | 0.74 |
Liver, gallbladder and pancreas11 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 | 11 | $106,621 | $8,248 | $16,526 | 1.09 |
Other11 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 | 11 | $259,014 | $38,079 | $40,147 | 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 |
|---|---|---|---|---|---|
| Level 2 Urology and Related ServicesAPC 5372 | 299 | 274 | $37,598 | $617 | $502 |
| Comprehensive Observation ServicesAPC 8011 | 251 | 240 | $50,634 | $2,471 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 211 | 210 | $57,436 | $2,652 | $2,208 |
| Level 3 Urology and Related ServicesAPC 5373 | 207 | 188 | $52,721 | $1,837 | $1,516 |
| Level 1 Intraocular ProceduresAPC 5491 | 196 | 124 | $43,080 | $2,089 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 107 | 92 | $23,699 | $1,454 | $1,220 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 93 | 89 | $183,879 | $25,313 | $21,117 |
| Level 2 Upper GI ProceduresAPC 5302 | 85 | 82 | $32,883 | $1,705 | $1,445 |
| Level 4 Urology and Related ServicesAPC 5374 | 83 | 73 | $50,919 | $3,161 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 76 | 76 | $56,160 | $5,162 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 75 | 73 | $108,711 | $13,314 | $10,772 |
| Level 3 Endovascular ProceduresAPC 5193 | 56 | 52 | $99,088 | $10,480 | $8,874 |
| Level 5 Urology and Related ServicesAPC 5375 | 52 | 47 | $54,818 | $4,601 | $3,918 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 46 | 46 | $98,106 | $10,320 | $8,569 |
| Level 3 Vascular ProceduresAPC 5183 | 44 | 44 | $47,484 | $2,883 | $2,405 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 40 | 40 | $60,902 | $8,021 | $6,514 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 32 | 29 | $79,303 | $3,450 | $2,930 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 32 | 31 | $67,465 | $6,504 | $5,339 |
| Level 4 Vascular ProceduresAPC 5184 | 32 | 30 | $53,515 | $4,827 | $3,946 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 24 | 24 | $119,302 | $5,912 | $4,982 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 22 | 22 | $47,363 | $2,935 | $2,373 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 18 | 18 | $195,859 | $35,684 | $29,375 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 17 | 17 | $39,312 | $1,457 | $1,196 |
| Level 4 Gynecologic ProceduresAPC 5414 | 17 | 17 | $49,699 | $2,834 | $2,389 |
| Level 1 Nerve ProceduresAPC 5431 | 17 | 14 | $45,834 | $1,747 | $1,407 |
| Level 2 Vascular ProceduresAPC 5182 | 15 | 15 | $30,141 | $1,452 | $1,204 |
| Level 3 Lower GI ProceduresAPC 5313 | 14 | 14 | $46,869 | $2,375 | $2,176 |
| Level 5 Gynecologic ProceduresAPC 5415 | 14 | 14 | $60,212 | $4,510 | $3,792 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 13 | 13 | $45,563 | $3,137 | $2,636 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 12 | 12 | $74,182 | $10,066 | $8,164 |
| Level 2 Intraocular ProceduresAPC 5492 | 11 | 11 | $49,402 | $3,686 | $3,116 |
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.