Healthalliance Hospital Mary S Ave Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Healthalliance Hospital Mary S Ave, Kingston, NY in 2024, from traditional Medicare claims. Back to the Healthalliance Hospital Mary S Ave profile, with quality ratings, finances and negotiated rates.
1,683
Medicare inpatient discharges
In 57 published DRGs
1.49
Case mix index
IPPS FY 2027
8%
Surgical stays
59%
Stays with complications
In DRGs with a CC or MCC
810
Medicare outpatient services
In 24 service groups
Inpatient stays by major diagnostic category
Circulatory system430 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 129 | $92,194 | $10,390 | $12,631 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 57 | $80,397 | $6,657 | $11,014 | 0.86 |
| Chest painMS-DRG 313, medical | 31 | $63,933 | $5,538 | $8,759 | 0.72 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 30 | $85,005 | $5,475 | $11,646 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 29 | $116,200 | $12,794 | $15,919 | 1.59 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 22 | $57,608 | $4,037 | $7,892 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 21 | $90,739 | $8,603 | $12,431 | 1.08 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 19 | $103,984 | $16,825 | $14,246 | 2.16 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 18 | $73,064 | $6,408 | $10,010 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 16 | $80,702 | $8,666 | $11,056 | 1.20 |
| Heart failure and shock with CCMS-DRG 292, medical | 13 | $76,838 | $6,681 | $10,527 | 0.86 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 12 | $111,549 | $8,320 | $15,282 | 1.07 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 11 | $199,660 | $28,138 | $27,353 | 3.35 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $69,039 | $5,609 | $9,458 | 0.75 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 11 | $95,126 | $14,876 | $13,032 | 1.82 |
Infectious and parasitic diseases272 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 | 193 | $138,416 | $15,808 | $18,963 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 50 | $91,039 | $7,902 | $12,472 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 16 | $282,285 | $43,556 | $38,673 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 13 | $265,537 | $49,668 | $36,379 | 6.96 |
Respiratory system244 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 53 | $105,236 | $10,670 | $14,417 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 47 | $110,042 | $12,641 | $15,076 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 40 | $94,525 | $10,202 | $12,950 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 40 | $91,472 | $8,993 | $12,532 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 29 | $73,430 | $6,138 | $10,060 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 23 | $92,183 | $7,466 | $12,629 | 0.99 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 12 | $83,677 | $7,079 | $11,464 | 0.96 |
Kidney and urinary tract152 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 50 | $87,112 | $5,943 | $11,934 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 32 | $106,605 | $9,374 | $14,605 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 25 | $82,414 | $6,992 | $11,291 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 25 | $131,310 | $13,349 | $17,989 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 20 | $121,912 | $12,483 | $16,702 | 1.50 |
Nervous system122 discharges in 8 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 | 20 | $81,401 | $8,130 | $11,152 | 1.02 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 17 | $75,753 | $7,713 | $10,378 | 1.03 |
| Seizures without MCCMS-DRG 101, medical | 17 | $74,670 | $7,260 | $10,230 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 16 | $107,190 | $10,763 | $14,685 | 1.36 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 16 | $80,633 | $7,978 | $11,047 | 1.06 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 14 | $77,497 | $5,235 | $10,617 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 11 | $129,123 | $14,753 | $17,690 | 2.00 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 11 | $74,307 | $5,024 | $10,180 | 0.69 |
Musculoskeletal system and connective tissue119 discharges in 6 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 | 32 | $129,077 | $17,057 | $17,684 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 29 | $95,532 | $7,166 | $13,088 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 19 | $125,959 | $16,847 | $17,256 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 15 | $93,199 | $15,496 | $12,768 | 1.88 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 13 | $97,183 | $13,010 | $13,314 | 1.59 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 11 | $60,726 | $6,328 | $8,319 | 0.90 |
Digestive system114 discharges in 4 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 | 53 | $77,072 | $5,846 | $10,559 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 27 | $85,409 | $7,646 | $11,701 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 19 | $139,658 | $20,197 | $19,133 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 15 | $80,010 | $5,696 | $10,961 | 0.80 |
Endocrine, nutritional and metabolic91 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 | 48 | $85,430 | $5,902 | $11,704 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 23 | $79,604 | $9,738 | $10,906 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 20 | $101,728 | $6,709 | $13,937 | 0.90 |
Skin, subcutaneous tissue and breast39 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 39 | $91,533 | $6,811 | $12,540 | 0.88 |
Blood and immune system37 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 37 | $73,170 | $7,404 | $10,024 | 0.90 |
Factors influencing health status28 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 | 28 | $86,149 | $6,319 | $11,802 | 0.80 |
Ear, nose, mouth and throat18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 18 | $64,138 | $5,476 | $8,787 | 0.74 |
Mental diseases and disorders17 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 | 17 | $110,905 | $13,805 | $15,194 | 1.76 |
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 | 224 | 205 | $48,023 | $2,333 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 55 | 54 | $22,125 | $2,531 | $2,208 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 49 | 48 | $15,254 | $2,961 | $2,636 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 46 | 44 | $7,311 | $1,374 | $1,220 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 41 | 41 | $15,342 | $2,789 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 40 | 39 | $17,410 | $2,611 | $2,405 |
| Level 4 Vascular ProceduresAPC 5184 | 30 | 26 | $31,560 | $4,731 | $3,946 |
| Level 5 Urology and Related ServicesAPC 5375 | 30 | 28 | $21,132 | $4,309 | $3,918 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 28 | 28 | $11,247 | $1,385 | $1,196 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 28 | 28 | $26,859 | $6,163 | $5,339 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 25 | 25 | $51,395 | $17,723 | $15,763 |
| Level 2 Endovascular ProceduresAPC 5192 | 22 | 18 | $32,763 | $4,924 | $4,338 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 20 | 20 | $39,356 | $12,574 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 19 | 19 | $26,984 | $4,971 | $4,358 |
| Level 1 Nerve ProceduresAPC 5431 | 18 | 18 | $10,991 | $1,554 | $1,407 |
| Level 2 Vascular ProceduresAPC 5182 | 17 | 17 | $7,141 | $1,366 | $1,204 |
| Level 2 Urology and Related ServicesAPC 5372 | 17 | $2,747 | $588 | $502 | |
| Level 4 Gynecologic ProceduresAPC 5414 | 17 | 17 | $14,284 | $2,689 | $2,389 |
| Level 3 Lower GI ProceduresAPC 5313 | 16 | 16 | $12,478 | $2,419 | $2,176 |
| Level 3 Urology and Related ServicesAPC 5373 | 16 | 16 | $11,998 | $1,748 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 16 | 16 | $16,903 | $2,893 | $2,629 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 13 | 13 | $26,990 | $5,618 | $4,982 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 12 | 12 | $32,137 | $7,549 | $6,514 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 11 | $13,216 | $2,448 | $2,141 |
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.