Holyoke Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Holyoke Medical Center, Holyoke, MA in 2024, from traditional Medicare claims. Back to the Holyoke Medical Center profile, with quality ratings, finances and negotiated rates.
1,099
Medicare inpatient discharges
In 32 published DRGs
1.46
Case mix index
IPPS FY 2027
8%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
1,257
Medicare outpatient services
In 20 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases269 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 | $18,855 | $14,848 | $9,861 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 50 | $12,251 | $7,767 | $6,407 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 15 | $64,125 | $39,223 | $33,537 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 11 | $33,856 | $15,704 | $17,707 | 2.04 |
Respiratory system167 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 61 | $11,760 | $7,447 | $6,151 | 1.10 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 57 | $14,209 | $9,987 | $7,431 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 49 | $18,940 | $12,468 | $9,906 | 1.70 |
Circulatory system163 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 102 | $13,977 | $9,982 | $7,310 | 1.28 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 20 | $11,354 | $9,156 | $5,938 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 15 | $13,135 | $6,340 | $6,869 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 13 | $11,208 | $12,611 | $5,862 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 13 | $11,451 | $5,163 | $5,989 | 0.74 |
Mental diseases and disorders112 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 112 | $33,617 | $10,639 | $17,582 | 1.37 |
Kidney and urinary tract91 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 39 | $12,142 | $8,818 | $6,350 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 24 | $9,199 | $5,570 | $4,811 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 17 | $13,876 | $12,343 | $7,257 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 11 | $11,374 | $6,972 | $5,949 | 0.90 |
Digestive system86 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 30 | $19,553 | $6,609 | $10,226 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 28 | $12,420 | $5,888 | $6,496 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 17 | $27,166 | $13,696 | $14,208 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $21,822 | $10,200 | $11,413 | 1.28 |
Endocrine, nutritional and metabolic61 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 with MCCMS-DRG 640, medical | 26 | $12,652 | $9,718 | $6,617 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 20 | $8,083 | $5,606 | $4,227 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 15 | $13,038 | $7,025 | $6,819 | 0.90 |
Musculoskeletal system and connective tissue59 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 26 | $86,755 | $25,687 | $45,373 | 3.66 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 18 | $37,543 | $16,593 | $19,635 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 15 | $38,895 | $14,471 | $20,342 | 1.88 |
Nervous system34 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Seizures without MCCMS-DRG 101, medical | 19 | $10,019 | $6,555 | $5,240 | 0.91 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 15 | $14,078 | $7,228 | $7,363 | 1.02 |
Skin, subcutaneous tissue and breast31 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 31 | $10,680 | $6,247 | $5,586 | 0.88 |
Alcohol and drug use13 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 | 13 | $15,640 | $6,176 | $8,180 | 0.86 |
Injuries, poisonings and toxic effects of drugs13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 13 | $14,813 | $12,843 | $7,747 | 1.60 |
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 | 197 | 156 | $2,165 | $582 | $502 |
| Level 1 Intraocular ProceduresAPC 5491 | 167 | 94 | $7,705 | $1,986 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 105 | 104 | $8,892 | $2,296 | $2,090 |
| Level 3 Urology and Related ServicesAPC 5373 | 94 | 83 | $9,851 | $1,727 | $1,516 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 88 | 76 | $5,345 | $1,354 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 85 | 71 | $9,610 | $1,601 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 68 | 67 | $20,190 | $6,032 | $5,339 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 61 | 52 | $25,958 | $5,756 | $4,524 |
| Level 4 Urology and Related ServicesAPC 5374 | 50 | 41 | $13,459 | $2,922 | $2,629 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 48 | 47 | $35,885 | $12,478 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 48 | 46 | $16,103 | $4,428 | $3,918 |
| Level 1 Nerve ProceduresAPC 5431 | 41 | 33 | $7,014 | $1,652 | $1,407 |
| Level 3 Vascular ProceduresAPC 5183 | 39 | 35 | $8,929 | $2,727 | $2,405 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 35 | 35 | $12,199 | $2,960 | $2,636 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 33 | 31 | $11,406 | $2,361 | $2,141 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 28 | 25 | $13,126 | $2,770 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 25 | 25 | $5,846 | $1,375 | $1,196 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 17 | 17 | $16,287 | $4,647 | $4,358 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 16 | 16 | $9,824 | $2,000 | $1,780 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 12 | 11 | $12,021 | $3,262 | $2,930 |
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.