Hospital For Special Surgery Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Hospital For Special Surgery, New York, NY in 2024, from traditional Medicare claims. Back to the Hospital For Special Surgery profile, with quality ratings, finances and negotiated rates.
3,230
Medicare inpatient discharges
In 36 published DRGs
2.86
Case mix index
IPPS FY 2027
100%
Surgical stays
26%
Stays with complications
In DRGs with a CC or MCC
4,599
Medicare outpatient services
In 8 service groups
Inpatient stays by major diagnostic category
Musculoskeletal system and connective tissue3,093 discharges in 31 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 1,332 | $120,505 | $17,048 | $38,562 | 1.88 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 244 | $139,455 | $24,435 | $44,626 | 2.67 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 223 | $182,224 | $33,507 | $58,312 | 3.49 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 162 | $205,478 | $35,593 | $65,753 | 3.66 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 119 | $317,902 | $72,488 | $101,728 | 6.12 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 117 | $125,160 | $25,025 | $40,051 | 2.48 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 93 | $95,551 | $18,123 | $30,576 | 1.97 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 88 | $240,163 | $49,451 | $76,852 | 4.61 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 80 | $150,533 | $27,163 | $48,170 | 2.96 |
| Major hip and knee joint replacement or reattachment of lower extremity with MCC or totaMS-DRG 469, surgical | 63 | $160,665 | $33,934 | $51,413 | 3.33 |
| Back and neck procedures except spinal fusion without cc/mccMS-DRG 520, surgical | 63 | $78,482 | $11,784 | $25,114 | 1.43 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 457, surgical | 54 | $316,135 | $64,999 | $101,163 | 6.08 |
| Bilateral or multiple major joint procedures of lower extremity without MCCMS-DRG 462, surgical | 46 | $189,583 | $27,061 | $60,667 | 2.85 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 43 | $131,443 | $23,819 | $42,062 | 2.40 |
| Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 458, surgical | 31 | $217,615 | $42,598 | $69,637 | 4.53 |
| Knee procedures without principal diagnosis of infection with cc/mccMS-DRG 488, surgical | 30 | $94,001 | $19,240 | $30,080 | 2.11 |
| Lower extremity and humerus procedures except hip, foot and femur without cc/mccMS-DRG 494, surgical | 29 | $133,446 | $16,894 | $42,703 | 1.87 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 27 | $181,868 | $29,119 | $58,198 | 2.07 |
| Soft tissue procedures without cc/mccMS-DRG 502, surgical | 26 | $95,485 | $11,018 | $30,555 | 1.38 |
| Wound debridement and skin graft except hand for musculoskeletal and connective tissue dMS-DRG 464, surgical | 25 | $334,954 | $53,538 | $107,185 | 3.00 |
| Cervical spinal fusion without cc/mccMS-DRG 473, surgical | 25 | $128,370 | $22,178 | $41,078 | 2.46 |
| Knee procedures without principal diagnosis of infection without cc/mccMS-DRG 489, surgical | 25 | $75,294 | $10,668 | $24,094 | 1.24 |
| Knee procedures with principal diagnosis of infection with CCMS-DRG 486, surgical | 23 | $154,840 | $19,951 | $49,549 | 2.01 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 22 | $73,294 | $12,165 | $23,454 | 1.49 |
| Local excision and removal of internal fixation devices except hip and femur without CC/MS-DRG 497, surgical | 21 | $83,342 | $12,609 | $26,670 | 1.43 |
| Revision of hip or knee replacement with MCCMS-DRG 466, surgical | 17 | $253,101 | $42,193 | $80,992 | 5.19 |
| Local excision and removal of internal fixation devices except hip and femur with CCMS-DRG 496, surgical | 15 | $110,887 | $17,151 | $35,484 | 1.99 |
| Soft tissue procedures with CCMS-DRG 501, surgical | 14 | $95,702 | $14,360 | $30,625 | 1.74 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 13 | $110,608 | $12,486 | $35,395 | 1.59 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 12 | $92,883 | $19,772 | $29,723 | 2.04 |
| Knee procedures with principal diagnosis of infection without cc/mccMS-DRG 487, surgical | 11 | $102,438 | $15,235 | $32,780 | 1.54 |
Other105 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Multiple level combined anterior and posterior spinal fusion except cervical with CCMS-DRG 427 | 33 | $358,039 | $72,997 | $114,573 | |
| Single level spinal fusion except cervical without MCCMS-DRG 451 | 26 | $162,473 | $24,034 | $51,991 | |
| Single level combined anterior and posterior spinal fusion except cervicalMS-DRG 402 | 25 | $209,774 | $33,566 | $67,128 | |
| Multiple level spinal fusion except cervical without MCCMS-DRG 448 | 21 | $248,998 | $43,661 | $79,679 |
Infectious and parasitic diseases32 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Postoperative or post-traumatic infections with o.r. procedures with CCMS-DRG 857, surgical | 32 | $137,055 | $19,821 | $43,858 | 2.14 |
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 5 Musculoskeletal ProceduresAPC 5115 | 2,670 | 2,572 | $88,594 | $12,972 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 642 | 632 | $47,547 | $6,286 | $5,339 |
| Level 1 Nerve ProceduresAPC 5431 | 616 | 558 | $13,401 | $1,717 | $1,407 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 342 | 330 | $29,976 | $2,794 | $2,373 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 156 | 155 | $99,093 | $19,059 | $15,763 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 95 | 92 | $12,738 | $1,425 | $1,196 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 50 | 50 | $30,865 | $2,499 | $2,141 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 28 | 27 | $20,760 | $1,311 | $1,220 |
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.