Jamaica Hospital Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Jamaica Hospital Medical Center, Jamaica, NY in 2024, from traditional Medicare claims. Back to the Jamaica Hospital Medical Center profile, with quality ratings, finances and negotiated rates.
932
Medicare inpatient discharges
In 34 published DRGs
1.94
Case mix index
IPPS FY 2027
11%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
347
Medicare outpatient services
In 8 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases267 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 | 190 | $45,146 | $23,169 | $22,709 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 26 | $178,308 | $58,618 | $89,689 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 26 | $115,213 | $71,631 | $57,952 | 6.96 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 25 | $29,166 | $12,976 | $14,670 | 1.03 |
Circulatory system196 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 73 | $26,796 | $15,486 | $13,478 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 50 | $22,517 | $18,030 | $11,326 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 30 | $18,445 | $11,323 | $9,278 | 0.86 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 20 | $19,507 | $10,461 | $9,812 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 12 | $26,605 | $11,417 | $13,382 | 1.08 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $20,890 | $10,053 | $10,508 | 0.75 |
Nervous system115 discharges in 6 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 | 31 | $33,989 | $11,685 | $17,096 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 30 | $50,958 | $24,011 | $25,632 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 16 | $18,371 | $11,054 | $9,241 | 0.91 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 14 | $17,101 | $9,544 | $8,602 | 0.80 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 13 | $120,104 | $62,833 | $60,412 | 5.67 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 11 | $34,317 | $17,083 | $17,262 | 1.36 |
Respiratory system93 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 36 | $33,921 | $11,502 | $17,062 | 1.10 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 23 | $28,840 | $14,624 | $14,507 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 21 | $34,986 | $20,970 | $17,598 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 13 | $42,341 | $13,617 | $21,297 | 1.23 |
Kidney and urinary tract76 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 26 | $20,488 | $9,688 | $10,305 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 20 | $36,088 | $14,968 | $18,152 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 16 | $19,479 | $10,832 | $9,798 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 14 | $37,460 | $20,439 | $18,842 | 1.65 |
Musculoskeletal system and connective tissue58 discharges in 3 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 | $44,566 | $23,772 | $22,417 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 15 | $39,125 | $22,122 | $19,680 | 2.11 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 11 | $21,956 | $10,279 | $11,044 | 0.79 |
Endocrine, nutritional and metabolic58 discharges in 2 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 | 31 | $22,289 | $10,045 | $11,211 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 27 | $38,307 | $16,733 | $19,269 | 1.32 |
Digestive system39 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 14 | $44,288 | $21,054 | $22,277 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 13 | $22,788 | $11,686 | $11,462 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 12 | $15,131 | $10,547 | $7,611 | 0.79 |
Transplants, ECMO and tracheostomy (pre-MDC)15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 15 | $294,476 | $129,115 | $148,122 | 14.70 |
Skin, subcutaneous tissue and breast15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 15 | $28,900 | $11,571 | $14,537 | 0.88 |
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 | 243 | 217 | $11,073 | $2,451 | $2,090 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 17 | 17 | $8,522 | $1,457 | $1,196 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 16 | 14 | $4,631 | $1,470 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 16 | 16 | $10,424 | $2,666 | $2,208 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 16 | 16 | $35,812 | $10,502 | $8,569 |
| Level 3 Vascular ProceduresAPC 5183 | 15 | 15 | $14,163 | $2,890 | $2,405 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 13 | 13 | $32,255 | $8,029 | $6,514 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 11 | 11 | $6,524 | $2,935 | $2,373 |
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.