Kenmore Mercy Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Kenmore Mercy Hospital, Kenmore, NY in 2024, from traditional Medicare claims. Back to the Kenmore Mercy Hospital profile, with quality ratings, finances and negotiated rates.
570
Medicare inpatient discharges
In 29 published DRGs
1.71
Case mix index
IPPS FY 2027
12%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
651
Medicare outpatient services
In 8 service groups
Inpatient stays by major diagnostic category
Respiratory system102 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 33 | $22,197 | $8,770 | $8,479 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 30 | $27,972 | $12,013 | $10,685 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 15 | $26,098 | $8,362 | $9,970 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 12 | $18,650 | $5,709 | $7,124 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $21,473 | $6,094 | $8,203 | 0.82 |
Infectious and parasitic diseases100 discharges in 1 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 | 100 | $44,460 | $13,769 | $16,984 | 1.98 |
Circulatory system98 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 58 | $25,733 | $9,208 | $9,830 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 16 | $29,748 | $11,078 | $11,364 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 12 | $36,974 | $15,349 | $14,124 | 2.16 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 12 | $17,284 | $5,413 | $6,603 | 0.74 |
Kidney and urinary tract87 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 28 | $12,902 | $5,858 | $4,928 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 18 | $29,683 | $11,742 | $11,339 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 15 | $18,607 | $8,479 | $7,108 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 13 | $33,444 | $10,182 | $12,776 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 13 | $16,751 | $5,023 | $6,399 | 0.81 |
Musculoskeletal system and connective tissue80 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 | 18 | $40,888 | $16,012 | $15,619 | 2.07 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 16 | $64,787 | $21,037 | $24,748 | 3.66 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 12 | $79,545 | $32,497 | $30,386 | 4.61 |
| Medical back problems without MCCMS-DRG 552, medical | 12 | $17,278 | $6,596 | $6,600 | 0.97 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 11 | $62,918 | $14,910 | $24,035 | 2.67 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 11 | $37,630 | $13,917 | $14,375 | 2.11 |
Digestive system40 discharges in 3 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 | 15 | $13,429 | $4,468 | $5,130 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 14 | $14,847 | $6,192 | $5,671 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 11 | $13,215 | $5,721 | $5,048 | 0.80 |
Endocrine, nutritional and metabolic27 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 | 15 | $18,957 | $5,110 | $7,242 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 12 | $17,769 | $6,285 | $6,788 | 0.90 |
Nervous system12 discharges in 1 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 | 12 | $20,833 | $5,473 | $7,958 | 1.02 |
Skin, subcutaneous tissue and breast12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 12 | $18,117 | $6,338 | $6,921 | 0.88 |
Injuries, poisonings and toxic effects of drugs12 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 | 12 | $56,826 | $13,473 | $21,707 | 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 5 Musculoskeletal ProceduresAPC 5115 | 283 | 261 | $31,207 | $11,874 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 168 | 160 | $7,925 | $2,298 | $2,090 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 68 | 66 | $41,472 | $17,281 | $15,763 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 49 | 49 | $18,823 | $4,675 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 43 | 39 | $18,782 | $5,622 | $5,339 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 15 | 15 | $16,696 | $2,923 | $2,636 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 14 | 14 | $11,158 | $2,733 | $2,373 |
| Level 2 Vascular ProceduresAPC 5182 | 11 | 11 | $6,026 | $1,353 | $1,204 |
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.