Long Island Community Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Long Island Community Hospital, Patchogue, NY in 2024, from traditional Medicare claims. Back to the Long Island Community Hospital profile, with quality ratings, finances and negotiated rates.
2,996
Medicare inpatient discharges
In 80 published DRGs
1.84
Case mix index
IPPS FY 2027
11%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
1,607
Medicare outpatient services
In 27 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases975 discharges in 5 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 | 748 | $167,334 | $16,671 | $19,243 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 90 | $416,803 | $43,614 | $47,932 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 65 | $505,404 | $56,386 | $58,121 | 6.96 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 60 | $89,128 | $8,304 | $10,250 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $203,292 | $17,467 | $23,379 | 2.04 |
Circulatory system452 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 116 | $100,150 | $10,574 | $11,517 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 98 | $147,923 | $14,085 | $17,011 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 38 | $98,751 | $7,176 | $11,356 | 0.86 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 35 | $95,473 | $7,420 | $10,979 | 0.91 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 26 | $75,008 | $5,829 | $8,626 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 22 | $97,522 | $9,207 | $11,215 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 22 | $135,699 | $15,707 | $15,605 | 1.82 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 18 | $165,110 | $17,443 | $18,988 | 2.09 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 16 | $96,918 | $9,967 | $11,146 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 14 | $226,823 | $23,303 | $26,085 | 2.87 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 13 | $331,009 | $31,446 | $38,066 | 3.35 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 12 | $122,096 | $12,160 | $14,041 | 1.58 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $87,691 | $5,642 | $10,084 | 0.75 |
| Chest painMS-DRG 313, medical | 11 | $66,432 | $5,075 | $7,640 | 0.72 |
Respiratory system312 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 70 | $145,551 | $13,670 | $16,738 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 64 | $96,053 | $10,405 | $11,046 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 59 | $104,867 | $10,686 | $12,060 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 24 | $94,778 | $8,856 | $10,899 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 19 | $83,085 | $7,906 | $9,555 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 18 | $140,101 | $11,746 | $16,112 | 1.40 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 17 | $86,369 | $5,871 | $9,932 | 0.82 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 17 | $76,795 | $7,894 | $8,831 | 0.96 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 13 | $64,600 | $7,305 | $7,429 | 0.85 |
| Major chest trauma with CCMS-DRG 184, medical | 11 | $98,499 | $7,923 | $11,327 | 1.05 |
Kidney and urinary tract259 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 64 | $134,622 | $13,725 | $15,482 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 46 | $130,873 | $12,295 | $15,050 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 40 | $101,910 | $9,144 | $11,720 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 40 | $74,654 | $6,482 | $8,585 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 28 | $77,435 | $7,120 | $8,905 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 21 | $90,234 | $8,732 | $10,377 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 20 | $208,924 | $33,831 | $24,026 | 3.70 |
Nervous system245 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 48 | $173,124 | $16,207 | $19,909 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 33 | $96,445 | $6,375 | $11,091 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 29 | $138,728 | $16,345 | $15,954 | 1.98 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 25 | $86,848 | $8,719 | $9,987 | 1.03 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 24 | $116,152 | $8,354 | $13,357 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 23 | $94,250 | $11,193 | $10,839 | 1.36 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 21 | $144,872 | $15,170 | $16,660 | 1.79 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 17 | $143,637 | $13,531 | $16,518 | 1.79 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 13 | $248,527 | $19,667 | $28,581 | 2.39 |
| Seizures without MCCMS-DRG 101, medical | 12 | $78,529 | $7,060 | $9,031 | 0.91 |
Digestive system222 discharges in 9 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 | 54 | $88,715 | $6,422 | $10,202 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 41 | $182,155 | $15,360 | $20,948 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 30 | $117,226 | $8,085 | $13,481 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 25 | $83,276 | $6,726 | $9,577 | 0.80 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 19 | $141,172 | $14,665 | $16,235 | 1.62 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 17 | $107,759 | $11,626 | $12,392 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 12 | $391,893 | $39,183 | $45,068 | 4.52 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 12 | $86,224 | $8,924 | $9,916 | 1.04 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 12 | $124,303 | $12,746 | $14,295 | 1.45 |
Musculoskeletal system and connective tissue203 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 42 | $100,024 | $7,439 | $11,503 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 29 | $82,940 | $7,139 | $9,538 | 0.90 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 28 | $204,503 | $17,149 | $23,518 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 21 | $252,599 | $18,271 | $29,049 | 2.11 |
| Medical back problems with MCCMS-DRG 551, medical | 20 | $113,601 | $13,802 | $13,064 | 1.70 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 18 | $243,304 | $15,936 | $27,980 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 17 | $308,123 | $23,752 | $35,434 | 2.99 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 15 | $245,372 | $23,875 | $28,218 | 2.95 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 13 | $239,230 | $20,967 | $27,511 | 2.40 |
Endocrine, nutritional and metabolic113 discharges in 4 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 | 45 | $106,220 | $10,659 | $12,215 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 29 | $146,259 | $12,442 | $16,820 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 20 | $74,438 | $6,143 | $8,560 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 19 | $75,373 | $7,504 | $8,668 | 0.90 |
Skin, subcutaneous tissue and breast52 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 30 | $79,992 | $6,738 | $9,199 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 11 | $103,990 | $12,285 | $11,959 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 11 | $74,229 | $7,451 | $8,536 | 0.91 |
Blood and immune system33 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 17 | $127,403 | $11,520 | $14,651 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 16 | $107,847 | $7,551 | $12,402 | 0.90 |
Ear, nose, mouth and throat26 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 26 | $93,921 | $5,903 | $10,801 | 0.74 |
Liver, gallbladder and pancreas23 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 23 | $172,632 | $13,432 | $19,853 | 1.63 |
Injuries, poisonings and toxic effects of drugs22 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 | 22 | $150,420 | $13,278 | $17,298 | 1.60 |
Mental diseases and disorders18 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 | 18 | $104,783 | $13,971 | $12,050 | 1.76 |
Other15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 15 | $218,276 | $31,594 | $25,102 | 4.74 |
Factors influencing health status14 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 | 14 | $84,401 | $6,449 | $9,706 | 0.80 |
Alcohol and drug use12 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 with MCCMS-DRG 896, medical | 12 | $180,174 | $15,417 | $20,720 | 1.78 |
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 | 427 | 388 | $47,915 | $2,361 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 155 | 107 | $40,830 | $2,060 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 120 | 103 | $26,273 | $1,428 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 89 | 89 | $47,323 | $2,586 | $2,208 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 65 | 65 | $35,598 | $1,408 | $1,196 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 64 | 64 | $100,067 | $5,054 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 60 | 58 | $109,387 | $6,260 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 56 | 56 | $36,500 | $2,878 | $2,373 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 50 | 49 | $205,162 | $13,040 | $10,772 |
| Level 3 Vascular ProceduresAPC 5183 | 49 | 47 | $65,479 | $2,718 | $2,405 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 48 | 48 | $130,929 | $7,844 | $6,514 |
| Level 4 Urology and Related ServicesAPC 5374 | 46 | 42 | $45,636 | $3,100 | $2,629 |
| Level 3 Endovascular ProceduresAPC 5193 | 39 | 36 | $112,785 | $10,358 | $8,874 |
| Level 2 Upper GI ProceduresAPC 5302 | 37 | 33 | $31,786 | $1,702 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 36 | 36 | $74,580 | $3,079 | $2,636 |
| Level 5 Urology and Related ServicesAPC 5375 | 35 | 34 | $68,867 | $4,605 | $3,918 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 33 | 32 | $83,909 | $5,627 | $4,982 |
| Level 3 Urology and Related ServicesAPC 5373 | 31 | 29 | $27,676 | $1,813 | $1,516 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 23 | 21 | $34,402 | $2,419 | $2,141 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 23 | 23 | $160,581 | $10,279 | $8,569 |
| Level 1 Nerve ProceduresAPC 5431 | 22 | 20 | $34,378 | $1,718 | $1,407 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 20 | 17 | $45,239 | $3,222 | $2,930 |
| Level 3 Lower GI ProceduresAPC 5313 | 19 | 18 | $30,810 | $2,499 | $2,176 |
| Level 4 Gynecologic ProceduresAPC 5414 | 19 | 19 | $33,648 | $2,782 | $2,389 |
| Level 2 Endovascular ProceduresAPC 5192 | 16 | 15 | $59,926 | $5,086 | $4,338 |
| Level 5 Gynecologic ProceduresAPC 5415 | 13 | 13 | $54,976 | $4,426 | $3,792 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 12 | 12 | $121,518 | $9,851 | $8,164 |
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.