Lourdes Cardiac Rehabilitation Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Lourdes Cardiac Rehabilitation, Binghamton, NY in 2024, from traditional Medicare claims. Back to the Lourdes Cardiac Rehabilitation profile, with quality ratings, finances and negotiated rates.
986
Medicare inpatient discharges
In 34 published DRGs
1.65
Case mix index
IPPS FY 2027
16%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
1,906
Medicare outpatient services
In 27 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases191 discharges in 3 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 | 144 | $42,224 | $16,325 | $12,414 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 28 | $31,668 | $7,623 | $9,310 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 19 | $139,813 | $45,163 | $41,105 | 5.00 |
Respiratory system186 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 | 67 | $33,710 | $10,793 | $9,911 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 42 | $42,114 | $14,042 | $12,381 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 32 | $27,009 | $6,545 | $7,941 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 23 | $35,295 | $9,730 | $10,377 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 22 | $26,266 | $9,176 | $7,722 | 1.10 |
Musculoskeletal system and connective tissue155 discharges in 7 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 | 71 | $63,633 | $15,486 | $18,708 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 18 | $67,427 | $17,541 | $19,824 | 2.07 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 15 | $108,765 | $28,358 | $31,977 | 3.66 |
| Medical back problems without MCCMS-DRG 552, medical | 14 | $23,012 | $7,697 | $6,766 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 13 | $66,701 | $17,873 | $19,610 | 2.11 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 13 | $23,434 | $7,084 | $6,890 | 0.90 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 11 | $103,845 | $29,574 | $30,530 | 3.49 |
Kidney and urinary tract154 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 52 | $24,611 | $6,657 | $7,236 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 44 | $27,078 | $9,543 | $7,961 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 27 | $33,851 | $13,803 | $9,952 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 19 | $24,816 | $7,671 | $7,296 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 12 | $23,413 | $8,781 | $6,883 | 1.02 |
Circulatory system128 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 | 81 | $29,935 | $10,691 | $8,801 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 20 | $24,313 | $6,190 | $7,148 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 16 | $30,302 | $12,936 | $8,909 | 1.59 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 11 | $16,473 | $4,494 | $4,843 | 0.55 |
Digestive system67 discharges in 4 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 | 23 | $22,601 | $6,205 | $6,645 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 16 | $34,664 | $8,654 | $10,191 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 15 | $51,942 | $14,264 | $15,271 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 13 | $102,657 | $21,932 | $30,181 | 2.37 |
Endocrine, nutritional and metabolic57 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 without MCCMS-DRG 641, medical | 27 | $23,220 | $6,469 | $6,827 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 17 | $30,657 | $11,288 | $9,013 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 13 | $23,738 | $7,762 | $6,979 | 0.90 |
Nervous system19 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 | 19 | $30,251 | $8,331 | $8,894 | 1.02 |
Skin, subcutaneous tissue and breast17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 17 | $28,130 | $6,736 | $8,270 | 0.88 |
Blood and immune system12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 12 | $28,598 | $6,811 | $8,408 | 0.90 |
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 | 362 | 203 | $1,819 | $567 | $502 |
| Comprehensive Observation ServicesAPC 8011 | 317 | 300 | $15,393 | $2,282 | $2,090 |
| Level 3 Urology and Related ServicesAPC 5373 | 149 | 124 | $10,291 | $1,649 | $1,516 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 130 | 120 | $7,683 | $1,298 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 127 | 124 | $62,641 | $11,909 | $10,772 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 98 | 93 | $19,926 | $2,578 | $2,373 |
| Level 1 Nerve ProceduresAPC 5431 | 77 | 73 | $9,738 | $1,201 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 75 | 74 | $37,082 | $5,879 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 75 | 64 | $21,167 | $2,945 | $2,629 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 62 | 59 | $9,519 | $1,125 | $1,196 |
| Level 5 Urology and Related ServicesAPC 5375 | 55 | 51 | $27,524 | $4,212 | $3,918 |
| Level 1 Intraocular ProceduresAPC 5491 | 51 | 32 | $10,993 | $1,968 | $1,752 |
| Level 3 Vascular ProceduresAPC 5183 | 40 | 37 | $13,908 | $2,638 | $2,405 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 36 | 36 | $70,274 | $18,079 | $15,763 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 35 | 34 | $12,486 | $2,332 | $2,141 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 32 | 32 | $44,697 | $4,569 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 31 | 29 | $10,425 | $1,502 | $1,445 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 27 | 24 | $22,974 | $3,101 | $2,930 |
| Level 2 Vascular ProceduresAPC 5182 | 21 | 21 | $3,176 | $1,353 | $1,204 |
| Level 4 Gynecologic ProceduresAPC 5414 | 17 | 17 | $17,602 | $2,486 | $2,389 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 17 | 16 | $19,659 | $5,777 | $4,524 |
| Level 5 Airway EndoscopyAPC 5155 | 14 | 14 | $69,293 | $5,782 | $5,183 |
| Level 4 Vascular ProceduresAPC 5184 | 12 | 11 | $21,286 | $4,642 | $3,946 |
| Level 2 Endovascular ProceduresAPC 5192 | 12 | 12 | $16,880 | $4,823 | $4,338 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 12 | 12 | $33,682 | $2,679 | $2,636 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 11 | 11 | $48,581 | $5,509 | $4,982 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 11 | 11 | $70,327 | $21,500 | $18,465 |
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.