Melrosewakefield Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Melrosewakefield Hospital, Melrose, MA in 2024, from traditional Medicare claims. Back to the Melrosewakefield Hospital profile, with quality ratings, finances and negotiated rates.
2,309
Medicare inpatient discharges
In 64 published DRGs
1.34
Case mix index
IPPS FY 2027
6%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
2,128
Medicare outpatient services
In 30 service groups
Inpatient stays by major diagnostic category
Circulatory system593 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 256 | $17,022 | $9,368 | $11,013 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 63 | $21,953 | $6,652 | $14,204 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 54 | $10,522 | $5,085 | $6,808 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 47 | $17,442 | $10,953 | $11,285 | 1.59 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 37 | $15,234 | $6,236 | $9,857 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 33 | $17,092 | $8,634 | $11,058 | 1.20 |
| Chest painMS-DRG 313, medical | 21 | $15,200 | $5,178 | $9,834 | 0.72 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 21 | $72,742 | $14,668 | $47,064 | 1.82 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 14 | $13,780 | $7,424 | $8,916 | 1.07 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 13 | $9,361 | $3,450 | $6,057 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 12 | $30,803 | $9,279 | $19,929 | 1.08 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 11 | $15,359 | $4,807 | $9,937 | 0.72 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $12,969 | $5,195 | $8,391 | 0.75 |
Respiratory system442 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 | 98 | $24,212 | $11,973 | $15,665 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 98 | $19,279 | $9,705 | $12,474 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 66 | $18,879 | $7,622 | $12,215 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 62 | $13,754 | $5,322 | $8,899 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 39 | $16,938 | $6,968 | $10,959 | 0.99 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 26 | $19,579 | $5,747 | $12,668 | 0.85 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 15 | $15,216 | $6,798 | $9,845 | 0.96 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 13 | $12,821 | $5,578 | $8,295 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 13 | $23,711 | $10,307 | $15,341 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 12 | $50,358 | $19,722 | $32,581 | 2.70 |
Infectious and parasitic diseases286 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 | 217 | $28,488 | $14,535 | $18,432 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 48 | $16,131 | $7,144 | $10,437 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 21 | $65,987 | $37,466 | $42,694 | 5.00 |
Kidney and urinary tract263 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 69 | $14,838 | $6,227 | $9,600 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 60 | $14,393 | $5,511 | $9,312 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 49 | $16,887 | $8,233 | $10,926 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 32 | $21,267 | $12,731 | $13,760 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 30 | $22,353 | $10,122 | $14,463 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 23 | $12,420 | $7,207 | $8,036 | 1.02 |
Digestive system237 discharges in 8 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 | 66 | $13,100 | $5,399 | $8,476 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 36 | $17,669 | $7,055 | $11,432 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 33 | $29,509 | $13,866 | $19,092 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 33 | $18,974 | $9,642 | $12,276 | 1.28 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 25 | $19,260 | $6,055 | $12,461 | 0.80 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 19 | $11,583 | $3,329 | $7,494 | 0.56 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 13 | $105,816 | $45,219 | $68,463 | 4.52 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 12 | $45,622 | $17,996 | $29,517 | 2.37 |
Musculoskeletal system and connective tissue138 discharges in 8 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 | 27 | $34,714 | $15,458 | $22,460 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 24 | $19,616 | $6,769 | $12,692 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 21 | $17,972 | $5,979 | $11,628 | 0.90 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 15 | $13,084 | $5,253 | $8,466 | 0.79 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 14 | $52,677 | $21,342 | $34,082 | 2.95 |
| Biopsies of musculoskeletal system and connective tissue with CCMS-DRG 478, surgical | 13 | $73,947 | $16,178 | $47,844 | 2.38 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 12 | $31,905 | $15,579 | $20,643 | 2.11 |
| Other musculoskeletal system and connective tissue diagnoses with MCCMS-DRG 564, medical | 12 | $22,730 | $11,800 | $14,706 | 1.56 |
Endocrine, nutritional and metabolic135 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 without MCCMS-DRG 641, medical | 45 | $12,102 | $4,904 | $7,830 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 36 | $13,280 | $5,839 | $8,592 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 31 | $19,778 | $9,549 | $12,797 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 23 | $20,016 | $9,899 | $12,950 | 1.45 |
Nervous system69 discharges in 3 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 | 43 | $20,470 | $6,909 | $13,244 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 15 | $24,543 | $13,269 | $15,880 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 11 | $16,695 | $5,548 | $10,802 | 0.91 |
Skin, subcutaneous tissue and breast46 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 34 | $11,416 | $5,311 | $7,386 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 12 | $31,709 | $11,263 | $20,516 | 1.49 |
Blood and immune system30 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 18 | $17,888 | $6,415 | $11,574 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 12 | $19,387 | $9,556 | $12,543 | 1.40 |
Ear, nose, mouth and throat16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 16 | $18,864 | $5,483 | $12,205 | 0.74 |
Liver, gallbladder and pancreas14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 14 | $12,378 | $5,786 | $8,009 | 0.86 |
Alcohol and drug use14 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 without MCCMS-DRG 897, medical | 14 | $15,595 | $5,782 | $10,090 | 0.86 |
Injuries, poisonings and toxic effects of drugs13 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 | 13 | $21,332 | $10,763 | $13,802 | 1.60 |
Factors influencing health status13 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 | 13 | $13,749 | $5,508 | $8,896 | 0.80 |
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 | 773 | 692 | $14,840 | $2,312 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 171 | 159 | $6,153 | $1,379 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 131 | 131 | $13,196 | $2,496 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 88 | 88 | $16,011 | $4,712 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 87 | 87 | $27,796 | $12,334 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 87 | 85 | $14,469 | $4,428 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 82 | 71 | $10,125 | $2,694 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 78 | 68 | $4,471 | $1,596 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 58 | 58 | $25,189 | $6,122 | $5,339 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 50 | 50 | $30,353 | $7,485 | $6,514 |
| Level 3 Endovascular ProceduresAPC 5193 | 46 | 44 | $50,044 | $10,167 | $8,874 |
| Level 4 Urology and Related ServicesAPC 5374 | 46 | 41 | $10,463 | $2,979 | $2,629 |
| Level 1 Nerve ProceduresAPC 5431 | 43 | 38 | $5,742 | $1,584 | $1,407 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 38 | 38 | $12,882 | $2,367 | $2,141 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 35 | 35 | $11,551 | $2,770 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 33 | 32 | $7,991 | $1,375 | $1,196 |
| Level 2 Endovascular ProceduresAPC 5192 | 32 | 28 | $30,179 | $4,891 | $4,338 |
| Level 4 Gynecologic ProceduresAPC 5414 | 31 | 31 | $9,190 | $2,583 | $2,389 |
| Level 3 Lower GI ProceduresAPC 5313 | 29 | 28 | $6,760 | $2,427 | $2,176 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 28 | 27 | $17,083 | $3,145 | $2,930 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 24 | 24 | $42,509 | $9,813 | $8,569 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 22 | 22 | $32,604 | $5,580 | $4,982 |
| Level 3 Urology and Related ServicesAPC 5373 | 18 | 11 | $8,723 | $1,743 | $1,516 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 17 | 16 | $42,911 | $18,334 | $15,763 |
| Level 4 Endovascular ProceduresAPC 5194 | 17 | 14 | $68,493 | $16,147 | $14,606 |
| Level 2 Vascular ProceduresAPC 5182 | 14 | 14 | $4,024 | $1,370 | $1,204 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 14 | 14 | $13,772 | $2,960 | $2,636 |
| Level 6 Urology and Related ServicesAPC 5376 | 13 | 13 | $20,123 | $8,254 | $7,291 |
| Level 3 Upper GI ProceduresAPC 5303 | 12 | 12 | $10,794 | $3,277 | $2,888 |
| Level 5 Gynecologic ProceduresAPC 5415 | 11 | 11 | $11,205 | $4,256 | $3,792 |
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.