Milford Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Milford Regional Medical Center, Milford, MA in 2024, from traditional Medicare claims. Back to the Milford Regional Medical Center profile, with quality ratings, finances and negotiated rates.
2,710
Medicare inpatient discharges
In 69 published DRGs
1.50
Case mix index
IPPS FY 2027
7%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
3,268
Medicare outpatient services
In 31 service groups
Inpatient stays by major diagnostic category
Respiratory system687 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 214 | $20,322 | $12,225 | $13,839 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 158 | $15,988 | $9,710 | $10,888 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 122 | $15,684 | $9,478 | $10,681 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 42 | $14,152 | $6,697 | $9,637 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 36 | $11,860 | $5,692 | $8,076 | 0.82 |
| Major chest procedures with CCMS-DRG 164, surgical | 20 | $51,372 | $20,458 | $34,984 | 2.55 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 19 | $44,609 | $14,520 | $30,379 | 1.88 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 18 | $17,135 | $8,456 | $11,669 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 16 | $18,428 | $10,320 | $12,549 | 1.40 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 16 | $11,603 | $7,355 | $7,902 | 0.96 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 15 | $22,835 | $14,074 | $15,551 | 1.74 |
| Pleural effusion with MCCMS-DRG 186, medical | 11 | $18,062 | $11,052 | $12,300 | 1.55 |
Infectious and parasitic diseases470 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 | 396 | $23,789 | $14,615 | $16,201 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 57 | $14,875 | $7,426 | $10,130 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 17 | $31,942 | $32,361 | $21,752 | 5.00 |
Circulatory system467 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 323 | $17,578 | $9,677 | $11,970 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 47 | $18,221 | $11,791 | $12,408 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 35 | $11,933 | $6,590 | $8,127 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 24 | $13,163 | $5,295 | $8,964 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 14 | $16,098 | $9,729 | $10,963 | 1.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 13 | $15,179 | $6,645 | $10,337 | 0.91 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 11 | $25,480 | $15,140 | $17,352 | 2.09 |
Digestive system337 discharges in 11 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 | 73 | $10,660 | $5,417 | $7,259 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 63 | $15,782 | $7,145 | $10,747 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 43 | $26,105 | $13,836 | $17,777 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 30 | $11,764 | $5,377 | $8,011 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 25 | $15,975 | $10,298 | $10,879 | 1.28 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 23 | $9,052 | $3,565 | $6,164 | 0.56 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 22 | $12,977 | $7,954 | $8,837 | 1.04 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 19 | $13,981 | $6,624 | $9,521 | 0.94 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 14 | $17,775 | $10,927 | $12,104 | 1.45 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $21,380 | $12,227 | $14,560 | 1.62 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 11 | $17,655 | $12,578 | $12,023 | 1.75 |
Kidney and urinary tract216 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 51 | $12,554 | $6,550 | $8,550 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 49 | $11,937 | $5,421 | $8,129 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 36 | $21,622 | $11,159 | $14,725 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 35 | $17,450 | $12,363 | $11,884 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 34 | $12,325 | $8,430 | $8,393 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 11 | $9,245 | $7,679 | $6,296 | 1.02 |
Musculoskeletal system and connective tissue133 discharges in 7 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 | 28 | $27,395 | $15,699 | $18,656 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 25 | $28,142 | $15,772 | $19,165 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 23 | $28,685 | $14,766 | $19,535 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 21 | $13,684 | $6,660 | $9,319 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 14 | $36,505 | $22,211 | $24,860 | 2.99 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 11 | $30,324 | $17,600 | $20,651 | 2.95 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 11 | $22,739 | $12,087 | $15,485 | 1.59 |
Nervous system112 discharges in 7 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 | 29 | $16,517 | $7,205 | $11,248 | 1.02 |
| Seizures without MCCMS-DRG 101, medical | 19 | $16,542 | $6,609 | $11,265 | 0.91 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 16 | $16,804 | $7,536 | $11,443 | 1.03 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 14 | $19,825 | $13,448 | $13,501 | 2.00 |
| Seizures with MCCMS-DRG 100, medical | 12 | $30,884 | $15,608 | $21,032 | 1.98 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 11 | $14,611 | $9,298 | $9,950 | 1.36 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 11 | $21,682 | $12,745 | $14,766 | 1.79 |
Endocrine, nutritional and metabolic81 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 | 30 | $12,212 | $5,666 | $8,317 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 20 | $13,004 | $6,593 | $8,856 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 20 | $16,957 | $9,758 | $11,548 | 1.32 |
| Endocrine disorders with CCMS-DRG 644, medical | 11 | $15,135 | $7,404 | $10,307 | 1.06 |
Blood and immune system69 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 28 | $14,745 | $6,892 | $10,042 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 26 | $16,708 | $11,325 | $11,378 | 1.40 |
| Coagulation disordersMS-DRG 813, medical | 15 | $15,658 | $12,901 | $10,663 | 1.56 |
Liver, gallbladder and pancreas55 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 17 | $13,912 | $7,931 | $9,474 | 1.09 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 15 | $25,394 | $13,199 | $17,294 | 1.83 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 12 | $23,713 | $15,758 | $16,148 | 1.92 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 11 | $21,212 | $12,743 | $14,445 | 1.63 |
Skin, subcutaneous tissue and breast48 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 30 | $10,418 | $5,961 | $7,094 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 18 | $18,180 | $11,234 | $12,381 | 1.49 |
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 without MCCMS-DRG 897, medical | 12 | $10,247 | $5,763 | $6,978 | 0.86 |
Factors influencing health status12 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 | 12 | $13,324 | $6,044 | $9,074 | 0.80 |
Injuries, poisonings and toxic effects of drugs11 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 | 11 | $23,789 | $10,493 | $16,200 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 1,600 | 1,283 | $7,424 | $2,333 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 177 | 158 | $5,502 | $1,370 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 147 | 143 | $24,188 | $12,413 | $10,772 |
| Level 3 Urology and Related ServicesAPC 5373 | 146 | 105 | $3,615 | $1,478 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 115 | 98 | $6,898 | $2,832 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 113 | 113 | $12,726 | $4,898 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 104 | 97 | $4,370 | $1,610 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 98 | 98 | $7,009 | $2,727 | $2,405 |
| Level 1 Nerve ProceduresAPC 5431 | 96 | 81 | $3,115 | $1,649 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 79 | 79 | $13,675 | $6,119 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 77 | 74 | $11,194 | $4,364 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 72 | 70 | $6,231 | $2,750 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 51 | 49 | $2,917 | $1,374 | $1,196 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 40 | 40 | $38,549 | $18,334 | $15,763 |
| Level 3 Lower GI ProceduresAPC 5313 | 39 | 39 | $3,959 | $2,514 | $2,176 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 35 | 35 | $10,509 | $2,959 | $2,636 |
| Level 4 Gynecologic ProceduresAPC 5414 | 34 | 34 | $6,956 | $2,673 | $2,389 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 28 | 24 | $8,232 | $3,244 | $2,930 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 24 | 24 | $29,409 | $9,813 | $8,569 |
| Level 1 Endovascular ProceduresAPC 5191 | 23 | 23 | $8,455 | $2,508 | $2,208 |
| Level 5 Gynecologic ProceduresAPC 5415 | 21 | 21 | $9,390 | $4,256 | $3,792 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 20 | 20 | $24,994 | $7,179 | $6,514 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 20 | 20 | $40,263 | $21,787 | $18,465 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 17 | 17 | $5,477 | $2,420 | $2,141 |
| Level 4 Airway EndoscopyAPC 5154 | 17 | 17 | $10,938 | $3,203 | $2,833 |
| Level 3 Airway EndoscopyAPC 5153 | 14 | 14 | $7,613 | $1,452 | $1,264 |
| Level 6 Gynecologic ProceduresAPC 5416 | 14 | 14 | $15,527 | $6,474 | $5,836 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 13 | 13 | $17,680 | $9,411 | $8,164 |
| Level 2 Vascular ProceduresAPC 5182 | 12 | $5,499 | $1,370 | $1,204 | |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 11 | 11 | $18,728 | $5,580 | $4,982 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 11 | 11 | $15,683 | $5,835 | $4,524 |
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.