Montefiore New Rochelle Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Montefiore New Rochelle Hospital, New Rochelle, NY in 2024, from traditional Medicare claims. Back to the Montefiore New Rochelle Hospital profile, with quality ratings, finances and negotiated rates.
881
Medicare inpatient discharges
In 28 published DRGs
1.77
Case mix index
IPPS FY 2027
16%
Surgical stays
60%
Stays with complications
In DRGs with a CC or MCC
218
Medicare outpatient services
In 9 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases270 discharges in 4 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 | 191 | $94,098 | $19,426 | $28,700 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 36 | $63,680 | $9,021 | $19,422 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 31 | $251,531 | $65,506 | $76,717 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 12 | $146,635 | $39,592 | $44,724 | 5.00 |
Musculoskeletal system and connective tissue147 discharges in 3 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 | 101 | $62,907 | $17,659 | $19,187 | 1.88 |
| Bilateral or multiple major joint procedures of lower extremity without MCCMS-DRG 462, surgical | 31 | $130,787 | $25,286 | $39,890 | 2.85 |
| Medical back problems without MCCMS-DRG 552, medical | 15 | $52,701 | $8,999 | $16,074 | 0.97 |
Respiratory system145 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 40 | $106,927 | $15,090 | $32,613 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 30 | $79,817 | $15,970 | $24,344 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 27 | $82,708 | $11,891 | $25,226 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 18 | $67,031 | $9,234 | $20,445 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 18 | $49,057 | $7,723 | $14,962 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 12 | $68,674 | $9,878 | $20,945 | 1.10 |
Kidney and urinary tract98 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 33 | $44,724 | $7,390 | $13,641 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 26 | $64,201 | $10,532 | $19,581 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 21 | $89,865 | $12,796 | $27,409 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 18 | $58,494 | $8,452 | $17,841 | 0.90 |
Circulatory system94 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 65 | $71,918 | $12,405 | $21,935 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 17 | $45,152 | $7,997 | $13,771 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 12 | $35,913 | $5,920 | $10,953 | 0.74 |
Digestive system51 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 20 | $53,387 | $9,484 | $16,283 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 16 | $41,139 | $6,915 | $12,547 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 15 | $91,868 | $16,697 | $28,020 | 1.79 |
Endocrine, nutritional and metabolic36 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 with MCCMS-DRG 640, medical | 23 | $51,673 | $12,706 | $15,760 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 13 | $55,120 | $6,236 | $16,812 | 0.78 |
Nervous system24 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $60,150 | $11,987 | $18,346 | 1.36 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 11 | $98,694 | $20,210 | $30,102 | 2.00 |
Mental diseases and disorders16 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 | 16 | $52,746 | $14,843 | $16,087 | 1.76 |
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 | 56 | 56 | $45,423 | $13,316 | $10,772 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 47 | 46 | $10,116 | $1,456 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 24 | 23 | $19,265 | $2,935 | $2,373 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 19 | 19 | $19,731 | $3,123 | $2,636 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 18 | 18 | $30,418 | $6,508 | $5,339 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 15 | 15 | $10,836 | $1,470 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 14 | 14 | $14,757 | $2,890 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 14 | 14 | $17,876 | $4,687 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 11 | 11 | $17,593 | $3,161 | $2,629 |
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.