Montefiore Nyack Hospital Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Montefiore Nyack Hospital, Nyack, NY in 2024, from traditional Medicare claims. Back to the Montefiore Nyack Hospital profile, with quality ratings, finances and negotiated rates.

2,548
Medicare inpatient discharges
In 70 published DRGs
1.73
Case mix index
IPPS FY 2027
8%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
1,808
Medicare outpatient services
In 27 service groups

Inpatient stays by major diagnostic category

Infectious and parasitic diseases701 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	527	$128,643	$16,002	$22,513	1.98
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	74	$67,572	$7,550	$11,825	1.03
Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical	51	$306,436	$53,556	$53,626	6.96
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	49	$219,210	$40,078	$38,362	5.00

Circulatory system322 discharges in 10 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Heart failure and shock with MCCMS-DRG 291, medical	157	$83,663	$10,272	$14,641	1.28
Syncope and collapseMS-DRG 312, medical	27	$57,024	$6,556	$9,979	0.86
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical	22	$94,225	$12,249	$16,489	1.59
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical	22	$54,715	$5,562	$9,575	0.74
Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical	19	$70,559	$13,886	$12,348	1.82
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical	17	$65,439	$9,332	$11,452	1.20
Hypertension without MCCMS-DRG 305, medical	16	$53,669	$4,978	$9,392	0.75
Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical	16	$32,569	$3,770	$5,700	0.55
Peripheral vascular disorders with MCCMS-DRG 299, medical	14	$112,790	$12,722	$19,738	1.58
Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical	12	$48,903	$7,213	$8,558	0.91

Respiratory system318 discharges in 8 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Respiratory infections and inflammations with MCCMS-DRG 177, medical	123	$102,342	$13,261	$17,910	1.70
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	65	$90,982	$10,385	$15,922	1.33
Pulmonary edema and respiratory failureMS-DRG 189, medical	32	$87,335	$9,610	$15,284	1.23
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	32	$97,690	$8,624	$17,096	1.10
Simple pneumonia and pleurisy with CCMS-DRG 194, medical	25	$60,674	$5,818	$10,618	0.82
Respiratory infections and inflammations with CCMS-DRG 178, medical	18	$58,748	$7,635	$10,281	0.99
Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical	12	$134,021	$18,823	$23,454	2.70
Chronic obstructive pulmonary disease with CCMS-DRG 191, medical	11	$103,459	$6,699	$18,105	0.85

Kidney and urinary tract299 discharges in 7 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Kidney and urinary tract infections with MCCMS-DRG 689, medical	89	$82,310	$9,371	$14,404	1.17
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical	67	$142,073	$13,622	$24,863	1.65
Kidney and urinary tract infections without MCCMS-DRG 690, medical	49	$56,820	$6,137	$9,944	0.81
Renal failure with CCMS-DRG 683, medical	36	$64,605	$6,453	$11,306	0.90
Renal failure with MCCMS-DRG 682, medical	34	$109,058	$11,338	$19,085	1.50
Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical	12	$68,878	$9,734	$12,054	1.35
Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical	12	$69,446	$7,869	$12,153	1.02

Nervous system222 discharges in 10 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Other disorders of nervous system with CCMS-DRG 092, medical	36	$71,706	$7,848	$12,549	1.03
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical	33	$124,525	$16,276	$21,792	2.00
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical	30	$84,222	$7,720	$14,739	1.02
Transient ischemia without thrombolyticMS-DRG 069, medical	24	$63,596	$6,069	$11,129	0.80
Degenerative nervous system disorders without MCCMS-DRG 057, medical	23	$86,093	$10,895	$15,066	1.36
Seizures without MCCMS-DRG 101, medical	22	$76,004	$6,972	$13,301	0.91
Seizures with MCCMS-DRG 100, medical	16	$90,716	$15,641	$15,875	1.98
Other disorders of nervous system with MCCMS-DRG 091, medical	15	$67,106	$13,895	$11,744	1.79
Degenerative nervous system disorders with MCCMS-DRG 056, medical	12	$137,537	$19,412	$24,069	2.39
Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical	11	$81,440	$10,366	$14,252	1.32

Digestive system209 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	43	$73,334	$5,788	$12,833	0.79
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical	34	$100,055	$14,854	$17,510	1.79
Gastrointestinal hemorrhage with CCMS-DRG 378, medical	34	$80,589	$7,417	$14,103	0.98
Gastrointestinal obstruction with CCMS-DRG 389, medical	22	$49,340	$5,959	$8,635	0.80
Other digestive system diagnoses with MCCMS-DRG 393, medical	18	$69,260	$13,537	$12,121	1.62
Other digestive system diagnoses with CCMS-DRG 394, medical	17	$68,325	$7,475	$11,957	0.94
Major small and large bowel procedures with CCMS-DRG 330, surgical	15	$123,381	$18,444	$21,592	2.37
Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical	14	$84,240	$10,414	$14,742	1.28
Major small and large bowel procedures with MCCMS-DRG 329, surgical	12	$193,616	$33,538	$33,883	4.52

Musculoskeletal system and connective tissue167 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	37	$96,500	$16,626	$16,887	2.07
Medical back problems without MCCMS-DRG 552, medical	32	$64,340	$7,046	$11,260	0.97
Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical	26	$80,133	$15,078	$14,023	1.88
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical	25	$101,742	$16,959	$17,805	2.11
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical	18	$52,247	$6,711	$9,143	0.90
Fractures of hip and pelvis without MCCMS-DRG 536, medical	16	$66,297	$5,650	$11,602	0.79
Hip and femur procedures except major joint with MCCMS-DRG 480, surgical	13	$157,400	$23,772	$27,545	2.95

Endocrine, nutritional and metabolic125 discharges in 6 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	35	$78,361	$10,315	$13,713	1.32
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical	28	$58,969	$5,854	$10,320	0.78
Diabetes with CCMS-DRG 638, medical	19	$63,735	$6,907	$11,154	0.90
Diabetes with MCCMS-DRG 637, medical	16	$102,234	$11,460	$17,891	1.45
Endocrine disorders with CCMS-DRG 644, medical	14	$57,028	$8,164	$9,980	1.06
Endocrine disorders with MCCMS-DRG 643, medical	13	$126,132	$13,191	$22,073	1.65

Skin, subcutaneous tissue and breast56 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Cellulitis without MCCMS-DRG 603, medical	42	$53,048	$6,616	$9,283	0.88
Cellulitis with MCCMS-DRG 602, medical	14	$116,506	$15,064	$20,388	1.49

Blood and immune system48 discharges in 3 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Coagulation disordersMS-DRG 813, medical	23	$76,729	$12,735	$13,428	1.56
Red blood cell disorders with MCCMS-DRG 811, medical	14	$87,819	$10,391	$15,368	1.40
Red blood cell disorders without MCCMS-DRG 812, medical	11	$68,027	$6,901	$11,905	0.90

Alcohol and drug use35 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Alcohol, drug abuse or dependence with rehabilitation therapyMS-DRG 895, medical	24	$98,120	$12,724	$17,171	1.61
Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical	11	$64,036	$5,839	$11,206	0.86

Mental diseases and disorders34 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	34	$85,935	$12,520	$15,039	1.76

Liver, gallbladder and pancreas12 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical	12	$129,618	$14,685	$22,683	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
Comprehensive Observation ServicesAPC 8011	527	498	$48,733	$2,462	$2,090
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	181	147	$12,593	$1,441	$1,220
Level 5 Musculoskeletal ProceduresAPC 5115	121	117	$45,793	$13,250	$10,772
Level 2 Musculoskeletal ProceduresAPC 5112	90	88	$14,613	$1,251	$1,196
Level 3 Musculoskeletal ProceduresAPC 5113	87	86	$21,413	$2,632	$2,373
Level 4 Musculoskeletal ProceduresAPC 5114	81	78	$37,741	$6,006	$5,339
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073	70	68	$24,177	$2,514	$2,141
Level 2 Upper GI ProceduresAPC 5302	66	63	$13,426	$1,724	$1,445
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341	66	66	$20,606	$3,081	$2,636
Level 1 Laparoscopy and Related ServicesAPC 5361	58	57	$29,067	$5,210	$4,358
Level 4 Urology and Related ServicesAPC 5374	53	49	$23,120	$3,070	$2,629
Level 1 Nerve ProceduresAPC 5431	53	46	$14,963	$1,564	$1,407
Level 1 Endovascular ProceduresAPC 5191	52	50	$26,237	$2,593	$2,208
Level 5 Urology and Related ServicesAPC 5375	45	43	$26,624	$4,681	$3,918
Level 3 Vascular ProceduresAPC 5183	42	41	$20,340	$2,882	$2,405
Level 3 Urology and Related ServicesAPC 5373	40	30	$23,990	$1,834	$1,516
Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091	23	21	$28,879	$3,438	$2,930
Level 3 Endovascular ProceduresAPC 5193	21	20	$40,040	$10,868	$8,874
Level 1 Intraocular ProceduresAPC 5491	21	16	$20,801	$1,890	$1,752
Level 6 Musculoskeletal ProceduresAPC 5116	19	19	$76,577	$19,521	$15,763
Level 4 Gynecologic ProceduresAPC 5414	17	17	$24,117	$2,823	$2,389
Level 4 Airway EndoscopyAPC 5154	14	14	$25,749	$3,366	$2,833
Level 2 Vascular ProceduresAPC 5182	13	13	$13,509	$1,445	$1,204
Level 2 Endovascular ProceduresAPC 5192	13	13	$23,288	$5,158	$4,338
Level 5 Airway EndoscopyAPC 5155	12	12	$34,348	$6,107	$5,183
Level 3 Lower GI ProceduresAPC 5313	12	11	$20,706	$2,546	$2,176
Level 2 Pacemaker and Similar ProceduresAPC 5222	11	11	$26,253	$7,941	$6,514

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.