Montefiore St. Lukes Cornwall Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Montefiore St. Lukes Cornwall Hospital, Newburgh, NY in 2024, from traditional Medicare claims. Back to the Montefiore St. Lukes Cornwall Hospital profile, with quality ratings, finances and negotiated rates.
1,579
Medicare inpatient discharges
In 52 published DRGs
1.69
Case mix index
IPPS FY 2027
8%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
1,486
Medicare outpatient services
In 27 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases334 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 | 264 | $128,309 | $16,705 | $22,326 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 41 | $66,247 | $8,024 | $11,527 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 29 | $216,495 | $42,223 | $37,670 | 5.00 |
Circulatory system333 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 | 137 | $87,778 | $10,593 | $15,273 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 46 | $106,609 | $12,677 | $18,550 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 29 | $81,350 | $9,906 | $14,155 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 23 | $133,456 | $14,744 | $23,221 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 22 | $58,517 | $5,371 | $10,182 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 21 | $233,712 | $24,830 | $40,666 | 2.87 |
| Syncope and collapseMS-DRG 312, medical | 18 | $76,154 | $6,813 | $13,251 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 13 | $109,433 | $18,913 | $19,041 | 2.16 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 13 | $76,401 | $8,561 | $13,294 | 1.07 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 11 | $81,878 | $7,308 | $14,247 | 0.91 |
Respiratory system292 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 | 61 | $96,143 | $13,231 | $16,729 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 57 | $87,724 | $10,787 | $15,264 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 45 | $94,514 | $10,524 | $16,445 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 39 | $71,661 | $8,612 | $12,469 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 23 | $57,037 | $6,432 | $9,924 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 17 | $67,724 | $6,611 | $11,784 | 0.85 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 15 | $71,490 | $7,850 | $12,439 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $100,468 | $11,451 | $17,481 | 1.40 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 11 | $73,127 | $6,820 | $12,724 | 0.82 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 11 | $44,989 | $7,648 | $7,828 | 0.96 |
Nervous system143 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Transient ischemia without thrombolyticMS-DRG 069, medical | 30 | $62,265 | $6,032 | $10,834 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 26 | $103,104 | $15,859 | $17,940 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 26 | $82,848 | $7,825 | $14,416 | 1.02 |
| Seizures without MCCMS-DRG 101, medical | 18 | $60,851 | $6,939 | $10,588 | 0.91 |
| Seizures with MCCMS-DRG 100, medical | 15 | $111,643 | $16,390 | $19,426 | 1.98 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 14 | $76,078 | $10,614 | $13,238 | 1.36 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 14 | $116,609 | $14,019 | $20,290 | 1.79 |
Kidney and urinary tract140 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 31 | $87,649 | $9,222 | $15,251 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 31 | $87,880 | $13,160 | $15,291 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 24 | $101,826 | $11,325 | $17,718 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 22 | $75,751 | $6,005 | $13,181 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 21 | $71,649 | $7,335 | $12,467 | 0.90 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 11 | $56,679 | $10,752 | $9,862 | 1.35 |
Endocrine, nutritional and metabolic110 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 with MCCMS-DRG 640, medical | 44 | $87,320 | $11,333 | $15,194 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 38 | $51,200 | $5,975 | $8,909 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $90,005 | $11,296 | $15,661 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 14 | $78,120 | $6,761 | $13,593 | 0.90 |
Digestive system90 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 27 | $72,610 | $7,474 | $12,634 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 24 | $55,010 | $5,445 | $9,572 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 15 | $146,953 | $15,101 | $25,570 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $48,108 | $6,087 | $8,371 | 0.80 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 11 | $73,404 | $8,668 | $12,772 | 1.04 |
Musculoskeletal system and connective tissue66 discharges in 3 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 | $115,001 | $17,477 | $20,010 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 19 | $106,928 | $17,528 | $18,606 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 19 | $80,724 | $7,872 | $14,046 | 0.97 |
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 | 17 | $68,845 | $7,171 | $11,979 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 13 | $89,036 | $13,262 | $15,492 | 1.56 |
Skin, subcutaneous tissue and breast29 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 29 | $61,012 | $6,582 | $10,616 | 0.88 |
Mental diseases and disorders12 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 | 12 | $85,037 | $13,398 | $14,797 | 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 | 424 | 386 | $32,672 | $2,431 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 118 | 118 | $19,502 | $2,622 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 113 | 100 | $15,160 | $1,435 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 99 | 82 | $25,232 | $4,502 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 66 | 60 | $28,481 | $3,069 | $2,629 |
| Level 1 Nerve ProceduresAPC 5431 | 65 | 54 | $17,525 | $1,726 | $1,407 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 59 | 58 | $38,301 | $12,864 | $10,772 |
| Level 3 Endovascular ProceduresAPC 5193 | 56 | 51 | $81,884 | $10,327 | $8,874 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 55 | 55 | $23,873 | $2,524 | $2,141 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 42 | 40 | $29,409 | $6,346 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 39 | 39 | $23,136 | $2,776 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 36 | 33 | $20,762 | $2,854 | $2,373 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 35 | 35 | $29,435 | $5,142 | $4,358 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 29 | 29 | $19,628 | $3,096 | $2,636 |
| Level 2 Endovascular ProceduresAPC 5192 | 28 | 25 | $33,874 | $5,107 | $4,338 |
| Level 2 Upper GI ProceduresAPC 5302 | 27 | 24 | $13,932 | $1,691 | $1,445 |
| Level 2 Vascular ProceduresAPC 5182 | 26 | 24 | $9,459 | $1,423 | $1,204 |
| Level 3 Urology and Related ServicesAPC 5373 | 25 | 22 | $16,478 | $1,818 | $1,516 |
| Level 1 Intraocular ProceduresAPC 5491 | 25 | 14 | $18,268 | $2,079 | $1,752 |
| Level 3 Upper GI ProceduresAPC 5303 | 20 | 12 | $19,231 | $3,413 | $2,888 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 19 | 19 | $15,254 | $1,432 | $1,196 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 17 | 17 | $52,262 | $9,762 | $8,164 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 14 | 14 | $49,562 | $7,923 | $6,514 |
| Level 8 Urology and Related ServicesAPC 5378 | 13 | 11 | $49,173 | $20,815 | $17,428 |
| Level 4 Gynecologic ProceduresAPC 5414 | 13 | 13 | $17,765 | $2,777 | $2,389 |
| Level 4 Endovascular ProceduresAPC 5194 | 12 | $125,875 | $16,550 | $14,606 | |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 11 | $59,547 | $5,783 | $4,982 |
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.