Mount Sinai Beth Israel Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mount Sinai Beth Israel, New York, NY in 2024, from traditional Medicare claims. Back to the Mount Sinai Beth Israel profile, with quality ratings, finances and negotiated rates.
3,089
Medicare inpatient discharges
In 82 published DRGs
1.54
Case mix index
IPPS FY 2027
5%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
1,818
Medicare outpatient services
In 27 service groups
Inpatient stays by major diagnostic category
Circulatory system689 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 187 | $113,449 | $13,974 | $25,526 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 126 | $126,831 | $17,042 | $28,537 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 103 | $61,386 | $8,749 | $13,812 | 0.86 |
| Chest painMS-DRG 313, medical | 43 | $49,448 | $6,860 | $11,126 | 0.72 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 31 | $52,643 | $7,570 | $11,845 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 24 | $65,413 | $9,234 | $14,718 | 0.91 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 23 | $101,862 | $20,837 | $22,919 | 2.09 |
| Hypertension without MCCMS-DRG 305, medical | 21 | $49,604 | $7,261 | $11,161 | 0.75 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 21 | $105,452 | $12,776 | $23,727 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 21 | $42,285 | $4,999 | $9,514 | 0.55 |
| Other vascular procedures with CCMS-DRG 253, surgical | 18 | $194,690 | $27,330 | $43,805 | 2.55 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 16 | $226,396 | $40,123 | $50,939 | 3.35 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 16 | $76,775 | $9,343 | $17,274 | 0.97 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 14 | $83,410 | $11,460 | $18,767 | 1.07 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 13 | $120,158 | $17,443 | $27,035 | 1.58 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 12 | $67,055 | $11,703 | $15,087 | 1.08 |
Infectious and parasitic diseases504 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 | 374 | $177,460 | $22,087 | $39,929 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 54 | $89,146 | $10,447 | $20,058 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 39 | $433,400 | $65,731 | $97,515 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 37 | $366,139 | $64,848 | $82,381 | 6.96 |
Respiratory system362 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 | $141,672 | $17,347 | $31,876 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 81 | $123,873 | $13,160 | $27,871 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 36 | $114,299 | $13,513 | $25,717 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 31 | $68,843 | $7,811 | $15,490 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 25 | $101,182 | $12,078 | $22,766 | 1.10 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 25 | $74,953 | $9,493 | $16,864 | 0.96 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 20 | $117,530 | $14,511 | $26,444 | 1.40 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 18 | $86,846 | $9,704 | $19,540 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 16 | $170,406 | $26,197 | $38,341 | 2.70 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 12 | $322,252 | $65,210 | $72,507 | 6.91 |
Kidney and urinary tract344 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 76 | $154,816 | $17,004 | $34,834 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 70 | $85,543 | $8,330 | $19,247 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 66 | $120,477 | $12,060 | $27,107 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 47 | $72,795 | $8,970 | $16,379 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 34 | $160,001 | $18,654 | $36,000 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 29 | $70,946 | $10,477 | $15,963 | 1.02 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 11 | $57,092 | $10,046 | $12,846 | 1.05 |
| Urinary stones without MCCMS-DRG 694, medical | 11 | $75,153 | $7,881 | $16,910 | 0.78 |
Digestive system296 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 | 62 | $76,538 | $7,908 | $17,221 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 39 | $147,062 | $18,598 | $33,089 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 36 | $78,560 | $9,967 | $17,676 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 34 | $119,419 | $12,878 | $26,869 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 29 | $73,601 | $9,061 | $16,560 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 24 | $143,992 | $17,434 | $32,398 | 1.62 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 21 | $106,924 | $8,019 | $24,058 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 13 | $309,729 | $49,247 | $69,689 | 4.52 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 13 | $194,622 | $25,706 | $43,790 | 2.37 |
| Digestive malignancy with MCCMS-DRG 374, medical | 13 | $223,064 | $23,136 | $50,189 | 2.10 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 12 | $112,121 | $14,888 | $25,227 | 1.45 |
Nervous system261 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 38 | $202,895 | $19,283 | $45,651 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 32 | $114,518 | $10,271 | $25,766 | 1.02 |
| Seizures with MCCMS-DRG 100, medical | 31 | $114,735 | $20,945 | $25,815 | 1.98 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 27 | $106,931 | $13,647 | $24,059 | 1.36 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 23 | $188,089 | $19,012 | $42,320 | 1.79 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 22 | $59,660 | $10,252 | $13,423 | 1.03 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 21 | $119,620 | $25,165 | $26,915 | 2.39 |
| Seizures without MCCMS-DRG 101, medical | 20 | $65,047 | $9,927 | $14,635 | 0.91 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 18 | $65,997 | $7,847 | $14,849 | 0.80 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 15 | $67,882 | $9,738 | $15,273 | 1.03 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 14 | $118,391 | $19,011 | $26,638 | 1.79 |
Endocrine, nutritional and metabolic199 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 | 93 | $134,175 | $14,820 | $30,189 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 44 | $66,726 | $7,547 | $15,013 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 42 | $124,913 | $15,361 | $28,105 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 20 | $69,988 | $8,570 | $15,747 | 0.90 |
Musculoskeletal system and connective tissue126 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 35 | $99,410 | $9,920 | $22,367 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 26 | $69,093 | $8,626 | $15,546 | 0.90 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 16 | $61,854 | $7,944 | $13,917 | 0.79 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 13 | $145,785 | $22,516 | $32,802 | 2.07 |
| Other musculoskeletal system and connective tissue diagnoses with MCCMS-DRG 564, medical | 13 | $122,351 | $16,808 | $27,529 | 1.56 |
| Medical back problems with MCCMS-DRG 551, medical | 12 | $165,749 | $18,385 | $37,293 | 1.70 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 11 | $102,724 | $20,207 | $23,113 | 1.88 |
Skin, subcutaneous tissue and breast75 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 60 | $86,827 | $8,992 | $19,536 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 15 | $105,367 | $14,934 | $23,708 | 1.49 |
Blood and immune system56 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 29 | $116,657 | $15,084 | $26,248 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 27 | $75,502 | $9,189 | $16,988 | 0.90 |
Mental diseases and disorders45 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 | 45 | $159,760 | $19,161 | $35,946 | 1.76 |
Ear, nose, mouth and throat41 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 41 | $55,371 | $6,784 | $12,459 | 0.74 |
Alcohol and drug use28 discharges in 1 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 | 28 | $85,696 | $15,727 | $19,282 | 1.61 |
Factors influencing health status23 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 | 23 | $72,059 | $7,949 | $16,213 | 0.80 |
Transplants, ECMO and tracheostomy (pre-MDC)15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 15 | $756,862 | $126,919 | $170,294 | 14.70 |
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 | $60,276 | $7,464 | $13,562 | 0.86 |
HIV infections11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| HIV with major related condition with MCCMS-DRG 974, medical | 11 | $200,314 | $36,437 | $45,071 | 2.92 |
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 2 Urology and Related ServicesAPC 5372 | 431 | 294 | $2,927 | $612 | $502 |
| Level 3 Urology and Related ServicesAPC 5373 | 173 | 152 | $9,527 | $1,817 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 173 | 150 | $17,042 | $3,070 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 136 | 125 | $18,834 | $2,531 | $2,141 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 124 | 119 | $8,199 | $1,448 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 103 | 93 | $22,686 | $4,603 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 77 | 73 | $29,657 | $6,257 | $5,339 |
| Level 3 Airway EndoscopyAPC 5153 | 70 | 45 | $4,470 | $1,501 | $1,264 |
| Level 3 Vascular ProceduresAPC 5183 | 54 | 52 | $14,497 | $2,861 | $2,405 |
| Level 5 ENT ProceduresAPC 5165 | 52 | 51 | $24,241 | $5,154 | $4,436 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 46 | 46 | $22,728 | $3,037 | $2,636 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 43 | 43 | $29,117 | $5,178 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 40 | 39 | $20,691 | $2,905 | $2,373 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 34 | 29 | $20,744 | $3,421 | $2,930 |
| Level 2 Upper GI ProceduresAPC 5302 | 33 | 29 | $12,528 | $1,705 | $1,445 |
| Level 3 Lower GI ProceduresAPC 5313 | 33 | 31 | $16,002 | $2,520 | $2,176 |
| Level 1 Nerve ProceduresAPC 5431 | 29 | 23 | $10,377 | $1,733 | $1,407 |
| Level 4 Vascular ProceduresAPC 5184 | 24 | 23 | $20,934 | $4,924 | $3,946 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 20 | 20 | $10,098 | $1,442 | $1,196 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 20 | 19 | $23,960 | $6,128 | $4,524 |
| Comprehensive Observation ServicesAPC 8011 | 20 | 20 | $19,140 | $2,457 | $2,090 |
| Level 4 Gynecologic ProceduresAPC 5414 | 16 | 15 | $14,711 | $2,806 | $2,389 |
| Level 5 Airway EndoscopyAPC 5155 | 15 | 15 | $27,284 | $6,142 | $5,183 |
| Cochlear Implant ProcedureAPC 5166 | 15 | 15 | $96,414 | $36,020 | $29,489 |
| Level 4 ENT ProceduresAPC 5164 | 14 | 14 | $10,875 | $2,889 | $2,217 |
| Level 6 Urology and Related ServicesAPC 5376 | 12 | 11 | $26,040 | $8,735 | $7,291 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 11 | $41,679 | $13,165 | $10,772 |
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.