Newyork-Presbyterian Queens Hospital Medicare inpatient and outpatient services

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

4,779
Medicare inpatient discharges
In 117 published DRGs
1.97
Case mix index
IPPS FY 2027
15%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
1,384
Medicare outpatient services
In 29 service groups

Inpatient stays by major diagnostic category

Infectious and parasitic diseases1,220 discharges in 5 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	896	$143,945	$20,187	$24,327	1.98
Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical	118	$376,766	$70,875	$63,673	6.96
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	100	$323,469	$52,373	$54,666	5.00
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	95	$71,084	$9,475	$12,013	1.03
Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical	11	$122,575	$19,263	$20,715	2.04

Circulatory system817 discharges in 23 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Heart failure and shock with MCCMS-DRG 291, medical	217	$109,164	$13,011	$18,449	1.28
Syncope and collapseMS-DRG 312, medical	102	$63,467	$8,170	$10,726	0.86
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical	53	$47,396	$6,771	$8,010	0.74
Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical	44	$184,546	$23,909	$31,188	2.16
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical	43	$117,569	$16,268	$19,869	1.59
Chest painMS-DRG 313, medical	35	$56,959	$7,124	$9,626	0.72
Other circulatory system diagnoses with MCCMS-DRG 314, medical	31	$123,544	$20,693	$20,879	2.09
Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical	27	$112,787	$34,020	$19,061	3.24
Peripheral vascular disorders with MCCMS-DRG 299, medical	26	$85,801	$15,834	$14,500	1.58
Hypertension without MCCMS-DRG 305, medical	25	$49,929	$7,048	$8,438	0.75
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical	25	$98,378	$12,547	$16,626	1.20
Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical	24	$135,461	$29,127	$22,893	2.87
Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical	21	$106,685	$15,261	$18,030	1.82
Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical	20	$73,006	$9,455	$12,338	1.08
Peripheral vascular disorders with CCMS-DRG 300, medical	18	$56,488	$10,466	$9,546	1.07
Other vascular procedures with MCCMS-DRG 252, surgical	16	$222,647	$37,895	$37,627	3.35
Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical	16	$187,604	$52,309	$31,705	4.88
Other vascular procedures with CCMS-DRG 253, surgical	15	$132,143	$26,768	$22,332	2.55
Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical	13	$430,368	$77,266	$72,732	7.80
Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical	12	$178,419	$32,009	$30,153	3.90
Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical	12	$58,078	$8,475	$9,815	0.91
Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical	11	$167,172	$34,352	$28,252	3.46
Other major cardiovascular procedures with MCCMS-DRG 270, surgical	11	$188,834	$50,016	$31,913	5.06

Respiratory system488 discharges in 14 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Respiratory infections and inflammations with MCCMS-DRG 177, medical	129	$122,882	$17,003	$20,767	1.70
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	114	$113,189	$13,095	$19,129	1.33
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	51	$72,425	$10,830	$12,240	1.10
Pulmonary edema and respiratory failureMS-DRG 189, medical	28	$81,715	$12,077	$13,810	1.23
Bronchitis and asthma with cc/mccMS-DRG 202, medical	23	$61,553	$9,151	$10,402	0.96
Simple pneumonia and pleurisy with CCMS-DRG 194, medical	22	$67,011	$7,886	$11,325	0.82
Respiratory infections and inflammations with CCMS-DRG 178, medical	20	$70,247	$9,553	$11,872	0.99
Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical	17	$144,990	$14,801	$24,503	1.40
Interstitial lung disease with MCCMS-DRG 196, medical	17	$151,870	$19,597	$25,666	1.90
Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical	17	$346,498	$69,366	$58,558	6.91
Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical	15	$214,487	$29,365	$36,248	2.70
Respiratory neoplasms with MCCMS-DRG 180, medical	12	$187,859	$16,548	$31,748	1.74
Major chest trauma with MCCMS-DRG 183, medical	12	$62,879	$16,110	$10,626	1.57
Major chest trauma with CCMS-DRG 184, medical	11	$57,905	$10,481	$9,786	1.05

Nervous system481 discharges in 20 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical	72	$155,583	$20,189	$26,293	2.00
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical	61	$94,238	$9,887	$15,926	1.02
Seizures without MCCMS-DRG 101, medical	45	$54,921	$8,753	$9,282	0.91
Degenerative nervous system disorders without MCCMS-DRG 057, medical	42	$69,833	$13,140	$11,802	1.36
Degenerative nervous system disorders with MCCMS-DRG 056, medical	30	$144,731	$23,233	$24,459	2.39
Seizures with MCCMS-DRG 100, medical	30	$104,102	$17,992	$17,593	1.98
Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical	20	$67,787	$12,474	$11,456	1.32
Transient ischemia without thrombolyticMS-DRG 069, medical	19	$49,920	$7,506	$8,437	0.80
Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical	17	$126,539	$26,100	$21,385	2.28
Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical	16	$273,012	$46,796	$46,139	4.42
Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical	15	$357,074	$64,010	$60,345	5.67
Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical	15	$75,485	$13,198	$12,757	1.36
Other cerebrovascular disorders with MCCMS-DRG 070, medical	14	$75,270	$15,235	$12,721	1.79
Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical	14	$139,822	$22,106	$23,630	2.27
Other cerebrovascular disorders with CCMS-DRG 071, medical	13	$118,319	$10,086	$19,996	1.06
Other disorders of nervous system with CCMS-DRG 092, medical	13	$64,873	$10,109	$10,963	1.03
Peripheral, cranial nerve and other nervous system procedures with MCCMS-DRG 040, surgical	12	$203,835	$37,547	$34,448	3.85
Peripheral, cranial nerve and other nervous system procedures with CC or peripheral neurMS-DRG 041, surgical	11	$101,751	$23,289	$17,196	2.23
Nervous system neoplasms with MCCMS-DRG 054, medical	11	$111,675	$14,488	$18,873	1.47
Other disorders of nervous system with MCCMS-DRG 091, medical	11	$87,404	$18,631	$14,771	1.79

Musculoskeletal system and connective tissue462 discharges in 16 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	124	$74,243	$17,980	$12,547	1.88
Hip and femur procedures except major joint with CCMS-DRG 481, surgical	52	$101,187	$19,962	$17,101	2.07
Medical back problems without MCCMS-DRG 552, medical	49	$65,183	$9,160	$11,016	0.97
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical	34	$96,764	$21,043	$16,353	2.11
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical	33	$51,249	$8,377	$8,661	0.90
Hip and femur procedures except major joint with MCCMS-DRG 480, surgical	27	$138,612	$30,354	$23,425	2.95
Medical back problems with MCCMS-DRG 551, medical	24	$99,599	$16,719	$16,832	1.70
Other musculoskeletal system and connective tissue diagnoses with CCMS-DRG 565, medical	18	$61,495	$9,809	$10,393	1.00
Fractures of hip and pelvis without MCCMS-DRG 536, medical	15	$44,699	$7,499	$7,554	0.79
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with MCCMS-DRG 562, medical	14	$84,005	$14,822	$14,197	1.52
Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical	13	$153,927	$29,934	$26,014	2.99
Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical	12	$83,441	$15,965	$14,101	1.59
Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical	12	$79,942	$24,152	$13,510	2.48
Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical	12	$99,725	$18,007	$16,853	1.82
Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical	12	$52,654	$7,041	$8,899	0.82
Bone diseases and arthropathies without MCCMS-DRG 554, medical	11	$48,064	$6,533	$8,123	0.82

Kidney and urinary tract445 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	118	$86,529	$11,443	$14,623	1.17
Kidney and urinary tract infections without MCCMS-DRG 690, medical	82	$62,996	$7,753	$10,646	0.81
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical	75	$139,557	$17,983	$23,585	1.65
Renal failure with CCMS-DRG 683, medical	70	$64,513	$8,648	$10,903	0.90
Renal failure with MCCMS-DRG 682, medical	55	$139,843	$17,380	$23,633	1.50
Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical	28	$74,807	$10,199	$12,642	1.02
Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical	17	$92,876	$11,860	$15,696	1.35

Digestive system377 discharges in 11 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Gastrointestinal hemorrhage with CCMS-DRG 378, medical	63	$77,210	$9,313	$13,048	0.98
Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical	62	$57,645	$7,619	$9,742	0.79
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical	59	$116,092	$17,546	$19,620	1.79
Other digestive system diagnoses with MCCMS-DRG 393, medical	49	$125,663	$17,579	$21,237	1.62
Other digestive system diagnoses with CCMS-DRG 394, medical	49	$66,545	$9,379	$11,246	0.94
Major small and large bowel procedures with CCMS-DRG 330, surgical	19	$140,142	$20,160	$23,684	2.37
Digestive malignancy with MCCMS-DRG 374, medical	19	$159,506	$21,094	$26,957	2.10
Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical	18	$108,828	$11,149	$18,392	1.28
Major small and large bowel procedures with MCCMS-DRG 329, surgical	14	$139,263	$41,881	$23,535	4.52
Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical	13	$103,325	$16,388	$17,462	1.75
Gastrointestinal obstruction with CCMS-DRG 389, medical	12	$66,944	$7,000	$11,313	0.80

Endocrine, nutritional and metabolic200 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	66	$82,289	$12,422	$13,907	1.32
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical	45	$56,508	$7,571	$9,550	0.78
Diabetes with CCMS-DRG 638, medical	33	$51,464	$8,143	$8,697	0.90
Diabetes with MCCMS-DRG 637, medical	23	$136,366	$16,782	$23,046	1.45
Endocrine disorders with MCCMS-DRG 643, medical	18	$93,723	$16,632	$15,839	1.65
Endocrine disorders with CCMS-DRG 644, medical	15	$71,617	$10,340	$12,103	1.06

Blood and immune system58 discharges in 3 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Red blood cell disorders with MCCMS-DRG 811, medical	23	$82,423	$14,225	$13,930	1.40
Red blood cell disorders without MCCMS-DRG 812, medical	22	$48,910	$8,161	$8,266	0.90
Coagulation disordersMS-DRG 813, medical	13	$101,244	$16,272	$17,110	1.56

Skin, subcutaneous tissue and breast55 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Cellulitis without MCCMS-DRG 603, medical	36	$79,968	$9,009	$13,515	0.88
Cellulitis with MCCMS-DRG 602, medical	19	$112,214	$15,254	$18,964	1.49

Transplants, ECMO and tracheostomy (pre-MDC)39 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical	21	$1,170,886	$171,438	$197,880	21.32
Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical	18	$923,602	$124,207	$156,089	14.70

Ear, nose, mouth and throat30 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
DysequilibriumMS-DRG 149, medical	30	$65,101	$6,895	$11,002	0.74

Factors influencing health status27 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	27	$54,053	$6,710	$9,135	0.80

Liver, gallbladder and pancreas25 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical	14	$84,107	$16,638	$14,214	1.63
Disorders of the biliary tract with CCMS-DRG 445, medical	11	$82,287	$9,723	$13,907	1.09

Multiple significant trauma24 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Other multiple significant trauma with CCMS-DRG 964, medical	13	$62,086	$13,977	$10,493	1.50
Limb reattachment, hip and femur procedures for multiple significant traumaMS-DRG 956, surgical	11	$148,028	$34,954	$25,017	3.88

Other17 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical	17	$271,988	$51,396	$45,966	4.74

Injuries, poisonings and toxic effects of drugs14 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Complications of treatment with MCCMS-DRG 919, medical	14	$108,440	$19,366	$18,326	1.82

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 Excision/ Biopsy/ Incision and DrainageAPC 5072	122	112	$9,894	$1,438	$1,220
Level 1 Endovascular ProceduresAPC 5191	101	101	$16,920	$2,637	$2,208
Level 4 Musculoskeletal ProceduresAPC 5114	93	88	$29,162	$6,506	$5,339
Level 4 Urology and Related ServicesAPC 5374	90	76	$18,948	$3,088	$2,629
Level 2 Upper GI ProceduresAPC 5302	78	73	$12,082	$1,707	$1,445
Level 1 Intraocular ProceduresAPC 5491	75	51	$18,183	$2,113	$1,752
Level 3 Electrophysiologic ProceduresAPC 5213	73	72	$71,499	$25,316	$21,117
Level 2 Musculoskeletal ProceduresAPC 5112	69	65	$14,542	$1,453	$1,196
Level 5 Urology and Related ServicesAPC 5375	65	60	$22,667	$4,691	$3,918
Level 1 Laparoscopy and Related ServicesAPC 5361	60	60	$28,799	$5,144	$4,358
Level 3 Endovascular ProceduresAPC 5193	56	51	$29,885	$10,864	$8,874
Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091	51	47	$22,021	$3,456	$2,930
Level 3 Urology and Related ServicesAPC 5373	51	41	$17,773	$1,755	$1,516
Level 3 Vascular ProceduresAPC 5183	39	39	$25,353	$2,890	$2,405
Level 3 Lower GI ProceduresAPC 5313	34	33	$16,356	$2,582	$2,176
Level 1 Nerve ProceduresAPC 5431	34	27	$10,449	$1,751	$1,407
Level 3 Musculoskeletal ProceduresAPC 5113	33	33	$18,559	$2,930	$2,373
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341	33	33	$25,185	$3,137	$2,636
Level 5 Musculoskeletal ProceduresAPC 5115	29	28	$40,598	$12,398	$10,772
Level 3 Pacemaker and Similar ProceduresAPC 5223	25	25	$36,851	$10,479	$8,569
Level 4 Vascular ProceduresAPC 5184	23	22	$18,404	$4,766	$3,946
Level 4 Gynecologic ProceduresAPC 5414	23	23	$17,687	$2,704	$2,389
Level 3 Upper GI ProceduresAPC 5303	22	22	$11,930	$3,465	$2,888
Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092	21	21	$35,804	$5,912	$4,982
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073	20	20	$19,117	$2,447	$2,141
Level 2 Endovascular ProceduresAPC 5192	19	19	$33,492	$5,182	$4,338
Level 2 Pacemaker and Similar ProceduresAPC 5222	17	17	$24,426	$8,029	$6,514
Level 2 Laparoscopy and Related ServicesAPC 5362	15	15	$42,065	$10,066	$8,164
Complex GI ProceduresAPC 5331	13		$19,479	$5,167	$4,263

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.