Northern Dutchess Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Northern Dutchess Hospital, Rhinebeck, NY in 2024, from traditional Medicare claims. Back to the Northern Dutchess Hospital profile, with quality ratings, finances and negotiated rates.
974
Medicare inpatient discharges
In 36 published DRGs
1.55
Case mix index
IPPS FY 2027
14%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
1,128
Medicare outpatient services
In 20 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases284 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 | 214 | $45,436 | $17,130 | $16,039 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 44 | $27,954 | $8,231 | $9,868 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 15 | $143,225 | $42,167 | $50,558 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 11 | $43,505 | $18,128 | $15,357 | 2.04 |
Respiratory system183 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 51 | $47,983 | $15,589 | $16,938 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 51 | $32,769 | $11,410 | $11,568 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 23 | $26,441 | $6,824 | $9,334 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 21 | $33,164 | $10,794 | $11,707 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 14 | $30,948 | $9,119 | $10,925 | 1.10 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 12 | $22,485 | $7,313 | $7,937 | 0.85 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 11 | $27,775 | $7,863 | $9,805 | 0.99 |
Musculoskeletal system and connective tissue120 discharges in 5 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 | 64 | $49,959 | $16,808 | $17,635 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 15 | $53,815 | $18,283 | $18,997 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 15 | $60,380 | $18,817 | $21,314 | 2.11 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 13 | $60,779 | $24,541 | $21,455 | 2.67 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 13 | $28,538 | $7,096 | $10,074 | 0.90 |
Kidney and urinary tract105 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 30 | $26,179 | $7,660 | $9,241 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 22 | $31,366 | $10,420 | $11,072 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 21 | $34,336 | $15,181 | $12,121 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 16 | $29,101 | $12,738 | $10,273 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 16 | $27,232 | $6,920 | $9,613 | 0.81 |
Circulatory system91 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 | 62 | $34,170 | $11,554 | $12,062 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 18 | $21,310 | $6,033 | $7,523 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 11 | $47,499 | $17,080 | $16,767 | 2.16 |
Digestive system70 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 22 | $27,419 | $9,032 | $9,679 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 16 | $40,971 | $16,616 | $14,463 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $29,975 | $6,679 | $10,581 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 16 | $27,298 | $6,473 | $9,636 | 0.79 |
Nervous system48 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 19 | $30,352 | $8,660 | $10,714 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 17 | $44,744 | $17,503 | $15,795 | 2.00 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 12 | $25,502 | $12,056 | $9,002 | 1.36 |
Endocrine, nutritional and metabolic28 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 without MCCMS-DRG 641, medical | 15 | $25,634 | $6,171 | $9,049 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 13 | $40,939 | $11,733 | $14,451 | 1.32 |
Blood and immune system27 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 | 14 | $20,932 | $7,337 | $7,389 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 13 | $25,996 | $13,482 | $9,176 | 1.56 |
Skin, subcutaneous tissue and breast18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 18 | $22,565 | $7,217 | $7,965 | 0.88 |
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 | 244 | 237 | $33,634 | $12,687 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 162 | 156 | $14,692 | $2,324 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 154 | 114 | $7,473 | $2,008 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 94 | 90 | $6,368 | $1,413 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 86 | 86 | $13,615 | $2,541 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 57 | 57 | $13,898 | $4,956 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 42 | 41 | $18,561 | $6,266 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 41 | 40 | $11,621 | $2,685 | $2,405 |
| Level 4 Gynecologic ProceduresAPC 5414 | 34 | 33 | $9,134 | $2,649 | $2,389 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 33 | 33 | $7,956 | $2,744 | $2,373 |
| Level 2 Vascular ProceduresAPC 5182 | 25 | 22 | $3,709 | $1,383 | $1,204 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 24 | 24 | $9,642 | $2,416 | $2,141 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 24 | 24 | $8,056 | $1,393 | $1,196 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 22 | 22 | $28,850 | $7,769 | $6,514 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 20 | 20 | $17,073 | $9,838 | $8,164 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 16 | 15 | $14,393 | $3,020 | $2,636 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 13 | 13 | $31,752 | $5,667 | $4,982 |
| Level 1 Nerve ProceduresAPC 5431 | 13 | 11 | $6,417 | $1,731 | $1,407 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 12 | $19,241 | $3,247 | $2,930 | |
| Level 3 Urology and Related ServicesAPC 5373 | 12 | $8,077 | $1,822 | $1,516 |
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.