Oneida Health Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Oneida Health Hospital, Oneida, NY in 2024, from traditional Medicare claims. Back to the Oneida Health Hospital profile, with quality ratings, finances and negotiated rates.
287
Medicare inpatient discharges
In 11 published DRGs
1.68
Case mix index
IPPS FY 2027
5%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
553
Medicare outpatient services
In 15 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases162 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 | 113 | $26,943 | $16,635 | $14,091 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 34 | $18,012 | $8,481 | $9,420 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 15 | $59,330 | $42,307 | $31,030 | 5.00 |
Respiratory system63 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 28 | $27,128 | $10,397 | $14,188 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 12 | $33,079 | $16,205 | $17,300 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $19,078 | $6,650 | $9,978 | 0.82 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 11 | $17,403 | $10,448 | $9,102 | 1.33 |
Kidney and urinary tract26 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 13 | $15,550 | $7,679 | $8,132 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 13 | $17,883 | $13,071 | $9,353 | 1.65 |
Circulatory system22 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 22 | $18,871 | $10,034 | $9,870 | 1.28 |
Endocrine, nutritional and metabolic14 discharges in 1 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 | 14 | $12,206 | $6,039 | $6,384 | 0.78 |
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 Upper GI ProceduresAPC 5302 | 101 | 92 | $7,986 | $1,617 | $1,445 |
| Comprehensive Observation ServicesAPC 8011 | 88 | 81 | $12,597 | $2,260 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 82 | 77 | $6,755 | $1,312 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 44 | 44 | $14,439 | $2,627 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 38 | 36 | $50,707 | $12,298 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 33 | 33 | $25,311 | $4,874 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 31 | 27 | $12,627 | $2,945 | $2,629 |
| Level 3 Lower GI ProceduresAPC 5313 | 24 | 22 | $9,416 | $2,075 | $2,176 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 22 | 22 | $15,146 | $2,923 | $2,636 |
| Level 4 Airway EndoscopyAPC 5154 | 17 | 17 | $15,123 | $3,163 | $2,833 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 16 | 16 | $30,905 | $5,509 | $4,982 |
| Level 3 Urology and Related ServicesAPC 5373 | 16 | 14 | $7,084 | $1,702 | $1,516 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 15 | 15 | $6,924 | $1,260 | $1,196 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 14 | 14 | $12,737 | $3,220 | $2,930 |
| Level 5 Urology and Related ServicesAPC 5375 | 12 | 11 | $18,147 | $4,371 | $3,918 |
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.