Phelps Memorial Hospital Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Phelps Memorial Hospital Center, Sleepy Hollow, NY in 2024, from traditional Medicare claims. Back to the Phelps Memorial Hospital Center profile, with quality ratings, finances and negotiated rates.
1,551
Medicare inpatient discharges
In 54 published DRGs
1.75
Case mix index
IPPS FY 2027
9%
Surgical stays
78%
Stays with complications
In DRGs with a CC or MCC
1,694
Medicare outpatient services
In 30 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases413 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 | 332 | $117,256 | $18,204 | $24,507 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 47 | $74,474 | $8,301 | $15,565 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 34 | $252,501 | $47,448 | $52,773 | 5.00 |
Kidney and urinary tract220 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 | 70 | $80,255 | $9,727 | $16,773 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 43 | $60,070 | $6,760 | $12,555 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 42 | $101,868 | $16,191 | $21,290 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 18 | $85,889 | $12,733 | $17,951 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 18 | $58,253 | $9,014 | $12,175 | 1.02 |
| Renal failure with CCMS-DRG 683, medical | 15 | $68,865 | $7,424 | $14,393 | 0.90 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 14 | $74,580 | $11,598 | $15,587 | 1.35 |
Respiratory system179 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 79 | $115,349 | $14,180 | $24,108 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 43 | $81,816 | $11,014 | $17,100 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 18 | $84,470 | $11,178 | $17,654 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $60,569 | $6,497 | $12,659 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 13 | $75,801 | $9,179 | $15,842 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 11 | $60,572 | $7,700 | $12,660 | 0.99 |
Circulatory system164 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 96 | $91,482 | $11,167 | $19,120 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 17 | $65,512 | $7,288 | $13,692 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 15 | $54,023 | $6,140 | $11,291 | 0.74 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 14 | $209,080 | $31,521 | $43,698 | 3.35 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 11 | $80,399 | $11,717 | $16,803 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 11 | $71,189 | $10,832 | $14,879 | 1.20 |
Digestive system157 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 29 | $91,239 | $8,438 | $19,069 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 26 | $107,705 | $11,994 | $22,510 | 1.28 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 22 | $60,887 | $6,426 | $12,725 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 16 | $140,610 | $20,986 | $29,387 | 2.37 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 15 | $102,952 | $14,155 | $21,517 | 1.62 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 14 | $124,637 | $16,897 | $26,049 | 1.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 13 | $317,390 | $42,839 | $66,334 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 11 | $40,382 | $5,799 | $8,440 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 11 | $52,163 | $8,270 | $10,902 | 0.94 |
Nervous system110 discharges in 5 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 | $151,356 | $18,349 | $31,634 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 27 | $91,972 | $8,199 | $19,222 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 19 | $80,224 | $11,751 | $16,767 | 1.36 |
| Seizures without MCCMS-DRG 101, medical | 15 | $41,253 | $7,546 | $8,622 | 0.91 |
| Seizures with MCCMS-DRG 100, medical | 11 | $79,181 | $18,255 | $16,549 | 1.98 |
Musculoskeletal system and connective tissue103 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 | 21 | $66,155 | $7,636 | $13,826 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 20 | $108,070 | $18,183 | $22,587 | 2.07 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 14 | $52,916 | $7,243 | $11,059 | 0.90 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 13 | $84,039 | $8,854 | $17,564 | 1.09 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 12 | $135,302 | $18,822 | $28,278 | 2.11 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 12 | $68,556 | $6,565 | $14,328 | 0.82 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 11 | $92,599 | $14,076 | $19,353 | 1.82 |
Endocrine, nutritional and metabolic83 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 | 31 | $72,974 | $10,980 | $15,251 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 25 | $61,585 | $6,165 | $12,871 | 0.78 |
| Endocrine disorders with MCCMS-DRG 643, medical | 14 | $105,006 | $14,449 | $21,946 | 1.65 |
| Endocrine disorders with CCMS-DRG 644, medical | 13 | $75,756 | $9,037 | $15,833 | 1.06 |
Skin, subcutaneous tissue and breast37 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 24 | $65,640 | $7,189 | $13,719 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 13 | $122,207 | $12,283 | $25,541 | 1.49 |
Mental diseases and disorders22 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 | 22 | $79,486 | $14,463 | $16,613 | 1.76 |
Male reproductive system18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Transurethral prostatectomy with cc/mccMS-DRG 713, surgical | 18 | $139,150 | $15,304 | $29,082 | 1.45 |
Alcohol and drug use17 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 | 17 | $140,913 | $14,299 | $29,451 | 1.61 |
Blood and immune system15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 15 | $103,948 | $13,718 | $21,725 | 1.40 |
Ear, nose, mouth and throat13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 13 | $69,611 | $6,197 | $14,549 | 0.74 |
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 | 274 | 256 | $52,136 | $2,422 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 273 | 160 | $22,222 | $2,030 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 158 | 139 | $15,920 | $1,407 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 109 | 102 | $24,937 | $1,704 | $1,445 |
| Level 3 Urology and Related ServicesAPC 5373 | 100 | 87 | $17,896 | $1,747 | $1,516 |
| Level 5 Urology and Related ServicesAPC 5375 | 100 | 87 | $35,449 | $4,522 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 65 | 63 | $44,504 | $5,051 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 63 | 61 | $77,513 | $13,147 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 61 | 53 | $26,663 | $3,129 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 53 | 52 | $29,954 | $2,803 | $2,405 |
| Level 1 Nerve ProceduresAPC 5431 | 46 | 40 | $20,912 | $1,728 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 41 | 41 | $49,082 | $6,286 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 38 | 36 | $24,838 | $2,917 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 34 | 34 | $20,509 | $2,394 | $2,141 |
| Level 4 Vascular ProceduresAPC 5184 | 32 | 31 | $48,231 | $4,702 | $3,946 |
| Level 5 Airway EndoscopyAPC 5155 | 27 | 27 | $59,671 | $5,838 | $5,183 |
| Level 3 Lower GI ProceduresAPC 5313 | 23 | 22 | $26,151 | $2,566 | $2,176 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 23 | 21 | $43,679 | $3,050 | $2,636 |
| Level 4 Airway EndoscopyAPC 5154 | 20 | 19 | $24,294 | $3,352 | $2,833 |
| Level 2 Vascular ProceduresAPC 5182 | 18 | 18 | $6,491 | $1,291 | $1,204 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 17 | 17 | $81,664 | $9,711 | $8,164 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 16 | 16 | $29,337 | $7,527 | $6,514 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 14 | 11 | $12,816 | $1,416 | $1,196 |
| Level 5 ENT ProceduresAPC 5165 | 14 | 14 | $51,170 | $5,158 | $4,436 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 13 | 13 | $56,465 | $3,456 | $2,930 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 13 | 13 | $86,910 | $5,912 | $4,982 |
| Level 4 Gynecologic ProceduresAPC 5414 | 13 | 13 | $27,743 | $2,834 | $2,389 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 13 | 13 | $45,312 | $2,114 | $1,780 |
| Level 3 Endovascular ProceduresAPC 5193 | 12 | 12 | $73,770 | $10,687 | $8,874 |
| Level 3 Upper GI ProceduresAPC 5303 | 11 | 11 | $39,317 | $3,472 | $2,888 |
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.