Plainview Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Plainview Hospital, Plainview, NY in 2024, from traditional Medicare claims. Back to the Plainview Hospital profile, with quality ratings, finances and negotiated rates.
3,043
Medicare inpatient discharges
In 75 published DRGs
1.51
Case mix index
IPPS FY 2027
7%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
824
Medicare outpatient services
In 19 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases689 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 | 532 | $103,356 | $17,566 | $24,082 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 83 | $59,111 | $8,088 | $13,773 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 45 | $164,412 | $42,266 | $38,308 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 16 | $327,741 | $67,796 | $76,364 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 13 | $89,069 | $16,690 | $20,753 | 2.04 |
Circulatory system515 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 214 | $80,230 | $11,207 | $18,694 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 53 | $52,909 | $7,748 | $12,328 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 40 | $50,719 | $5,646 | $11,818 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 26 | $72,576 | $12,771 | $16,910 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 26 | $69,109 | $9,666 | $16,102 | 1.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 22 | $56,852 | $6,700 | $13,246 | 0.91 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 20 | $88,103 | $14,032 | $20,528 | 1.58 |
| Hypertension without MCCMS-DRG 305, medical | 20 | $39,214 | $5,208 | $9,137 | 0.75 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 20 | $109,241 | $15,050 | $25,453 | 1.82 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 18 | $111,643 | $18,951 | $26,013 | 2.09 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 17 | $63,727 | $7,111 | $14,848 | 1.08 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 13 | $127,393 | $18,449 | $29,683 | 2.16 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 13 | $53,103 | $8,773 | $12,373 | 1.07 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 13 | $34,617 | $4,442 | $8,066 | 0.55 |
Respiratory system437 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 168 | $95,479 | $14,951 | $22,247 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 77 | $79,476 | $11,054 | $18,518 | 1.33 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 48 | $60,499 | $7,501 | $14,096 | 0.99 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 41 | $78,143 | $9,810 | $18,207 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 27 | $65,983 | $9,014 | $15,374 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $55,105 | $5,923 | $12,839 | 0.82 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 21 | $47,259 | $5,964 | $11,011 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 17 | $99,413 | $11,665 | $23,163 | 1.40 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 16 | $48,635 | $7,437 | $11,332 | 0.96 |
Kidney and urinary tract368 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 79 | $47,073 | $6,302 | $10,968 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 73 | $59,717 | $9,773 | $13,914 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 59 | $80,760 | $12,908 | $18,817 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 59 | $70,677 | $14,062 | $16,468 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 58 | $52,348 | $7,435 | $12,197 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 27 | $46,918 | $8,590 | $10,932 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 13 | $76,454 | $11,688 | $17,814 | 1.35 |
Digestive system251 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 52 | $66,077 | $8,148 | $15,396 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 50 | $42,699 | $6,110 | $9,949 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 40 | $108,247 | $16,074 | $25,222 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 29 | $69,765 | $10,624 | $16,255 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 22 | $48,308 | $7,162 | $11,256 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 17 | $48,787 | $5,727 | $11,367 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 16 | $113,471 | $19,679 | $26,439 | 2.37 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $76,831 | $14,274 | $17,902 | 1.62 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 11 | $60,816 | $8,423 | $14,170 | 1.04 |
Musculoskeletal system and connective tissue215 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 50 | $45,354 | $7,449 | $10,568 | 0.97 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 33 | $34,041 | $5,333 | $7,931 | 0.79 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 31 | $44,331 | $6,782 | $10,329 | 0.90 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 25 | $89,988 | $18,049 | $20,967 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 23 | $81,862 | $16,866 | $19,074 | 1.88 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 16 | $102,700 | $24,654 | $23,929 | 2.95 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 14 | $32,060 | $6,576 | $7,470 | 0.82 |
| Medical back problems with MCCMS-DRG 551, medical | 12 | $93,442 | $14,392 | $21,772 | 1.70 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 11 | $65,616 | $13,354 | $15,289 | 1.59 |
Nervous system160 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Transient ischemia without thrombolyticMS-DRG 069, medical | 49 | $52,007 | $5,834 | $12,118 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 38 | $61,991 | $7,948 | $14,444 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 25 | $84,882 | $16,990 | $19,777 | 2.00 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 24 | $54,949 | $11,739 | $12,803 | 1.36 |
| Seizures without MCCMS-DRG 101, medical | 24 | $55,958 | $7,432 | $13,038 | 0.91 |
Skin, subcutaneous tissue and breast110 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 76 | $44,254 | $6,986 | $10,311 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 19 | $72,338 | $12,658 | $16,855 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 15 | $47,255 | $6,921 | $11,010 | 0.91 |
Endocrine, nutritional and metabolic108 discharges in 5 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 | 36 | $69,322 | $11,965 | $16,152 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 22 | $34,997 | $6,001 | $8,154 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 19 | $48,338 | $6,240 | $11,263 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 16 | $61,266 | $9,810 | $14,275 | 1.45 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 15 | $95,551 | $15,113 | $22,263 | 1.98 |
Blood and immune system50 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 | 29 | $53,865 | $7,541 | $12,551 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 21 | $72,355 | $12,454 | $16,859 | 1.40 |
Factors influencing health status44 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 25 | $28,894 | $4,674 | $6,732 | 0.59 |
| Signs and symptoms without MCCMS-DRG 948, medical | 19 | $38,083 | $6,124 | $8,873 | 0.80 |
Mental diseases and disorders30 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 | 30 | $58,845 | $13,157 | $13,711 | 1.76 |
Liver, gallbladder and pancreas28 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 15 | $71,049 | $9,044 | $16,554 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 13 | $93,547 | $12,840 | $21,796 | 1.63 |
Ear, nose, mouth and throat27 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 27 | $51,621 | $5,413 | $12,028 | 0.74 |
Blood cancers and poorly differentiated neoplasms11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 11 | $121,683 | $30,007 | $28,352 | 3.13 |
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 1 Laparoscopy and Related ServicesAPC 5361 | 126 | 125 | $28,756 | $4,843 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 98 | 98 | $19,864 | $2,429 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 67 | 61 | $12,054 | $1,363 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 57 | 55 | $22,962 | $4,450 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 53 | 46 | $12,196 | $2,719 | $2,373 |
| Level 4 Urology and Related ServicesAPC 5374 | 52 | 48 | $17,312 | $2,954 | $2,629 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 50 | 48 | $51,235 | $12,591 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 44 | 39 | $10,330 | $1,705 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 43 | 42 | $19,957 | $2,972 | $2,636 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 33 | 32 | $30,933 | $6,351 | $5,339 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 30 | 28 | $12,256 | $1,414 | $1,196 |
| Level 4 Gynecologic ProceduresAPC 5414 | 30 | 30 | $15,937 | $2,769 | $2,389 |
| Level 3 Urology and Related ServicesAPC 5373 | 29 | 20 | $15,425 | $1,677 | $1,516 |
| Level 5 ENT ProceduresAPC 5165 | 25 | 24 | $27,148 | $4,963 | $4,436 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 24 | 24 | $19,321 | $2,402 | $2,141 |
| Level 2 Vascular ProceduresAPC 5182 | 19 | 19 | $5,362 | $1,352 | $1,204 |
| Level 3 Vascular ProceduresAPC 5183 | 17 | 17 | $12,165 | $2,693 | $2,405 |
| Level 6 Urology and Related ServicesAPC 5376 | 15 | 14 | $24,024 | $7,666 | $7,291 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 12 | 12 | $35,465 | $5,367 | $4,982 |
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.