Pmh - Waterbury Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Pmh - Waterbury Hospital, Waterbury, CT in 2024, from traditional Medicare claims. Back to the Pmh - Waterbury Hospital profile, with quality ratings, finances and negotiated rates.
1,316
Medicare inpatient discharges
In 38 published DRGs
1.79
Case mix index
IPPS FY 2027
10%
Surgical stays
80%
Stays with complications
In DRGs with a CC or MCC
929
Medicare outpatient services
In 23 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases398 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 | 306 | $91,473 | $18,028 | $22,411 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 45 | $46,658 | $8,397 | $11,431 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 33 | $285,168 | $48,929 | $69,866 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 14 | $289,862 | $73,202 | $71,016 | 6.96 |
Circulatory system307 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 112 | $65,019 | $11,263 | $15,930 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 62 | $73,048 | $13,164 | $17,897 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 33 | $38,907 | $5,760 | $9,532 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 25 | $46,762 | $7,896 | $11,457 | 0.91 |
| Syncope and collapseMS-DRG 312, medical | 23 | $37,630 | $7,692 | $9,219 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 15 | $109,618 | $16,389 | $26,856 | 1.82 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 14 | $149,832 | $27,728 | $36,709 | 3.24 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 12 | $38,680 | $9,545 | $9,477 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 11 | $161,733 | $23,401 | $39,625 | 2.87 |
Respiratory system182 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 69 | $78,239 | $14,843 | $19,169 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 51 | $66,200 | $10,843 | $16,219 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 42 | $66,097 | $11,554 | $16,194 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 20 | $61,164 | $9,905 | $14,985 | 1.10 |
Kidney and urinary tract132 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 47 | $63,295 | $11,272 | $15,507 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 40 | $80,671 | $12,067 | $19,764 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 25 | $41,208 | $7,689 | $10,096 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 20 | $45,680 | $14,346 | $11,192 | 1.65 |
Endocrine, nutritional and metabolic69 discharges in 3 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 | $61,921 | $10,883 | $15,171 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 21 | $77,632 | $12,875 | $19,020 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 12 | $33,368 | $6,066 | $8,175 | 0.78 |
Nervous system62 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 | 26 | $60,041 | $7,981 | $14,710 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 24 | $99,098 | $16,625 | $24,279 | 2.00 |
| Seizures with MCCMS-DRG 100, medical | 12 | $71,418 | $17,731 | $17,497 | 1.98 |
Digestive system61 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 17 | $41,949 | $6,711 | $10,277 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 16 | $133,243 | $21,760 | $32,645 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 15 | $106,961 | $13,952 | $26,206 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $34,950 | $6,804 | $8,563 | 0.80 |
Musculoskeletal system and connective tissue60 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 17 | $140,760 | $27,297 | $34,486 | 2.95 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 17 | $101,914 | $15,488 | $24,969 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 15 | $40,562 | $8,084 | $9,938 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 11 | $89,680 | $19,069 | $21,972 | 2.11 |
Blood and immune system19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 19 | $62,559 | $13,825 | $15,327 | 1.56 |
Skin, subcutaneous tissue and breast14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 14 | $42,938 | $7,389 | $10,520 | 0.88 |
Factors influencing health status12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 12 | $16,306 | $5,606 | $3,995 | 0.59 |
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 | 306 | 266 | $25,066 | $2,408 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 82 | 81 | $40,671 | $2,581 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 54 | 54 | $65,593 | $12,781 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 53 | 46 | $19,757 | $1,386 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 49 | 43 | $30,085 | $4,599 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 43 | 36 | $24,346 | $3,018 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 42 | 40 | $27,478 | $2,833 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 41 | 25 | $21,083 | $1,810 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 30 | 30 | $40,557 | $5,034 | $4,358 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 26 | 25 | $30,648 | $3,009 | $2,636 |
| Level 3 Endovascular ProceduresAPC 5193 | 24 | 23 | $75,048 | $10,184 | $8,874 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 19 | 17 | $19,392 | $1,424 | $1,196 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 19 | 19 | $65,507 | $7,839 | $6,514 |
| Level 3 Lower GI ProceduresAPC 5313 | 18 | 17 | $26,578 | $2,496 | $2,176 |
| Level 2 Vascular ProceduresAPC 5182 | 16 | 16 | $6,123 | $1,420 | $1,204 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 15 | 14 | $32,070 | $3,149 | $2,930 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 15 | 15 | $46,428 | $6,352 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 14 | 14 | $34,157 | $2,877 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 13 | 13 | $25,082 | $2,425 | $2,141 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 13 | 13 | $95,958 | $19,105 | $15,763 |
| Level 4 Vascular ProceduresAPC 5184 | 13 | 13 | $49,240 | $4,884 | $3,946 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 13 | 12 | $75,697 | $10,264 | $8,569 |
| Level 2 Endovascular ProceduresAPC 5192 | 11 | 11 | $62,866 | $5,080 | $4,338 |
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.