Richmond University Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Richmond University Medical Center, Staten Island, NY in 2024, from traditional Medicare claims. Back to the Richmond University Medical Center profile, with quality ratings, finances and negotiated rates.
1,265
Medicare inpatient discharges
In 44 published DRGs
1.89
Case mix index
IPPS FY 2027
6%
Surgical stays
66%
Stays with complications
In DRGs with a CC or MCC
934
Medicare outpatient services
In 25 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases299 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 | 190 | $125,269 | $22,616 | $23,551 | 1.98 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 53 | $240,799 | $75,238 | $45,270 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 32 | $263,284 | $56,250 | $49,497 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 24 | $97,409 | $11,623 | $18,313 | 1.03 |
Respiratory system237 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 76 | $85,662 | $14,226 | $16,104 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 73 | $98,116 | $18,471 | $18,446 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 36 | $60,023 | $14,204 | $11,284 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 24 | $57,495 | $12,341 | $10,809 | 1.10 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 16 | $265,313 | $75,154 | $49,879 | 6.91 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 12 | $114,058 | $31,246 | $21,443 | 2.70 |
Circulatory system165 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Syncope and collapseMS-DRG 312, medical | 48 | $71,835 | $9,226 | $13,505 | 0.86 |
| Heart failure and shock with MCCMS-DRG 291, medical | 40 | $91,339 | $16,161 | $17,172 | 1.28 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 19 | $183,642 | $25,893 | $34,525 | 2.09 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 18 | $111,907 | $17,073 | $21,039 | 1.59 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 15 | $53,168 | $6,245 | $9,996 | 0.55 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 13 | $65,366 | $8,519 | $12,289 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 12 | $59,075 | $10,230 | $11,106 | 0.91 |
Kidney and urinary tract142 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 37 | $69,092 | $13,434 | $12,989 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 37 | $138,835 | $18,992 | $26,101 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 22 | $56,920 | $8,624 | $10,701 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 19 | $112,175 | $14,682 | $21,089 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 15 | $56,452 | $11,910 | $10,613 | 1.02 |
| Renal failure with CCMS-DRG 683, medical | 12 | $73,738 | $9,454 | $13,863 | 0.90 |
Endocrine, nutritional and metabolic94 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 | 33 | $76,108 | $14,698 | $14,308 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 23 | $74,088 | $9,620 | $13,928 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 21 | $83,801 | $16,464 | $15,755 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 17 | $66,196 | $10,233 | $12,445 | 0.90 |
Digestive system89 discharges in 5 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 | 30 | $62,536 | $8,628 | $11,757 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 17 | $79,385 | $11,347 | $14,924 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 17 | $79,336 | $14,430 | $14,915 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $137,741 | $16,928 | $25,895 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 11 | $347,711 | $46,632 | $65,370 | 4.52 |
Nervous system79 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 25 | $143,857 | $23,801 | $27,045 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 19 | $83,092 | $11,160 | $15,621 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 18 | $68,274 | $8,619 | $12,836 | 0.80 |
| Seizures without MCCMS-DRG 101, medical | 17 | $66,020 | $10,002 | $12,412 | 0.91 |
Skin, subcutaneous tissue and breast49 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 30 | $60,662 | $9,810 | $11,404 | 0.88 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 19 | $49,633 | $9,481 | $9,331 | 0.91 |
Blood and immune system40 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 23 | $137,053 | $18,543 | $25,766 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 17 | $77,284 | $10,147 | $14,529 | 0.90 |
Musculoskeletal system and connective tissue38 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 19 | $138,870 | $22,351 | $26,108 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 19 | $71,693 | $10,330 | $13,478 | 0.97 |
Transplants, ECMO and tracheostomy (pre-MDC)20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 20 | $596,630 | $158,743 | $112,166 | 14.70 |
Injuries, poisonings and toxic effects of drugs13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Traumatic injury without MCCMS-DRG 914, medical | 13 | $49,371 | $9,553 | $9,282 | 0.91 |
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 | 196 | 186 | $32,111 | $2,438 | $2,090 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 69 | 67 | $26,923 | $5,123 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 65 | 65 | $22,479 | $2,498 | $2,208 |
| Level 4 Urology and Related ServicesAPC 5374 | 60 | 49 | $13,279 | $3,157 | $2,629 |
| Level 4 Gynecologic ProceduresAPC 5414 | 57 | 57 | $14,217 | $2,785 | $2,389 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 50 | 45 | $13,424 | $1,435 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 32 | 31 | $20,470 | $4,400 | $3,918 |
| Level 6 Urology and Related ServicesAPC 5376 | 32 | 32 | $40,167 | $8,563 | $7,291 |
| Level 3 Vascular ProceduresAPC 5183 | 31 | 29 | $18,533 | $2,750 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 29 | 26 | $98,813 | $10,866 | $8,874 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 28 | 28 | $16,039 | $2,576 | $2,141 |
| Level 1 Intraocular ProceduresAPC 5491 | 28 | 23 | $22,324 | $2,106 | $1,752 |
| Level 2 Upper GI ProceduresAPC 5302 | 26 | 25 | $19,937 | $1,718 | $1,445 |
| Level 2 Vascular ProceduresAPC 5182 | 25 | 24 | $8,014 | $1,452 | $1,204 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 25 | 24 | $95,421 | $10,158 | $8,569 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 24 | 24 | $16,907 | $2,812 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 23 | 23 | $15,045 | $1,448 | $1,196 |
| Level 3 Urology and Related ServicesAPC 5373 | 23 | 22 | $12,040 | $1,847 | $1,516 |
| Level 2 Endovascular ProceduresAPC 5192 | 22 | 22 | $35,616 | $5,165 | $4,338 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 21 | 21 | $40,492 | $6,503 | $5,339 |
| Level 1 Nerve ProceduresAPC 5431 | 20 | 20 | $12,862 | $1,751 | $1,407 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 13 | 13 | $280,382 | $35,667 | $29,375 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 13 | 12 | $18,750 | $3,137 | $2,636 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 11 | $83,381 | $25,317 | $21,117 | |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 11 | 11 | $50,704 | $10,066 | $8,164 |
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.