Rome Memorial Hospital Inc. Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Rome Memorial Hospital Inc., Rome, NY in 2024, from traditional Medicare claims. Back to the Rome Memorial Hospital Inc. profile, with quality ratings, finances and negotiated rates.
463
Medicare inpatient discharges
In 13 published DRGs
1.61
Case mix index
IPPS FY 2027
10%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
578
Medicare outpatient services
In 13 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases217 discharges in 2 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 | 176 | $45,746 | $15,896 | $12,717 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 41 | $31,271 | $7,688 | $8,693 | 1.03 |
Respiratory system100 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 43 | $39,771 | $13,221 | $11,056 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 38 | $31,913 | $9,906 | $8,872 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 19 | $24,985 | $9,563 | $6,946 | 1.33 |
Kidney and urinary tract45 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 28 | $32,769 | $13,911 | $9,110 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 17 | $29,598 | $5,763 | $8,228 | 0.81 |
Musculoskeletal system and connective tissue45 discharges in 3 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 | 17 | $57,186 | $16,154 | $15,898 | 2.07 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 16 | $55,951 | $28,103 | $15,554 | 3.66 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 12 | $64,613 | $15,472 | $17,963 | 2.11 |
Circulatory system34 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 | 34 | $34,874 | $10,257 | $9,695 | 1.28 |
Skin, subcutaneous tissue and breast11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 11 | $22,234 | $6,944 | $6,181 | 0.88 |
Endocrine, nutritional and metabolic11 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 | 11 | $21,886 | $5,753 | $6,084 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 275 | 250 | $21,098 | $2,303 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 50 | 41 | $5,824 | $1,366 | $1,220 |
| Level 4 Urology and Related ServicesAPC 5374 | 43 | 40 | $13,606 | $2,945 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 30 | 28 | $21,917 | $4,874 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 29 | 28 | $7,838 | $1,621 | $1,445 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 27 | 21 | $15,198 | $2,396 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 24 | 24 | $18,789 | $4,371 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 21 | 21 | $15,187 | $2,604 | $2,373 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 19 | 19 | $35,106 | $12,286 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 17 | 17 | $24,137 | $6,043 | $5,339 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 16 | 16 | $10,748 | $1,358 | $1,196 |
| Level 3 Urology and Related ServicesAPC 5373 | 16 | 16 | $11,518 | $1,721 | $1,516 |
| Level 3 Vascular ProceduresAPC 5183 | 11 | 11 | $15,461 | $2,693 | $2,405 |
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.