Saint Anne S Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Saint Anne S Hospital, Fall River, MA in 2024, from traditional Medicare claims. Back to the Saint Anne S Hospital profile, with quality ratings, finances and negotiated rates.
1,825
Medicare inpatient discharges
In 60 published DRGs
1.55
Case mix index
IPPS FY 2027
15%
Surgical stays
59%
Stays with complications
In DRGs with a CC or MCC
3,166
Medicare outpatient services
In 32 service groups
Inpatient stays by major diagnostic category
Respiratory system372 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 114 | $27,508 | $12,795 | $13,397 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 91 | $24,846 | $10,018 | $12,100 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 54 | $22,922 | $7,957 | $11,163 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 22 | $22,956 | $7,268 | $11,179 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $14,016 | $4,985 | $6,826 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 17 | $18,234 | $8,704 | $8,880 | 1.23 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 16 | $18,309 | $6,205 | $8,917 | 0.85 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 14 | $20,494 | $6,640 | $9,980 | 0.96 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $19,903 | $10,931 | $9,693 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $44,102 | $22,001 | $21,478 | 2.70 |
Musculoskeletal system and connective tissue288 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 184 | $46,028 | $13,775 | $22,415 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 35 | $15,401 | $7,166 | $7,500 | 0.97 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 23 | $129,743 | $35,999 | $63,185 | 4.61 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 21 | $52,459 | $18,272 | $25,547 | 2.48 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 14 | $14,693 | $6,046 | $7,156 | 0.90 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 11 | $145,189 | $44,568 | $70,707 | 6.12 |
Circulatory system276 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 | 71 | $20,983 | $9,657 | $10,219 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 53 | $25,455 | $12,528 | $12,396 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 43 | $15,524 | $6,051 | $7,560 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 26 | $12,310 | $5,168 | $5,995 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 19 | $17,475 | $7,931 | $8,510 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 17 | $25,990 | $8,148 | $12,657 | 1.08 |
| Chest painMS-DRG 313, medical | 17 | $15,704 | $5,126 | $7,648 | 0.72 |
| Hypertension without MCCMS-DRG 305, medical | 15 | $12,215 | $4,858 | $5,949 | 0.75 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 15 | $13,792 | $3,415 | $6,717 | 0.55 |
Digestive system204 discharges in 8 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 | 80 | $15,523 | $5,699 | $7,560 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 34 | $21,124 | $6,831 | $10,288 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 25 | $28,738 | $13,628 | $13,995 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 16 | $16,982 | $6,279 | $8,270 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 14 | $25,495 | $9,532 | $12,416 | 1.28 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 13 | $22,114 | $10,326 | $10,769 | 1.45 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 11 | $22,106 | $7,800 | $10,766 | 1.04 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 11 | $16,075 | $5,457 | $7,829 | 0.80 |
Kidney and urinary tract167 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 | 46 | $19,188 | $8,805 | $9,344 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 32 | $14,593 | $5,795 | $7,107 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 26 | $13,157 | $6,612 | $6,408 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 22 | $18,653 | $11,578 | $9,084 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 15 | $22,329 | $12,145 | $10,874 | 1.65 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 13 | $23,590 | $7,387 | $11,488 | 1.05 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 13 | $15,542 | $8,004 | $7,569 | 1.02 |
Infectious and parasitic diseases145 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 | 116 | $34,425 | $14,923 | $16,765 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 18 | $97,028 | $40,672 | $47,253 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 11 | $23,737 | $7,514 | $11,560 | 1.03 |
Endocrine, nutritional and metabolic112 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 without MCCMS-DRG 641, medical | 34 | $12,467 | $5,498 | $6,071 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 33 | $19,502 | $6,261 | $9,497 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 23 | $17,531 | $9,966 | $8,537 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 22 | $23,569 | $10,656 | $11,478 | 1.45 |
Skin, subcutaneous tissue and breast72 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 55 | $17,202 | $5,992 | $8,378 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 17 | $24,147 | $11,771 | $11,760 | 1.49 |
Mental diseases and disorders38 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 | 38 | $17,173 | $11,602 | $8,363 | 1.76 |
Nervous system38 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 | 14 | $16,724 | $7,484 | $8,145 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $16,491 | $10,046 | $8,031 | 1.36 |
| Seizures with MCCMS-DRG 100, medical | 11 | $26,891 | $14,923 | $13,096 | 1.98 |
Liver, gallbladder and pancreas24 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 13 | $18,833 | $7,985 | $9,171 | 1.03 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 11 | $21,516 | $15,912 | $10,478 | 1.92 |
Ear, nose, mouth and throat23 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 23 | $13,370 | $5,034 | $6,511 | 0.74 |
Factors influencing health status22 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 22 | $16,076 | $5,589 | $7,829 | 0.80 |
Injuries, poisonings and toxic effects of drugs17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 17 | $29,764 | $12,550 | $14,495 | 1.60 |
Alcohol and drug use16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 16 | $13,587 | $6,790 | $6,617 | 0.86 |
Male reproductive system11 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 | 11 | $19,494 | $11,047 | $9,493 | 1.45 |
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 Intraocular ProceduresAPC 5491 | 526 | 313 | $7,665 | $1,959 | $1,752 |
| Level 2 Urology and Related ServicesAPC 5372 | 285 | 53 | $1,800 | $579 | $502 |
| Level 3 Urology and Related ServicesAPC 5373 | 273 | 252 | $8,096 | $1,702 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 235 | 205 | $9,995 | $2,980 | $2,629 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 224 | 186 | $6,584 | $1,365 | $1,220 |
| Level 1 Nerve ProceduresAPC 5431 | 155 | 138 | $6,877 | $1,620 | $1,407 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 152 | 151 | $9,696 | $2,731 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 150 | 139 | $6,599 | $1,345 | $1,196 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 143 | 140 | $22,916 | $5,945 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 124 | 118 | $16,551 | $4,413 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 118 | 104 | $5,680 | $1,640 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 89 | 89 | $11,418 | $2,513 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 79 | 75 | $11,087 | $2,313 | $2,090 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 76 | 76 | $20,599 | $4,870 | $4,358 |
| Level 3 Lower GI ProceduresAPC 5313 | 71 | 67 | $6,011 | $2,272 | $2,176 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 62 | 62 | $42,324 | $12,173 | $10,772 |
| Level 3 Intraocular ProceduresAPC 5493 | 55 | 36 | $16,773 | $4,470 | $4,004 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 48 | 44 | $8,179 | $2,330 | $2,141 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 44 | 44 | $13,174 | $2,960 | $2,636 |
| Level 4 Gynecologic ProceduresAPC 5414 | 35 | 35 | $10,850 | $2,675 | $2,389 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 27 | 26 | $10,656 | $3,259 | $2,930 |
| Level 3 Vascular ProceduresAPC 5183 | 26 | 26 | $12,895 | $2,727 | $2,405 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 23 | 23 | $54,717 | $9,822 | $8,569 |
| Level 3 Endovascular ProceduresAPC 5193 | 20 | 20 | $54,016 | $10,167 | $8,874 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 20 | 20 | $38,978 | $7,474 | $6,514 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 18 | 18 | $18,259 | $5,259 | $4,982 |
| Level 4 Airway EndoscopyAPC 5154 | 17 | 17 | $12,892 | $3,204 | $2,833 |
| Level 2 Intraocular ProceduresAPC 5492 | 17 | 11 | $10,367 | $3,479 | $3,116 |
| Level 5 Airway EndoscopyAPC 5155 | 16 | 15 | $21,931 | $5,857 | $5,183 |
| Level 2 Vascular ProceduresAPC 5182 | 14 | 14 | $5,817 | $1,366 | $1,204 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 13 | $14,145 | $4,499 | $4,524 | |
| Level 3 Airway EndoscopyAPC 5153 | 11 | 11 | $10,402 | $1,452 | $1,264 |
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.