Samaritan Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Samaritan Hospital, Troy, NY in 2024, from traditional Medicare claims. Back to the Samaritan Hospital profile, with quality ratings, finances and negotiated rates.
1,446
Medicare inpatient discharges
In 43 published DRGs
1.68
Case mix index
IPPS FY 2027
7%
Surgical stays
80%
Stays with complications
In DRGs with a CC or MCC
1,457
Medicare outpatient services
In 29 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases410 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 | 314 | $40,757 | $15,629 | $13,246 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 48 | $85,852 | $38,160 | $27,902 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 35 | $25,001 | $8,115 | $8,125 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 13 | $141,636 | $57,520 | $46,032 | 6.96 |
Circulatory system335 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 136 | $30,498 | $10,284 | $9,912 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 48 | $43,967 | $12,283 | $14,289 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 28 | $30,536 | $9,743 | $9,924 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 21 | $21,200 | $5,650 | $6,890 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 21 | $63,291 | $13,918 | $20,570 | 1.82 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 20 | $50,045 | $15,774 | $16,265 | 2.09 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 18 | $33,052 | $7,117 | $10,742 | 0.91 |
| Syncope and collapseMS-DRG 312, medical | 16 | $23,918 | $6,618 | $7,773 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 15 | $93,391 | $23,614 | $30,352 | 2.87 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 12 | $23,228 | $5,752 | $7,549 | 0.72 |
Respiratory system226 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 61 | $40,200 | $13,157 | $13,065 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 60 | $28,314 | $9,893 | $9,202 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 43 | $24,739 | $8,268 | $8,040 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 20 | $29,088 | $9,534 | $9,454 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 19 | $22,193 | $6,282 | $7,213 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 12 | $27,267 | $9,909 | $8,862 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $75,850 | $20,671 | $24,651 | 2.70 |
Kidney and urinary tract116 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 33 | $26,319 | $9,403 | $8,554 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 32 | $33,775 | $13,382 | $10,977 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 20 | $32,575 | $6,777 | $10,587 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 16 | $26,901 | $12,117 | $8,743 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 15 | $17,601 | $6,034 | $5,720 | 0.81 |
Digestive system108 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 37 | $28,564 | $7,649 | $9,283 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 26 | $43,193 | $14,180 | $14,038 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 19 | $23,126 | $5,663 | $7,516 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $17,703 | $6,047 | $5,753 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 13 | $26,592 | $9,144 | $8,642 | 1.28 |
Endocrine, nutritional and metabolic83 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 | 30 | $34,338 | $10,125 | $11,160 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 25 | $26,733 | $6,221 | $8,688 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 16 | $21,389 | $7,109 | $6,951 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $26,989 | $10,742 | $8,771 | 1.45 |
Mental diseases and disorders69 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 69 | $33,162 | $10,747 | $10,778 | 1.37 |
Nervous system54 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 | 19 | $38,452 | $15,465 | $12,497 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 12 | $28,000 | $6,719 | $9,100 | 1.02 |
| Seizures with MCCMS-DRG 100, medical | 12 | $54,331 | $15,115 | $17,657 | 1.98 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 11 | $28,650 | $6,237 | $9,311 | 0.80 |
Musculoskeletal system and connective tissue16 discharges in 1 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 | 16 | $42,465 | $16,339 | $13,801 | 2.07 |
Skin, subcutaneous tissue and breast15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 15 | $18,956 | $6,719 | $6,161 | 0.88 |
Injuries, poisonings and toxic effects of drugs14 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 | 14 | $30,180 | $12,839 | $9,808 | 1.60 |
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 | 209 | 205 | $13,136 | $2,276 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 186 | 157 | $7,407 | $1,361 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 113 | 109 | $12,907 | $2,555 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 107 | 106 | $14,465 | $2,412 | $2,208 |
| Level 2 Intraocular ProceduresAPC 5492 | 100 | 89 | $11,495 | $3,433 | $3,116 |
| Level 5 Urology and Related ServicesAPC 5375 | 80 | 71 | $15,626 | $4,369 | $3,918 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 68 | 65 | $14,654 | $2,365 | $2,141 |
| Level 4 Urology and Related ServicesAPC 5374 | 61 | 56 | $14,031 | $2,944 | $2,629 |
| Level 1 Intraocular ProceduresAPC 5491 | 61 | 38 | $6,066 | $1,961 | $1,752 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 52 | 52 | $15,248 | $4,866 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 49 | 43 | $9,013 | $1,664 | $1,516 |
| Level 2 Upper GI ProceduresAPC 5302 | 45 | 40 | $8,342 | $1,617 | $1,445 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 40 | 38 | $7,993 | $2,687 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 40 | 40 | $15,117 | $6,039 | $5,339 |
| Level 2 Vascular ProceduresAPC 5182 | 30 | 29 | $8,787 | $1,285 | $1,204 |
| Level 3 Endovascular ProceduresAPC 5193 | 27 | 27 | $39,720 | $10,017 | $8,874 |
| Level 2 Endovascular ProceduresAPC 5192 | 25 | 21 | $27,904 | $4,434 | $4,338 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 22 | 22 | $5,105 | $1,358 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 20 | 20 | $12,100 | $2,923 | $2,636 |
| Level 3 Intraocular ProceduresAPC 5493 | 14 | 14 | $13,960 | $4,406 | $4,004 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 13 | 13 | $26,582 | $12,289 | $10,772 |
| Level 4 Airway EndoscopyAPC 5154 | 13 | 13 | $13,012 | $3,163 | $2,833 |
| Level 5 Gynecologic ProceduresAPC 5415 | 13 | 13 | $9,215 | $4,202 | $3,792 |
| Level 4 ENT ProceduresAPC 5164 | 12 | 12 | $14,377 | $2,720 | $2,217 |
| Level 4 Endovascular ProceduresAPC 5194 | 12 | 12 | $77,670 | $16,916 | $14,606 |
| Level 6 Gynecologic ProceduresAPC 5416 | 12 | 12 | $19,385 | $6,383 | $5,836 |
| Level 4 Vascular ProceduresAPC 5184 | 11 | 11 | $11,578 | $4,625 | $3,946 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 11 | $27,748 | $9,252 | $8,164 | |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 11 | 11 | $43,846 | $21,500 | $18,465 |
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.