Samartian Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Samartian Medical Center, Watertown, NY in 2024, from traditional Medicare claims. Back to the Samartian Medical Center profile, with quality ratings, finances and negotiated rates.
807
Medicare inpatient discharges
In 33 published DRGs
1.48
Case mix index
IPPS FY 2027
4%
Surgical stays
67%
Stays with complications
In DRGs with a CC or MCC
1,638
Medicare outpatient services
In 23 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases193 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 | 141 | $49,634 | $21,664 | $19,407 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 36 | $26,719 | $10,498 | $10,447 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 16 | $100,317 | $55,910 | $39,224 | 5.00 |
Respiratory system160 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 | 37 | $42,821 | $18,139 | $16,743 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 36 | $38,636 | $13,204 | $15,107 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 26 | $35,317 | $13,468 | $13,809 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 20 | $31,762 | $11,283 | $12,419 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 16 | $31,641 | $8,294 | $12,372 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 13 | $29,728 | $10,085 | $11,623 | 0.99 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 12 | $31,150 | $8,443 | $12,179 | 0.85 |
Kidney and urinary tract103 discharges in 4 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 | 46 | $38,105 | $18,204 | $14,899 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 20 | $26,168 | $7,911 | $10,232 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 19 | $33,813 | $11,883 | $13,221 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 18 | $32,547 | $8,840 | $12,726 | 0.90 |
Circulatory system80 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 60 | $40,021 | $13,676 | $15,648 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 20 | $32,246 | $8,943 | $12,608 | 0.86 |
Digestive system74 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 | 29 | $20,044 | $7,811 | $7,837 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 19 | $31,229 | $10,580 | $12,211 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 15 | $16,122 | $7,979 | $6,304 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $26,961 | $13,392 | $10,542 | 1.28 |
Mental diseases and disorders50 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 35 | $27,308 | $14,796 | $10,677 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 15 | $39,607 | $19,109 | $15,486 | 1.76 |
Nervous system40 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 14 | $34,179 | $5,906 | $13,364 | 0.69 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 13 | $68,422 | $20,284 | $26,753 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 13 | $47,027 | $10,555 | $18,387 | 1.02 |
Blood and immune system36 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 14 | $22,635 | $9,177 | $8,850 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 11 | $38,262 | $15,092 | $14,961 | 1.40 |
| Coagulation disordersMS-DRG 813, medical | 11 | $31,927 | $16,487 | $12,484 | 1.56 |
Musculoskeletal system and connective tissue30 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 | $48,780 | $22,429 | $19,073 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 11 | $29,365 | $9,985 | $11,482 | 0.97 |
Endocrine, nutritional and metabolic30 discharges in 2 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 | 18 | $47,552 | $13,128 | $18,593 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 12 | $28,837 | $7,440 | $11,275 | 0.78 |
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 | $25,618 | $8,709 | $10,017 | 0.88 |
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 | 323 | 216 | $15,047 | $2,093 | $1,752 |
| Level 2 Urology and Related ServicesAPC 5372 | 257 | 195 | $1,301 | $615 | $502 |
| Comprehensive Observation ServicesAPC 8011 | 210 | 196 | $21,301 | $2,476 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 157 | 103 | $3,508 | $1,466 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 116 | 102 | $3,143 | $1,842 | $1,516 |
| Level 2 Upper GI ProceduresAPC 5302 | 74 | 66 | $5,671 | $1,741 | $1,445 |
| Level 4 Urology and Related ServicesAPC 5374 | 64 | 55 | $10,390 | $3,079 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 63 | 60 | $19,041 | $5,217 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 49 | 49 | $3,798 | $2,880 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 42 | 40 | $17,756 | $4,570 | $3,918 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 40 | 38 | $6,275 | $2,571 | $2,141 |
| Level 4 Airway EndoscopyAPC 5154 | 40 | 40 | $12,398 | $3,388 | $2,833 |
| Level 2 Intraocular ProceduresAPC 5492 | 32 | 24 | $18,244 | $3,678 | $3,116 |
| Level 3 Intraocular ProceduresAPC 5493 | 30 | 22 | $19,144 | $4,729 | $4,004 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 28 | 23 | $5,469 | $1,454 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 18 | 17 | $11,103 | $2,923 | $2,373 |
| Level 2 Vascular ProceduresAPC 5182 | 18 | 18 | $2,119 | $1,449 | $1,204 |
| Level 3 Airway EndoscopyAPC 5153 | 15 | 13 | $5,972 | $1,536 | $1,264 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 14 | 14 | $31,666 | $10,477 | $8,569 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 13 | 13 | $32,581 | $6,491 | $5,339 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 13 | 13 | $40,581 | $10,042 | $8,164 |
| Level 3 ENT ProceduresAPC 5163 | 11 | 11 | $5,568 | $1,380 | $1,106 |
| Level 4 Gynecologic ProceduresAPC 5414 | 11 | 11 | $9,633 | $2,826 | $2,389 |
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.