Saratoga Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Saratoga Hospital, Saratoga Springs, NY in 2024, from traditional Medicare claims. Back to the Saratoga Hospital profile, with quality ratings, finances and negotiated rates.
1,581
Medicare inpatient discharges
In 56 published DRGs
1.59
Case mix index
IPPS FY 2027
10%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
3,420
Medicare outpatient services
In 33 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases368 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 | 286 | $67,113 | $15,461 | $16,241 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 61 | $44,954 | $7,528 | $10,879 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 21 | $178,317 | $38,993 | $43,153 | 5.00 |
Circulatory system290 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 | 109 | $49,704 | $9,581 | $12,028 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 34 | $54,253 | $11,821 | $13,129 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 28 | $46,535 | $6,604 | $11,261 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 26 | $38,562 | $8,024 | $9,332 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 24 | $78,908 | $14,049 | $19,096 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 23 | $34,400 | $5,408 | $8,325 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 19 | $35,491 | $5,902 | $8,589 | 0.91 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 15 | $73,804 | $17,269 | $17,860 | 2.09 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 12 | $77,897 | $17,328 | $18,851 | 2.16 |
Respiratory system244 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 61 | $58,072 | $13,354 | $14,053 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 59 | $52,043 | $10,429 | $12,594 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 43 | $42,374 | $8,514 | $10,254 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 27 | $47,576 | $9,471 | $11,513 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 17 | $25,125 | $5,934 | $6,080 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 15 | $34,402 | $7,435 | $8,325 | 0.99 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 11 | $52,483 | $13,907 | $12,701 | 1.74 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 11 | $41,145 | $6,617 | $9,957 | 0.96 |
Digestive system164 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 33 | $39,921 | $7,176 | $9,661 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 32 | $30,621 | $5,624 | $7,410 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 26 | $64,205 | $12,562 | $15,538 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 18 | $40,018 | $5,581 | $9,684 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 16 | $100,404 | $15,884 | $24,298 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 15 | $207,667 | $38,527 | $50,255 | 4.52 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 12 | $22,976 | $3,852 | $5,560 | 0.56 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 12 | $83,066 | $13,656 | $20,102 | 1.28 |
Kidney and urinary tract134 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 28 | $36,524 | $5,496 | $8,839 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 26 | $44,991 | $8,335 | $10,888 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 19 | $62,153 | $11,178 | $15,041 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 19 | $33,645 | $6,664 | $8,142 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 19 | $59,597 | $13,505 | $14,422 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 12 | $33,484 | $7,791 | $8,103 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 11 | $67,220 | $9,254 | $16,267 | 1.35 |
Nervous system83 discharges in 6 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 | 27 | $53,888 | $6,951 | $13,041 | 1.02 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 12 | $35,481 | $8,464 | $8,586 | 1.14 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 11 | $85,209 | $14,488 | $20,621 | 2.00 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 11 | $66,699 | $13,873 | $16,141 | 1.79 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 11 | $43,620 | $7,537 | $10,556 | 1.06 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 11 | $31,144 | $7,716 | $7,537 | 1.03 |
Musculoskeletal system and connective tissue82 discharges in 5 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 | 21 | $51,392 | $14,165 | $12,437 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 18 | $69,072 | $16,184 | $16,716 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 15 | $67,824 | $15,357 | $16,413 | 2.11 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 15 | $29,802 | $5,872 | $7,212 | 0.90 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 13 | $29,782 | $5,104 | $7,207 | 0.79 |
Endocrine, nutritional and metabolic65 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 | 20 | $65,898 | $10,868 | $15,947 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 20 | $32,151 | $5,586 | $7,780 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 13 | $32,774 | $6,654 | $7,931 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $74,079 | $8,103 | $17,927 | 1.45 |
Mental diseases and disorders61 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 61 | $50,021 | $10,288 | $12,105 | 1.37 |
Skin, subcutaneous tissue and breast55 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 43 | $32,940 | $6,045 | $7,972 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 12 | $42,221 | $10,060 | $10,218 | 1.49 |
Blood and immune system24 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 13 | $42,506 | $6,985 | $10,287 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 11 | $72,112 | $12,444 | $17,451 | 1.40 |
Alcohol and drug use11 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 | 11 | $34,658 | $5,876 | $8,387 | 0.86 |
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 | 564 | 512 | $23,736 | $2,304 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 461 | 315 | $816 | $562 | $502 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 324 | 312 | $37,339 | $12,221 | $10,772 |
| Level 3 Urology and Related ServicesAPC 5373 | 271 | 245 | $7,769 | $1,685 | $1,516 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 204 | 190 | $9,276 | $1,355 | $1,220 |
| Level 1 Intraocular ProceduresAPC 5491 | 133 | 80 | $11,761 | $1,924 | $1,752 |
| Level 1 Nerve ProceduresAPC 5431 | 128 | 93 | $6,367 | $1,614 | $1,407 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 117 | 114 | $35,900 | $4,831 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 111 | 103 | $23,312 | $4,252 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 108 | 90 | $9,399 | $1,575 | $1,445 |
| Level 4 Urology and Related ServicesAPC 5374 | 105 | 91 | $14,667 | $2,944 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 81 | 79 | $18,668 | $2,369 | $2,141 |
| Level 6 Urology and Related ServicesAPC 5376 | 75 | 75 | $22,198 | $8,126 | $7,291 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 74 | 64 | $14,698 | $2,697 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 74 | 73 | $12,311 | $2,693 | $2,405 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 63 | 62 | $28,509 | $5,851 | $5,339 |
| Level 1 Endovascular ProceduresAPC 5191 | 63 | 63 | $18,579 | $2,405 | $2,208 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 50 | 46 | $6,488 | $1,356 | $1,196 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 41 | 40 | $35,272 | $5,508 | $4,982 |
| Level 2 Vascular ProceduresAPC 5182 | 40 | 38 | $7,246 | $1,314 | $1,204 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 40 | 40 | $54,931 | $9,038 | $8,164 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 39 | 36 | $19,390 | $3,136 | $2,930 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 39 | 38 | $41,686 | $18,079 | $15,763 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 39 | 39 | $26,351 | $2,922 | $2,636 |
| Level 2 Endovascular ProceduresAPC 5192 | 36 | 26 | $18,005 | $4,828 | $4,338 |
| Level 3 Airway EndoscopyAPC 5153 | 22 | 15 | $7,730 | $1,434 | $1,264 |
| Level 4 Gynecologic ProceduresAPC 5414 | 22 | 22 | $11,338 | $2,521 | $2,389 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 21 | 21 | $29,735 | $7,366 | $6,514 |
| Level 3 Endovascular ProceduresAPC 5193 | 20 | 19 | $48,042 | $10,017 | $8,874 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 15 | 15 | $48,130 | $9,667 | $8,569 |
| Level 4 Airway EndoscopyAPC 5154 | 14 | 13 | $20,964 | $3,163 | $2,833 |
| Level 4 Vascular ProceduresAPC 5184 | 13 | $28,412 | $4,642 | $3,946 | |
| Level 3 Upper GI ProceduresAPC 5303 | 13 | 13 | $22,351 | $3,235 | $2,888 |
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.