Smg Neurology At St. Elizabeth S Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Smg Neurology At St. Elizabeth S Medical Center, Brighton, MA in 2024, from traditional Medicare claims. Back to the Smg Neurology At St. Elizabeth S Medical Center profile, with quality ratings, finances and negotiated rates.
1,227
Medicare inpatient discharges
In 54 published DRGs
2.30
Case mix index
IPPS FY 2027
38%
Surgical stays
64%
Stays with complications
In DRGs with a CC or MCC
1,142
Medicare outpatient services
In 29 service groups
Inpatient stays by major diagnostic category
Circulatory system515 discharges in 21 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 71 | $251,969 | $75,515 | $199,811 | 4.88 |
| Heart failure and shock with MCCMS-DRG 291, medical | 51 | $22,174 | $12,890 | $17,584 | 1.28 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 37 | $110,219 | $61,078 | $87,403 | 5.88 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 36 | $297,033 | $95,318 | $235,547 | 6.25 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 28 | $74,671 | $38,839 | $59,214 | 4.04 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 28 | $44,063 | $17,539 | $34,942 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 28 | $35,487 | $22,598 | $28,141 | 2.16 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 23 | $159,956 | $76,286 | $126,845 | 7.71 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 22 | $95,459 | $33,769 | $75,699 | 3.24 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 20 | $120,332 | $58,656 | $95,423 | 5.06 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 19 | $54,970 | $23,218 | $43,591 | 2.28 |
| Other vascular procedures with CCMS-DRG 253, surgical | 19 | $43,694 | $26,429 | $34,649 | 2.55 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 19 | $20,450 | $10,930 | $16,217 | 1.08 |
| Syncope and collapseMS-DRG 312, medical | 18 | $13,945 | $8,371 | $11,059 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 17 | $56,642 | $17,354 | $44,917 | 1.82 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 15 | $45,238 | $34,679 | $35,873 | 3.35 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 14 | $65,836 | $34,275 | $52,208 | 3.46 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 14 | $98,761 | $35,440 | $78,317 | 2.87 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 13 | $27,240 | $21,158 | $21,601 | 2.09 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 12 | $113,030 | $55,537 | $89,633 | 5.24 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 11 | $26,688 | $12,612 | $21,164 | 1.20 |
Nervous system144 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Seizures with MCCMS-DRG 100, medical | 35 | $41,039 | $20,641 | $32,544 | 1.98 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 24 | $68,937 | $41,153 | $54,667 | 4.42 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 22 | $30,439 | $19,236 | $24,138 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 18 | $17,223 | $9,510 | $13,658 | 1.02 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 16 | $24,397 | $20,713 | $19,347 | 2.39 |
| Seizures without MCCMS-DRG 101, medical | 16 | $13,516 | $8,881 | $10,718 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $25,883 | $12,309 | $20,525 | 1.36 |
Musculoskeletal system and connective tissue110 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 | 27 | $47,804 | $17,894 | $37,909 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 26 | $41,770 | $20,187 | $33,124 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 21 | $13,795 | $8,700 | $10,939 | 0.97 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 14 | $81,234 | $36,130 | $64,419 | 3.49 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 11 | $229,389 | $79,245 | $181,906 | 6.12 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 11 | $12,665 | $7,476 | $10,043 | 0.79 |
Infectious and parasitic diseases106 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 | 88 | $45,955 | $20,355 | $36,443 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 18 | $120,782 | $51,102 | $95,780 | 5.00 |
Alcohol and drug use91 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence with rehabilitation therapyMS-DRG 895, medical | 51 | $13,435 | $15,743 | $10,654 | 1.61 |
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 29 | $13,829 | $7,989 | $10,966 | 0.86 |
| Alcohol, drug abuse or dependence, left amaMS-DRG 894, medical | 11 | $9,437 | $5,331 | $7,484 | 0.57 |
Kidney and urinary tract90 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 20 | $12,442 | $7,747 | $9,867 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 20 | $28,946 | $16,135 | $22,954 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 18 | $16,047 | $10,846 | $12,725 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 16 | $18,194 | $14,985 | $14,428 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 16 | $16,364 | $9,138 | $12,977 | 0.90 |
Digestive system60 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 | 17 | $15,621 | $6,884 | $12,387 | 0.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 16 | $15,776 | $9,581 | $12,510 | 0.94 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 14 | $33,113 | $18,130 | $26,259 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 13 | $14,710 | $10,036 | $11,665 | 0.98 |
Respiratory system57 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 | 27 | $23,190 | $15,806 | $18,390 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 19 | $15,194 | $12,572 | $12,049 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $11,846 | $8,010 | $9,394 | 0.82 |
Endocrine, nutritional and metabolic38 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 without MCCMS-DRG 641, medical | 20 | $14,654 | $7,322 | $11,621 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 18 | $21,411 | $12,357 | $16,979 | 1.32 |
Liver, gallbladder and pancreas16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 16 | $19,201 | $9,953 | $15,226 | 1.09 |
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 Endovascular ProceduresAPC 5191 | 129 | 129 | $11,285 | $2,515 | $2,208 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 125 | 123 | $75,289 | $23,606 | $21,117 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 91 | 91 | $45,159 | $9,820 | $8,569 |
| Comprehensive Observation ServicesAPC 8011 | 79 | 79 | $10,638 | $2,283 | $2,090 |
| Level 1 Nerve ProceduresAPC 5431 | 69 | 64 | $5,451 | $1,652 | $1,407 |
| Level 2 Upper GI ProceduresAPC 5302 | 65 | 59 | $6,550 | $1,564 | $1,445 |
| Level 3 Endovascular ProceduresAPC 5193 | 63 | 57 | $45,627 | $10,002 | $8,874 |
| Level 3 Vascular ProceduresAPC 5183 | 42 | 42 | $13,383 | $2,725 | $2,405 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 41 | 41 | $137,252 | $33,584 | $29,375 |
| Level 5 Urology and Related ServicesAPC 5375 | 35 | 32 | $14,574 | $4,426 | $3,918 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 34 | 33 | $5,806 | $1,377 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 30 | 29 | $40,392 | $12,066 | $10,772 |
| Level 3 Airway EndoscopyAPC 5153 | 29 | 27 | $6,259 | $1,402 | $1,264 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 28 | 27 | $22,337 | $4,402 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 26 | 25 | $18,543 | $6,112 | $5,339 |
| Level 4 Airway EndoscopyAPC 5154 | 26 | 26 | $14,715 | $3,077 | $2,833 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 24 | 24 | $36,956 | $7,488 | $6,514 |
| Level 3 Urology and Related ServicesAPC 5373 | 24 | 22 | $7,148 | $1,707 | $1,516 |
| Level 2 Endovascular ProceduresAPC 5192 | 22 | 20 | $20,127 | $4,780 | $4,338 |
| Level 3 Lower GI ProceduresAPC 5313 | 22 | 21 | $5,789 | $2,339 | $2,176 |
| Level 5 Airway EndoscopyAPC 5155 | 21 | 21 | $14,033 | $5,848 | $5,183 |
| Level 4 Urology and Related ServicesAPC 5374 | 20 | 18 | $8,857 | $2,978 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 16 | 16 | $7,456 | $2,585 | $2,373 |
| Level 4 Endovascular ProceduresAPC 5194 | 15 | 13 | $65,863 | $15,997 | $14,606 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 15 | 15 | $100,254 | $19,242 | $17,052 |
| Level 3 Upper GI ProceduresAPC 5303 | 15 | 15 | $9,847 | $3,046 | $2,888 |
| Level 2 Vascular ProceduresAPC 5182 | 12 | $3,568 | $1,370 | $1,204 | |
| Level 4 Gynecologic ProceduresAPC 5414 | 12 | 12 | $11,513 | $2,670 | $2,389 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 12 | 12 | $111,075 | $31,614 | $26,719 |
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.