St. Johns Riverside Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St. Johns Riverside Hospital, Yonkers, NY in 2024, from traditional Medicare claims. Back to the St. Johns Riverside Hospital profile, with quality ratings, finances and negotiated rates.
1,873
Medicare inpatient discharges
In 50 published DRGs
1.54
Case mix index
IPPS FY 2027
3%
Surgical stays
62%
Stays with complications
In DRGs with a CC or MCC
1,089
Medicare outpatient services
In 15 service groups
Inpatient stays by major diagnostic category
Circulatory system313 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 171 | $47,047 | $12,138 | $15,290 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 48 | $32,706 | $8,017 | $10,630 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 19 | $36,213 | $11,607 | $11,769 | 1.20 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 18 | $38,709 | $10,275 | $12,580 | 1.07 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 17 | $30,574 | $6,022 | $9,936 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 16 | $44,851 | $14,277 | $14,577 | 1.59 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 13 | $74,265 | $33,538 | $24,136 | 3.35 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 11 | $72,040 | $19,955 | $23,413 | 2.09 |
Respiratory system309 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 | 77 | $63,342 | $15,808 | $20,586 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 54 | $63,780 | $12,573 | $20,729 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 50 | $44,932 | $10,413 | $14,603 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 33 | $45,056 | $7,270 | $14,643 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 32 | $49,206 | $9,245 | $15,992 | 0.99 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 28 | $50,121 | $7,839 | $16,289 | 0.85 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 24 | $58,155 | $11,658 | $18,900 | 1.23 |
| Chronic obstructive pulmonary disease without cc/mccMS-DRG 192, medical | 11 | $39,457 | $5,709 | $12,824 | 0.64 |
Infectious and parasitic diseases296 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 | 229 | $72,065 | $18,742 | $23,421 | 1.98 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 30 | $162,814 | $66,556 | $52,915 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 21 | $136,553 | $44,973 | $44,380 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 16 | $46,492 | $9,560 | $15,110 | 1.03 |
Kidney and urinary tract260 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 | 100 | $33,452 | $7,327 | $10,872 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 80 | $41,000 | $11,014 | $13,325 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 37 | $54,470 | $15,554 | $17,703 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 24 | $41,211 | $8,054 | $13,394 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 19 | $36,766 | $9,343 | $11,949 | 1.02 |
Alcohol and drug use237 discharges in 3 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 | 130 | $13,408 | $8,024 | $4,357 | 0.86 |
| Alcohol, drug abuse or dependence with rehabilitation therapyMS-DRG 895, medical | 62 | $40,691 | $13,778 | $13,225 | 1.61 |
| Alcohol, drug abuse or dependence, left amaMS-DRG 894, medical | 45 | $9,782 | $5,535 | $3,179 | 0.57 |
Digestive system121 discharges in 5 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 | 41 | $31,312 | $6,799 | $10,176 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 26 | $45,892 | $9,350 | $14,915 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 23 | $47,502 | $12,417 | $15,438 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 20 | $36,010 | $8,721 | $11,703 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 11 | $46,424 | $16,045 | $15,088 | 1.62 |
Nervous system73 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 26 | $30,588 | $12,447 | $9,941 | 1.36 |
| Seizures with MCCMS-DRG 100, medical | 13 | $52,375 | $19,670 | $17,022 | 1.98 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 12 | $52,785 | $9,530 | $17,155 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 11 | $58,887 | $18,837 | $19,138 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 11 | $34,657 | $8,364 | $11,264 | 0.91 |
Musculoskeletal system and connective tissue71 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 29 | $34,106 | $8,230 | $11,085 | 0.97 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 18 | $31,073 | $6,891 | $10,099 | 0.79 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 13 | $88,785 | $20,179 | $28,855 | 2.07 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 11 | $36,402 | $8,624 | $11,831 | 0.90 |
Endocrine, nutritional and metabolic71 discharges in 3 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 | 28 | $38,926 | $12,910 | $12,651 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 24 | $27,759 | $7,533 | $9,022 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 19 | $45,299 | $8,240 | $14,722 | 0.90 |
Skin, subcutaneous tissue and breast62 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 51 | $40,508 | $8,107 | $13,165 | 0.88 |
| Skin ulcers with MCCMS-DRG 592, medical | 11 | $45,333 | $18,027 | $14,733 | 2.09 |
Blood and immune system39 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 | 21 | $44,770 | $8,392 | $14,550 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 18 | $57,676 | $13,596 | $18,745 | 1.40 |
Mental diseases and disorders21 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 | 21 | $40,596 | $15,126 | $13,194 | 1.76 |
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 | 374 | 242 | $4,337 | $2,106 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 290 | 258 | $20,533 | $2,481 | $2,090 |
| Level 4 Urology and Related ServicesAPC 5374 | 76 | 67 | $4,448 | $3,161 | $2,629 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 62 | 42 | $16,869 | $6,201 | $4,524 |
| Level 1 Nerve ProceduresAPC 5431 | 60 | 44 | $4,546 | $1,750 | $1,407 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 49 | 44 | $8,580 | $1,466 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 41 | 40 | $11,151 | $4,689 | $3,918 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 25 | 23 | $13,340 | $2,119 | $1,780 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 19 | 19 | $42,291 | $13,304 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 17 | 17 | $23,671 | $6,508 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 16 | 15 | $9,377 | $2,935 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 16 | 16 | $12,581 | $2,890 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 16 | 16 | $29,300 | $5,231 | $4,358 |
| Level 4 Gynecologic ProceduresAPC 5414 | 16 | 16 | $10,751 | $2,653 | $2,389 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 12 | $13,016 | $3,456 | $2,930 |
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.