St. Joseph Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St. Joseph Hospital, Bethpage, NY in 2024, from traditional Medicare claims. Back to the St. Joseph Hospital profile, with quality ratings, finances and negotiated rates.
2,317
Medicare inpatient discharges
In 69 published DRGs
1.60
Case mix index
IPPS FY 2027
9%
Surgical stays
66%
Stays with complications
In DRGs with a CC or MCC
1,208
Medicare outpatient services
In 16 service groups
Inpatient stays by major diagnostic category
Respiratory system413 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 75 | $73,007 | $12,520 | $16,353 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 63 | $57,285 | $9,712 | $12,832 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 56 | $52,157 | $8,009 | $11,683 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 50 | $86,974 | $9,513 | $19,482 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 38 | $51,865 | $6,898 | $11,618 | 0.99 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 34 | $53,052 | $6,067 | $11,884 | 0.96 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 28 | $43,944 | $5,495 | $9,843 | 0.85 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 27 | $42,435 | $5,301 | $9,506 | 0.82 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 15 | $35,123 | $3,906 | $7,868 | 0.63 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 14 | $52,936 | $5,426 | $11,858 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 13 | $130,794 | $18,062 | $29,298 | 2.70 |
Infectious and parasitic diseases399 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 | 263 | $91,866 | $14,542 | $20,578 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 69 | $56,181 | $7,281 | $12,585 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 43 | $207,935 | $41,691 | $46,577 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 24 | $298,210 | $58,659 | $66,799 | 6.96 |
Circulatory system346 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 | 125 | $57,811 | $9,275 | $12,950 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 55 | $76,711 | $11,542 | $17,183 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 34 | $55,033 | $8,887 | $12,327 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 34 | $52,463 | $6,097 | $11,752 | 0.86 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 21 | $49,183 | $6,227 | $11,017 | 0.91 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 18 | $36,727 | $5,102 | $8,227 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 18 | $133,129 | $11,572 | $29,821 | 1.82 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 15 | $31,285 | $3,670 | $7,008 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 14 | $202,543 | $18,805 | $45,370 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 12 | $92,225 | $12,168 | $20,658 | 2.16 |
Kidney and urinary tract287 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 | 90 | $38,211 | $5,445 | $8,559 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 54 | $67,723 | $12,743 | $15,170 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 51 | $51,256 | $8,580 | $11,481 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 36 | $45,409 | $6,166 | $10,172 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 27 | $62,500 | $11,144 | $14,000 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 18 | $40,615 | $7,504 | $9,098 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 11 | $91,038 | $18,990 | $20,392 | 2.59 |
Digestive system265 discharges in 10 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 | 64 | $42,971 | $5,366 | $9,625 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 48 | $61,023 | $6,709 | $13,669 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 33 | $56,743 | $9,681 | $12,710 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 28 | $98,633 | $13,807 | $22,094 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 19 | $50,309 | $6,401 | $11,269 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 18 | $38,654 | $5,256 | $8,659 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 16 | $242,573 | $34,516 | $54,336 | 4.52 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 14 | $53,567 | $7,683 | $11,999 | 1.04 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 14 | $30,137 | $3,530 | $6,751 | 0.56 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 11 | $62,086 | $13,106 | $13,907 | 1.75 |
Musculoskeletal system and connective tissue175 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 40 | $43,549 | $6,604 | $9,755 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 28 | $90,293 | $15,826 | $20,226 | 2.07 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 25 | $45,417 | $6,203 | $10,173 | 0.90 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 23 | $110,177 | $16,155 | $24,680 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 18 | $98,934 | $14,337 | $22,161 | 1.88 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 15 | $63,630 | $11,787 | $14,253 | 1.59 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 14 | $36,707 | $5,390 | $8,222 | 0.79 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 12 | $125,679 | $22,327 | $28,152 | 2.95 |
Nervous system120 discharges in 7 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 | 33 | $59,299 | $6,469 | $13,283 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 20 | $81,005 | $13,758 | $18,145 | 2.00 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 17 | $41,291 | $10,120 | $9,249 | 1.36 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 14 | $54,823 | $5,246 | $12,280 | 0.80 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 13 | $42,555 | $4,037 | $9,532 | 0.69 |
| Seizures without MCCMS-DRG 101, medical | 12 | $41,437 | $6,553 | $9,282 | 0.91 |
| Seizures with MCCMS-DRG 100, medical | 11 | $57,597 | $15,136 | $12,902 | 1.98 |
Endocrine, nutritional and metabolic115 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 without MCCMS-DRG 641, medical | 40 | $42,703 | $5,066 | $9,565 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 30 | $83,466 | $10,778 | $18,696 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 23 | $51,003 | $6,515 | $11,425 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 22 | $80,850 | $11,700 | $18,110 | 1.45 |
Skin, subcutaneous tissue and breast113 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 88 | $41,984 | $6,069 | $9,404 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 14 | $47,717 | $10,719 | $10,689 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 11 | $39,055 | $6,366 | $8,748 | 0.91 |
Blood and immune system37 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 24 | $72,743 | $10,733 | $16,294 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 13 | $49,724 | $6,396 | $11,138 | 0.90 |
Liver, gallbladder and pancreas25 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 13 | $70,069 | $12,925 | $15,696 | 1.63 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 12 | $52,786 | $7,511 | $11,824 | 1.09 |
Mental diseases and disorders22 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 | 22 | $51,293 | $12,181 | $11,490 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 662 | 603 | $25,644 | $2,392 | $2,090 |
| Level 5 Urology and Related ServicesAPC 5375 | 92 | 89 | $26,706 | $4,595 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 72 | 62 | $19,096 | $3,127 | $2,629 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 59 | 57 | $75,417 | $12,946 | $10,772 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 51 | 46 | $16,620 | $2,849 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 46 | 46 | $34,845 | $6,429 | $5,339 |
| Level 1 Endovascular ProceduresAPC 5191 | 39 | 38 | $27,721 | $2,504 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 29 | 22 | $11,280 | $1,456 | $1,220 |
| Level 3 Endovascular ProceduresAPC 5193 | 27 | 26 | $90,946 | $10,348 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 26 | 26 | $42,066 | $5,180 | $4,358 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 23 | 23 | $13,249 | $1,443 | $1,196 |
| Level 3 Urology and Related ServicesAPC 5373 | 23 | 23 | $13,054 | $1,829 | $1,516 |
| Level 2 Upper GI ProceduresAPC 5302 | 18 | 17 | $12,105 | $1,738 | $1,445 |
| Level 2 Vascular ProceduresAPC 5182 | 16 | 16 | $9,668 | $1,348 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 13 | 13 | $44,835 | $5,131 | $4,338 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 12 | 11 | $41,107 | $5,854 | $4,982 |
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.