St. Josephs Hospital Health Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St. Josephs Hospital Health Center, Syracuse, NY in 2024, from traditional Medicare claims. Back to the St. Josephs Hospital Health Center profile, with quality ratings, finances and negotiated rates.
3,097
Medicare inpatient discharges
In 86 published DRGs
2.38
Case mix index
IPPS FY 2027
37%
Surgical stays
60%
Stays with complications
In DRGs with a CC or MCC
3,783
Medicare outpatient services
In 38 service groups
Inpatient stays by major diagnostic category
Circulatory system1,320 discharges in 36 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 170 | $34,135 | $9,965 | $10,275 | 1.28 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 103 | $136,697 | $38,961 | $41,146 | 4.88 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 84 | $55,465 | $12,704 | $16,695 | 1.82 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 71 | $86,393 | $26,580 | $26,004 | 3.24 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 70 | $104,834 | $27,524 | $31,555 | 4.04 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 58 | $92,065 | $23,085 | $27,712 | 2.87 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 56 | $42,947 | $12,465 | $12,927 | 1.59 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 46 | $118,916 | $35,817 | $35,794 | 5.24 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 42 | $157,178 | $51,505 | $47,311 | 6.25 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 41 | $26,862 | $8,061 | $8,085 | 1.08 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 37 | $131,129 | $61,517 | $39,470 | 7.71 |
| Syncope and collapseMS-DRG 312, medical | 36 | $30,205 | $6,424 | $9,092 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 35 | $52,605 | $16,207 | $15,834 | 2.16 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 34 | $25,707 | $9,223 | $7,738 | 1.20 |
| Other vascular procedures without cc/mccMS-DRG 254, surgical | 33 | $32,052 | $11,934 | $9,648 | 1.74 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 31 | $123,817 | $46,689 | $37,269 | 5.88 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 30 | $95,863 | $30,259 | $28,855 | 4.16 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 28 | $184,421 | $54,412 | $55,511 | 7.80 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 28 | $131,224 | $39,216 | $39,498 | 5.20 |
| Other vascular procedures with CCMS-DRG 253, surgical | 28 | $54,997 | $19,549 | $16,554 | 2.55 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 28 | $21,279 | $4,853 | $6,405 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 26 | $24,543 | $6,978 | $7,388 | 0.91 |
| Chest painMS-DRG 313, medical | 22 | $16,993 | $5,326 | $5,115 | 0.72 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 21 | $92,847 | $26,362 | $27,947 | 3.18 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 18 | $111,228 | $40,780 | $33,480 | 5.06 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 18 | $16,331 | $3,494 | $4,916 | 0.55 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 17 | $51,330 | $16,949 | $15,450 | 2.09 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 15 | $53,663 | $17,303 | $16,153 | 2.28 |
| Coronary bypass with ptca with MCCMS-DRG 231, surgical | 13 | $191,724 | $65,407 | $57,709 | 8.12 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 13 | $124,760 | $28,017 | $37,553 | 3.35 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 12 | $51,711 | $21,852 | $15,565 | 3.46 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 12 | $20,628 | $4,225 | $6,209 | 0.72 |
| Cardiac valve and other major cardiothoracic procedures with cardiac catheterization witMS-DRG 216, surgical | 11 | $200,119 | $69,937 | $60,236 | 9.71 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 11 | $54,307 | $14,533 | $16,347 | 1.83 |
| Heart failure and shock with CCMS-DRG 292, medical | 11 | $32,901 | $5,994 | $9,903 | 0.86 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $19,352 | $5,209 | $5,825 | 0.75 |
Infectious and parasitic diseases554 discharges in 5 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 | 393 | $53,007 | $15,378 | $15,955 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 81 | $27,664 | $7,110 | $8,327 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 52 | $130,386 | $41,725 | $39,246 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 16 | $51,447 | $14,500 | $15,485 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 12 | $182,757 | $54,128 | $55,010 | 6.96 |
Respiratory system263 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 | 71 | $47,248 | $12,759 | $14,222 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 68 | $31,060 | $9,665 | $9,349 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 28 | $29,869 | $9,560 | $8,991 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 28 | $25,209 | $5,887 | $7,588 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 23 | $32,781 | $10,223 | $9,867 | 1.40 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 20 | $21,092 | $8,240 | $6,349 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 14 | $24,979 | $7,291 | $7,519 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $90,206 | $22,450 | $27,152 | 2.70 |
Kidney and urinary tract246 discharges in 7 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 | 52 | $47,006 | $14,379 | $14,149 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 47 | $32,583 | $8,452 | $9,808 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 42 | $22,256 | $6,008 | $6,699 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 41 | $25,003 | $5,816 | $7,526 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 30 | $30,564 | $11,866 | $9,200 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 20 | $28,744 | $8,094 | $8,652 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 14 | $30,361 | $8,247 | $9,139 | 1.35 |
Musculoskeletal system and connective tissue218 discharges in 9 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 | 69 | $50,774 | $14,761 | $15,283 | 1.88 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 27 | $72,285 | $27,194 | $21,758 | 3.49 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 25 | $61,048 | $16,606 | $18,375 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 20 | $61,518 | $16,878 | $18,517 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 17 | $25,864 | $7,017 | $7,785 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 17 | $20,946 | $5,752 | $6,305 | 0.90 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 15 | $25,715 | $5,472 | $7,740 | 0.79 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 14 | $72,684 | $21,986 | $21,878 | 2.95 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 14 | $21,169 | $6,400 | $6,372 | 0.82 |
Digestive system190 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 56 | $31,691 | $7,563 | $9,539 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 35 | $23,486 | $5,595 | $7,069 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 31 | $42,818 | $13,630 | $12,888 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 23 | $23,850 | $4,853 | $7,179 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 20 | $65,808 | $16,698 | $19,808 | 2.37 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 14 | $25,437 | $5,498 | $7,656 | 0.94 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 11 | $47,887 | $12,119 | $14,414 | 1.67 |
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 with MCCMS-DRG 640, medical | 41 | $34,734 | $9,815 | $10,455 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 37 | $21,740 | $5,354 | $6,544 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 26 | $21,088 | $6,572 | $6,347 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 11 | $26,457 | $11,005 | $7,964 | 1.45 |
Nervous system80 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 41 | $30,476 | $7,237 | $9,173 | 1.14 |
| Extracranial procedures with CCMS-DRG 038, surgical | 13 | $31,538 | $12,625 | $9,493 | 1.60 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $25,952 | $10,242 | $7,812 | 1.36 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 13 | $30,534 | $6,769 | $9,191 | 1.02 |
Skin, subcutaneous tissue and breast38 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 38 | $20,057 | $6,506 | $6,037 | 0.88 |
Blood and immune system23 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 23 | $23,661 | $6,641 | $7,122 | 0.90 |
Transplants, ECMO and tracheostomy (pre-MDC)15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical | 15 | $555,666 | $184,137 | $167,255 | 21.32 |
Factors influencing health status13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 13 | $19,053 | $5,906 | $5,735 | 0.80 |
Liver, gallbladder and pancreas11 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 | 11 | $37,816 | $8,860 | $11,383 | 1.09 |
Other11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 11 | $142,964 | $43,502 | $43,032 | 4.74 |
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 | 512 | 510 | $12,362 | $2,462 | $2,208 |
| Level 2 Vascular ProceduresAPC 5182 | 334 | 216 | $3,454 | $1,339 | $1,204 |
| Comprehensive Observation ServicesAPC 8011 | 331 | 315 | $12,378 | $2,254 | $2,090 |
| Level 2 Endovascular ProceduresAPC 5192 | 251 | 133 | $15,073 | $4,684 | $4,338 |
| Level 3 Endovascular ProceduresAPC 5193 | 223 | 212 | $36,427 | $9,744 | $8,874 |
| Level 2 Upper GI ProceduresAPC 5302 | 218 | 203 | $9,276 | $1,582 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 210 | 177 | $6,982 | $1,315 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 198 | 174 | $11,383 | $2,610 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 191 | 185 | $40,796 | $12,167 | $10,772 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 174 | 169 | $80,789 | $23,071 | $21,117 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 156 | 152 | $27,689 | $4,779 | $4,358 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 85 | 85 | $37,661 | $9,671 | $8,569 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 82 | 82 | $39,979 | $9,157 | $8,164 |
| Level 4 Urology and Related ServicesAPC 5374 | 55 | 52 | $13,141 | $2,943 | $2,629 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 54 | 51 | $10,465 | $3,101 | $2,930 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 52 | 51 | $55,017 | $17,731 | $15,763 |
| Level 4 Vascular ProceduresAPC 5184 | 50 | 46 | $13,724 | $4,462 | $3,946 |
| Level 3 Urology and Related ServicesAPC 5373 | 50 | 38 | $6,827 | $1,699 | $1,516 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 44 | 41 | $18,233 | $2,853 | $2,636 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 43 | 42 | $131,024 | $32,369 | $29,375 |
| Level 4 Endovascular ProceduresAPC 5194 | 42 | 41 | $59,758 | $16,502 | $14,606 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 41 | 40 | $31,930 | $6,043 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 41 | 39 | $19,421 | $4,366 | $3,918 |
| Level 3 Airway EndoscopyAPC 5153 | 35 | 35 | $6,691 | $1,208 | $1,264 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 34 | 34 | $31,180 | $7,155 | $6,514 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 33 | 33 | $10,677 | $2,400 | $2,141 |
| Level 4 Gynecologic ProceduresAPC 5414 | 33 | 31 | $15,016 | $2,561 | $2,389 |
| Level 5 ENT ProceduresAPC 5165 | 29 | 28 | $21,114 | $4,776 | $4,436 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 27 | 26 | $17,420 | $5,509 | $4,982 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 27 | 26 | $82,486 | $28,879 | $26,719 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 23 | 23 | $75,901 | $18,976 | $17,052 |
| Complex GI ProceduresAPC 5331 | 18 | $17,853 | $3,476 | $4,263 | |
| Level 3 Upper GI ProceduresAPC 5303 | 17 | 15 | $15,272 | $2,855 | $2,888 |
| Level 5 Airway EndoscopyAPC 5155 | 16 | 16 | $22,763 | $5,782 | $5,183 |
| Level 4 ENT ProceduresAPC 5164 | 15 | 15 | $14,711 | $2,720 | $2,217 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 12 | $11,806 | $1,358 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 13 | 13 | $12,343 | $2,314 | $2,373 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 13 | 13 | $10,253 | $6,309 | $5,682 |
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.