St Marys Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St Marys Hospital, Amsterdam, NY in 2024, from traditional Medicare claims. Back to the St Marys Hospital profile, with quality ratings, finances and negotiated rates.
349
Medicare inpatient discharges
In 12 published DRGs
1.47
Case mix index
IPPS FY 2027
0%
Surgical stays
85%
Stays with complications
In DRGs with a CC or MCC
404
Medicare outpatient services
In 13 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases105 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 | 84 | $42,121 | $15,699 | $13,605 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 21 | $31,364 | $7,768 | $10,131 | 1.03 |
Respiratory system98 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 27 | $44,694 | $13,636 | $14,436 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 26 | $37,225 | $10,141 | $12,024 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 17 | $27,496 | $6,434 | $8,881 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 16 | $52,362 | $9,810 | $16,913 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 12 | $36,096 | $8,925 | $11,659 | 1.10 |
Circulatory system82 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 82 | $34,940 | $10,562 | $11,285 | 1.28 |
Kidney and urinary tract64 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 18 | $32,271 | $9,266 | $10,424 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 16 | $37,547 | $13,244 | $12,128 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 15 | $29,048 | $7,594 | $9,382 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 15 | $20,116 | $6,308 | $6,498 | 0.81 |
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 | 93 | 91 | $14,576 | $2,310 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 77 | 58 | $1,414 | $565 | $502 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 47 | 42 | $4,264 | $1,339 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 31 | 31 | $14,740 | $4,717 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 30 | 28 | $16,924 | $5,842 | $5,339 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 26 | 24 | $24,396 | $12,298 | $10,772 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 19 | 19 | $8,932 | $2,734 | $2,373 |
| Level 5 Urology and Related ServicesAPC 5375 | 17 | 17 | $11,844 | $4,371 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 16 | 16 | $10,771 | $2,524 | $2,405 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 13 | $5,687 | $1,358 | $1,196 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 12 | 11 | $38,042 | $18,079 | $15,763 |
| Level 3 Urology and Related ServicesAPC 5373 | 12 | 12 | $5,845 | $1,721 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 11 | $9,582 | $2,945 | $2,629 |
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.