Thompson Health Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Thompson Health, Canandaigua, NY in 2024, from traditional Medicare claims. Back to the Thompson Health profile, with quality ratings, finances and negotiated rates.
393
Medicare inpatient discharges
In 17 published DRGs
1.46
Case mix index
IPPS FY 2027
6%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
720
Medicare outpatient services
In 21 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases102 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 | 81 | $33,529 | $14,964 | $15,021 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 21 | $17,250 | $6,974 | $7,728 | 1.03 |
Respiratory system99 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 30 | $20,253 | $8,977 | $9,073 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 25 | $21,744 | $8,407 | $9,741 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 22 | $24,907 | $12,568 | $11,158 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $13,213 | $5,726 | $5,920 | 0.82 |
Circulatory system59 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 | 59 | $27,101 | $9,446 | $12,141 | 1.28 |
Digestive system57 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 | 18 | $13,914 | $4,698 | $6,233 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 15 | $18,118 | $7,543 | $8,117 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 13 | $18,217 | $7,563 | $8,161 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 11 | $46,918 | $16,347 | $21,019 | 2.37 |
Kidney and urinary tract40 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 18 | $13,623 | $5,848 | $6,103 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 11 | $16,696 | $5,796 | $7,480 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 11 | $21,947 | $8,295 | $9,832 | 1.17 |
Musculoskeletal system and connective tissue13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 13 | $41,286 | $14,114 | $18,496 | 2.07 |
Endocrine, nutritional and metabolic12 discharges in 1 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 | 12 | $14,403 | $5,840 | $6,452 | 0.78 |
Skin, subcutaneous tissue and breast11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 11 | $14,927 | $5,491 | $6,687 | 0.88 |
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 | 187 | 167 | $10,985 | $2,275 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 71 | 63 | $5,281 | $1,308 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 69 | 19 | $5,062 | $1,721 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 67 | 64 | $12,243 | $4,801 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 38 | 38 | $15,781 | $4,371 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 35 | 29 | $10,963 | $2,861 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 34 | 31 | $10,364 | $2,693 | $2,405 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 29 | 27 | $3,613 | $1,358 | $1,196 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 26 | 25 | $35,424 | $12,298 | $10,772 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 18 | 16 | $10,226 | $2,923 | $2,636 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 17 | 17 | $21,913 | $5,674 | $5,339 |
| Level 1 Intraocular ProceduresAPC 5491 | 16 | 13 | $4,075 | $1,969 | $1,752 |
| Level 5 ENT ProceduresAPC 5165 | 15 | 14 | $15,769 | $4,947 | $4,436 |
| Level 2 Intraocular ProceduresAPC 5492 | 15 | 12 | $11,660 | $3,206 | $3,116 |
| Level 3 ENT ProceduresAPC 5163 | 14 | 14 | $2,749 | $1,196 | $1,106 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 13 | 13 | $8,896 | $2,400 | $2,141 |
| Level 1 Nerve ProceduresAPC 5431 | 12 | 11 | $4,896 | $1,631 | $1,407 |
| Level 2 Vascular ProceduresAPC 5182 | 11 | 11 | $3,830 | $1,353 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 11 | $19,632 | $4,828 | $4,338 | |
| Level 3 Endovascular ProceduresAPC 5193 | 11 | $48,420 | $10,017 | $8,874 | |
| Level 4 Gynecologic ProceduresAPC 5414 | 11 | 11 | $4,757 | $2,641 | $2,389 |
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.