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Tufts Medical Center Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Tufts Medical Center, Boston, MA in 2024, from traditional Medicare claims. Back to the Tufts Medical Center profile, with quality ratings, finances and negotiated rates.

  • 2,885

    Medicare inpatient discharges

    In 116 published DRGs

  • 2.62

    Case mix index

    IPPS FY 2027

  • 38%

    Surgical stays

  • 70%

    Stays with complications

    In DRGs with a CC or MCC

  • 3,735

    Medicare outpatient services

    In 49 service groups

Inpatient stays by major diagnostic category

Circulatory system1,011 discharges in 33 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Heart failure and shock with MCCMS-DRG 291, medical121$45,334$15,133$18,9041.28
Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical111$111,524$51,839$46,5054.88
Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical82$72,355$22,691$30,1722.16
Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical54$108,240$32,892$45,1363.24
Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical52$161,112$68,537$67,1846.25
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical47$35,693$16,178$14,8841.59
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical47$18,977$7,027$7,9130.74
Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical32$253,782$86,240$105,8277.71
Other circulatory system diagnoses with MCCMS-DRG 314, medical31$64,616$22,090$26,9452.09
Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical30$39,419$10,709$16,4381.08
Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical29$138,726$39,059$57,8494.04
Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical27$175,249$58,009$73,0795.88
Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical26$18,521$4,822$7,7230.55
Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical26$85,092$18,639$35,4831.82
Syncope and collapseMS-DRG 312, medical22$21,669$8,583$9,0360.86
Other major cardiovascular procedures with MCCMS-DRG 270, surgical21$136,946$51,038$57,1065.06
Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical20$112,203$30,468$46,7892.87
Other vascular procedures with MCCMS-DRG 252, surgical19$97,175$34,953$40,5223.35
Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical18$154,847$51,171$64,5715.24
Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical17$24,194$9,333$10,0890.91
Other cardiothoracic procedures with MCCMS-DRG 228, surgical16$153,524$58,414$64,0195.04
Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical16$140,679$37,898$58,6633.90
Other circulatory system diagnoses with CCMS-DRG 315, medical16$39,253$9,148$16,3680.97
Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical15$71,585$17,833$29,8511.83
Other vascular procedures with CCMS-DRG 253, surgical15$65,533$28,044$27,3272.55
Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical14$221,431$84,568$92,3377.80
Atherosclerosis without MCCMS-DRG 303, medical14$20,863$6,571$8,7000.66
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical14$32,428$12,384$13,5231.20
Peripheral vascular disorders with CCMS-DRG 300, medical13$25,828$11,632$10,7701.07
Peripheral vascular disorders with MCCMS-DRG 299, medical12$24,951$15,312$10,4051.58
Hypertension without MCCMS-DRG 305, medical12$19,556$7,979$8,1550.75
Other cardiothoracic procedures without MCCMS-DRG 229, surgical11$116,625$38,468$48,6323.18
Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical11$146,636$47,947$61,1473.46

Nervous system340 discharges in 17 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical40$79,276$18,762$33,0582.00
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical35$34,489$10,324$14,3821.02
Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical33$179,964$64,808$75,0455.67
Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical28$100,545$45,400$41,9274.42
Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical25$84,550$27,931$35,2572.95
Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical20$63,949$25,031$26,6672.28
Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical19$32,394$13,582$13,5081.36
Seizures without MCCMS-DRG 101, medical18$20,536$9,221$8,5630.91
Seizures with MCCMS-DRG 100, medical16$88,945$23,475$37,0901.98
Extracranial procedures without cc/mccMS-DRG 039, surgical15$30,917$10,875$12,8921.14
Other disorders of nervous system with CCMS-DRG 092, medical15$23,848$11,018$9,9451.03
Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical14$78,795$20,667$32,8582.43
Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical14$22,328$13,185$9,3111.32
Carotid artery stent procedures without cc/mccMS-DRG 036, surgical13$48,235$19,383$20,1141.81
Craniotomy with major device implant or acute complex CNS principal diagnosis without mcMS-DRG 024, surgical12$87,650$40,690$36,5503.79
Other disorders of nervous system with MCCMS-DRG 091, medical12$44,500$20,320$18,5561.79
Nervous system neoplasms with MCCMS-DRG 054, medical11$36,530$15,666$15,2331.47

Musculoskeletal system and connective tissue318 discharges in 14 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Hip and femur procedures except major joint with CCMS-DRG 481, surgical42$61,529$21,214$25,6582.07
Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical41$59,942$44,845$24,9964.61
Cervical spinal fusion with CCMS-DRG 472, surgical37$54,599$29,324$22,7682.96
Medical back problems without MCCMS-DRG 552, medical27$23,532$9,005$9,8130.97
Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical26$54,114$18,419$22,5651.88
Hip and femur procedures except major joint with MCCMS-DRG 480, surgical24$98,418$32,362$41,0402.95
Spinal fusion except cervical without MCCMS-DRG 460, surgical22$52,433$37,442$21,8653.66
Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical19$65,445$62,719$27,2916.12
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical16$54,543$20,394$22,7442.11
Medical back problems with MCCMS-DRG 551, medical16$33,125$16,724$13,8131.70
Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical14$27,616$10,584$11,5161.09
Revision of hip or knee replacement with CCMS-DRG 467, surgical12$95,107$37,019$39,6593.49
Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical11$33,979$17,229$14,1691.82
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical11$26,503$9,322$11,0520.90

Respiratory system242 discharges in 10 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Respiratory infections and inflammations with MCCMS-DRG 177, medical57$42,309$17,275$17,6431.70
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical44$36,089$13,599$15,0491.33
Simple pneumonia and pleurisy with CCMS-DRG 194, medical26$21,082$8,104$8,7910.82
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical21$28,057$10,486$11,7001.10
Chronic obstructive pulmonary disease with CCMS-DRG 191, medical21$24,061$8,813$10,0340.85
Major chest procedures with CCMS-DRG 164, surgical20$59,080$27,387$24,6372.55
Respiratory infections and inflammations with CCMS-DRG 178, medical14$24,506$10,124$10,2190.99
Pulmonary edema and respiratory failureMS-DRG 189, medical14$81,047$17,346$33,7971.23
Major chest trauma with CCMS-DRG 184, medical13$21,708$9,776$9,0521.05
Major chest procedures without cc/mccMS-DRG 165, surgical12$52,055$19,976$21,7071.88

Digestive system220 discharges in 10 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical43$24,618$7,793$10,2660.79
Major small and large bowel procedures with CCMS-DRG 330, surgical26$71,170$23,628$29,6782.37
Gastrointestinal hemorrhage with CCMS-DRG 378, medical26$37,545$10,336$15,6560.98
Major small and large bowel procedures with MCCMS-DRG 329, surgical23$155,033$51,218$64,6494.52
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical21$49,430$17,474$20,6121.79
Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical19$36,953$12,878$15,4091.28
Other digestive system diagnoses with MCCMS-DRG 393, medical19$52,612$14,650$21,9391.62
Gastrointestinal obstruction with CCMS-DRG 389, medical16$19,132$8,390$7,9780.80
Other digestive system diagnoses with CCMS-DRG 394, medical16$27,154$9,118$11,3230.94
Other digestive system o.r. procedures with MCCMS-DRG 356, surgical11$217,255$58,983$90,5954.28

Kidney and urinary tract158 discharges in 7 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Renal failure with CCMS-DRG 683, medical35$21,022$9,241$8,7660.90
Renal failure with MCCMS-DRG 682, medical27$49,834$18,317$20,7811.50
Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical25$21,662$9,929$9,0331.02
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical22$42,344$17,366$17,6581.65
Kidney and urinary tract infections with MCCMS-DRG 689, medical19$26,261$11,677$10,9511.17
Kidney and urinary tract infections without MCCMS-DRG 690, medical18$23,589$7,245$9,8370.81
Kidney transplantMS-DRG 652, surgical12$261,484$24,461$109,0393.00

Infectious and parasitic diseases156 discharges in 2 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical115$71,824$22,512$29,9511.98
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical41$198,223$61,401$82,6595.00

Endocrine, nutritional and metabolic104 discharges in 4 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical36$26,752$12,856$11,1561.32
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical34$19,477$8,138$8,1220.78
Diabetes with CCMS-DRG 638, medical22$20,677$9,417$8,6220.90
Endocrine disorders with MCCMS-DRG 643, medical12$60,754$18,197$25,3341.65

Liver, gallbladder and pancreas85 discharges in 5 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Disorders of the biliary tract with CCMS-DRG 445, medical27$36,306$11,203$15,1401.09
Disorders of the biliary tract with MCCMS-DRG 444, medical19$47,684$16,803$19,8841.63
Disorders of pancreas except malignancy with CCMS-DRG 439, medical14$22,257$9,174$9,2810.86
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical13$60,537$18,249$25,2441.83
Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical12$64,908$23,067$27,0671.92

Blood cancers and poorly differentiated neoplasms65 discharges in 3 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical37$21,430$12,854$8,9361.21
Chemotherapy without acute leukemia as secondary diagnosis with MCCMS-DRG 846, medical15$37,637$22,125$15,6952.44
Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical13$75,537$27,190$31,4993.13

Skin, subcutaneous tissue and breast43 discharges in 2 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Cellulitis without MCCMS-DRG 603, medical32$18,755$8,557$7,8210.88
Cellulitis with MCCMS-DRG 602, medical11$32,964$16,562$13,7461.49

Transplants, ECMO and tracheostomy (pre-MDC)43 discharges in 2 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical24$1,006,590$296,224$419,74821.32
Heart transplant or implant of heart assist system with MCCMS-DRG 001, surgical19$1,156,912$381,825$482,43227.10

Blood and immune system34 discharges in 2 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Red blood cell disorders without MCCMS-DRG 812, medical17$24,166$9,080$10,0770.90
Coagulation disordersMS-DRG 813, medical17$150,522$48,016$62,7681.56

Injuries, poisonings and toxic effects of drugs30 discharges in 2 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Complications of treatment with MCCMS-DRG 919, medical18$40,279$18,782$16,7961.82
Complications of treatment with CCMS-DRG 920, medical12$37,712$9,766$15,7261.03

Other22 discharges in 2 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Single level combined anterior and posterior spinal fusion except cervicalMS-DRG 40211$74,077$45,043$30,890
Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical11$172,902$51,888$72,1004.74

Alcohol and drug use14 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical14$29,076$9,076$12,1250.86

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 groupServicesPatientsAverage chargesAverage Medicare paymentUS average payment
Level 2 Urology and Related ServicesAPC 5372271183$5,059$552$502
Level 1 Intraocular ProceduresAPC 5491268207$7,310$1,977$1,752
Level 3 Electrophysiologic ProceduresAPC 5213239232$91,808$23,605$21,117
Level 2 Intraocular ProceduresAPC 5492219202$14,715$3,461$3,116
Level 1 Endovascular ProceduresAPC 5191213209$13,200$2,431$2,208
Comprehensive Observation ServicesAPC 8011195186$12,553$2,303$2,090
Level 2 Upper GI ProceduresAPC 5302181151$10,600$1,609$1,445
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072172156$7,961$1,347$1,220
Level 3 Vascular ProceduresAPC 5183159128$13,330$2,599$2,405
Level 3 Urology and Related ServicesAPC 5373130110$7,030$1,707$1,516
Level 5 Musculoskeletal ProceduresAPC 5115110107$33,701$12,137$10,772
Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 550310697$6,845$1,962$1,780
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 507310496$16,957$2,277$2,141
Level 3 Airway EndoscopyAPC 51538151$6,337$1,434$1,264
Level 1 Laparoscopy and Related ServicesAPC 53616968$21,786$4,723$4,358
Level 2 Musculoskeletal ProceduresAPC 51126662$6,794$1,310$1,196
Level 4 Musculoskeletal ProceduresAPC 51146665$22,890$6,029$5,339
Level 4 Vascular ProceduresAPC 51846157$30,547$4,394$3,946
Level 3 Lower GI ProceduresAPC 53136054$11,556$2,365$2,176
Level 7 Radiation TherapyAPC 56275957$99,054$6,730$6,121
Level 3 Musculoskeletal ProceduresAPC 51135750$15,025$2,695$2,373
Level 3 Intraocular ProceduresAPC 54935140$14,606$4,385$4,004
Level 3 Endovascular ProceduresAPC 51935046$50,973$9,959$8,874
Level 2 Endovascular ProceduresAPC 51924945$28,893$4,791$4,338
Level 5 ENT ProceduresAPC 51654444$26,186$5,011$4,436
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 53414338$15,086$2,960$2,636
Level 4 Gynecologic ProceduresAPC 54143939$9,677$2,675$2,389
Level 2 Pacemaker and Similar ProceduresAPC 52223837$30,368$7,291$6,514
Level 1 Nerve ProceduresAPC 54313734$6,638$1,651$1,407
Level 3 Pacemaker and Similar ProceduresAPC 52233636$51,314$9,548$8,569
Level 4 Urology and Related ServicesAPC 53743629$26,145$2,983$2,629
Level 4 Airway EndoscopyAPC 51543535$20,243$3,204$2,833
Level 2 Neurostimulator and Related ProceduresAPC 54623325$25,437$5,846$4,524
Level 2 Laparoscopy and Related ServicesAPC 53623232$34,586$9,411$8,164
Level 2 ICD and Similar ProceduresAPC 52323030$133,698$32,470$29,375
Level 6 Musculoskeletal ProceduresAPC 51162928$52,054$17,701$15,763
Level 4 Endovascular ProceduresAPC 51942926$67,155$17,156$14,606
Level 3 Upper GI ProceduresAPC 53032928$16,831$3,194$2,888
Complex GI ProceduresAPC 53312824$20,793$4,790$4,263
Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 50922323$32,743$4,852$4,982
Level 4 ENT ProceduresAPC 51642222$16,250$2,379$2,217
Level 2 Vascular ProceduresAPC 51822222$7,014$1,308$1,204
Level 5 Airway EndoscopyAPC 51552121$24,681$5,857$5,183
Level 5 Urology and Related ServicesAPC 53751918$17,180$4,412$3,918
Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 50911817$21,983$3,262$2,930
Level 4 Extraocular, Repair, and Plastic Eye ProceduresAPC 55041717$11,049$3,114$2,969
Level 3 ENT ProceduresAPC 516315$8,640$1,305$1,106
Level 5 Gynecologic ProceduresAPC 54151312$22,758$4,256$3,792
Cochlear Implant ProcedureAPC 51661111$54,899$34,269$29,489

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.