PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates

Uhs Hospitals Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Uhs Hospitals, Binghamton, NY in 2024, from traditional Medicare claims. Back to the Uhs Hospitals profile, with quality ratings, finances and negotiated rates.

  • 2,408

    Medicare inpatient discharges

    In 80 published DRGs

  • 2.09

    Case mix index

    IPPS FY 2027

  • 22%

    Surgical stays

  • 71%

    Stays with complications

    In DRGs with a CC or MCC

  • 3,000

    Medicare outpatient services

    In 40 service groups

Inpatient stays by major diagnostic category

Circulatory system597 discharges in 19 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Heart failure and shock with MCCMS-DRG 291, medical145$25,207$10,127$9,1501.28
Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical102$150,032$43,397$54,4624.88
Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical45$42,421$12,156$15,3991.82
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical32$40,788$13,201$14,8061.59
Syncope and collapseMS-DRG 312, medical30$21,259$6,967$7,7170.86
Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical27$88,577$28,789$32,1533.24
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical26$17,830$5,259$6,4720.74
Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical20$41,321$16,929$15,0002.16
Hypertension without MCCMS-DRG 305, medical20$16,485$5,645$5,9840.75
Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical19$65,273$18,315$23,6942.28
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical19$21,095$10,417$7,6571.20
Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical18$26,978$7,633$9,7930.91
Peripheral vascular disorders with CCMS-DRG 300, medical16$24,911$8,866$9,0431.07
Other circulatory system diagnoses with MCCMS-DRG 314, medical16$49,937$16,156$18,1272.09
Other vascular procedures with CCMS-DRG 253, surgical13$58,447$22,083$21,2162.55
Other major cardiovascular procedures with MCCMS-DRG 270, surgical13$102,663$38,149$37,2675.06
Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical13$30,764$8,291$11,1671.08
Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical12$182,904$55,754$66,3946.25
Acute myocardial infarction, expired with MCCMS-DRG 283, medical11$34,266$17,081$12,4381.97

Infectious and parasitic diseases401 discharges in 3 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical308$46,719$16,501$16,9591.98
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical55$125,173$41,952$45,4385.00
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical38$30,442$8,138$11,0501.03

Respiratory system297 discharges in 10 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Respiratory infections and inflammations with MCCMS-DRG 177, medical68$37,502$13,023$13,6131.70
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical58$32,241$10,951$11,7041.33
Pulmonary edema and respiratory failureMS-DRG 189, medical50$29,737$9,963$10,7941.23
Simple pneumonia and pleurisy with CCMS-DRG 194, medical25$20,530$5,994$7,4520.82
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical23$22,744$8,581$8,2561.10
Respiratory infections and inflammations with CCMS-DRG 178, medical16$22,929$7,920$8,3230.99
Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical15$39,396$11,077$14,3011.40
Chronic obstructive pulmonary disease with CCMS-DRG 191, medical14$20,037$7,129$7,2740.85
Interstitial lung disease with MCCMS-DRG 196, medical14$34,448$16,030$12,5041.90
Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical14$57,979$20,881$21,0462.70

Musculoskeletal system and connective tissue250 discharges in 11 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Hip and femur procedures except major joint with CCMS-DRG 481, surgical49$60,961$17,590$22,1292.07
Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical43$39,575$15,674$14,3661.88
Medical back problems without MCCMS-DRG 552, medical41$21,760$7,674$7,8990.97
Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical18$105,679$52,898$38,3626.12
Cervical spinal fusion with CCMS-DRG 472, surgical17$64,623$22,186$23,4582.96
Spinal fusion except cervical without MCCMS-DRG 460, surgical15$75,829$27,225$27,5263.66
Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical15$55,383$23,035$20,1042.67
Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical15$20,859$9,016$7,5721.09
Revision of hip or knee replacement with CCMS-DRG 467, surgical14$81,148$30,072$29,4573.49
Hip and femur procedures except major joint with MCCMS-DRG 480, surgical12$78,785$26,536$28,5992.95
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical11$26,847$7,042$9,7460.90

Nervous system245 discharges in 9 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical59$48,372$15,962$17,5592.00
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical54$29,895$7,854$10,8521.02
Transient ischemia without thrombolyticMS-DRG 069, medical34$22,670$5,881$8,2290.80
Degenerative nervous system disorders without MCCMS-DRG 057, medical26$26,083$10,926$9,4681.36
Seizures without MCCMS-DRG 101, medical18$34,599$7,895$12,5590.91
Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical15$82,592$32,555$29,9814.42
Seizures with MCCMS-DRG 100, medical15$56,452$18,221$20,4921.98
Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical12$131,906$50,030$47,8825.67
Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical12$25,096$5,147$9,1100.69

Kidney and urinary tract217 discharges in 6 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical57$35,569$14,615$12,9111.65
Kidney and urinary tract infections without MCCMS-DRG 690, medical41$21,952$6,158$7,9690.81
Kidney and urinary tract infections with MCCMS-DRG 689, medical38$27,116$9,648$9,8431.17
Renal failure with CCMS-DRG 683, medical35$24,008$6,934$8,7150.90
Renal failure with MCCMS-DRG 682, medical32$29,530$11,825$10,7191.50
Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical14$18,276$8,809$6,6341.02

Digestive system180 discharges in 9 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Gastrointestinal hemorrhage with CCMS-DRG 378, medical36$24,861$7,646$9,0240.98
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical23$37,159$15,707$13,4891.79
Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical23$21,833$6,006$7,9250.79
Other digestive system diagnoses with CCMS-DRG 394, medical21$22,261$7,867$8,0810.94
Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical19$34,456$11,110$12,5081.28
Major small and large bowel procedures with MCCMS-DRG 329, surgical16$134,503$40,784$48,8254.52
Major small and large bowel procedures with CCMS-DRG 330, surgical14$68,470$18,485$24,8542.37
Gastrointestinal obstruction with CCMS-DRG 389, medical14$21,412$5,181$7,7720.80
Other digestive system diagnoses with MCCMS-DRG 393, medical14$41,706$13,661$15,1391.62

Endocrine, nutritional and metabolic90 discharges in 4 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical42$29,556$10,822$10,7291.32
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical23$19,668$5,971$7,1400.78
Diabetes with MCCMS-DRG 637, medical13$36,612$11,851$13,2901.45
Endocrine disorders with CCMS-DRG 644, medical12$21,684$8,544$7,8711.06

Blood and immune system48 discharges in 3 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Red blood cell disorders with MCCMS-DRG 811, medical18$32,590$12,031$11,8301.40
Coagulation disordersMS-DRG 813, medical18$45,887$12,161$16,6571.56
Red blood cell disorders without MCCMS-DRG 812, medical12$24,725$7,015$8,9750.90

Liver, gallbladder and pancreas36 discharges in 3 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical13$43,006$15,535$15,6111.92
Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical12$36,920$13,081$13,4021.76
Disorders of the biliary tract with MCCMS-DRG 444, medical11$22,788$13,681$8,2721.63

Skin, subcutaneous tissue and breast20 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Cellulitis without MCCMS-DRG 603, medical20$23,462$5,589$8,5170.88

Blood cancers and poorly differentiated neoplasms14 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical14$27,654$5,380$10,0381.21

Other13 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical13$95,141$32,490$34,5364.74

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 groupServicesPatientsAverage chargesAverage Medicare paymentUS average payment
Comprehensive Observation ServicesAPC 8011600551$15,936$2,263$2,090
Level 2 Urology and Related ServicesAPC 5372305180$1,052$572$502
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072218204$7,927$1,361$1,220
Level 1 Endovascular ProceduresAPC 5191189187$16,167$2,470$2,208
Level 1 Nerve ProceduresAPC 5431132111$13,339$1,604$1,407
Level 3 Urology and Related ServicesAPC 537312092$5,649$1,718$1,516
Level 2 Upper GI ProceduresAPC 5302119107$10,455$1,617$1,445
Level 1 Intraocular ProceduresAPC 54919353$11,695$1,946$1,752
Level 5 Musculoskeletal ProceduresAPC 51159288$35,014$11,761$10,772
Level 4 Musculoskeletal ProceduresAPC 51147878$33,510$5,888$5,339
Level 3 Endovascular ProceduresAPC 51937369$32,267$9,743$8,874
Level 4 Urology and Related ServicesAPC 53747259$18,480$2,901$2,629
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 50737068$18,687$2,364$2,141
Level 3 Vascular ProceduresAPC 51836966$14,340$2,693$2,405
Level 1 Laparoscopy and Related ServicesAPC 53615555$28,697$4,608$4,358
Level 3 Electrophysiologic ProceduresAPC 52135050$60,188$23,010$21,117
Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 50914940$15,530$3,220$2,930
Level 2 Musculoskeletal ProceduresAPC 51124542$8,253$1,323$1,196
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 53414444$17,533$2,821$2,636
Level 3 Musculoskeletal ProceduresAPC 51134342$18,492$2,734$2,373
Level 3 Lower GI ProceduresAPC 53134139$10,086$2,454$2,176
Level 5 Urology and Related ServicesAPC 53753936$25,652$4,259$3,918
Level 2 Endovascular ProceduresAPC 51923832$26,276$4,701$4,338
Level 2 Vascular ProceduresAPC 51823534$7,844$1,310$1,204
Level 2 Neurostimulator and Related ProceduresAPC 54623525$25,212$5,777$4,524
Level 2 Pacemaker and Similar ProceduresAPC 52223030$17,940$7,126$6,514
Level 6 Musculoskeletal ProceduresAPC 51162929$74,403$18,079$15,763
Level 4 Gynecologic ProceduresAPC 54142928$8,536$2,641$2,389
Level 4 Airway EndoscopyAPC 51542424$17,107$3,163$2,833
Level 5 Airway EndoscopyAPC 51552323$24,269$5,782$5,183
Level 4 Vascular ProceduresAPC 51842220$22,739$4,429$3,946
Level 3 Pacemaker and Similar ProceduresAPC 52231919$34,915$9,676$8,569
Level 2 ICD and Similar ProceduresAPC 52321717$87,240$31,190$29,375
Complex GI ProceduresAPC 53311715$21,209$4,832$4,263
Level 4 Endovascular ProceduresAPC 51941616$53,309$15,859$14,606
Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 50921515$24,999$5,509$4,982
Level 3 Airway EndoscopyAPC 515315$1,931$1,434$1,264
Level 3 Upper GI ProceduresAPC 53031515$15,668$3,235$2,888
Level 4 ENT ProceduresAPC 51641414$18,869$2,720$2,217
Level 5 Neurostimulator and Related ProceduresAPC 54651111$76,539$31,189$26,719

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.