Umass Memorial Healthalliance Clinton Hospital - Leominster Campus Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Umass Memorial Healthalliance Clinton Hospital - Leominster Campus, Leominster, MA in 2024, from traditional Medicare claims. Back to the Umass Memorial Healthalliance Clinton Hospital - Leominster Campus profile, with quality ratings, finances and negotiated rates.

2,109
Medicare inpatient discharges
In 58 published DRGs
1.39
Case mix index
IPPS FY 2027
2%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
1,210
Medicare outpatient services
In 23 service groups

Inpatient stays by major diagnostic category

Respiratory system492 discharges in 10 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Respiratory infections and inflammations with MCCMS-DRG 177, medical	109	$44,307	$13,046	$16,172	1.70
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	107	$30,207	$10,379	$11,025	1.33
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	103	$34,304	$9,105	$12,521	1.10
Simple pneumonia and pleurisy with CCMS-DRG 194, medical	42	$23,497	$5,931	$8,576	0.82
Pulmonary edema and respiratory failureMS-DRG 189, medical	37	$42,261	$10,539	$15,425	1.23
Respiratory infections and inflammations with CCMS-DRG 178, medical	24	$31,445	$7,542	$11,478	0.99
Chronic obstructive pulmonary disease with CCMS-DRG 191, medical	21	$18,082	$6,455	$6,600	0.85
Bronchitis and asthma with cc/mccMS-DRG 202, medical	21	$21,607	$7,513	$7,886	0.96
Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical	17	$37,097	$10,405	$13,540	1.40
Pulmonary embolism without MCCMS-DRG 176, medical	11	$20,374	$5,895	$7,436	0.82

Circulatory system390 discharges in 8 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Heart failure and shock with MCCMS-DRG 291, medical	209	$31,184	$10,119	$11,382	1.28
Syncope and collapseMS-DRG 312, medical	44	$24,026	$6,638	$8,769	0.86
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical	40	$42,094	$11,680	$15,364	1.59
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical	34	$20,876	$5,752	$7,620	0.74
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical	21	$36,659	$9,393	$13,381	1.20
Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical	15	$24,388	$7,038	$8,902	0.91
Chest painMS-DRG 313, medical	14	$21,755	$5,468	$7,941	0.72
Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical	13	$19,456	$3,993	$7,101	0.55

Infectious and parasitic diseases312 discharges in 3 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	249	$49,006	$15,648	$17,887	1.98
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	47	$28,452	$7,992	$10,385	1.03
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	16	$146,113	$48,385	$53,331	5.00

Kidney and urinary tract238 discharges in 6 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Renal failure with CCMS-DRG 683, medical	54	$21,621	$6,860	$7,892	0.90
Kidney and urinary tract infections with MCCMS-DRG 689, medical	54	$24,465	$9,034	$8,930	1.17
Kidney and urinary tract infections without MCCMS-DRG 690, medical	52	$21,166	$5,921	$7,726	0.81
Renal failure with MCCMS-DRG 682, medical	32	$30,123	$11,771	$10,995	1.50
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical	28	$41,064	$13,548	$14,988	1.65
Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical	18	$21,407	$8,186	$7,814	1.02

Digestive system151 discharges in 6 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	46	$20,704	$5,675	$7,557	0.79
Gastrointestinal hemorrhage with CCMS-DRG 378, medical	29	$32,641	$7,608	$11,914	0.98
Gastrointestinal obstruction with CCMS-DRG 389, medical	24	$24,358	$5,601	$8,891	0.80
Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical	20	$41,618	$10,635	$15,190	1.28
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical	17	$47,108	$13,019	$17,194	1.79
Other digestive system diagnoses with CCMS-DRG 394, medical	15	$23,040	$7,131	$8,409	0.94

Nervous system131 discharges in 8 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical	23	$25,697	$7,826	$9,379	1.02
Other disorders of nervous system with CCMS-DRG 092, medical	20	$32,618	$8,677	$11,906	1.03
Transient ischemia without thrombolyticMS-DRG 069, medical	19	$22,855	$6,190	$8,342	0.80
Other cerebrovascular disorders with CCMS-DRG 071, medical	17	$31,515	$6,958	$11,503	1.06
Degenerative nervous system disorders without MCCMS-DRG 057, medical	14	$25,329	$9,798	$9,245	1.36
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical	14	$31,964	$13,203	$11,667	2.00
Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical	13	$19,942	$4,379	$7,279	0.69
Other disorders of nervous system with MCCMS-DRG 091, medical	11	$32,453	$13,979	$11,845	1.79

Endocrine, nutritional and metabolic118 discharges in 3 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	54	$23,359	$5,603	$8,526	0.78
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical	43	$47,867	$12,187	$17,471	1.32
Diabetes with CCMS-DRG 638, medical	21	$18,299	$6,797	$6,679	0.90

Musculoskeletal system and connective tissue115 discharges in 6 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Medical back problems without MCCMS-DRG 552, medical	30	$22,575	$6,951	$8,240	0.97
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical	23	$23,104	$6,551	$8,433	0.90
Hip and femur procedures except major joint with CCMS-DRG 481, surgical	22	$77,465	$16,293	$28,275	2.07
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical	14	$71,152	$17,186	$25,970	2.11
Fractures of hip and pelvis without MCCMS-DRG 536, medical	13	$18,761	$5,256	$6,848	0.79
Other musculoskeletal system and connective tissue diagnoses with CCMS-DRG 565, medical	13	$24,229	$8,087	$8,844	1.00

Skin, subcutaneous tissue and breast52 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Cellulitis without MCCMS-DRG 603, medical	41	$20,619	$6,792	$7,526	0.88
Cellulitis with MCCMS-DRG 602, medical	11	$38,922	$12,146	$14,207	1.49

Factors influencing health status26 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	26	$25,089	$6,031	$9,157	0.80

Blood and immune system24 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Red blood cell disorders with MCCMS-DRG 811, medical	24	$41,358	$11,647	$15,096	1.40

Liver, gallbladder and pancreas17 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Disorders of pancreas except malignancy with CCMS-DRG 439, medical	17	$18,790	$6,326	$6,858	0.86

Ear, nose, mouth and throat15 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
DysequilibriumMS-DRG 149, medical	15	$24,695	$5,339	$9,014	0.74

Mental diseases and disorders14 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Organic disturbances and intellectual disabilityMS-DRG 884, medical	14	$25,624	$12,738	$9,353	1.76

Alcohol and drug use14 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical	14	$46,512	$9,135	$16,977	0.86

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 group	Services	Patients	Average charges	Average Medicare payment	US average payment
Comprehensive Observation ServicesAPC 8011	322	299	$12,098	$2,302	$2,090
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	108	105	$9,436	$1,321	$1,220
Level 5 Musculoskeletal ProceduresAPC 5115	102	97	$63,180	$12,353	$10,772
Level 3 Vascular ProceduresAPC 5183	81	74	$17,651	$2,396	$2,405
Level 2 Urology and Related ServicesAPC 5372	79	18	$2,394	$575	$502
Level 5 Urology and Related ServicesAPC 5375	49	48	$21,043	$4,337	$3,918
Level 4 Urology and Related ServicesAPC 5374	46	37	$17,824	$2,981	$2,629
Level 2 Musculoskeletal ProceduresAPC 5112	43	37	$10,033	$1,375	$1,196
Level 3 Musculoskeletal ProceduresAPC 5113	43	41	$14,378	$2,640	$2,373
Level 1 Laparoscopy and Related ServicesAPC 5361	40	38	$21,094	$4,920	$4,358
Level 3 Urology and Related ServicesAPC 5373	39	37	$13,012	$1,645	$1,516
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073	36	35	$16,346	$2,431	$2,141
Level 4 Musculoskeletal ProceduresAPC 5114	34	34	$35,656	$5,936	$5,339
Level 1 Intraocular ProceduresAPC 5491	32	22	$16,711	$1,869	$1,752
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341	27	27	$17,622	$2,845	$2,636
Level 2 Upper GI ProceduresAPC 5302	25	24	$12,425	$1,621	$1,445
Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503	24	23	$12,534	$1,750	$1,780
Level 1 Nerve ProceduresAPC 5431	18	16	$9,693	$1,652	$1,407
Level 6 Musculoskeletal ProceduresAPC 5116	13	13	$105,437	$18,334	$15,763
Level 2 Vascular ProceduresAPC 5182	13	13	$9,900	$1,370	$1,204
Level 3 Airway EndoscopyAPC 5153	12	12	$14,285	$1,452	$1,264
Level 5 Airway EndoscopyAPC 5155	12	11	$33,735	$5,857	$5,183
Level 4 Extraocular, Repair, and Plastic Eye ProceduresAPC 5504	12	12	$17,886	$3,033	$2,969

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.