Upmc Chautauqua Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Upmc Chautauqua, Jamestown, NY in 2024, from traditional Medicare claims. Back to the Upmc Chautauqua profile, with quality ratings, finances and negotiated rates.
571
Medicare inpatient discharges
In 21 published DRGs
1.43
Case mix index
IPPS FY 2027
0%
Surgical stays
79%
Stays with complications
In DRGs with a CC or MCC
601
Medicare outpatient services
In 16 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases163 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 | 144 | $23,078 | $14,617 | $10,385 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 19 | $12,761 | $7,028 | $5,742 | 1.03 |
Circulatory system129 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 66 | $18,401 | $9,508 | $8,281 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 28 | $19,282 | $10,275 | $8,677 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 23 | $15,102 | $5,024 | $6,796 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 12 | $12,400 | $6,396 | $5,580 | 0.86 |
Respiratory system90 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 39 | $25,357 | $12,741 | $11,410 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 20 | $14,782 | $9,237 | $6,652 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 18 | $25,814 | $8,620 | $11,616 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 13 | $11,798 | $5,780 | $5,309 | 0.82 |
Kidney and urinary tract90 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 25 | $11,070 | $6,390 | $4,982 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 22 | $17,427 | $9,963 | $7,842 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 17 | $9,300 | $5,916 | $4,185 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 14 | $18,531 | $12,385 | $8,339 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 12 | $13,823 | $8,692 | $6,220 | 1.17 |
Digestive system57 discharges in 3 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 | 23 | $10,484 | $5,393 | $4,718 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 18 | $13,479 | $7,148 | $6,066 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $13,669 | $5,650 | $6,151 | 0.80 |
Endocrine, nutritional and metabolic25 discharges in 2 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 | 13 | $10,162 | $4,819 | $4,573 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 12 | $9,515 | $6,309 | $4,282 | 0.90 |
Skin, subcutaneous tissue and breast17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 17 | $9,727 | $5,868 | $4,377 | 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 |
|---|---|---|---|---|---|
| Level 5 Urology and Related ServicesAPC 5375 | 92 | 89 | $17,733 | $4,327 | $3,918 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 70 | 66 | $5,987 | $1,315 | $1,220 |
| Comprehensive Observation ServicesAPC 8011 | 55 | 54 | $7,160 | $2,228 | $2,090 |
| Level 3 Urology and Related ServicesAPC 5373 | 48 | 39 | $7,564 | $1,718 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 42 | 40 | $13,249 | $2,944 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 39 | 34 | $7,867 | $2,693 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 38 | 32 | $43,065 | $12,297 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 37 | 37 | $9,371 | $2,483 | $2,208 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 36 | 34 | $5,289 | $1,239 | $1,196 |
| Level 1 Nerve ProceduresAPC 5431 | 30 | 24 | $5,880 | $1,627 | $1,407 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 24 | 24 | $19,881 | $4,874 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 21 | 21 | $15,154 | $2,734 | $2,373 |
| Level 2 Vascular ProceduresAPC 5182 | 18 | 17 | $5,459 | $1,196 | $1,204 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 17 | 17 | $39,571 | $9,676 | $8,569 |
| Level 2 Upper GI ProceduresAPC 5302 | 17 | 13 | $4,426 | $1,613 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 17 | 17 | $12,968 | $2,923 | $2,636 |
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.