White Plains Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for White Plains Hospital, White Plains, NY in 2024, from traditional Medicare claims. Back to the White Plains Hospital profile, with quality ratings, finances and negotiated rates.
6,453
Medicare inpatient discharges
In 145 published DRGs
1.99
Case mix index
IPPS FY 2027
20%
Surgical stays
76%
Stays with complications
In DRGs with a CC or MCC
5,432
Medicare outpatient services
In 46 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases1,409 discharges in 6 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 | 1,067 | $95,826 | $15,656 | $20,507 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 188 | $58,910 | $7,369 | $12,607 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 89 | $228,450 | $39,113 | $48,888 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 28 | $104,957 | $16,242 | $22,461 | 2.04 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 19 | $69,196 | $13,056 | $14,808 | 1.84 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 18 | $329,940 | $56,204 | $70,607 | 6.96 |
Circulatory system1,120 discharges in 30 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 194 | $75,490 | $10,194 | $16,155 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 102 | $119,697 | $26,239 | $25,615 | 3.24 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 100 | $95,269 | $12,901 | $20,388 | 1.59 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 85 | $213,677 | $51,654 | $45,727 | 6.25 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 56 | $99,976 | $13,221 | $21,395 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 49 | $48,569 | $5,312 | $10,394 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 48 | $60,207 | $6,677 | $12,884 | 0.91 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 45 | $89,178 | $16,577 | $19,084 | 2.09 |
| Syncope and collapseMS-DRG 312, medical | 38 | $57,266 | $6,533 | $12,255 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 32 | $82,076 | $8,845 | $17,564 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 29 | $163,312 | $23,610 | $34,949 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 28 | $68,200 | $8,210 | $14,595 | 1.08 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 26 | $232,156 | $34,780 | $49,681 | 3.90 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 26 | $42,924 | $4,655 | $9,186 | 0.72 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 26 | $74,324 | $12,477 | $15,905 | 1.58 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 22 | $147,704 | $28,466 | $31,609 | 3.46 |
| Hypertension without MCCMS-DRG 305, medical | 22 | $39,139 | $5,341 | $8,376 | 0.75 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 21 | $135,480 | $28,513 | $28,993 | 3.35 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 20 | $130,259 | $16,425 | $27,875 | 2.16 |
| Other vascular procedures with CCMS-DRG 253, surgical | 19 | $149,432 | $20,235 | $31,978 | 2.55 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 17 | $65,465 | $8,313 | $14,009 | 1.07 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 15 | $135,754 | $26,430 | $29,051 | 3.46 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 14 | $30,087 | $3,626 | $6,439 | 0.55 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 14 | $51,299 | $6,940 | $10,978 | 0.97 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 13 | $121,208 | $19,059 | $25,938 | 2.28 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 12 | $293,773 | $54,394 | $62,867 | 7.71 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 12 | $226,900 | $46,025 | $48,557 | 5.04 |
| Amputation for circulatory system disorders except upper limb and toe with MCCMS-DRG 239, surgical | 12 | $314,983 | $45,762 | $67,406 | 4.81 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 12 | $212,961 | $33,880 | $45,574 | 4.88 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 11 | $81,388 | $11,708 | $17,417 | 1.83 |
Respiratory system795 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 223 | $84,571 | $13,176 | $18,098 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 135 | $72,492 | $10,307 | $15,513 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 101 | $79,297 | $9,292 | $16,970 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 47 | $49,728 | $5,419 | $10,642 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 39 | $59,490 | $7,689 | $12,731 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 35 | $73,242 | $11,028 | $15,674 | 1.40 |
| Major chest procedures with CCMS-DRG 164, surgical | 34 | $177,618 | $20,433 | $38,010 | 2.55 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 29 | $138,137 | $22,030 | $29,561 | 2.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 28 | $74,164 | $8,360 | $15,871 | 1.10 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 27 | $65,717 | $6,647 | $14,063 | 0.96 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 25 | $86,793 | $13,998 | $18,574 | 1.74 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 24 | $92,817 | $15,173 | $19,863 | 1.81 |
| Major chest procedures with MCCMS-DRG 163, surgical | 18 | $254,210 | $40,435 | $54,401 | 4.71 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 17 | $64,554 | $6,358 | $13,814 | 0.85 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 13 | $62,555 | $4,920 | $13,387 | 0.82 |
Kidney and urinary tract637 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 164 | $86,528 | $13,384 | $18,517 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 125 | $66,270 | $9,142 | $14,182 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 90 | $46,970 | $5,848 | $10,052 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 85 | $91,334 | $11,768 | $19,546 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 63 | $52,525 | $6,541 | $11,240 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 49 | $45,110 | $7,906 | $9,654 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 17 | $64,472 | $9,530 | $13,797 | 1.35 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 16 | $238,049 | $35,589 | $50,942 | 3.70 |
| Kidney and ureter procedures for neoplasm with CCMS-DRG 657, surgical | 14 | $147,074 | $12,438 | $31,474 | 1.84 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 14 | $127,096 | $21,662 | $27,199 | 2.59 |
Digestive system625 discharges in 16 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 | 87 | $47,730 | $5,433 | $10,214 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 80 | $63,600 | $7,363 | $13,610 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 68 | $97,962 | $13,814 | $20,964 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 56 | $202,044 | $18,494 | $43,237 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 48 | $249,141 | $36,892 | $53,316 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 45 | $43,580 | $5,761 | $9,326 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 43 | $66,117 | $9,826 | $14,149 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 37 | $79,113 | $13,084 | $16,930 | 1.62 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 29 | $84,325 | $11,955 | $18,046 | 1.45 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 26 | $46,335 | $7,264 | $9,916 | 0.94 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 21 | $55,593 | $7,818 | $11,897 | 1.04 |
| Digestive malignancy with MCCMS-DRG 374, medical | 21 | $87,873 | $16,132 | $18,805 | 2.10 |
| Digestive malignancy with CCMS-DRG 375, medical | 20 | $97,730 | $9,522 | $20,914 | 1.20 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 18 | $87,595 | $13,645 | $18,745 | 1.75 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 14 | $217,523 | $42,267 | $46,550 | 5.08 |
| Complicated peptic ulcer with MCCMS-DRG 380, medical | 12 | $104,324 | $13,282 | $22,325 | 1.95 |
Nervous system587 discharges in 20 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 93 | $93,182 | $15,341 | $19,941 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 65 | $65,398 | $7,719 | $13,995 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 49 | $63,701 | $10,577 | $13,632 | 1.36 |
| Seizures without MCCMS-DRG 101, medical | 33 | $75,085 | $6,445 | $16,068 | 0.91 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 31 | $90,079 | $18,684 | $19,277 | 2.39 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 29 | $206,381 | $33,887 | $44,166 | 4.42 |
| Peripheral, cranial nerve and other nervous system procedures with CC or peripheral neurMS-DRG 041, surgical | 26 | $91,135 | $16,974 | $19,503 | 2.23 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 26 | $59,268 | $8,196 | $12,683 | 1.06 |
| Seizures with MCCMS-DRG 100, medical | 26 | $80,589 | $15,283 | $17,246 | 1.98 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 24 | $92,503 | $14,491 | $19,796 | 1.79 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 21 | $213,025 | $47,346 | $45,587 | 5.67 |
| Peripheral, cranial nerve and other nervous system procedures with MCCMS-DRG 040, surgical | 21 | $165,174 | $32,104 | $35,347 | 3.85 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 21 | $50,868 | $4,565 | $10,886 | 0.69 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 20 | $112,915 | $12,882 | $24,164 | 1.79 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 20 | $59,705 | $7,775 | $12,777 | 1.03 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 19 | $79,637 | $11,313 | $17,042 | 1.47 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 18 | $70,062 | $7,615 | $14,993 | 1.03 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 17 | $59,886 | $5,484 | $12,816 | 0.80 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 17 | $105,494 | $19,359 | $22,576 | 2.28 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 11 | $55,997 | $10,425 | $11,983 | 1.36 |
Musculoskeletal system and connective tissue529 discharges in 20 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 | 74 | $110,868 | $15,975 | $23,726 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 71 | $98,654 | $15,020 | $21,112 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 56 | $48,986 | $7,121 | $10,483 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 36 | $122,158 | $16,714 | $26,142 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 31 | $147,497 | $22,180 | $31,564 | 2.95 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 28 | $47,992 | $5,492 | $10,270 | 0.79 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 27 | $42,433 | $5,683 | $9,081 | 0.90 |
| Medical back problems with MCCMS-DRG 551, medical | 23 | $89,394 | $13,770 | $19,130 | 1.70 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 22 | $199,165 | $51,992 | $42,621 | 6.12 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 21 | $52,944 | $8,096 | $11,330 | 1.09 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 19 | $172,803 | $30,275 | $36,980 | 3.66 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 17 | $135,435 | $22,956 | $28,983 | 2.99 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 17 | $45,839 | $5,860 | $9,810 | 0.82 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 16 | $157,773 | $24,248 | $33,763 | 2.96 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 15 | $84,352 | $14,451 | $18,051 | 1.82 |
| Fractures of hip and pelvis with MCCMS-DRG 535, medical | 12 | $74,271 | $10,171 | $15,894 | 1.30 |
| Biopsies of musculoskeletal system and connective tissue with CCMS-DRG 478, surgical | 11 | $128,276 | $19,264 | $27,451 | 2.38 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 11 | $97,449 | $16,308 | $20,854 | 2.04 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 11 | $38,280 | $5,803 | $8,192 | 0.82 |
| Other musculoskeletal system and connective tissue diagnoses with MCCMS-DRG 564, medical | 11 | $63,948 | $12,280 | $13,685 | 1.56 |
Endocrine, nutritional and metabolic231 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 78 | $68,109 | $10,340 | $14,575 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 55 | $41,965 | $5,548 | $8,981 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 42 | $48,757 | $6,575 | $10,434 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 22 | $69,522 | $11,012 | $14,878 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 20 | $79,572 | $13,256 | $17,028 | 1.65 |
| Endocrine disorders with CCMS-DRG 644, medical | 14 | $77,755 | $7,728 | $16,640 | 1.06 |
Liver, gallbladder and pancreas134 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 29 | $91,964 | $13,714 | $19,680 | 1.76 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 26 | $95,571 | $14,945 | $20,452 | 1.83 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 25 | $95,275 | $13,357 | $20,389 | 1.63 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 23 | $63,325 | $8,014 | $13,551 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 19 | $109,928 | $10,103 | $23,525 | 1.63 |
| Pancreas, liver and shunt procedures with CCMS-DRG 406, surgical | 12 | $123,690 | $20,862 | $26,470 | 2.89 |
Blood and immune system125 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 46 | $74,899 | $12,928 | $16,028 | 1.56 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 33 | $91,951 | $10,297 | $19,678 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 19 | $61,396 | $6,963 | $13,139 | 0.90 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 808, medical | 15 | $116,183 | $17,174 | $24,863 | 2.19 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 12 | $46,730 | $9,070 | $10,000 | 1.20 |
Skin, subcutaneous tissue and breast90 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 60 | $46,143 | $6,350 | $9,875 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 30 | $88,149 | $11,440 | $18,864 | 1.49 |
Other49 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 20 | $185,823 | $35,638 | $39,766 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 16 | $135,953 | $17,136 | $29,094 | 2.49 |
| Non-extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 987, surgical | 13 | $117,729 | $28,289 | $25,194 | 3.38 |
Mental diseases and disorders45 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 | 45 | $55,879 | $12,890 | $11,958 | 1.76 |
Injuries, poisonings and toxic effects of drugs35 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 18 | $77,805 | $14,457 | $16,650 | 1.60 |
| Complications of treatment with MCCMS-DRG 919, medical | 17 | $98,151 | $16,256 | $21,004 | 1.82 |
Ear, nose, mouth and throat27 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 16 | $56,842 | $4,535 | $12,164 | 0.74 |
| Major head and neck procedures with CCMS-DRG 141, surgical | 11 | $132,856 | $16,870 | $28,431 | 2.07 |
Blood cancers and poorly differentiated neoplasms15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Lymphoma and non-acute leukemia with MCCMS-DRG 840, medical | 15 | $157,091 | $26,758 | $33,617 | 3.13 |
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 | 849 | 783 | $23,198 | $2,478 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 421 | 398 | $15,404 | $1,430 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 396 | 376 | $19,313 | $1,703 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 319 | 306 | $78,795 | $13,015 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 263 | 262 | $33,545 | $2,623 | $2,208 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 215 | 211 | $161,373 | $25,315 | $21,117 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 190 | 189 | $49,373 | $4,602 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 189 | 164 | $28,208 | $3,143 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 181 | 181 | $48,867 | $5,120 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 163 | 148 | $21,916 | $1,281 | $1,516 |
| Level 3 Endovascular ProceduresAPC 5193 | 155 | 142 | $57,162 | $10,744 | $8,874 |
| Level 1 Nerve ProceduresAPC 5431 | 135 | 119 | $15,924 | $1,050 | $1,407 |
| Level 3 Vascular ProceduresAPC 5183 | 125 | 123 | $27,083 | $2,863 | $2,405 |
| Level 2 Urology and Related ServicesAPC 5372 | 125 | 30 | $2,539 | $618 | $502 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 118 | 108 | $13,076 | $889 | $1,196 |
| Level 5 Urology and Related ServicesAPC 5375 | 117 | 115 | $37,062 | $4,264 | $3,918 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 114 | 103 | $36,162 | $3,135 | $2,636 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 109 | 109 | $24,600 | $1,529 | $2,373 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 96 | 96 | $25,973 | $8,023 | $6,514 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 93 | 93 | $25,097 | $2,453 | $2,141 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 84 | 84 | $43,060 | $10,495 | $8,569 |
| Level 5 ENT ProceduresAPC 5165 | 81 | 80 | $52,179 | $5,187 | $4,436 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 79 | 79 | $102,135 | $10,051 | $8,164 |
| Level 1 Intraocular ProceduresAPC 5491 | 73 | 48 | $18,719 | $833 | $1,752 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 72 | 67 | $48,336 | $3,453 | $2,930 |
| Level 4 Vascular ProceduresAPC 5184 | 65 | 58 | $37,326 | $4,824 | $3,946 |
| Level 2 Vascular ProceduresAPC 5182 | 61 | 58 | $10,996 | $1,421 | $1,204 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 50 | 47 | $111,854 | $19,450 | $15,763 |
| Level 6 Urology and Related ServicesAPC 5376 | 47 | 46 | $55,702 | $8,587 | $7,291 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 39 | 39 | $68,807 | $5,912 | $4,982 |
| Level 4 Airway EndoscopyAPC 5154 | 39 | 39 | $32,465 | $3,380 | $2,833 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 39 | 39 | $84,988 | $19,926 | $17,052 |
| Level 4 Endovascular ProceduresAPC 5194 | 38 | 37 | $83,755 | $18,273 | $14,606 |
| Level 4 Gynecologic ProceduresAPC 5414 | 37 | 37 | $22,823 | $2,834 | $2,389 |
| Level 2 Endovascular ProceduresAPC 5192 | 35 | 30 | $35,599 | $5,168 | $4,338 |
| Level 3 Upper GI ProceduresAPC 5303 | 30 | 30 | $32,137 | $3,472 | $2,888 |
| Level 5 Airway EndoscopyAPC 5155 | 29 | 29 | $64,562 | $5,978 | $5,183 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 24 | 24 | $88,441 | $23,134 | $18,465 |
| Level 3 Lower GI ProceduresAPC 5313 | 23 | 23 | $32,173 | $2,559 | $2,176 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 23 | 21 | $26,811 | $6,184 | $4,524 |
| Complex GI ProceduresAPC 5331 | 19 | 18 | $45,149 | $4,949 | $4,263 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 17 | 17 | $176,270 | $35,681 | $29,375 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 16 | 16 | $142,797 | $33,340 | $26,719 |
| Level 5 Gynecologic ProceduresAPC 5415 | 15 | 15 | $38,940 | $4,507 | $3,792 |
| Level 3 Airway EndoscopyAPC 5153 | 12 | 12 | $19,043 | $1,531 | $1,264 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 12 | 12 | $31,163 | $1,051 | $1,780 |
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.