Winchester Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Winchester Hospital, Winchester, MA in 2024, from traditional Medicare claims. Back to the Winchester Hospital profile, with quality ratings, finances and negotiated rates.
3,636
Medicare inpatient discharges
In 89 published DRGs
1.48
Case mix index
IPPS FY 2027
7%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
2,215
Medicare outpatient services
In 25 service groups
Inpatient stays by major diagnostic category
Respiratory system767 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 209 | $25,568 | $11,783 | $12,375 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 158 | $19,957 | $9,110 | $9,659 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 84 | $17,287 | $8,618 | $8,367 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 68 | $12,674 | $4,986 | $6,134 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 54 | $17,166 | $6,382 | $8,308 | 0.99 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 42 | $18,082 | $7,479 | $8,752 | 1.10 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 42 | $14,186 | $6,169 | $6,866 | 0.96 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 38 | $18,669 | $9,298 | $9,036 | 1.40 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 23 | $14,102 | $5,565 | $6,825 | 0.85 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 20 | $19,836 | $5,439 | $9,600 | 0.82 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 17 | $12,212 | $3,380 | $5,911 | 0.63 |
| Major chest trauma with CCMS-DRG 184, medical | 12 | $16,737 | $7,045 | $8,101 | 1.05 |
Circulatory system563 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 221 | $19,317 | $9,011 | $9,350 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 75 | $24,069 | $10,883 | $11,650 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 63 | $13,414 | $5,650 | $6,492 | 0.86 |
| Chest painMS-DRG 313, medical | 39 | $12,938 | $4,063 | $6,262 | 0.72 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 36 | $15,296 | $4,337 | $7,403 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 30 | $18,168 | $8,176 | $8,793 | 1.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 21 | $16,194 | $6,150 | $7,838 | 0.91 |
| Hypertension without MCCMS-DRG 305, medical | 20 | $11,260 | $4,929 | $5,450 | 0.75 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 17 | $15,456 | $2,888 | $7,481 | 0.55 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 17 | $31,853 | $16,877 | $15,417 | 2.09 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 13 | $17,602 | $6,361 | $8,520 | 0.97 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 11 | $12,311 | $4,589 | $5,958 | 0.72 |
Kidney and urinary tract460 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 92 | $14,545 | $5,888 | $7,040 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 86 | $14,734 | $8,034 | $7,131 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 77 | $12,751 | $5,172 | $6,171 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 74 | $19,830 | $10,234 | $9,598 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 73 | $23,422 | $11,516 | $11,336 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 28 | $14,891 | $7,075 | $7,207 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 16 | $23,905 | $9,365 | $11,570 | 1.35 |
| Urinary stones without MCCMS-DRG 694, medical | 14 | $9,749 | $4,991 | $4,719 | 0.78 |
Infectious and parasitic diseases423 discharges in 4 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 | 327 | $29,921 | $13,609 | $14,482 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 51 | $19,416 | $6,399 | $9,397 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 30 | $53,859 | $34,367 | $26,068 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 15 | $105,544 | $55,803 | $51,083 | 6.96 |
Musculoskeletal system and connective tissue410 discharges in 17 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 64 | $31,714 | $12,764 | $15,350 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 61 | $10,616 | $6,141 | $5,138 | 0.97 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 49 | $14,396 | $7,074 | $6,968 | 1.09 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 43 | $12,556 | $5,317 | $6,077 | 0.90 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 24 | $32,666 | $15,290 | $15,811 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 23 | $34,958 | $14,527 | $16,920 | 2.07 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 19 | $24,171 | $12,716 | $11,699 | 1.82 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 17 | $49,248 | $21,942 | $23,836 | 2.99 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 14 | $59,771 | $14,875 | $28,929 | 2.04 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 13 | $14,202 | $5,363 | $6,874 | 0.82 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 12 | $39,966 | $20,855 | $19,344 | 2.95 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 12 | $47,093 | $11,094 | $22,793 | 1.49 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 12 | $12,780 | $5,062 | $6,186 | 0.79 |
| Medical back problems with MCCMS-DRG 551, medical | 12 | $21,281 | $10,722 | $10,300 | 1.70 |
| Other musculoskeletal system and connective tissue diagnoses with MCCMS-DRG 564, medical | 12 | $24,762 | $11,201 | $11,985 | 1.56 |
| Other musculoskeletal system and connective tissue diagnoses with CCMS-DRG 565, medical | 12 | $17,084 | $7,394 | $8,268 | 1.00 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 11 | $13,484 | $5,299 | $6,526 | 0.82 |
Digestive system408 discharges in 11 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 | 127 | $12,759 | $4,918 | $6,175 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 52 | $19,636 | $6,644 | $9,504 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 49 | $30,821 | $13,620 | $14,917 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 36 | $18,937 | $9,022 | $9,166 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 30 | $18,299 | $6,368 | $8,857 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 29 | $18,668 | $11,867 | $9,035 | 1.62 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 26 | $12,007 | $5,113 | $5,811 | 0.80 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 18 | $13,733 | $7,438 | $6,647 | 1.04 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 15 | $62,257 | $32,843 | $30,132 | 4.52 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 13 | $42,642 | $16,660 | $20,639 | 2.37 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 13 | $36,956 | $13,862 | $17,887 | 1.75 |
Endocrine, nutritional and metabolic157 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 without MCCMS-DRG 641, medical | 52 | $11,899 | $4,982 | $5,759 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 34 | $17,153 | $8,561 | $8,302 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 27 | $17,039 | $6,006 | $8,247 | 0.90 |
| Endocrine disorders with CCMS-DRG 644, medical | 17 | $15,975 | $7,692 | $7,732 | 1.06 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $20,447 | $9,950 | $9,896 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 13 | $24,259 | $11,129 | $11,741 | 1.65 |
Skin, subcutaneous tissue and breast124 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 83 | $10,612 | $5,602 | $5,136 | 0.88 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 22 | $15,501 | $5,514 | $7,502 | 0.91 |
| Cellulitis with MCCMS-DRG 602, medical | 19 | $16,799 | $9,905 | $8,130 | 1.49 |
Nervous system120 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 24 | $23,223 | $13,356 | $11,240 | 2.00 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 20 | $12,790 | $8,932 | $6,190 | 1.36 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 19 | $14,304 | $4,929 | $6,923 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 17 | $18,025 | $6,868 | $8,724 | 1.02 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 16 | $13,965 | $6,909 | $6,759 | 1.03 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 12 | $15,458 | $7,118 | $7,482 | 1.03 |
| Headaches without MCCMS-DRG 103, medical | 12 | $10,647 | $4,288 | $5,153 | 0.84 |
Blood and immune system87 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 36 | $27,037 | $11,495 | $13,086 | 1.56 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 27 | $26,547 | $9,941 | $12,849 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 24 | $20,535 | $6,195 | $9,939 | 0.90 |
Ear, nose, mouth and throat31 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 31 | $10,453 | $4,344 | $5,059 | 0.74 |
Alcohol and drug use26 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 | 26 | $15,558 | $6,273 | $7,530 | 0.86 |
Mental diseases and disorders19 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 | 19 | $15,084 | $10,170 | $7,301 | 1.76 |
Factors influencing health status15 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 | 15 | $9,383 | $5,388 | $4,541 | 0.80 |
Other14 discharges in 1 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 | 14 | $48,126 | $30,709 | $23,293 | 4.74 |
Liver, gallbladder and pancreas12 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 | 12 | $11,678 | $4,367 | $5,652 | 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 |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 283 | 278 | $25,945 | $12,390 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 247 | 235 | $4,807 | $1,370 | $1,220 |
| Comprehensive Observation ServicesAPC 8011 | 177 | 173 | $10,447 | $2,276 | $2,090 |
| Level 1 Nerve ProceduresAPC 5431 | 151 | 137 | $7,730 | $1,629 | $1,407 |
| Level 2 Upper GI ProceduresAPC 5302 | 148 | 132 | $6,973 | $1,611 | $1,445 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 146 | 140 | $5,056 | $1,350 | $1,196 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 131 | 129 | $13,947 | $4,824 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 116 | 107 | $10,550 | $4,428 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 104 | 103 | $23,135 | $6,004 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 104 | 92 | $7,555 | $2,926 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 85 | 85 | $9,282 | $2,737 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 71 | 71 | $8,641 | $2,431 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 66 | 61 | $7,501 | $2,684 | $2,405 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 62 | 51 | $10,381 | $3,156 | $2,930 |
| Level 4 Gynecologic ProceduresAPC 5414 | 46 | 46 | $7,156 | $2,675 | $2,389 |
| Level 2 Vascular ProceduresAPC 5182 | 43 | 42 | $6,456 | $1,354 | $1,204 |
| Level 3 Urology and Related ServicesAPC 5373 | 41 | 24 | $5,707 | $1,743 | $1,516 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 38 | 38 | $25,223 | $9,403 | $8,164 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 30 | 29 | $10,085 | $2,955 | $2,636 |
| Level 5 Gynecologic ProceduresAPC 5415 | 27 | 27 | $11,018 | $4,098 | $3,792 |
| Level 3 Lower GI ProceduresAPC 5313 | 24 | 23 | $7,703 | $2,446 | $2,176 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 23 | 23 | $40,313 | $18,334 | $15,763 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 20 | 20 | $17,876 | $5,301 | $4,982 |
| Level 3 Endovascular ProceduresAPC 5193 | 17 | 16 | $38,747 | $10,167 | $8,874 |
| Level 4 Vascular ProceduresAPC 5184 | 15 | 14 | $15,998 | $4,702 | $3,946 |
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.