Adventhealth Gordon Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Adventhealth Gordon, Calhoun, GA in 2024, from traditional Medicare claims. Back to the Adventhealth Gordon profile, with quality ratings, finances and negotiated rates.
584
Medicare inpatient discharges
In 19 published DRGs
1.66
Case mix index
IPPS FY 2027
9%
Surgical stays
89%
Stays with complications
In DRGs with a CC or MCC
1,007
Medicare outpatient services
In 26 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases200 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 | 165 | $89,759 | $11,934 | $12,925 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 20 | $44,845 | $6,700 | $6,458 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 15 | $134,841 | $29,200 | $19,417 | 5.00 |
Circulatory system160 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 79 | $67,558 | $11,005 | $9,728 | 1.59 |
| Heart failure and shock with MCCMS-DRG 291, medical | 41 | $50,772 | $8,510 | $7,311 | 1.28 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 20 | $100,663 | $13,645 | $14,495 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 20 | $168,822 | $18,274 | $24,310 | 2.87 |
Respiratory system93 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 39 | $62,347 | $8,583 | $8,978 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 26 | $99,003 | $11,312 | $14,256 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 15 | $55,986 | $8,304 | $8,062 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 13 | $80,500 | $7,716 | $11,592 | 1.10 |
Kidney and urinary tract55 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 21 | $47,161 | $7,189 | $6,791 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 21 | $68,702 | $9,197 | $9,893 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 13 | $39,939 | $5,561 | $5,751 | 0.81 |
Digestive system30 discharges in 2 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 | 16 | $33,406 | $5,077 | $4,810 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 14 | $31,666 | $5,492 | $4,560 | 0.80 |
Musculoskeletal system and connective tissue19 discharges in 1 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 | 19 | $134,358 | $13,710 | $19,348 | 2.07 |
Nervous system14 discharges in 1 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 | 14 | $50,757 | $6,641 | $7,309 | 1.02 |
Endocrine, nutritional and metabolic13 discharges in 1 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 | 13 | $43,013 | $9,479 | $6,194 | 1.32 |
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 1 Intraocular ProceduresAPC 5491 | 176 | 106 | $28,770 | $1,655 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 105 | 101 | $34,515 | $1,969 | $2,090 |
| Level 5 Urology and Related ServicesAPC 5375 | 89 | 73 | $50,959 | $3,759 | $3,918 |
| Level 1 Endovascular ProceduresAPC 5191 | 87 | 86 | $42,442 | $2,136 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 61 | 54 | $15,968 | $1,127 | $1,220 |
| Level 2 Urology and Related ServicesAPC 5372 | 58 | 16 | $2,787 | $494 | $502 |
| Level 4 Urology and Related ServicesAPC 5374 | 44 | 36 | $33,881 | $2,532 | $2,629 |
| Level 1 Nerve ProceduresAPC 5431 | 44 | 40 | $23,496 | $1,403 | $1,407 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 38 | 36 | $133,712 | $10,351 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 36 | 35 | $73,525 | $3,959 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 32 | 32 | $30,409 | $1,433 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 26 | 25 | $72,755 | $4,996 | $5,339 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 26 | 26 | $64,698 | $2,417 | $2,636 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 19 | 19 | $26,766 | $2,059 | $2,141 |
| Level 2 Vascular ProceduresAPC 5182 | 18 | 17 | $18,208 | $1,163 | $1,204 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 17 | 17 | $262,884 | $26,597 | $26,719 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 16 | 16 | $21,654 | $1,168 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 16 | 16 | $45,728 | $2,072 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 14 | 14 | $34,799 | $2,315 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 13 | 12 | $16,499 | $1,382 | $1,445 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 13 | 13 | $120,705 | $7,748 | $8,164 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 13 | 12 | $120,038 | $18,264 | $18,465 |
| Level 3 Airway EndoscopyAPC 5153 | 12 | 12 | $19,418 | $1,233 | $1,264 |
| Level 3 Intraocular ProceduresAPC 5493 | 12 | $36,507 | $3,791 | $4,004 | |
| Level 6 Urology and Related ServicesAPC 5376 | 11 | 11 | $68,402 | $6,760 | $7,291 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 11 | 11 | $69,711 | $4,968 | $4,524 |
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.