PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates

Adventhealth Hendersonville Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Adventhealth Hendersonville, Hendersonville, NC in 2024, from traditional Medicare claims. Back to the Adventhealth Hendersonville profile, with quality ratings, finances and negotiated rates.

  • 709

    Medicare inpatient discharges

    In 28 published DRGs

  • 1.71

    Case mix index

    IPPS FY 2027

  • 9%

    Surgical stays

  • 72%

    Stays with complications

    In DRGs with a CC or MCC

  • 1,987

    Medicare outpatient services

    In 33 service groups

Inpatient stays by major diagnostic category

Infectious and parasitic diseases183 discharges in 4 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical123$35,076$12,358$11,4001.98
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical26$24,119$6,295$7,8391.03
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical21$103,872$29,992$33,7585.00
Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical13$59,320$13,094$19,2792.04

Respiratory system120 discharges in 4 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical47$30,532$8,406$9,9231.33
Respiratory infections and inflammations with MCCMS-DRG 177, medical42$34,215$10,736$11,1201.70
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical19$19,768$7,060$6,4251.10
Pulmonary edema and respiratory failureMS-DRG 189, medical12$28,191$8,061$9,1621.23

Circulatory system102 discharges in 5 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Heart failure and shock with MCCMS-DRG 291, medical51$25,574$8,552$8,3121.28
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical15$21,706$4,598$7,0540.74
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical13$25,720$8,344$8,3591.20
Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical12$16,231$3,185$5,2750.55
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical11$34,247$9,680$11,1301.59

Digestive system72 discharges in 4 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Gastrointestinal hemorrhage with CCMS-DRG 378, medical22$29,428$6,028$9,5640.98
Gastrointestinal obstruction with CCMS-DRG 389, medical20$20,487$4,884$6,6580.80
Gastrointestinal obstruction without cc/mccMS-DRG 390, medical19$18,999$3,242$6,1750.56
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical11$37,213$12,256$12,0941.79

Mental diseases and disorders70 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
PsychosesMS-DRG 885, medical70$22,240$8,969$7,2281.37

Kidney and urinary tract69 discharges in 4 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Kidney and urinary tract infections with MCCMS-DRG 689, medical22$21,771$7,904$7,0761.17
Renal failure with MCCMS-DRG 682, medical16$26,616$9,013$8,6501.50
Renal failure with CCMS-DRG 683, medical16$21,615$5,902$7,0250.90
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical15$25,225$10,261$8,1981.65

Endocrine, nutritional and metabolic32 discharges in 2 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical17$20,657$8,463$6,7141.32
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical15$17,766$5,048$5,7740.78

Musculoskeletal system and connective tissue29 discharges in 2 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical15$87,985$12,182$28,5951.88
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical14$78,971$13,257$25,6662.11

Nervous system20 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical20$35,809$5,816$11,6381.02

Skin, subcutaneous tissue and breast12 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Cellulitis without MCCMS-DRG 603, medical12$21,114$5,643$6,8620.88

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 groupServicesPatientsAverage chargesAverage Medicare paymentUS average payment
Level 2 Urology and Related ServicesAPC 5372394232$942$471$502
Level 3 Urology and Related ServicesAPC 5373196180$10,663$1,398$1,516
Level 5 Musculoskeletal ProceduresAPC 5115153146$78,122$9,741$10,772
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072134124$6,698$1,111$1,220
Level 5 Urology and Related ServicesAPC 5375127121$26,659$3,558$3,918
Level 4 Urology and Related ServicesAPC 537410695$17,760$2,352$2,629
Level 3 Airway EndoscopyAPC 515310258$3,663$1,175$1,264
Level 1 Laparoscopy and Related ServicesAPC 53618584$32,453$3,952$4,358
Comprehensive Observation ServicesAPC 80118080$20,906$1,895$2,090
Level 2 Upper GI ProceduresAPC 53024946$12,600$1,324$1,445
Level 4 Musculoskeletal ProceduresAPC 51144343$55,520$4,840$5,339
Level 6 Musculoskeletal ProceduresAPC 51164343$122,115$14,552$15,763
Level 3 ENT ProceduresAPC 51633923$4,454$1,025$1,106
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 50733737$18,541$1,970$2,141
Level 5 Gynecologic ProceduresAPC 54153534$31,810$3,340$3,792
Level 6 Urology and Related ServicesAPC 53763129$38,657$6,386$7,291
Level 5 ENT ProceduresAPC 51653030$32,329$4,048$4,436
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 53412828$23,029$2,397$2,636
Level 4 Gynecologic ProceduresAPC 54142828$15,692$2,168$2,389
Level 1 Nerve ProceduresAPC 54312828$7,455$1,339$1,407
Level 4 Neurostimulator and Related ProceduresAPC 54642828$130,346$17,359$18,465
Level 4 Airway EndoscopyAPC 51542421$16,383$2,595$2,833
Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 50911919$22,987$2,639$2,930
Level 5 Airway EndoscopyAPC 51551919$37,560$4,745$5,183
Level 3 Vascular ProceduresAPC 51831817$19,750$2,210$2,405
Level 3 Musculoskeletal ProceduresAPC 51131717$33,305$2,236$2,373
Level 2 Laparoscopy and Related ServicesAPC 53621717$90,474$7,308$8,164
Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 50921414$38,371$4,521$4,982
Level 4 ENT ProceduresAPC 51641414$22,262$2,232$2,217
Level 3 Lower GI ProceduresAPC 53131412$16,866$1,964$2,176
Level 8 Urology and Related ServicesAPC 53781313$83,956$15,883$17,428
Level 2 Musculoskeletal ProceduresAPC 51121111$15,589$1,112$1,196
Level 2 Neurostimulator and Related ProceduresAPC 546211$25,724$4,742$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.