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 procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 123 | $35,076 | $12,358 | $11,400 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 26 | $24,119 | $6,295 | $7,839 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 21 | $103,872 | $29,992 | $33,758 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 13 | $59,320 | $13,094 | $19,279 | 2.04 |
Respiratory system120 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 | 47 | $30,532 | $8,406 | $9,923 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 42 | $34,215 | $10,736 | $11,120 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 19 | $19,768 | $7,060 | $6,425 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 12 | $28,191 | $8,061 | $9,162 | 1.23 |
Circulatory system102 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 51 | $25,574 | $8,552 | $8,312 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 15 | $21,706 | $4,598 | $7,054 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 13 | $25,720 | $8,344 | $8,359 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 12 | $16,231 | $3,185 | $5,275 | 0.55 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 11 | $34,247 | $9,680 | $11,130 | 1.59 |
Digestive system72 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 22 | $29,428 | $6,028 | $9,564 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 20 | $20,487 | $4,884 | $6,658 | 0.80 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 19 | $18,999 | $3,242 | $6,175 | 0.56 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 11 | $37,213 | $12,256 | $12,094 | 1.79 |
Mental diseases and disorders70 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 70 | $22,240 | $8,969 | $7,228 | 1.37 |
Kidney and urinary tract69 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 22 | $21,771 | $7,904 | $7,076 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 16 | $26,616 | $9,013 | $8,650 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 16 | $21,615 | $5,902 | $7,025 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 15 | $25,225 | $10,261 | $8,198 | 1.65 |
Endocrine, nutritional and metabolic32 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 with MCCMS-DRG 640, medical | 17 | $20,657 | $8,463 | $6,714 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 15 | $17,766 | $5,048 | $5,774 | 0.78 |
Musculoskeletal system and connective tissue29 discharges in 2 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 | 15 | $87,985 | $12,182 | $28,595 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 14 | $78,971 | $13,257 | $25,666 | 2.11 |
Nervous system20 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 | 20 | $35,809 | $5,816 | $11,638 | 1.02 |
Skin, subcutaneous tissue and breast12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 12 | $21,114 | $5,643 | $6,862 | 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 2 Urology and Related ServicesAPC 5372 | 394 | 232 | $942 | $471 | $502 |
| Level 3 Urology and Related ServicesAPC 5373 | 196 | 180 | $10,663 | $1,398 | $1,516 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 153 | 146 | $78,122 | $9,741 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 134 | 124 | $6,698 | $1,111 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 127 | 121 | $26,659 | $3,558 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 106 | 95 | $17,760 | $2,352 | $2,629 |
| Level 3 Airway EndoscopyAPC 5153 | 102 | 58 | $3,663 | $1,175 | $1,264 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 85 | 84 | $32,453 | $3,952 | $4,358 |
| Comprehensive Observation ServicesAPC 8011 | 80 | 80 | $20,906 | $1,895 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 49 | 46 | $12,600 | $1,324 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 43 | 43 | $55,520 | $4,840 | $5,339 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 43 | 43 | $122,115 | $14,552 | $15,763 |
| Level 3 ENT ProceduresAPC 5163 | 39 | 23 | $4,454 | $1,025 | $1,106 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 37 | 37 | $18,541 | $1,970 | $2,141 |
| Level 5 Gynecologic ProceduresAPC 5415 | 35 | 34 | $31,810 | $3,340 | $3,792 |
| Level 6 Urology and Related ServicesAPC 5376 | 31 | 29 | $38,657 | $6,386 | $7,291 |
| Level 5 ENT ProceduresAPC 5165 | 30 | 30 | $32,329 | $4,048 | $4,436 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 28 | 28 | $23,029 | $2,397 | $2,636 |
| Level 4 Gynecologic ProceduresAPC 5414 | 28 | 28 | $15,692 | $2,168 | $2,389 |
| Level 1 Nerve ProceduresAPC 5431 | 28 | 28 | $7,455 | $1,339 | $1,407 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 28 | 28 | $130,346 | $17,359 | $18,465 |
| Level 4 Airway EndoscopyAPC 5154 | 24 | 21 | $16,383 | $2,595 | $2,833 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 19 | 19 | $22,987 | $2,639 | $2,930 |
| Level 5 Airway EndoscopyAPC 5155 | 19 | 19 | $37,560 | $4,745 | $5,183 |
| Level 3 Vascular ProceduresAPC 5183 | 18 | 17 | $19,750 | $2,210 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 17 | 17 | $33,305 | $2,236 | $2,373 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 17 | 17 | $90,474 | $7,308 | $8,164 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 14 | 14 | $38,371 | $4,521 | $4,982 |
| Level 4 ENT ProceduresAPC 5164 | 14 | 14 | $22,262 | $2,232 | $2,217 |
| Level 3 Lower GI ProceduresAPC 5313 | 14 | 12 | $16,866 | $1,964 | $2,176 |
| Level 8 Urology and Related ServicesAPC 5378 | 13 | 13 | $83,956 | $15,883 | $17,428 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 11 | 11 | $15,589 | $1,112 | $1,196 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 11 | $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.