Adventhealth Palm Coast Parkway Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Adventhealth Palm Coast Parkway, Palm Coast, FL in 2024, from traditional Medicare claims. Back to the Adventhealth Palm Coast Parkway profile, with quality ratings, finances and negotiated rates.
1,224
Medicare inpatient discharges
In 43 published DRGs
1.49
Case mix index
IPPS FY 2027
3%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
463
Medicare outpatient services
In 13 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases298 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 | 227 | $59,480 | $9,736 | $12,372 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 52 | $36,576 | $4,974 | $7,608 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 19 | $135,057 | $22,900 | $28,092 | 5.00 |
Circulatory system254 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 97 | $38,577 | $6,756 | $8,024 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 32 | $39,283 | $4,158 | $8,171 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 30 | $31,446 | $3,152 | $6,541 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 29 | $47,809 | $7,600 | $9,944 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 21 | $38,492 | $6,441 | $8,006 | 1.20 |
| Chest painMS-DRG 313, medical | 21 | $29,707 | $3,036 | $6,179 | 0.72 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 12 | $37,038 | $4,543 | $7,704 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 12 | $53,788 | $5,327 | $11,188 | 1.08 |
Respiratory system185 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 51 | $50,717 | $8,487 | $10,549 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 41 | $47,183 | $6,390 | $9,814 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 36 | $39,719 | $5,915 | $8,262 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 16 | $27,893 | $4,931 | $5,802 | 0.99 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 16 | $35,695 | $5,509 | $7,425 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $29,463 | $3,600 | $6,128 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $53,120 | $6,559 | $11,049 | 1.40 |
Kidney and urinary tract152 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 37 | $29,779 | $3,389 | $6,194 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 35 | $41,768 | $5,674 | $8,688 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 23 | $40,477 | $7,548 | $8,419 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 22 | $56,986 | $8,658 | $11,853 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 21 | $31,321 | $4,098 | $6,515 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 14 | $41,018 | $4,541 | $8,532 | 1.02 |
Digestive system129 discharges in 6 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 | 41 | $35,939 | $3,538 | $7,475 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 28 | $73,010 | $9,536 | $15,186 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 17 | $40,754 | $4,885 | $8,477 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 17 | $41,047 | $6,985 | $8,538 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 14 | $34,120 | $4,435 | $7,097 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 12 | $33,508 | $3,539 | $6,970 | 0.80 |
Nervous system69 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Transient ischemia without thrombolyticMS-DRG 069, medical | 28 | $43,442 | $3,590 | $9,036 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 16 | $45,969 | $4,871 | $9,562 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 14 | $47,656 | $9,350 | $9,912 | 2.00 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 11 | $68,457 | $12,203 | $14,239 | 2.27 |
Endocrine, nutritional and metabolic49 discharges in 3 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 | 18 | $32,378 | $3,639 | $6,735 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 16 | $45,855 | $6,926 | $9,538 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 15 | $38,827 | $7,101 | $8,076 | 1.32 |
Musculoskeletal system and connective tissue30 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 18 | $36,660 | $4,122 | $7,625 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 12 | $116,675 | $16,357 | $24,268 | 2.95 |
Ear, nose, mouth and throat16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 16 | $40,635 | $3,207 | $8,452 | 0.74 |
Blood and immune system16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 16 | $54,592 | $8,345 | $11,355 | 1.56 |
Skin, subcutaneous tissue and breast15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 15 | $24,295 | $3,667 | $5,053 | 0.88 |
Injuries, poisonings and toxic effects of drugs11 discharges in 1 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 | 11 | $49,858 | $8,225 | $10,370 | 1.60 |
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 | 117 | 114 | $22,638 | $1,941 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 47 | 47 | $14,862 | $1,170 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 47 | 45 | $20,200 | $1,453 | $1,516 |
| Level 2 Upper GI ProceduresAPC 5302 | 46 | 44 | $12,528 | $1,386 | $1,445 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 37 | 37 | $23,962 | $2,051 | $2,141 |
| Level 6 Urology and Related ServicesAPC 5376 | 34 | 34 | $54,589 | $6,514 | $7,291 |
| Level 3 Vascular ProceduresAPC 5183 | 29 | 29 | $21,252 | $2,300 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 24 | 22 | $32,369 | $3,734 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 21 | 21 | $50,527 | $4,164 | $4,358 |
| Level 2 Urology and Related ServicesAPC 5372 | 20 | 16 | $15,276 | $487 | $502 |
| Level 4 Urology and Related ServicesAPC 5374 | 17 | 15 | $27,449 | $2,516 | $2,629 |
| Level 2 Vascular ProceduresAPC 5182 | 13 | 13 | $14,493 | $1,156 | $1,204 |
| Level 3 Endovascular ProceduresAPC 5193 | 11 | $82,245 | $8,325 | $8,874 |
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.