Anne Arundel Medical Center Inc. Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Anne Arundel Medical Center Inc., Annapolis, MD in 2024, from traditional Medicare claims. Back to the Anne Arundel Medical Center Inc. profile, with quality ratings, finances and negotiated rates.
8,707
Medicare inpatient discharges
In 178 published DRGs
1.63
Case mix index
IPPS FY 2027
19%
Surgical stays
65%
Stays with complications
In DRGs with a CC or MCC
Inpatient stays by major diagnostic category
Circulatory system1,726 discharges in 30 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 741 | $15,203 | $12,947 | $10,475 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 102 | $8,758 | $6,916 | $6,034 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 90 | $7,973 | $5,936 | $5,494 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 76 | $16,231 | $13,540 | $11,183 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 75 | $12,335 | $10,320 | $8,499 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 58 | $16,422 | $12,440 | $11,315 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 53 | $20,639 | $17,271 | $14,220 | 2.16 |
| Heart failure and shock with CCMS-DRG 292, medical | 53 | $10,610 | $8,637 | $7,310 | 0.86 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 46 | $11,145 | $8,805 | $7,679 | 0.91 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 45 | $4,813 | $3,062 | $3,316 | 0.55 |
| Other vascular procedures with CCMS-DRG 253, surgical | 37 | $27,793 | $23,612 | $19,150 | 2.55 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 34 | $9,120 | $6,738 | $6,284 | 1.08 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 27 | $17,780 | $14,041 | $12,251 | 2.09 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 26 | $21,986 | $19,048 | $15,148 | 2.28 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 25 | $30,670 | $27,050 | $21,132 | 3.35 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 25 | $12,650 | $10,632 | $8,716 | 0.97 |
| Hypertension without MCCMS-DRG 305, medical | 20 | $9,959 | $7,820 | $6,862 | 0.75 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 20 | $21,618 | $17,958 | $14,895 | 2.87 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 17 | $71,631 | $53,386 | $49,354 | 5.20 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 17 | $20,101 | $16,988 | $13,850 | 1.83 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 17 | $55,081 | $49,610 | $37,951 | 6.25 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 17 | $8,879 | $6,832 | $6,117 | 0.72 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 15 | $12,162 | $9,921 | $8,380 | 1.07 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 14 | $55,057 | $46,119 | $37,935 | 4.04 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 14 | $32,181 | $28,482 | $22,172 | 3.46 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 14 | $57,447 | $51,455 | $39,581 | 4.88 |
| Hypertension with MCCMS-DRG 304, medical | 13 | $12,038 | $10,087 | $8,294 | 1.15 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 12 | $43,212 | $38,868 | $29,773 | 3.46 |
| Chest painMS-DRG 313, medical | 12 | $7,343 | $4,631 | $5,059 | 0.72 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 11 | $20,417 | $16,406 | $14,068 | 1.58 |
Respiratory system1,335 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 192 | $10,206 | $7,981 | $7,032 | 0.82 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 183 | $16,709 | $14,270 | $11,513 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 180 | $19,345 | $16,525 | $13,329 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 153 | $18,734 | $15,956 | $12,908 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 106 | $14,962 | $12,622 | $10,309 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 94 | $12,325 | $10,009 | $8,492 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 61 | $13,326 | $10,534 | $9,182 | 1.40 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 53 | $9,974 | $7,794 | $6,872 | 0.82 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 48 | $10,824 | $8,537 | $7,458 | 0.96 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 45 | $34,685 | $29,261 | $23,898 | 2.70 |
| Major chest procedures with CCMS-DRG 164, surgical | 39 | $22,394 | $18,927 | $15,429 | 2.55 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 36 | $9,158 | $7,001 | $6,310 | 0.63 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 32 | $10,335 | $8,398 | $7,121 | 0.85 |
| Chronic obstructive pulmonary disease without cc/mccMS-DRG 192, medical | 25 | $7,759 | $5,628 | $5,346 | 0.64 |
| Major chest procedures with MCCMS-DRG 163, surgical | 24 | $33,460 | $29,764 | $23,054 | 4.71 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 23 | $16,549 | $13,134 | $11,402 | 1.88 |
| Respiratory infections and inflammations without cc/mccMS-DRG 179, medical | 15 | $11,092 | $8,619 | $7,642 | 0.76 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 15 | $25,820 | $23,074 | $17,790 | 1.74 |
| Bronchitis and asthma without cc/mccMS-DRG 203, medical | 11 | $9,585 | $7,265 | $6,604 | 0.69 |
Digestive system1,064 discharges in 24 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 | 187 | $8,574 | $6,365 | $5,908 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 151 | $10,974 | $9,035 | $7,561 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 82 | $28,343 | $24,417 | $19,529 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 82 | $16,188 | $13,868 | $11,153 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 61 | $14,460 | $12,293 | $9,963 | 1.28 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 50 | $18,783 | $15,357 | $12,941 | 1.67 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 45 | $42,187 | $36,628 | $29,067 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 43 | $9,623 | $7,574 | $6,630 | 0.80 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 39 | $12,197 | $10,243 | $8,404 | 1.04 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 37 | $11,062 | $9,302 | $7,622 | 0.94 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 36 | $6,042 | $3,894 | $4,163 | 0.56 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 32 | $20,178 | $14,967 | $13,903 | 1.75 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 27 | $19,727 | $16,613 | $13,592 | 1.62 |
| Gastrointestinal hemorrhage without cc/mccMS-DRG 379, medical | 24 | $5,712 | $3,306 | $3,935 | 0.63 |
| Digestive malignancy with CCMS-DRG 375, medical | 23 | $14,071 | $11,595 | $9,695 | 1.20 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 20 | $18,226 | $14,502 | $12,558 | 1.45 |
| Stomach, esophageal and duodenal procedures without cc/mccMS-DRG 328, surgical | 19 | $20,012 | $17,046 | $13,789 | 1.60 |
| Hernia procedures except inguinal and femoral without cc/mccMS-DRG 355, surgical | 18 | $15,071 | $11,370 | $10,384 | 1.36 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 17 | $21,917 | $18,883 | $15,101 | 2.50 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 16 | $35,285 | $31,471 | $24,311 | 5.08 |
| Peritoneal adhesiolysis with CCMS-DRG 336, surgical | 16 | $29,915 | $26,654 | $20,611 | 2.11 |
| Other digestive system o.r. procedures with MCCMS-DRG 356, surgical | 16 | $39,876 | $32,068 | $27,475 | 4.28 |
| Peritoneal adhesiolysis without cc/mccMS-DRG 337, surgical | 12 | $19,114 | $16,268 | $13,170 | 1.50 |
| Major gastrointestinal disorders and peritoneal infections without cc/mccMS-DRG 373, medical | 11 | $10,527 | $8,280 | $7,253 | 0.72 |
Kidney and urinary tract1,018 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 347 | $9,698 | $7,742 | $6,682 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 154 | $14,880 | $12,604 | $10,252 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 135 | $11,402 | $9,445 | $7,856 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 90 | $21,962 | $19,299 | $15,132 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 82 | $21,132 | $18,405 | $14,560 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 79 | $10,896 | $9,055 | $7,507 | 1.02 |
| Renal failure without cc/mccMS-DRG 684, medical | 22 | $7,460 | $5,662 | $5,140 | 0.61 |
| Kidney and urinary tract signs and symptoms without MCCMS-DRG 696, medical | 22 | $7,918 | $6,184 | $5,455 | 0.69 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 19 | $10,821 | $8,501 | $7,456 | 1.35 |
| Urinary stones without MCCMS-DRG 694, medical | 19 | $8,826 | $6,764 | $6,081 | 0.78 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 14 | $35,640 | $31,741 | $24,556 | 3.70 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 12 | $29,667 | $22,162 | $20,440 | 2.59 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 12 | $10,140 | $7,100 | $6,986 | 1.05 |
| Other kidney and urinary tract procedures with CCMS-DRG 674, surgical | 11 | $25,909 | $22,721 | $17,851 | 2.38 |
Infectious and parasitic diseases837 discharges in 10 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 | 482 | $25,381 | $21,768 | $17,487 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 134 | $12,445 | $10,140 | $8,574 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 101 | $50,363 | $44,474 | $34,700 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 28 | $24,650 | $19,738 | $16,984 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 24 | $77,063 | $67,729 | $53,096 | 6.96 |
| Postoperative or post-traumatic infections with o.r. procedures with CCMS-DRG 857, surgical | 17 | $22,687 | $20,287 | $15,631 | 2.14 |
| Postoperative and post-traumatic infections without MCCMS-DRG 863, medical | 16 | $11,693 | $9,381 | $8,057 | 1.01 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 13 | $16,510 | $14,544 | $11,375 | 1.84 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 11 | $38,276 | $34,776 | $26,372 | 4.43 |
| Fever and inflammatory conditionsMS-DRG 864, medical | 11 | $12,848 | $10,862 | $8,853 | 0.88 |
Musculoskeletal system and connective tissue797 discharges in 21 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 | 140 | $21,430 | $18,094 | $14,765 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 103 | $24,109 | $20,973 | $16,611 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 103 | $10,210 | $8,053 | $7,035 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 62 | $25,438 | $22,214 | $17,527 | 2.11 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 58 | $9,074 | $6,906 | $6,252 | 0.79 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 41 | $10,218 | $8,008 | $7,040 | 0.90 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 30 | $17,446 | $14,391 | $12,020 | 1.59 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 28 | $37,343 | $33,153 | $25,729 | 3.66 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 26 | $27,026 | $23,544 | $18,621 | 2.95 |
| Tendonitis, myositis and bursitis without MCCMS-DRG 558, medical | 24 | $8,201 | $6,274 | $5,650 | 0.88 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 21 | $29,008 | $23,921 | $19,987 | 2.40 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 21 | $10,314 | $8,171 | $7,107 | 1.09 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 21 | $9,755 | $7,455 | $6,721 | 0.82 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 20 | $39,261 | $34,423 | $27,051 | 3.49 |
| Bone diseases and arthropathies without MCCMS-DRG 554, medical | 19 | $9,423 | $7,229 | $6,492 | 0.82 |
| Medical back problems with MCCMS-DRG 551, medical | 18 | $17,521 | $15,182 | $12,072 | 1.70 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 15 | $37,931 | $33,520 | $26,135 | 2.99 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 13 | $32,792 | $26,683 | $22,594 | 2.96 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 12 | $75,636 | $69,151 | $52,113 | 6.12 |
| Lower extremity and humerus procedures except hip, foot and femur without cc/mccMS-DRG 494, surgical | 11 | $28,011 | $19,816 | $19,300 | 1.87 |
| Other musculoskeletal system and connective tissue diagnoses with MCCMS-DRG 564, medical | 11 | $24,641 | $21,882 | $16,978 | 1.56 |
Nervous system663 discharges in 16 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 | 170 | $11,910 | $9,685 | $8,206 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 103 | $24,894 | $21,424 | $17,152 | 2.00 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 63 | $7,813 | $5,497 | $5,383 | 0.69 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 49 | $9,140 | $7,028 | $6,298 | 0.80 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 45 | $11,506 | $8,879 | $7,928 | 1.14 |
| Seizures without MCCMS-DRG 101, medical | 39 | $9,783 | $7,828 | $6,740 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 35 | $12,316 | $9,985 | $8,486 | 1.36 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 31 | $32,492 | $28,351 | $22,387 | 4.42 |
| Seizures with MCCMS-DRG 100, medical | 23 | $21,752 | $18,796 | $14,987 | 1.98 |
| Extracranial procedures with CCMS-DRG 038, surgical | 18 | $12,003 | $10,108 | $8,270 | 1.60 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 17 | $27,250 | $23,121 | $18,775 | 2.28 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 17 | $9,640 | $7,664 | $6,642 | 1.03 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 14 | $7,110 | $4,914 | $4,899 | 1.03 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 14 | $11,572 | $9,543 | $7,973 | 1.32 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 13 | $14,011 | $11,489 | $9,654 | 1.36 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 12 | $24,925 | $21,533 | $17,173 | 2.39 |
Endocrine, nutritional and metabolic463 discharges in 8 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 | 173 | $8,905 | $6,873 | $6,136 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 98 | $15,726 | $12,674 | $10,835 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 70 | $10,918 | $8,790 | $7,522 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 33 | $18,353 | $15,826 | $12,645 | 1.45 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 29 | $20,697 | $17,723 | $14,260 | 1.98 |
| Endocrine disorders with MCCMS-DRG 643, medical | 26 | $18,089 | $15,499 | $12,463 | 1.65 |
| Endocrine disorders with CCMS-DRG 644, medical | 21 | $10,254 | $8,151 | $7,065 | 1.06 |
| O.r. procedures for obesity without cc/mccMS-DRG 621, surgical | 13 | $20,683 | $16,305 | $14,251 | 1.52 |
Liver, gallbladder and pancreas211 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 37 | $14,775 | $12,192 | $10,180 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 27 | $18,786 | $15,835 | $12,944 | 1.63 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 27 | $10,510 | $8,354 | $7,241 | 0.86 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 26 | $25,938 | $22,964 | $17,871 | 1.76 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 16 | $15,888 | $12,968 | $10,947 | 1.31 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 15 | $19,933 | $17,499 | $13,734 | 1.92 |
| Disorders of pancreas except malignancy without cc/mccMS-DRG 440, medical | 15 | $6,075 | $4,122 | $4,186 | 0.62 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 13 | $23,156 | $20,040 | $15,955 | 1.63 |
| Malignancy of hepatobiliary system or pancreas with CCMS-DRG 436, medical | 12 | $15,516 | $13,070 | $10,691 | 1.10 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 12 | $17,251 | $15,335 | $11,886 | 0.95 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 11 | $29,164 | $26,002 | $20,094 | 2.32 |
Skin, subcutaneous tissue and breast205 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 133 | $9,116 | $7,042 | $6,281 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 34 | $15,954 | $13,379 | $10,992 | 1.49 |
| Skin debridement with CCMS-DRG 571, surgical | 13 | $15,299 | $12,952 | $10,541 | 1.69 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 13 | $10,095 | $7,394 | $6,956 | 0.91 |
| Other skin, subcutaneous tissue and breast procedures with CCMS-DRG 580, surgical | 12 | $18,558 | $16,064 | $12,787 | 1.75 |
Factors influencing health status86 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 47 | $7,820 | $6,077 | $5,388 | 0.80 |
| Other factors influencing health statusMS-DRG 951, medical | 26 | $7,269 | $5,880 | $5,008 | 0.59 |
| Signs and symptoms with MCCMS-DRG 947, medical | 13 | $10,771 | $9,126 | $7,421 | 1.25 |
Blood and immune system82 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 30 | $11,195 | $8,701 | $7,713 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 20 | $11,651 | $9,507 | $8,028 | 1.40 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 18 | $14,146 | $12,002 | $9,747 | 1.20 |
| Coagulation disordersMS-DRG 813, medical | 14 | $21,504 | $19,052 | $14,816 | 1.56 |
Ear, nose, mouth and throat58 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 26 | $7,069 | $5,077 | $4,870 | 0.74 |
| Otitis media and uri without MCCMS-DRG 153, medical | 19 | $9,314 | $6,347 | $6,417 | 0.73 |
| Dental and oral diseases with CCMS-DRG 158, medical | 13 | $8,261 | $6,427 | $5,692 | 0.94 |
Injuries, poisonings and toxic effects of drugs53 discharges in 4 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 | 15 | $27,096 | $23,928 | $18,669 | 1.60 |
| Poisoning and toxic effects of drugs without MCCMS-DRG 918, medical | 13 | $12,226 | $8,464 | $8,424 | 0.86 |
| Complications of treatment with MCCMS-DRG 919, medical | 13 | $28,041 | $24,626 | $19,320 | 1.82 |
| Other o.r. procedures for injuries with CCMS-DRG 908, surgical | 12 | $29,901 | $26,648 | $20,602 | 2.00 |
Alcohol and drug use39 discharges in 2 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 | 28 | $9,075 | $6,957 | $6,253 | 0.86 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 11 | $22,939 | $19,897 | $15,805 | 1.78 |
Other33 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 17 | $30,602 | $27,061 | $21,085 | 2.49 |
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 16 | $42,469 | $37,965 | $29,261 | 4.74 |
Mental diseases and disorders26 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 | 26 | $15,162 | $10,968 | $10,446 | 1.76 |
Blood cancers and poorly differentiated neoplasms11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical | 11 | $14,033 | $12,565 | $9,668 | 1.21 |
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.