Atrium Health Cleveland Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Atrium Health Cleveland, Shelby, NC in 2024, from traditional Medicare claims. Back to the Atrium Health Cleveland profile, with quality ratings, finances and negotiated rates.
1,762
Medicare inpatient discharges
In 52 published DRGs
1.39
Case mix index
IPPS FY 2027
6%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
870
Medicare outpatient services
In 23 service groups
Inpatient stays by major diagnostic category
Circulatory system316 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 175 | $50,874 | $8,815 | $12,566 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 42 | $40,148 | $5,786 | $9,916 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 33 | $35,587 | $5,113 | $8,790 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 26 | $56,404 | $8,223 | $13,932 | 1.20 |
| Hypertension without MCCMS-DRG 305, medical | 15 | $35,794 | $4,591 | $8,841 | 0.75 |
| Chest painMS-DRG 313, medical | 13 | $38,374 | $4,863 | $9,478 | 0.72 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 12 | $32,214 | $3,497 | $7,957 | 0.55 |
Respiratory system315 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 75 | $54,447 | $8,712 | $13,448 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 66 | $56,194 | $10,924 | $13,880 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 40 | $46,600 | $8,427 | $11,510 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 38 | $37,351 | $5,375 | $9,226 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 37 | $46,233 | $7,556 | $11,420 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 28 | $36,301 | $6,572 | $8,966 | 0.99 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 19 | $28,727 | $5,486 | $7,096 | 0.85 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 12 | $35,742 | $6,556 | $8,828 | 0.96 |
Kidney and urinary tract246 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 69 | $40,757 | $8,217 | $10,067 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 64 | $40,849 | $5,098 | $10,090 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 56 | $41,007 | $5,848 | $10,129 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 39 | $61,369 | $10,446 | $15,158 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 18 | $47,627 | $10,342 | $11,764 | 1.65 |
Infectious and parasitic diseases224 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 | 181 | $80,439 | $12,963 | $19,868 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 25 | $39,471 | $6,281 | $9,749 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 18 | $129,590 | $29,443 | $32,009 | 5.00 |
Digestive system172 discharges in 7 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 | 50 | $34,324 | $4,793 | $8,478 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 37 | $59,202 | $6,747 | $14,623 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 28 | $58,770 | $8,800 | $14,516 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 23 | $69,390 | $12,087 | $17,139 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 12 | $33,376 | $5,058 | $8,244 | 0.80 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 11 | $41,898 | $9,819 | $10,349 | 1.45 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 11 | $39,908 | $6,333 | $9,857 | 0.94 |
Endocrine, nutritional and metabolic121 discharges in 4 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 | 40 | $50,078 | $8,453 | $12,369 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 35 | $40,506 | $5,252 | $10,005 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 23 | $49,991 | $9,512 | $12,348 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 23 | $37,425 | $5,806 | $9,244 | 0.90 |
Nervous system118 discharges in 6 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 | 44 | $53,669 | $6,473 | $13,256 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 19 | $80,872 | $14,269 | $19,975 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 17 | $41,880 | $5,034 | $10,344 | 0.80 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $62,296 | $8,547 | $15,387 | 1.36 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 13 | $46,588 | $4,944 | $11,507 | 0.69 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 12 | $43,126 | $6,686 | $10,652 | 1.06 |
Musculoskeletal system and connective tissue92 discharges in 5 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 | 30 | $86,032 | $13,448 | $21,250 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 22 | $102,447 | $13,949 | $25,304 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 14 | $127,580 | $20,704 | $31,512 | 2.95 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 13 | $96,591 | $12,303 | $23,858 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 13 | $41,776 | $6,468 | $10,319 | 0.97 |
Mental diseases and disorders46 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 46 | $39,669 | $9,189 | $9,798 | 1.37 |
Skin, subcutaneous tissue and breast46 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 31 | $30,969 | $5,718 | $7,649 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 15 | $39,840 | $9,928 | $9,840 | 1.49 |
Blood and immune system38 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 25 | $42,452 | $6,440 | $10,486 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 13 | $56,822 | $8,987 | $14,035 | 1.40 |
Liver, gallbladder and pancreas14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 14 | $98,448 | $10,765 | $24,317 | 1.63 |
Factors influencing health status14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 14 | $39,309 | $5,615 | $9,709 | 0.80 |
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 | 145 | 136 | $22,974 | $1,871 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 85 | 79 | $81,309 | $9,819 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 68 | 61 | $11,338 | $1,089 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 66 | 61 | $26,748 | $2,258 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 55 | 50 | $33,024 | $3,599 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 54 | 39 | $19,144 | $2,467 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 52 | 52 | $47,167 | $3,939 | $4,358 |
| Level 1 Nerve ProceduresAPC 5431 | 46 | 37 | $24,176 | $1,345 | $1,407 |
| Level 2 Upper GI ProceduresAPC 5302 | 40 | 38 | $13,727 | $1,350 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 32 | 32 | $25,245 | $2,389 | $2,636 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 31 | 29 | $24,916 | $2,219 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 30 | 30 | $13,127 | $1,071 | $1,196 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 26 | 26 | $53,385 | $4,873 | $5,339 |
| Level 3 Urology and Related ServicesAPC 5373 | 22 | 20 | $21,526 | $1,369 | $1,516 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 18 | 18 | $39,423 | $7,857 | $8,569 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 17 | 17 | $100,823 | $14,904 | $15,763 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 14 | 14 | $33,460 | $2,700 | $2,930 |
| Level 2 Endovascular ProceduresAPC 5192 | 13 | 12 | $27,821 | $3,723 | $4,338 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 12 | 12 | $27,870 | $6,019 | $6,514 |
| Level 4 Airway EndoscopyAPC 5154 | 11 | $25,874 | $2,653 | $2,833 | |
| Level 4 Endovascular ProceduresAPC 5194 | 11 | $128,509 | $13,929 | $14,606 | |
| Level 3 Lower GI ProceduresAPC 5313 | 11 | 11 | $21,569 | $1,842 | $2,176 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 11 | $38,228 | $3,964 | $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.