Atrium Health Union Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Atrium Health Union, Monroe, NC in 2024, from traditional Medicare claims. Back to the Atrium Health Union profile, with quality ratings, finances and negotiated rates.
1,897
Medicare inpatient discharges
In 59 published DRGs
1.41
Case mix index
IPPS FY 2027
6%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
1,572
Medicare outpatient services
In 30 service groups
Inpatient stays by major diagnostic category
Circulatory system374 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 163 | $43,479 | $8,718 | $9,696 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 45 | $67,311 | $10,174 | $15,010 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 38 | $41,218 | $8,203 | $9,192 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 35 | $31,508 | $4,818 | $7,026 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 31 | $45,317 | $5,932 | $10,106 | 0.86 |
| Hypertension without MCCMS-DRG 305, medical | 23 | $38,537 | $4,622 | $8,594 | 0.75 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 15 | $35,380 | $5,755 | $7,890 | 0.91 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 13 | $33,491 | $3,708 | $7,468 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 11 | $86,926 | $13,416 | $19,385 | 2.16 |
Respiratory system334 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 87 | $64,013 | $10,701 | $14,275 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 78 | $43,889 | $8,715 | $9,787 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 50 | $36,619 | $5,445 | $8,166 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 37 | $46,016 | $7,464 | $10,262 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 31 | $46,367 | $8,043 | $10,340 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 21 | $41,207 | $6,245 | $9,189 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 15 | $56,014 | $8,856 | $12,491 | 1.40 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 15 | $36,679 | $6,034 | $8,179 | 0.85 |
Kidney and urinary tract248 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 61 | $51,019 | $7,574 | $11,377 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 61 | $33,442 | $5,137 | $7,457 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 44 | $36,342 | $6,133 | $8,104 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 37 | $58,284 | $10,346 | $12,997 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 27 | $79,781 | $9,277 | $17,791 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 18 | $29,865 | $6,551 | $6,660 | 1.02 |
Infectious and parasitic diseases216 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 | 179 | $78,511 | $13,588 | $17,508 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 25 | $41,293 | $6,781 | $9,208 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 12 | $130,574 | $29,659 | $29,118 | 5.00 |
Nervous system193 discharges in 9 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 | 51 | $47,532 | $6,465 | $10,600 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 36 | $63,385 | $12,781 | $14,135 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 24 | $41,582 | $5,193 | $9,273 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 19 | $64,548 | $11,478 | $14,394 | 1.98 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 14 | $37,906 | $4,385 | $8,453 | 0.69 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $42,591 | $9,037 | $9,498 | 1.36 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 13 | $56,735 | $6,170 | $12,652 | 1.06 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 12 | $42,623 | $6,545 | $9,505 | 1.03 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 11 | $89,001 | $12,241 | $19,847 | 2.39 |
Digestive system192 discharges in 9 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 | 54 | $31,789 | $5,041 | $7,089 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 31 | $41,369 | $6,502 | $9,225 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 22 | $29,182 | $5,490 | $6,507 | 0.80 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 18 | $59,587 | $11,809 | $13,288 | 1.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 16 | $170,011 | $33,605 | $37,912 | 4.52 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 15 | $25,556 | $3,362 | $5,699 | 0.56 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 14 | $39,463 | $6,253 | $8,800 | 0.94 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 11 | $121,045 | $16,397 | $26,993 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $73,933 | $8,074 | $16,487 | 1.28 |
Endocrine, nutritional and metabolic123 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 | 41 | $52,389 | $8,941 | $11,683 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 40 | $31,004 | $5,075 | $6,914 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 25 | $52,868 | $9,696 | $11,789 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 17 | $44,476 | $6,309 | $9,918 | 0.90 |
Musculoskeletal system and connective tissue98 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 | $86,538 | $13,805 | $19,298 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 22 | $93,747 | $14,256 | $20,906 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 20 | $102,545 | $11,970 | $22,867 | 1.88 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 14 | $34,763 | $5,108 | $7,752 | 0.79 |
| Medical back problems without MCCMS-DRG 552, medical | 12 | $38,656 | $5,550 | $8,620 | 0.97 |
Skin, subcutaneous tissue and breast49 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 38 | $27,576 | $5,943 | $6,149 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 11 | $43,339 | $10,105 | $9,665 | 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 | 21 | $37,525 | $6,637 | $8,368 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 17 | $40,340 | $9,425 | $8,996 | 1.40 |
Factors influencing health status18 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 | 18 | $35,180 | $5,365 | $7,845 | 0.80 |
Ear, nose, mouth and throat14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 14 | $40,558 | $4,432 | $9,044 | 0.74 |
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 | 386 | 364 | $23,424 | $1,939 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 106 | 94 | $84,366 | $9,603 | $10,772 |
| Level 3 Vascular ProceduresAPC 5183 | 99 | 81 | $16,254 | $2,028 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 98 | 70 | $12,503 | $1,291 | $1,445 |
| Level 1 Nerve ProceduresAPC 5431 | 82 | 63 | $22,676 | $1,349 | $1,407 |
| Level 5 Urology and Related ServicesAPC 5375 | 78 | 71 | $39,491 | $3,657 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 76 | 63 | $19,280 | $2,462 | $2,629 |
| Level 1 Endovascular ProceduresAPC 5191 | 72 | 72 | $32,988 | $2,074 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 55 | 55 | $51,276 | $3,977 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 39 | 37 | $14,959 | $1,067 | $1,220 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 39 | 37 | $26,642 | $2,589 | $2,930 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 37 | 37 | $59,449 | $5,122 | $5,339 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 31 | 28 | $55,832 | $4,518 | $4,982 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 31 | 25 | $45,920 | $4,738 | $4,524 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 30 | 28 | $24,467 | $2,392 | $2,636 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 29 | 28 | $21,840 | $1,962 | $2,141 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 29 | 29 | $27,120 | $2,231 | $2,373 |
| Level 1 Intraocular ProceduresAPC 5491 | 28 | 17 | $20,304 | $1,608 | $1,752 |
| Level 4 Airway EndoscopyAPC 5154 | 27 | 25 | $24,373 | $2,482 | $2,833 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 26 | 26 | $12,854 | $1,151 | $1,196 |
| Level 3 Urology and Related ServicesAPC 5373 | 25 | 15 | $13,307 | $1,400 | $1,516 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 23 | 23 | $40,048 | $7,821 | $8,569 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 22 | 22 | $20,686 | $1,673 | $1,780 |
| Level 3 Endovascular ProceduresAPC 5193 | 20 | 19 | $89,085 | $7,833 | $8,874 |
| Level 2 Vascular ProceduresAPC 5182 | 19 | 16 | $6,316 | $905 | $1,204 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 15 | 15 | $150,550 | $26,178 | $26,719 |
| Level 5 Airway EndoscopyAPC 5155 | 14 | 14 | $38,502 | $4,900 | $5,183 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 13 | 13 | $98,157 | $15,078 | $15,763 |
| Level 3 Airway EndoscopyAPC 5153 | 12 | 12 | $14,420 | $1,215 | $1,264 |
| Level 2 Endovascular ProceduresAPC 5192 | 11 | $46,502 | $3,720 | $4,338 |
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.