Atrium Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Atrium Medical Center, Middletown, OH in 2024, from traditional Medicare claims. Back to the Atrium Medical Center profile, with quality ratings, finances and negotiated rates.
1,331
Medicare inpatient discharges
In 49 published DRGs
1.97
Case mix index
IPPS FY 2027
16%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
1,396
Medicare outpatient services
In 30 service groups
Inpatient stays by major diagnostic category
Circulatory system368 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 96 | $47,934 | $7,101 | $10,402 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 52 | $66,343 | $19,444 | $14,396 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 34 | $27,126 | $5,069 | $5,886 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 26 | $99,894 | $11,080 | $21,677 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 22 | $47,638 | $6,703 | $10,337 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 21 | $55,453 | $6,376 | $12,033 | 1.08 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 17 | $43,292 | $4,247 | $9,394 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 16 | $43,869 | $8,215 | $9,520 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 16 | $64,033 | $11,401 | $13,895 | 2.16 |
| Hypertension without MCCMS-DRG 305, medical | 16 | $30,897 | $3,966 | $6,705 | 0.75 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 16 | $128,246 | $17,123 | $27,829 | 2.87 |
| Chest painMS-DRG 313, medical | 13 | $25,745 | $3,470 | $5,587 | 0.72 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 12 | $59,562 | $13,109 | $12,925 | 2.09 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 11 | $40,433 | $5,307 | $8,774 | 0.91 |
Respiratory system232 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 | 65 | $49,234 | $9,613 | $10,684 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 58 | $41,605 | $6,856 | $9,028 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 36 | $49,616 | $7,733 | $10,767 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 27 | $37,773 | $4,497 | $8,197 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 17 | $30,309 | $5,147 | $6,577 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 17 | $92,439 | $18,114 | $20,059 | 2.70 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 12 | $36,609 | $5,314 | $7,944 | 0.85 |
Kidney and urinary tract203 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 | 47 | $30,811 | $6,942 | $6,686 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 40 | $34,847 | $5,281 | $7,562 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 33 | $45,262 | $9,954 | $9,822 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 32 | $56,667 | $9,324 | $12,297 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 32 | $27,720 | $4,637 | $6,015 | 0.81 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 19 | $51,883 | $6,257 | $11,259 | 1.35 |
Infectious and parasitic diseases143 discharges in 2 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 | 120 | $65,274 | $11,501 | $14,164 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 23 | $121,503 | $22,921 | $26,366 | 5.00 |
Musculoskeletal system and connective tissue80 discharges in 4 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 | 35 | $80,362 | $12,296 | $17,439 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 16 | $31,340 | $5,297 | $6,801 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 15 | $89,860 | $12,751 | $19,500 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 14 | $117,436 | $18,079 | $25,484 | 2.95 |
Nervous system78 discharges in 5 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 | 23 | $40,140 | $5,974 | $8,710 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 15 | $53,826 | $10,437 | $11,680 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 14 | $29,541 | $4,408 | $6,410 | 0.80 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 13 | $44,065 | $11,896 | $9,562 | 2.39 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $31,255 | $7,587 | $6,782 | 1.36 |
Digestive system77 discharges in 4 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 | 28 | $28,977 | $3,996 | $6,288 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 19 | $36,169 | $4,865 | $7,849 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 18 | $67,912 | $10,865 | $14,737 | 1.79 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 12 | $48,336 | $10,114 | $10,489 | 1.62 |
Endocrine, nutritional and metabolic65 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 | 29 | $26,376 | $3,902 | $5,724 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 24 | $49,228 | $7,294 | $10,683 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $55,661 | $8,704 | $12,078 | 1.45 |
Mental diseases and disorders63 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 43 | $25,215 | $8,280 | $5,472 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 20 | $30,943 | $8,905 | $6,715 | 1.76 |
Blood and immune system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 11 | $63,058 | $8,561 | $13,684 | 1.40 |
Other11 discharges in 1 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 | 11 | $81,432 | $13,166 | $17,671 | 2.49 |
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 | 268 | 252 | $19,560 | $1,841 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 126 | 111 | $12,057 | $1,090 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 105 | 95 | $80,416 | $9,435 | $10,772 |
| Level 3 Urology and Related ServicesAPC 5373 | 80 | 67 | $14,536 | $1,405 | $1,516 |
| Level 1 Endovascular ProceduresAPC 5191 | 71 | 71 | $20,277 | $1,999 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 66 | 63 | $44,943 | $4,869 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 61 | 59 | $15,774 | $2,167 | $2,405 |
| Level 2 Urology and Related ServicesAPC 5372 | 60 | 56 | $11,323 | $472 | $502 |
| Level 1 Nerve ProceduresAPC 5431 | 46 | 36 | $8,950 | $1,303 | $1,407 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 44 | 44 | $61,181 | $3,991 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 43 | 42 | $22,764 | $2,130 | $2,373 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 43 | 42 | $84,468 | $18,500 | $21,117 |
| Level 4 Airway EndoscopyAPC 5154 | 42 | 41 | $27,413 | $2,589 | $2,833 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 33 | 32 | $96,994 | $7,298 | $8,164 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 32 | 31 | $21,939 | $1,841 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 32 | 32 | $27,270 | $3,576 | $3,918 |
| Level 3 Airway EndoscopyAPC 5153 | 30 | 30 | $14,188 | $1,133 | $1,264 |
| Level 4 Urology and Related ServicesAPC 5374 | 29 | 28 | $21,840 | $2,411 | $2,629 |
| Level 3 Endovascular ProceduresAPC 5193 | 22 | 21 | $56,229 | $7,525 | $8,874 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 21 | 21 | $36,960 | $7,633 | $8,569 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 20 | 20 | $24,184 | $2,273 | $2,636 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 18 | 17 | $10,928 | $1,112 | $1,196 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 17 | 17 | $96,947 | $26,826 | $29,375 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 14 | 13 | $74,077 | $14,516 | $15,763 |
| Level 2 Vascular ProceduresAPC 5182 | 14 | 14 | $6,976 | $1,109 | $1,204 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 13 | 13 | $24,436 | $5,852 | $6,514 |
| Level 4 ENT ProceduresAPC 5164 | 12 | 12 | $24,633 | $2,033 | $2,217 |
| Level 2 Endovascular ProceduresAPC 5192 | 12 | $31,218 | $3,953 | $4,338 | |
| Level 4 Gynecologic ProceduresAPC 5414 | 11 | 11 | $18,092 | $2,164 | $2,389 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 11 | 11 | $107,281 | $25,157 | $26,719 |
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.