Carolinaeast Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Carolinaeast Medical Center, New Bern, NC in 2024, from traditional Medicare claims. Back to the Carolinaeast Medical Center profile, with quality ratings, finances and negotiated rates.
3,371
Medicare inpatient discharges
In 93 published DRGs
1.89
Case mix index
IPPS FY 2027
25%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
6,530
Medicare outpatient services
In 44 service groups
Inpatient stays by major diagnostic category
Circulatory system1,082 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 | 217 | $28,175 | $9,784 | $8,622 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 107 | $142,693 | $25,706 | $43,664 | 3.24 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 95 | $17,670 | $4,744 | $5,407 | 0.74 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 65 | $16,039 | $3,305 | $4,908 | 0.55 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 48 | $29,116 | $8,700 | $8,910 | 1.20 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 47 | $223,409 | $40,957 | $68,363 | 4.88 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 42 | $147,966 | $42,412 | $45,278 | 5.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 42 | $71,255 | $12,143 | $21,804 | 1.82 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 35 | $92,818 | $22,701 | $28,402 | 2.87 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 32 | $95,011 | $32,842 | $29,073 | 4.04 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 29 | $43,281 | $7,468 | $13,244 | 1.08 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 28 | $41,424 | $12,259 | $12,676 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 28 | $49,087 | $17,026 | $15,020 | 2.16 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 26 | $84,390 | $18,378 | $25,823 | 2.28 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 23 | $34,513 | $6,666 | $10,561 | 0.91 |
| Other vascular procedures with CCMS-DRG 253, surgical | 22 | $73,330 | $19,606 | $22,439 | 2.55 |
| Syncope and collapseMS-DRG 312, medical | 22 | $24,486 | $6,119 | $7,493 | 0.86 |
| Amputation for circulatory system disorders except upper limb and toe with CCMS-DRG 240, surgical | 17 | $60,270 | $23,946 | $18,443 | 2.81 |
| Other vascular procedures without cc/mccMS-DRG 254, surgical | 17 | $54,365 | $12,957 | $16,636 | 1.74 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 17 | $58,053 | $17,527 | $17,764 | 2.09 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 15 | $140,572 | $33,313 | $43,015 | 4.16 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 14 | $30,204 | $12,533 | $9,242 | 1.58 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 13 | $59,198 | $12,922 | $18,115 | 1.83 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 13 | $123,885 | $32,096 | $37,909 | 3.90 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 12 | $188,735 | $64,375 | $57,753 | 7.80 |
| Coronary intravascular lithotripsy with intraluminal device without MCCMS-DRG 324, surgical | 12 | $124,787 | $24,350 | $38,185 | 2.97 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 11 | $133,620 | $42,727 | $40,888 | 5.24 |
| Cardiac pacemaker revision except device replacement with CCMS-DRG 261, surgical | 11 | $33,591 | $14,321 | $10,279 | 1.88 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 11 | $119,731 | $28,912 | $36,638 | 3.46 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 11 | $29,803 | $4,304 | $9,120 | 0.72 |
Respiratory system534 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 152 | $39,402 | $12,881 | $12,057 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 117 | $27,436 | $8,950 | $8,395 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 116 | $28,650 | $9,940 | $8,767 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 36 | $25,540 | $8,126 | $7,815 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 28 | $21,810 | $5,476 | $6,674 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 24 | $29,115 | $10,012 | $8,909 | 1.40 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 20 | $27,798 | $7,100 | $8,506 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 19 | $52,863 | $21,666 | $16,176 | 2.70 |
| Major chest procedures with CCMS-DRG 164, surgical | 11 | $72,940 | $19,813 | $22,320 | 2.55 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 11 | $61,801 | $32,025 | $18,911 | 4.06 |
Infectious and parasitic diseases415 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 | 329 | $43,328 | $15,438 | $13,258 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 55 | $92,418 | $41,809 | $28,280 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 31 | $29,185 | $7,201 | $8,931 | 1.03 |
Kidney and urinary tract291 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 70 | $27,814 | $8,745 | $8,511 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 49 | $33,463 | $11,086 | $10,240 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 48 | $37,011 | $13,152 | $11,325 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 44 | $24,150 | $6,218 | $7,390 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 39 | $23,492 | $5,361 | $7,188 | 0.81 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 29 | $27,207 | $7,527 | $8,325 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 12 | $36,272 | $9,297 | $11,099 | 1.35 |
Digestive system228 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 36 | $27,316 | $6,918 | $8,359 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 32 | $24,384 | $5,153 | $7,461 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 29 | $36,022 | $14,131 | $11,023 | 1.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 25 | $95,382 | $37,435 | $29,187 | 4.52 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 23 | $75,973 | $20,312 | $23,248 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 18 | $22,986 | $5,837 | $7,034 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 15 | $35,588 | $9,658 | $10,890 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 14 | $25,368 | $6,633 | $7,763 | 0.94 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 13 | $38,060 | $13,726 | $11,646 | 1.75 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 12 | $24,446 | $7,417 | $7,480 | 1.04 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 11 | $38,922 | $11,518 | $11,910 | 1.45 |
Nervous system195 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 46 | $41,094 | $15,408 | $12,575 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 44 | $32,954 | $7,022 | $10,084 | 1.02 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 33 | $22,638 | $8,140 | $6,927 | 1.14 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 18 | $32,241 | $7,641 | $9,866 | 1.06 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 17 | $33,131 | $5,334 | $10,138 | 0.80 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 14 | $22,943 | $6,988 | $7,021 | 1.03 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 12 | $36,668 | $13,642 | $11,220 | 1.79 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 11 | $26,662 | $3,792 | $8,158 | 0.69 |
Musculoskeletal system and connective tissue165 discharges in 7 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 | 63 | $50,187 | $16,112 | $15,357 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 25 | $53,489 | $16,235 | $16,367 | 2.11 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 18 | $25,581 | $7,676 | $7,828 | 1.09 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 17 | $40,323 | $23,254 | $12,339 | 2.96 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 16 | $56,774 | $23,750 | $17,373 | 2.95 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 15 | $55,326 | $13,295 | $16,930 | 1.88 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 11 | $38,886 | $13,906 | $11,899 | 1.82 |
Blood and immune system117 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 81 | $30,090 | $10,562 | $9,208 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 21 | $22,290 | $6,486 | $6,821 | 0.90 |
| Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical | 15 | $24,397 | $8,320 | $7,466 | 1.20 |
Endocrine, nutritional and metabolic111 discharges in 5 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 | 37 | $28,401 | $10,094 | $8,691 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 22 | $20,560 | $6,216 | $6,291 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 20 | $18,699 | $5,196 | $5,722 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 19 | $30,382 | $11,200 | $9,297 | 1.45 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 13 | $55,927 | $15,489 | $17,114 | 1.98 |
Skin, subcutaneous tissue and breast81 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 60 | $19,259 | $5,946 | $5,893 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 21 | $33,772 | $10,729 | $10,334 | 1.49 |
Mental diseases and disorders49 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 49 | $19,072 | $9,723 | $5,836 | 1.37 |
Liver, gallbladder and pancreas41 discharges in 3 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 | $53,078 | $12,574 | $16,242 | 1.63 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 14 | $25,881 | $14,776 | $7,919 | 1.83 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 13 | $22,797 | $7,444 | $6,976 | 0.95 |
Other32 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 MCCMS-DRG 981, surgical | 20 | $121,741 | $42,093 | $37,253 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 12 | $105,130 | $25,013 | $32,170 | 2.49 |
Factors influencing health status30 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 30 | $14,285 | $4,066 | $4,371 | 0.59 |
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 |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 1,620 | 937 | $7,221 | $1,716 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 686 | 642 | $14,811 | $2,020 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 557 | 515 | $47,262 | $10,598 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 364 | 328 | $6,117 | $1,187 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 355 | 354 | $23,278 | $2,151 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 287 | 279 | $28,378 | $5,247 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 200 | 184 | $22,677 | $3,765 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 192 | 161 | $8,230 | $1,415 | $1,445 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 175 | 172 | $15,343 | $2,376 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 175 | 171 | $11,218 | $2,353 | $2,405 |
| Level 4 Urology and Related ServicesAPC 5374 | 153 | 139 | $14,723 | $2,555 | $2,629 |
| Level 3 Intraocular ProceduresAPC 5493 | 140 | 83 | $21,764 | $3,880 | $4,004 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 125 | 124 | $28,476 | $6,254 | $6,514 |
| Level 2 Intraocular ProceduresAPC 5492 | 111 | 92 | $12,841 | $3,019 | $3,116 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 107 | 105 | $45,349 | $8,235 | $8,569 |
| Level 4 Airway EndoscopyAPC 5154 | 99 | 97 | $11,690 | $2,753 | $2,833 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 98 | 98 | $28,990 | $4,285 | $4,358 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 88 | 87 | $146,531 | $20,214 | $21,117 |
| Level 3 Urology and Related ServicesAPC 5373 | 80 | 72 | $8,054 | $1,509 | $1,516 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 74 | 73 | $18,191 | $2,569 | $2,636 |
| Level 3 Endovascular ProceduresAPC 5193 | 72 | 72 | $55,863 | $8,611 | $8,874 |
| Level 1 Nerve ProceduresAPC 5431 | 66 | 61 | $8,907 | $1,411 | $1,407 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 61 | 61 | $6,934 | $1,192 | $1,196 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 59 | 59 | $73,481 | $15,699 | $15,763 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 53 | 53 | $10,450 | $2,070 | $2,141 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 51 | 50 | $42,292 | $7,955 | $8,164 |
| Level 3 Airway EndoscopyAPC 5153 | 46 | 46 | $5,883 | $1,259 | $1,264 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 39 | 39 | $29,244 | $4,842 | $4,982 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 39 | 39 | $105,403 | $27,224 | $26,719 |
| Level 4 Gynecologic ProceduresAPC 5414 | 38 | 38 | $15,479 | $2,322 | $2,389 |
| Level 6 Urology and Related ServicesAPC 5376 | 36 | 36 | $28,930 | $6,758 | $7,291 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 31 | 27 | $5,642 | $1,733 | $1,780 |
| Level 4 Endovascular ProceduresAPC 5194 | 29 | 28 | $73,273 | $14,672 | $14,606 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 27 | 26 | $16,266 | $2,830 | $2,930 |
| Level 2 Vascular ProceduresAPC 5182 | 26 | 26 | $5,885 | $1,144 | $1,204 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 23 | 22 | $148,548 | $28,938 | $29,375 |
| Level 3 Lower GI ProceduresAPC 5313 | 23 | 22 | $13,876 | $2,125 | $2,176 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 21 | 21 | $81,512 | $17,815 | $18,465 |
| Level 5 Gynecologic ProceduresAPC 5415 | 20 | 20 | $18,375 | $3,693 | $3,792 |
| Level 4 Vascular ProceduresAPC 5184 | 19 | 19 | $14,459 | $4,081 | $3,946 |
| Level 2 Endovascular ProceduresAPC 5192 | 19 | 18 | $37,349 | $4,244 | $4,338 |
| Level 5 ENT ProceduresAPC 5165 | 17 | 17 | $24,927 | $4,349 | $4,436 |
| Level 5 Airway EndoscopyAPC 5155 | 16 | 16 | $22,635 | $4,840 | $5,183 |
| Complex GI ProceduresAPC 5331 | 13 | $22,681 | $3,255 | $4,263 |
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.