Caromont Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Caromont Regional Medical Center, Gastonia, NC in 2024, from traditional Medicare claims. Back to the Caromont Regional Medical Center profile, with quality ratings, finances and negotiated rates.
3,627
Medicare inpatient discharges
In 106 published DRGs
1.73
Case mix index
IPPS FY 2027
18%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
2,790
Medicare outpatient services
In 36 service groups
Inpatient stays by major diagnostic category
Circulatory system916 discharges in 22 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 297 | $46,756 | $8,565 | $10,380 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 111 | $26,038 | $4,898 | $5,780 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 58 | $53,292 | $8,630 | $11,831 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 45 | $33,685 | $5,857 | $7,478 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 41 | $112,555 | $10,576 | $24,987 | 1.82 |
| Hypertension without MCCMS-DRG 305, medical | 36 | $30,579 | $4,550 | $6,789 | 0.75 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 34 | $177,155 | $22,876 | $39,328 | 3.24 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 33 | $92,381 | $13,374 | $20,509 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 33 | $55,602 | $7,162 | $12,344 | 1.08 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 29 | $183,209 | $30,455 | $40,672 | 4.88 |
| Chest painMS-DRG 313, medical | 25 | $27,676 | $4,731 | $6,144 | 0.72 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 24 | $168,606 | $21,062 | $37,430 | 2.87 |
| Other vascular procedures with CCMS-DRG 253, surgical | 18 | $63,887 | $16,244 | $14,183 | 2.55 |
| Hypertension with MCCMS-DRG 304, medical | 18 | $39,527 | $8,172 | $8,775 | 1.15 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 17 | $47,740 | $4,644 | $10,598 | 0.91 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 17 | $21,104 | $2,928 | $4,685 | 0.55 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 15 | $70,340 | $9,556 | $15,615 | 1.59 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 15 | $31,714 | $6,370 | $7,041 | 1.07 |
| Other vascular procedures without cc/mccMS-DRG 254, surgical | 13 | $56,910 | $10,790 | $12,634 | 1.74 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 13 | $81,577 | $15,644 | $18,110 | 2.09 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 12 | $162,267 | $27,242 | $36,023 | 5.20 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 12 | $122,255 | $15,401 | $27,141 | 2.28 |
Infectious and parasitic diseases477 discharges in 5 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 | 350 | $81,545 | $13,583 | $18,103 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 51 | $41,817 | $6,676 | $9,283 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 44 | $161,236 | $32,331 | $35,794 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 18 | $72,862 | $12,867 | $16,175 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 14 | $236,006 | $49,697 | $52,393 | 6.96 |
Respiratory system447 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 85 | $68,272 | $11,412 | $15,156 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 59 | $52,236 | $7,302 | $11,596 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 47 | $32,393 | $5,321 | $7,191 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 41 | $41,390 | $6,495 | $9,189 | 0.99 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 41 | $43,799 | $5,884 | $9,723 | 0.85 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 41 | $50,885 | $8,674 | $11,296 | 1.33 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 31 | $33,355 | $6,543 | $7,405 | 0.96 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 26 | $67,168 | $8,783 | $14,911 | 1.23 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 18 | $83,771 | $9,921 | $18,597 | 1.40 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 18 | $43,178 | $5,246 | $9,585 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 16 | $112,189 | $17,235 | $24,906 | 2.70 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 12 | $29,533 | $3,812 | $6,556 | 0.63 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 12 | $78,403 | $12,511 | $17,406 | 1.90 |
Kidney and urinary tract388 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 97 | $29,114 | $5,210 | $6,463 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 62 | $42,837 | $7,431 | $9,510 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 52 | $50,574 | $9,664 | $11,227 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 51 | $36,137 | $6,023 | $8,022 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 47 | $47,831 | $10,885 | $10,618 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 31 | $31,148 | $6,397 | $6,915 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 25 | $44,850 | $7,724 | $9,957 | 1.35 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 12 | $69,909 | $15,344 | $15,520 | 2.59 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 11 | $41,066 | $6,248 | $9,117 | 1.05 |
Digestive system359 discharges in 14 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 | 65 | $30,746 | $5,276 | $6,826 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 63 | $42,934 | $6,248 | $9,531 | 0.98 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 29 | $47,357 | $6,683 | $10,513 | 1.04 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 26 | $75,238 | $13,912 | $16,703 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 23 | $81,653 | $12,333 | $18,127 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 23 | $31,190 | $5,162 | $6,924 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 21 | $136,827 | $30,296 | $30,376 | 4.52 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 20 | $49,769 | $9,865 | $11,049 | 1.45 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 19 | $58,454 | $10,445 | $12,977 | 1.67 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 17 | $48,949 | $8,944 | $10,867 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 15 | $34,344 | $6,575 | $7,624 | 0.94 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 14 | $59,470 | $10,700 | $13,202 | 1.75 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 12 | $23,778 | $2,571 | $5,279 | 0.56 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 12 | $76,816 | $11,228 | $17,053 | 1.62 |
Musculoskeletal system and connective tissue278 discharges in 13 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 | 50 | $81,108 | $12,470 | $18,006 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 47 | $75,938 | $12,948 | $16,858 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 31 | $43,975 | $5,948 | $9,762 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 25 | $97,065 | $13,394 | $21,548 | 2.11 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 22 | $134,504 | $29,711 | $29,860 | 4.61 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 20 | $51,921 | $6,841 | $11,527 | 1.09 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 14 | $111,436 | $13,764 | $24,739 | 2.04 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 13 | $32,297 | $5,139 | $7,170 | 0.79 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 12 | $102,578 | $18,558 | $22,772 | 2.95 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 11 | $167,911 | $33,489 | $37,276 | 6.12 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 11 | $128,144 | $23,884 | $28,448 | 3.66 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 11 | $91,909 | $17,633 | $20,404 | 2.67 |
| Medical back problems with MCCMS-DRG 551, medical | 11 | $65,234 | $10,499 | $14,482 | 1.70 |
Endocrine, nutritional and metabolic218 discharges in 6 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 | 65 | $50,915 | $9,342 | $11,303 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 61 | $38,710 | $5,295 | $8,594 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 34 | $35,181 | $5,981 | $7,810 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 32 | $47,831 | $9,373 | $10,618 | 1.45 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 14 | $79,706 | $11,351 | $17,695 | 1.98 |
| Endocrine disorders with CCMS-DRG 644, medical | 12 | $36,307 | $7,295 | $8,060 | 1.06 |
Nervous system209 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 51 | $71,950 | $12,817 | $15,973 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 47 | $53,635 | $6,398 | $11,907 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 23 | $47,323 | $9,041 | $10,506 | 1.36 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 18 | $34,342 | $4,202 | $7,624 | 0.69 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 16 | $48,963 | $5,547 | $10,870 | 0.80 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 15 | $154,607 | $23,927 | $34,323 | 4.42 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 14 | $42,120 | $7,068 | $9,351 | 1.14 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 14 | $27,827 | $6,544 | $6,178 | 1.03 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 11 | $80,687 | $12,885 | $17,913 | 2.39 |
Blood and immune system89 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 41 | $44,255 | $6,056 | $9,825 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 36 | $64,802 | $9,808 | $14,386 | 1.40 |
| Coagulation disordersMS-DRG 813, medical | 12 | $172,634 | $22,024 | $38,325 | 1.56 |
Mental diseases and disorders86 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 68 | $36,154 | $8,546 | $8,026 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 18 | $46,752 | $11,424 | $10,379 | 1.76 |
Skin, subcutaneous tissue and breast44 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 33 | $34,395 | $5,212 | $7,636 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 11 | $62,797 | $10,097 | $13,941 | 1.49 |
Liver, gallbladder and pancreas43 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 | 18 | $67,908 | $10,957 | $15,076 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 13 | $84,740 | $15,420 | $18,812 | 2.32 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 12 | $51,986 | $12,268 | $11,541 | 1.92 |
Factors influencing health status29 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 15 | $20,080 | $4,279 | $4,458 | 0.59 |
| Signs and symptoms without MCCMS-DRG 948, medical | 14 | $29,724 | $5,238 | $6,599 | 0.80 |
Other28 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 | 14 | $203,661 | $25,667 | $45,213 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 14 | $113,469 | $16,686 | $25,190 | 2.49 |
Injuries, poisonings and toxic effects of drugs16 discharges in 1 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 | 16 | $45,922 | $10,780 | $10,195 | 1.60 |
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 | 396 | 379 | $23,300 | $1,871 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 303 | 292 | $69,123 | $9,876 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 191 | 180 | $8,968 | $1,117 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 181 | 178 | $36,167 | $4,956 | $5,339 |
| Level 1 Endovascular ProceduresAPC 5191 | 131 | 129 | $25,607 | $2,008 | $2,208 |
| Level 4 Urology and Related ServicesAPC 5374 | 129 | 106 | $19,997 | $2,455 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 126 | 100 | $12,074 | $1,438 | $1,516 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 122 | 122 | $16,641 | $2,257 | $2,373 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 122 | 120 | $28,530 | $3,928 | $4,358 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 102 | 101 | $118,084 | $18,884 | $21,117 |
| Level 5 Urology and Related ServicesAPC 5375 | 99 | 91 | $18,732 | $3,630 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 98 | 95 | $19,551 | $2,282 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 75 | 70 | $11,227 | $1,346 | $1,445 |
| Level 3 Endovascular ProceduresAPC 5193 | 70 | 68 | $84,605 | $8,006 | $8,874 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 65 | 63 | $12,956 | $1,972 | $2,141 |
| Level 1 Nerve ProceduresAPC 5431 | 57 | 49 | $11,934 | $1,334 | $1,407 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 48 | 47 | $90,126 | $14,762 | $15,763 |
| Level 6 Urology and Related ServicesAPC 5376 | 43 | 42 | $37,916 | $6,645 | $7,291 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 40 | 36 | $10,847 | $1,151 | $1,196 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 36 | 35 | $273,225 | $26,286 | $29,375 |
| Level 2 Endovascular ProceduresAPC 5192 | 35 | 32 | $37,598 | $4,087 | $4,338 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 35 | 35 | $56,577 | $6,081 | $6,514 |
| Level 3 Lower GI ProceduresAPC 5313 | 33 | 31 | $16,245 | $1,982 | $2,176 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 32 | 30 | $17,868 | $2,430 | $2,930 |
| Level 2 Vascular ProceduresAPC 5182 | 29 | 28 | $13,157 | $1,147 | $1,204 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 24 | 24 | $74,853 | $7,625 | $8,569 |
| Level 4 Airway EndoscopyAPC 5154 | 23 | 22 | $26,784 | $2,681 | $2,833 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 20 | 20 | $36,683 | $6,847 | $8,164 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 19 | 19 | $32,351 | $4,669 | $4,982 |
| Level 4 Gynecologic ProceduresAPC 5414 | 19 | 19 | $16,035 | $2,238 | $2,389 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 18 | 17 | $22,452 | $2,477 | $2,636 |
| Level 3 Airway EndoscopyAPC 5153 | 16 | 16 | $8,606 | $1,139 | $1,264 |
| Level 5 Gynecologic ProceduresAPC 5415 | 15 | 15 | $24,936 | $3,324 | $3,792 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 14 | 14 | $99,638 | $17,977 | $18,465 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 13 | 13 | $138,716 | $15,838 | $17,052 |
| Level 4 Vascular ProceduresAPC 5184 | 11 | $27,605 | $3,934 | $3,946 |
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.