Carteret Health Care Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Carteret Health Care, Morehead City, NC in 2024, from traditional Medicare claims. Back to the Carteret Health Care profile, with quality ratings, finances and negotiated rates.
1,321
Medicare inpatient discharges
In 44 published DRGs
1.44
Case mix index
IPPS FY 2027
15%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
1,025
Medicare outpatient services
In 20 service groups
Inpatient stays by major diagnostic category
Circulatory system266 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 | 118 | $18,448 | $9,848 | $8,412 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 31 | $13,706 | $4,972 | $6,250 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 25 | $22,117 | $9,033 | $10,085 | 1.20 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 24 | $22,937 | $12,440 | $10,459 | 1.59 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 19 | $9,505 | $3,070 | $4,334 | 0.55 |
| Syncope and collapseMS-DRG 312, medical | 15 | $18,768 | $6,103 | $8,558 | 0.86 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 12 | $21,946 | $6,641 | $10,008 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 11 | $25,631 | $7,862 | $11,688 | 1.08 |
| Heart failure and shock with CCMS-DRG 292, medical | 11 | $12,677 | $6,029 | $5,781 | 0.86 |
Respiratory system237 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 | 71 | $22,705 | $12,832 | $10,354 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 44 | $19,400 | $9,875 | $8,846 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 38 | $16,794 | $5,575 | $7,658 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 25 | $16,184 | $8,335 | $7,380 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 23 | $14,489 | $9,029 | $6,607 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 22 | $20,643 | $6,472 | $9,413 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 14 | $24,337 | $10,408 | $11,098 | 1.40 |
Musculoskeletal system and connective tissue204 discharges in 8 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 | 85 | $40,126 | $14,251 | $18,298 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 41 | $30,973 | $16,138 | $14,124 | 2.07 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 15 | $26,513 | $11,888 | $12,090 | 1.59 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 15 | $49,465 | $18,252 | $22,556 | 2.48 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 13 | $36,154 | $16,666 | $16,486 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 12 | $38,702 | $23,590 | $17,648 | 2.95 |
| Medical back problems without MCCMS-DRG 552, medical | 12 | $13,576 | $6,932 | $6,191 | 0.97 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 11 | $10,371 | $5,817 | $4,729 | 0.79 |
Infectious and parasitic diseases196 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 | 144 | $30,373 | $15,450 | $13,850 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 40 | $19,548 | $7,235 | $8,914 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 12 | $48,664 | $37,557 | $22,191 | 5.00 |
Kidney and urinary tract178 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 51 | $16,820 | $5,337 | $7,670 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 44 | $17,998 | $8,507 | $8,207 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 36 | $16,662 | $6,633 | $7,598 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 29 | $24,495 | $11,793 | $11,170 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 18 | $21,126 | $12,753 | $9,633 | 1.65 |
Digestive system103 discharges in 5 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 | 34 | $17,767 | $5,386 | $8,102 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 28 | $18,144 | $6,865 | $8,274 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 18 | $19,973 | $5,644 | $9,108 | 0.80 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 12 | $31,351 | $14,427 | $14,296 | 1.79 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 11 | $22,054 | $7,740 | $10,056 | 1.04 |
Endocrine, nutritional and metabolic68 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 | 31 | $14,128 | $5,341 | $6,443 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 22 | $18,723 | $10,212 | $8,538 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 15 | $20,538 | $6,658 | $9,366 | 0.90 |
Nervous system34 discharges in 2 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 | $15,230 | $7,176 | $6,945 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 11 | $22,447 | $15,512 | $10,236 | 2.00 |
Factors influencing health status21 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 | 21 | $9,364 | $4,146 | $4,270 | 0.59 |
Skin, subcutaneous tissue and breast14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 14 | $16,553 | $6,188 | $7,548 | 0.88 |
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 | 266 | 255 | $8,095 | $2,020 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 102 | 98 | $38,817 | $10,321 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 101 | 94 | $6,491 | $1,139 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 97 | 94 | $23,700 | $5,265 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 68 | 68 | $15,205 | $4,227 | $4,358 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 42 | 26 | $33,190 | $10,107 | $15,763 |
| Level 5 Urology and Related ServicesAPC 5375 | 38 | 33 | $15,436 | $3,848 | $3,918 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 34 | 32 | $3,270 | $1,160 | $1,196 |
| Level 3 Vascular ProceduresAPC 5183 | 33 | 28 | $10,388 | $2,083 | $2,405 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 32 | 32 | $12,410 | $2,573 | $2,636 |
| Level 1 Endovascular ProceduresAPC 5191 | 30 | 30 | $13,565 | $2,186 | $2,208 |
| Level 4 Urology and Related ServicesAPC 5374 | 29 | 25 | $13,343 | $2,592 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 28 | 24 | $8,257 | $2,063 | $2,373 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 25 | 24 | $24,478 | $4,849 | $4,982 |
| Level 2 Upper GI ProceduresAPC 5302 | 20 | 20 | $4,541 | $1,411 | $1,445 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 19 | 18 | $15,336 | $2,002 | $2,141 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 18 | 18 | $12,015 | $2,834 | $2,930 |
| Level 3 Urology and Related ServicesAPC 5373 | 16 | 16 | $7,547 | $1,515 | $1,516 |
| Level 6 Urology and Related ServicesAPC 5376 | 15 | 15 | $29,228 | $6,963 | $7,291 |
| Level 5 Gynecologic ProceduresAPC 5415 | 12 | 12 | $15,634 | $3,698 | $3,792 |
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.