Catawba Valley Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Catawba Valley Medical Center, Hickory, NC in 2024, from traditional Medicare claims. Back to the Catawba Valley Medical Center profile, with quality ratings, finances and negotiated rates.
872
Medicare inpatient discharges
In 36 published DRGs
1.89
Case mix index
IPPS FY 2027
14%
Surgical stays
81%
Stays with complications
In DRGs with a CC or MCC
1,637
Medicare outpatient services
In 31 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases200 discharges in 4 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 | 140 | $40,308 | $13,048 | $12,657 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 25 | $28,778 | $7,238 | $9,036 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 19 | $89,904 | $31,175 | $28,230 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 16 | $104,007 | $37,763 | $32,658 | 6.96 |
Circulatory system189 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 49 | $27,922 | $9,006 | $8,768 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 24 | $23,174 | $5,424 | $7,277 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 17 | $65,219 | $13,541 | $20,479 | 2.16 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 17 | $21,221 | $3,576 | $6,663 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 17 | $93,749 | $17,328 | $29,437 | 2.87 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 15 | $36,691 | $8,545 | $11,521 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 14 | $81,184 | $12,668 | $25,492 | 1.82 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 13 | $33,117 | $6,621 | $10,399 | 0.91 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 12 | $145,712 | $26,472 | $45,753 | 3.46 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 11 | $45,082 | $10,151 | $14,156 | 1.59 |
Respiratory system140 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 53 | $33,963 | $9,195 | $10,665 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 41 | $36,349 | $11,193 | $11,414 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 20 | $23,843 | $7,405 | $7,487 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 15 | $44,629 | $10,073 | $14,013 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $24,746 | $5,428 | $7,770 | 0.82 |
Kidney and urinary tract108 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 27 | $26,510 | $8,455 | $8,324 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 26 | $40,911 | $10,658 | $12,846 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 24 | $26,151 | $10,276 | $8,211 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 17 | $22,088 | $6,323 | $6,936 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 14 | $23,173 | $5,548 | $7,276 | 0.81 |
Digestive system79 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 31 | $26,169 | $6,898 | $8,217 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 20 | $35,175 | $12,184 | $11,045 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 15 | $23,790 | $5,809 | $7,470 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 13 | $25,193 | $5,653 | $7,910 | 0.79 |
Musculoskeletal system and connective tissue64 discharges in 3 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 | 32 | $57,771 | $13,884 | $18,140 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 20 | $60,465 | $14,444 | $18,986 | 2.11 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 12 | $126,940 | $24,168 | $39,859 | 3.49 |
Nervous system41 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 | 22 | $32,342 | $6,646 | $10,155 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 19 | $40,271 | $13,379 | $12,645 | 2.00 |
Endocrine, nutritional and metabolic33 discharges in 2 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 | 17 | $19,519 | $5,596 | $6,129 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 16 | $35,857 | $9,317 | $11,259 | 1.32 |
Skin, subcutaneous tissue and breast18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 18 | $26,161 | $6,534 | $8,214 | 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 |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 223 | 212 | $41,834 | $9,902 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 211 | 203 | $19,339 | $1,900 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 180 | 154 | $10,889 | $1,128 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 105 | 87 | $25,187 | $3,609 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 100 | 69 | $7,897 | $1,345 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 81 | 81 | $30,657 | $4,015 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 71 | 69 | $9,606 | $1,351 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 65 | 65 | $30,236 | $2,068 | $2,208 |
| Level 4 Urology and Related ServicesAPC 5374 | 65 | 61 | $17,526 | $2,431 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 54 | 53 | $37,274 | $5,029 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 47 | 47 | $23,614 | $2,238 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 40 | 37 | $62,209 | $7,671 | $8,874 |
| Level 1 Intraocular ProceduresAPC 5491 | 32 | 25 | $12,615 | $1,640 | $1,752 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 28 | 28 | $16,351 | $2,197 | $2,373 |
| Level 4 Airway EndoscopyAPC 5154 | 27 | 26 | $22,784 | $2,540 | $2,833 |
| Level 5 ENT ProceduresAPC 5165 | 26 | 26 | $22,848 | $4,114 | $4,436 |
| Level 4 Endovascular ProceduresAPC 5194 | 25 | 23 | $72,009 | $13,492 | $14,606 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 24 | 24 | $27,493 | $4,590 | $4,982 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 24 | 23 | $24,465 | $2,335 | $2,636 |
| Level 2 Vascular ProceduresAPC 5182 | 22 | 21 | $15,158 | $1,127 | $1,204 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 21 | 20 | $33,292 | $7,442 | $8,164 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 20 | 20 | $17,623 | $2,686 | $2,930 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 19 | 19 | $14,115 | $1,896 | $2,141 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 18 | 17 | $22,097 | $1,644 | $1,780 |
| Level 4 Gynecologic ProceduresAPC 5414 | 17 | 17 | $14,715 | $2,207 | $2,389 |
| Level 2 Intraocular ProceduresAPC 5492 | 17 | 16 | $18,970 | $2,867 | $3,116 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 16 | 16 | $5,212 | $1,129 | $1,196 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 16 | 16 | $57,604 | $14,776 | $15,763 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 16 | 16 | $121,442 | $19,229 | $21,117 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 16 | 16 | $32,896 | $5,605 | $6,514 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 11 | 11 | $43,711 | $7,777 | $8,569 |
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.