Hamilton Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Hamilton Medical Center, Dalton, GA in 2024, from traditional Medicare claims. Back to the Hamilton Medical Center profile, with quality ratings, finances and negotiated rates.
1,654
Medicare inpatient discharges
In 53 published DRGs
1.72
Case mix index
IPPS FY 2027
14%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
1,787
Medicare outpatient services
In 31 service groups
Inpatient stays by major diagnostic category
Circulatory system486 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 198 | $54,370 | $9,860 | $12,016 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 41 | $35,490 | $5,836 | $7,843 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 35 | $53,715 | $9,475 | $11,871 | 1.20 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 34 | $153,666 | $24,889 | $33,960 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 33 | $31,050 | $6,737 | $6,862 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 31 | $81,339 | $16,210 | $17,976 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 24 | $49,244 | $8,410 | $10,883 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 24 | $109,428 | $12,727 | $24,184 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 18 | $49,796 | $11,052 | $11,005 | 1.59 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 13 | $145,906 | $17,671 | $32,245 | 2.28 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 13 | $146,849 | $20,271 | $32,454 | 2.87 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 11 | $220,690 | $36,877 | $48,772 | 4.88 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 11 | $40,181 | $6,875 | $8,880 | 0.91 |
Respiratory system304 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 124 | $53,912 | $9,862 | $11,915 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 59 | $53,195 | $11,982 | $11,756 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 57 | $64,071 | $10,311 | $14,160 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 32 | $55,350 | $8,629 | $12,232 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 21 | $32,671 | $6,199 | $7,220 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $155,587 | $25,423 | $34,385 | 2.70 |
Kidney and urinary tract204 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 51 | $35,155 | $6,442 | $7,769 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 49 | $44,642 | $8,884 | $9,866 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 47 | $31,699 | $6,286 | $7,005 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 27 | $69,305 | $12,679 | $15,316 | 1.50 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 18 | $52,317 | $10,333 | $11,562 | 1.35 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 12 | $61,056 | $11,422 | $13,493 | 1.65 |
Digestive system184 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 55 | $41,673 | $7,701 | $9,210 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 43 | $35,743 | $5,916 | $7,899 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 24 | $99,200 | $17,743 | $21,923 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 15 | $47,609 | $10,190 | $10,522 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 13 | $88,417 | $12,589 | $19,540 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 12 | $28,485 | $6,333 | $6,295 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 11 | $180,468 | $30,572 | $39,883 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 11 | $44,090 | $7,419 | $9,744 | 0.94 |
Infectious and parasitic diseases154 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 | 121 | $90,070 | $14,801 | $19,905 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 19 | $43,340 | $8,153 | $9,578 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 14 | $255,055 | $40,677 | $56,367 | 5.00 |
Endocrine, nutritional and metabolic114 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 | 36 | $59,068 | $10,342 | $13,054 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 30 | $45,910 | $5,869 | $10,146 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 20 | $42,295 | $7,231 | $9,347 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 15 | $54,991 | $10,425 | $12,153 | 1.45 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 13 | $68,389 | $13,699 | $15,114 | 1.98 |
Nervous system90 discharges in 6 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 | 28 | $37,079 | $7,437 | $8,194 | 1.02 |
| Seizures with MCCMS-DRG 100, medical | 13 | $59,305 | $12,930 | $13,106 | 1.98 |
| Seizures without MCCMS-DRG 101, medical | 13 | $26,842 | $7,193 | $5,932 | 0.91 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 12 | $141,665 | $21,044 | $31,308 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 12 | $39,242 | $6,409 | $8,673 | 0.80 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 12 | $52,004 | $13,710 | $11,493 | 1.79 |
Musculoskeletal system and connective tissue63 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 | 27 | $90,360 | $15,719 | $19,970 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 25 | $94,503 | $15,953 | $20,885 | 2.11 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 11 | $73,279 | $10,923 | $16,195 | 1.59 |
Skin, subcutaneous tissue and breast43 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 27 | $31,106 | $6,518 | $6,874 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 16 | $61,464 | $10,250 | $13,584 | 1.49 |
Blood and immune system12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 12 | $38,502 | $6,519 | $8,509 | 0.90 |
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 | 407 | 389 | $23,556 | $1,944 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 213 | 197 | $16,098 | $1,379 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 151 | 149 | $23,704 | $2,088 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 120 | 114 | $9,119 | $1,144 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 110 | 106 | $71,885 | $9,975 | $10,772 |
| Level 3 Vascular ProceduresAPC 5183 | 82 | 74 | $19,579 | $2,257 | $2,405 |
| Level 4 Urology and Related ServicesAPC 5374 | 65 | 56 | $23,263 | $2,493 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 57 | 57 | $11,384 | $2,064 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 50 | 47 | $27,088 | $3,533 | $3,918 |
| Level 4 Endovascular ProceduresAPC 5194 | 45 | 37 | $115,268 | $12,727 | $14,606 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 44 | 44 | $34,608 | $4,961 | $5,339 |
| Level 2 Vascular ProceduresAPC 5182 | 44 | 36 | $12,223 | $1,092 | $1,204 |
| Level 3 Endovascular ProceduresAPC 5193 | 40 | 37 | $74,016 | $7,963 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 34 | 34 | $41,625 | $4,190 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 32 | 29 | $24,116 | $2,351 | $2,373 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 31 | 31 | $123,595 | $19,967 | $21,117 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 28 | 28 | $82,716 | $15,323 | $15,763 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 26 | 26 | $70,331 | $7,738 | $8,164 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 25 | 24 | $68,192 | $7,773 | $8,569 |
| Level 2 Endovascular ProceduresAPC 5192 | 23 | 19 | $33,200 | $3,971 | $4,338 |
| Level 6 Urology and Related ServicesAPC 5376 | 21 | 21 | $50,041 | $6,443 | $7,291 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 17 | 17 | $12,609 | $1,168 | $1,196 |
| Level 4 Vascular ProceduresAPC 5184 | 17 | 15 | $21,642 | $3,992 | $3,946 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 15 | 15 | $37,321 | $4,737 | $4,982 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 15 | 15 | $169,534 | $28,274 | $29,375 |
| Level 4 Airway EndoscopyAPC 5154 | 14 | 14 | $28,631 | $2,525 | $2,833 |
| Level 5 ENT ProceduresAPC 5165 | 13 | 13 | $35,063 | $4,254 | $4,436 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 13 | 13 | $105,098 | $16,079 | $17,052 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 13 | 11 | $71,722 | $18,264 | $18,465 |
| Level 3 Lower GI ProceduresAPC 5313 | 11 | $22,598 | $2,040 | $2,176 | |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 11 | 11 | $31,000 | $2,274 | $2,636 |
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.