Harris Regional Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Harris Regional Hospital, Sylva, NC in 2024, from traditional Medicare claims. Back to the Harris Regional Hospital profile, with quality ratings, finances and negotiated rates.
322
Medicare inpatient discharges
In 13 published DRGs
1.56
Case mix index
IPPS FY 2027
19%
Surgical stays
76%
Stays with complications
In DRGs with a CC or MCC
1,234
Medicare outpatient services
In 21 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases131 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 | 97 | $67,604 | $13,572 | $14,265 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 20 | $35,550 | $6,962 | $7,501 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 14 | $157,428 | $34,046 | $33,217 | 5.00 |
Respiratory system97 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 38 | $40,360 | $9,059 | $8,516 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 35 | $50,998 | $10,998 | $10,761 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 12 | $52,055 | $9,233 | $10,984 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 12 | $41,077 | $7,453 | $8,667 | 1.10 |
Musculoskeletal system and connective tissue48 discharges in 3 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 | 18 | $87,426 | $13,034 | $18,447 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 16 | $94,418 | $14,182 | $19,922 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 14 | $91,888 | $15,187 | $19,388 | 2.11 |
Circulatory system22 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 22 | $43,619 | $9,379 | $9,204 | 1.28 |
Nervous system12 discharges in 1 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 | 12 | $30,675 | $6,674 | $6,472 | 1.02 |
Kidney and urinary tract12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 12 | $37,168 | $5,964 | $7,842 | 0.81 |
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 2 Urology and Related ServicesAPC 5372 | 232 | 132 | $1,764 | $471 | $502 |
| Level 1 Intraocular ProceduresAPC 5491 | 181 | 113 | $13,148 | $1,616 | $1,752 |
| Level 1 Nerve ProceduresAPC 5431 | 90 | 79 | $17,250 | $1,337 | $1,407 |
| Level 2 Upper GI ProceduresAPC 5302 | 75 | 71 | $19,735 | $1,282 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 58 | 56 | $33,214 | $2,315 | $2,636 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 54 | 51 | $17,249 | $1,121 | $1,220 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 47 | 45 | $11,318 | $1,112 | $1,196 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 47 | 45 | $78,117 | $9,593 | $10,772 |
| Level 3 Urology and Related ServicesAPC 5373 | 47 | 44 | $11,624 | $1,410 | $1,516 |
| Level 3 Vascular ProceduresAPC 5183 | 45 | 42 | $24,572 | $1,964 | $2,405 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 42 | 42 | $80,446 | $25,313 | $26,719 |
| Level 5 Urology and Related ServicesAPC 5375 | 41 | 40 | $33,471 | $3,588 | $3,918 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 40 | 25 | $17,869 | $2,964 | $4,524 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 38 | 37 | $23,270 | $2,244 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 35 | 35 | $47,853 | $4,955 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 34 | 31 | $28,042 | $2,417 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 30 | 29 | $39,011 | $3,867 | $4,358 |
| Level 4 Airway EndoscopyAPC 5154 | 27 | 27 | $38,866 | $2,596 | $2,833 |
| Comprehensive Observation ServicesAPC 8011 | 25 | 25 | $26,253 | $1,898 | $2,090 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 24 | 24 | $94,170 | $14,552 | $15,763 |
| Level 3 Airway EndoscopyAPC 5153 | 22 | 22 | $21,609 | $1,176 | $1,264 |
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.