Haywood Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Haywood Regional Medical Center, Clyde, NC in 2024, from traditional Medicare claims. Back to the Haywood Regional Medical Center profile, with quality ratings, finances and negotiated rates.
846
Medicare inpatient discharges
In 34 published DRGs
1.52
Case mix index
IPPS FY 2027
14%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
1,736
Medicare outpatient services
In 28 service groups
Inpatient stays by major diagnostic category
Respiratory system187 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 | 60 | $51,065 | $7,973 | $10,009 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 40 | $44,846 | $10,577 | $8,790 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 36 | $41,439 | $7,138 | $8,122 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 24 | $36,349 | $7,891 | $7,124 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $30,520 | $4,832 | $5,982 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 12 | $33,041 | $8,853 | $6,476 | 1.40 |
Infectious and parasitic diseases149 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 | 109 | $52,014 | $11,817 | $10,195 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 26 | $34,518 | $6,381 | $6,766 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 14 | $110,846 | $28,151 | $21,726 | 5.00 |
Circulatory system139 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 80 | $32,662 | $8,128 | $6,402 | 1.28 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 22 | $14,127 | $3,201 | $2,769 | 0.55 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 15 | $40,122 | $9,630 | $7,864 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 11 | $31,181 | $5,155 | $6,111 | 0.86 |
| Chest painMS-DRG 313, medical | 11 | $25,025 | $4,174 | $4,905 | 0.72 |
Kidney and urinary tract117 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 32 | $33,250 | $5,289 | $6,517 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 25 | $29,396 | $5,065 | $5,762 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 21 | $54,724 | $11,203 | $10,726 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 20 | $33,594 | $9,053 | $6,584 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 19 | $33,389 | $7,170 | $6,544 | 1.17 |
Musculoskeletal system and connective tissue117 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 27 | $142,502 | $23,281 | $27,930 | 3.66 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 18 | $73,016 | $12,813 | $14,311 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 18 | $77,517 | $12,926 | $15,193 | 2.11 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 14 | $142,229 | $17,331 | $27,877 | 2.67 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 14 | $21,764 | $4,560 | $4,266 | 0.79 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 13 | $139,283 | $20,977 | $27,299 | 3.49 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 13 | $79,413 | $11,657 | $15,565 | 1.88 |
Digestive system78 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 29 | $40,864 | $6,323 | $8,009 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 19 | $31,322 | $5,035 | $6,139 | 0.80 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 17 | $19,416 | $3,349 | $3,805 | 0.56 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 13 | $63,777 | $11,842 | $12,500 | 1.79 |
Nervous system28 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 | 17 | $41,091 | $6,446 | $8,054 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 11 | $26,457 | $4,707 | $5,186 | 0.80 |
Skin, subcutaneous tissue and breast20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 20 | $28,725 | $5,428 | $5,630 | 0.88 |
Endocrine, nutritional and metabolic11 discharges in 1 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 | 11 | $26,635 | $4,901 | $5,221 | 0.78 |
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 | 363 | 227 | $1,474 | $470 | $502 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 166 | 154 | $62,009 | $9,776 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 158 | 153 | $26,023 | $1,872 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 142 | 94 | $12,477 | $1,616 | $1,752 |
| Level 3 Urology and Related ServicesAPC 5373 | 124 | 113 | $16,840 | $1,388 | $1,516 |
| Level 3 Vascular ProceduresAPC 5183 | 92 | 62 | $25,262 | $2,162 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 77 | 73 | $35,080 | $3,586 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 60 | 58 | $35,957 | $3,997 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 54 | 54 | $28,012 | $2,001 | $2,208 |
| Level 1 Nerve ProceduresAPC 5431 | 47 | 44 | $12,762 | $1,302 | $1,407 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 46 | 45 | $16,720 | $1,124 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 46 | 41 | $12,918 | $1,319 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 42 | 41 | $39,855 | $4,901 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 40 | 35 | $31,014 | $2,417 | $2,629 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 30 | 30 | $25,535 | $2,399 | $2,636 |
| Level 3 Endovascular ProceduresAPC 5193 | 27 | 26 | $83,444 | $7,632 | $8,874 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 27 | 27 | $89,104 | $7,655 | $8,569 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 26 | 25 | $77,213 | $14,543 | $15,763 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 23 | 23 | $23,096 | $1,966 | $2,141 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 23 | 22 | $12,437 | $1,110 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 19 | 19 | $22,861 | $2,240 | $2,373 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 18 | 18 | $47,306 | $7,318 | $8,164 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 17 | 17 | $43,842 | $5,544 | $6,514 |
| Level 3 Intraocular ProceduresAPC 5493 | 17 | 11 | $19,851 | $3,624 | $4,004 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 15 | 12 | $31,780 | $3,635 | $4,524 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 14 | 14 | $46,554 | $4,518 | $4,982 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 12 | $25,816 | $2,643 | $2,930 | |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 11 | 11 | $73,865 | $17,360 | $18,465 |
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.