High Point Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for High Point Medical Center, High Point, NC in 2024, from traditional Medicare claims. Back to the High Point Medical Center profile, with quality ratings, finances and negotiated rates.
1,348
Medicare inpatient discharges
In 47 published DRGs
1.60
Case mix index
IPPS FY 2027
9%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
1,141
Medicare outpatient services
In 25 service groups
Inpatient stays by major diagnostic category
Circulatory system330 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 | 139 | $34,189 | $9,117 | $8,308 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 48 | $46,467 | $9,940 | $11,292 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 27 | $24,937 | $6,252 | $6,060 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 24 | $23,872 | $5,085 | $5,801 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 22 | $36,748 | $8,178 | $8,930 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 18 | $84,411 | $8,744 | $20,512 | 1.82 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 17 | $36,852 | $5,873 | $8,955 | 0.91 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 13 | $21,213 | $3,342 | $5,155 | 0.55 |
| Heart failure and shock with CCMS-DRG 292, medical | 11 | $24,971 | $5,638 | $6,068 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 11 | $114,401 | $17,689 | $27,799 | 2.87 |
Infectious and parasitic diseases228 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 | 185 | $56,239 | $12,560 | $13,666 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 26 | $26,148 | $6,483 | $6,354 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 17 | $122,379 | $28,288 | $29,738 | 5.00 |
Respiratory system193 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 | 43 | $35,204 | $8,982 | $8,555 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 42 | $42,397 | $10,437 | $10,303 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 38 | $35,448 | $8,904 | $8,614 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 30 | $27,199 | $5,641 | $6,609 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 22 | $30,399 | $7,153 | $7,387 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 18 | $31,054 | $6,561 | $7,546 | 0.99 |
Kidney and urinary tract185 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 49 | $22,837 | $5,236 | $5,549 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 29 | $35,378 | $9,127 | $8,597 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 29 | $24,696 | $6,409 | $6,001 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 23 | $51,134 | $10,828 | $12,426 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 21 | $33,213 | $6,660 | $8,071 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 19 | $29,009 | $6,849 | $7,049 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 15 | $53,208 | $7,546 | $12,930 | 1.35 |
Digestive system111 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 32 | $50,594 | $10,885 | $12,294 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 31 | $30,824 | $6,136 | $7,490 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $31,090 | $5,070 | $7,555 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 12 | $132,360 | $21,732 | $32,163 | 4.52 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 12 | $32,246 | $11,496 | $7,836 | 1.62 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 11 | $25,410 | $6,912 | $6,175 | 0.94 |
Endocrine, nutritional and metabolic103 discharges in 4 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 | 44 | $30,894 | $9,189 | $7,507 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 36 | $23,757 | $5,484 | $5,773 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $29,499 | $8,701 | $7,168 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 11 | $25,210 | $5,670 | $6,126 | 0.90 |
Musculoskeletal system and connective tissue61 discharges in 4 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 | 25 | $76,116 | $12,987 | $18,496 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 14 | $29,298 | $6,475 | $7,119 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 11 | $115,776 | $19,085 | $28,134 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 11 | $76,296 | $13,759 | $18,540 | 2.11 |
Nervous system54 discharges in 3 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 | 24 | $45,193 | $6,749 | $10,982 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 18 | $64,082 | $13,443 | $15,572 | 2.00 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 12 | $34,767 | $4,252 | $8,448 | 0.69 |
Mental diseases and disorders36 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 36 | $19,048 | $9,534 | $4,629 | 1.37 |
Skin, subcutaneous tissue and breast17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 17 | $23,087 | $5,726 | $5,610 | 0.88 |
Alcohol and drug use17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 17 | $20,434 | $5,948 | $4,966 | 0.86 |
Blood and immune system13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 13 | $40,074 | $9,379 | $9,738 | 1.40 |
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 | 285 | 261 | $15,551 | $1,895 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 88 | 83 | $67,495 | $9,477 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 87 | 63 | $14,892 | $2,468 | $2,629 |
| Level 1 Endovascular ProceduresAPC 5191 | 64 | 64 | $29,195 | $2,016 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 61 | 56 | $19,905 | $2,220 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 57 | 52 | $36,373 | $3,342 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 50 | 50 | $39,192 | $3,840 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 42 | 40 | $9,571 | $1,118 | $1,220 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 42 | 41 | $159,038 | $18,956 | $21,117 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 41 | 27 | $13,887 | $2,449 | $2,636 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 34 | 31 | $13,274 | $1,952 | $2,141 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 34 | 34 | $57,761 | $7,849 | $8,569 |
| Level 3 Urology and Related ServicesAPC 5373 | 33 | 17 | $9,449 | $1,345 | $1,516 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 31 | 31 | $136,410 | $14,412 | $15,763 |
| Level 2 Vascular ProceduresAPC 5182 | 27 | 26 | $6,860 | $1,129 | $1,204 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 25 | 25 | $53,270 | $5,065 | $5,339 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 23 | 23 | $69,590 | $7,183 | $8,164 |
| Level 2 Upper GI ProceduresAPC 5302 | 21 | 13 | $12,461 | $1,344 | $1,445 |
| Level 4 Airway EndoscopyAPC 5154 | 18 | 18 | $19,395 | $2,651 | $2,833 |
| Level 3 Endovascular ProceduresAPC 5193 | 15 | 12 | $74,215 | $7,594 | $8,874 |
| Level 4 Gynecologic ProceduresAPC 5414 | 15 | 15 | $25,006 | $2,213 | $2,389 |
| Level 2 Endovascular ProceduresAPC 5192 | 13 | 13 | $33,191 | $4,046 | $4,338 |
| Level 6 Urology and Related ServicesAPC 5376 | 13 | 13 | $56,701 | $6,553 | $7,291 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 11 | 11 | $112,204 | $15,644 | $17,052 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 11 | 11 | $141,630 | $27,514 | $29,375 |
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.