John Randolph Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for John Randolph Medical Center, Hopewell, VA in 2024, from traditional Medicare claims. Back to the John Randolph Medical Center profile, with quality ratings, finances and negotiated rates.
675
Medicare inpatient discharges
In 29 published DRGs
1.40
Case mix index
IPPS FY 2027
2%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
482
Medicare outpatient services
In 14 service groups
Inpatient stays by major diagnostic category
Circulatory system162 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 67 | $68,478 | $8,194 | $6,437 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 28 | $78,156 | $9,533 | $7,347 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 26 | $49,678 | $4,838 | $4,670 | 0.86 |
| Hypertension without MCCMS-DRG 305, medical | 16 | $43,285 | $4,399 | $4,069 | 0.75 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 14 | $60,894 | $4,488 | $5,724 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 11 | $73,452 | $6,863 | $6,905 | 1.20 |
Respiratory system116 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 58 | $82,858 | $8,372 | $7,789 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 31 | $62,232 | $7,723 | $5,850 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 27 | $104,140 | $10,089 | $9,789 | 1.70 |
Kidney and urinary tract104 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 42 | $54,483 | $5,548 | $5,121 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 24 | $83,380 | $9,459 | $7,838 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 14 | $46,884 | $6,995 | $4,407 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 13 | $57,622 | $4,950 | $5,416 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 11 | $62,161 | $9,161 | $5,843 | 1.65 |
Endocrine, nutritional and metabolic75 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Diabetes with CCMS-DRG 638, medical | 20 | $49,451 | $5,184 | $4,648 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 20 | $66,652 | $8,365 | $6,265 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 18 | $75,034 | $9,101 | $7,053 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 17 | $45,977 | $4,846 | $4,322 | 0.78 |
Infectious and parasitic diseases74 discharges in 2 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 | 56 | $145,416 | $12,405 | $13,669 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 18 | $71,300 | $6,195 | $6,702 | 1.03 |
Digestive system52 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 39 | $62,001 | $4,584 | $5,828 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $46,257 | $4,857 | $4,348 | 0.80 |
Nervous system27 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $42,073 | $4,300 | $3,955 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 12 | $66,651 | $6,265 | $6,265 | 1.02 |
Mental diseases and disorders18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 18 | $57,855 | $10,217 | $5,438 | 1.76 |
Musculoskeletal system and connective tissue14 discharges in 1 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 | 14 | $210,001 | $11,067 | $19,740 | 2.07 |
Skin, subcutaneous tissue and breast11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 11 | $52,396 | $5,020 | $4,925 | 0.88 |
Blood and immune system11 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 | 11 | $84,332 | $9,647 | $7,927 | 1.40 |
Alcohol and drug use11 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 | 11 | $66,632 | $5,502 | $6,263 | 0.86 |
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 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 64 | 61 | $27,240 | $1,097 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 64 | 64 | $287,754 | $9,499 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 64 | 63 | $36,621 | $1,898 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 55 | 38 | $52,161 | $1,586 | $1,752 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 36 | 36 | $212,110 | $4,960 | $5,339 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 35 | 35 | $47,626 | $1,964 | $2,141 |
| Level 1 Nerve ProceduresAPC 5431 | 31 | 30 | $65,413 | $1,203 | $1,407 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 27 | 27 | $94,124 | $2,393 | $2,636 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 26 | 26 | $79,139 | $1,972 | $2,373 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 26 | 26 | $135,659 | $3,846 | $4,358 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 20 | 20 | $42,775 | $1,040 | $1,196 |
| Level 3 Lower GI ProceduresAPC 5313 | 12 | $73,386 | $1,947 | $2,176 | |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 11 | 11 | $62,073 | $2,641 | $2,930 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 11 | 11 | $478,676 | $14,550 | $15,763 |
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.