Johnston Health Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Johnston Health, Smithfield, NC in 2024, from traditional Medicare claims. Back to the Johnston Health profile, with quality ratings, finances and negotiated rates.
1,822
Medicare inpatient discharges
In 57 published DRGs
1.47
Case mix index
IPPS FY 2027
6%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
1,609
Medicare outpatient services
In 30 service groups
Inpatient stays by major diagnostic category
Circulatory system400 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 150 | $38,651 | $8,584 | $10,513 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 38 | $23,538 | $4,570 | $6,402 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 32 | $39,755 | $6,410 | $10,813 | 1.08 |
| Syncope and collapseMS-DRG 312, medical | 30 | $26,149 | $5,623 | $7,112 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 28 | $35,114 | $7,086 | $9,551 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 28 | $68,206 | $11,531 | $18,552 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 22 | $44,245 | $9,807 | $12,035 | 1.59 |
| Heart failure and shock with CCMS-DRG 292, medical | 18 | $27,931 | $5,609 | $7,597 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 18 | $78,500 | $17,946 | $21,352 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 14 | $58,921 | $13,370 | $16,027 | 2.16 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 11 | $37,082 | $5,407 | $10,086 | 0.91 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 11 | $29,644 | $5,293 | $8,063 | 0.97 |
Respiratory system323 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 68 | $49,454 | $10,758 | $13,452 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 50 | $37,230 | $8,408 | $10,127 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 47 | $28,730 | $5,142 | $7,814 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 41 | $31,753 | $6,290 | $8,637 | 0.99 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 36 | $36,233 | $7,259 | $9,855 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 30 | $54,346 | $8,092 | $14,782 | 1.23 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 23 | $33,548 | $5,348 | $9,125 | 0.85 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 16 | $43,611 | $8,744 | $11,862 | 1.40 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 12 | $31,163 | $6,402 | $8,476 | 0.96 |
Infectious and parasitic diseases300 discharges in 4 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 | 226 | $58,650 | $12,247 | $15,953 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 49 | $38,218 | $6,252 | $10,395 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 13 | $226,547 | $51,151 | $61,621 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 12 | $99,260 | $22,881 | $26,999 | 5.00 |
Kidney and urinary tract223 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 61 | $26,676 | $4,942 | $7,256 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 53 | $31,959 | $7,075 | $8,693 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 35 | $22,550 | $5,438 | $6,134 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 31 | $44,774 | $8,596 | $12,179 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 30 | $36,893 | $11,032 | $10,035 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 13 | $30,770 | $6,009 | $8,370 | 1.02 |
Digestive system159 discharges in 8 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 | 47 | $32,091 | $4,904 | $8,729 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 27 | $32,465 | $5,869 | $8,831 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 17 | $26,985 | $4,761 | $7,340 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 16 | $87,002 | $12,547 | $23,664 | 2.37 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 16 | $30,519 | $6,439 | $8,301 | 0.94 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 13 | $21,422 | $2,952 | $5,827 | 0.56 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 12 | $59,064 | $12,793 | $16,065 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $33,928 | $8,691 | $9,228 | 1.28 |
Endocrine, nutritional and metabolic149 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 | 45 | $38,973 | $8,738 | $10,601 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 44 | $28,047 | $5,363 | $7,629 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 43 | $29,998 | $4,795 | $8,159 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 17 | $37,231 | $9,199 | $10,127 | 1.45 |
Nervous system119 discharges in 7 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 | 40 | $38,353 | $6,188 | $10,432 | 1.02 |
| Seizures without MCCMS-DRG 101, medical | 17 | $27,654 | $5,960 | $7,522 | 0.91 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 14 | $25,728 | $3,929 | $6,998 | 0.69 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 13 | $37,765 | $4,407 | $10,272 | 0.80 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 12 | $33,528 | $8,982 | $9,120 | 1.36 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 12 | $29,393 | $6,251 | $7,995 | 1.03 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 11 | $50,253 | $11,548 | $13,669 | 2.00 |
Musculoskeletal system and connective tissue56 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 | 23 | $71,065 | $13,473 | $19,330 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 21 | $63,722 | $13,315 | $17,332 | 2.11 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 12 | $24,389 | $4,649 | $6,634 | 0.79 |
Skin, subcutaneous tissue and breast47 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 36 | $25,519 | $5,356 | $6,941 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 11 | $34,995 | $9,157 | $9,519 | 1.49 |
Blood and immune system46 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 26 | $54,872 | $9,531 | $14,925 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 20 | $35,260 | $5,387 | $9,591 | 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 |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 308 | 202 | $9,742 | $1,635 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 234 | 227 | $20,980 | $1,930 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 139 | 139 | $17,392 | $2,077 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 113 | 111 | $8,568 | $1,109 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 82 | 82 | $25,897 | $3,980 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 81 | 80 | $53,756 | $9,719 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 69 | 66 | $7,148 | $1,339 | $1,445 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 54 | 49 | $13,824 | $1,926 | $2,141 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 52 | 52 | $36,678 | $5,027 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 47 | 45 | $19,428 | $2,187 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 46 | 43 | $26,517 | $3,628 | $3,918 |
| Level 3 Endovascular ProceduresAPC 5193 | 43 | 43 | $44,128 | $7,489 | $8,874 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 36 | 36 | $52,010 | $7,968 | $8,569 |
| Level 4 Urology and Related ServicesAPC 5374 | 33 | 31 | $19,301 | $2,499 | $2,629 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 27 | 26 | $66,658 | $14,639 | $15,763 |
| Level 3 Lower GI ProceduresAPC 5313 | 25 | 25 | $13,362 | $2,045 | $2,176 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 23 | 23 | $10,236 | $1,102 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 23 | 22 | $21,094 | $2,372 | $2,636 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 19 | 18 | $18,945 | $2,188 | $2,373 |
| Level 1 Nerve ProceduresAPC 5431 | 18 | 17 | $13,065 | $1,307 | $1,407 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 17 | 17 | $34,262 | $6,089 | $6,514 |
| Level 2 Urology and Related ServicesAPC 5372 | 15 | $1,710 | $490 | $502 | |
| Level 3 Urology and Related ServicesAPC 5373 | 15 | 11 | $11,711 | $1,363 | $1,516 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 14 | 12 | $22,524 | $2,147 | $2,930 |
| Level 2 Vascular ProceduresAPC 5182 | 14 | 14 | $5,896 | $991 | $1,204 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 14 | 14 | $146,876 | $27,876 | $29,375 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 13 | 12 | $33,005 | $4,674 | $4,982 |
| Level 4 Vascular ProceduresAPC 5184 | 12 | 12 | $32,015 | $3,939 | $3,946 |
| Level 2 Endovascular ProceduresAPC 5192 | 12 | 12 | $30,446 | $4,097 | $4,338 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 11 | 11 | $44,073 | $7,623 | $8,164 |
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.