Mon Health Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mon Health Medical Center, Morgantown, WV in 2024, from traditional Medicare claims. Back to the Mon Health Medical Center profile, with quality ratings, finances and negotiated rates.
1,680
Medicare inpatient discharges
In 60 published DRGs
1.98
Case mix index
IPPS FY 2027
31%
Surgical stays
58%
Stays with complications
In DRGs with a CC or MCC
2,779
Medicare outpatient services
In 37 service groups
Inpatient stays by major diagnostic category
Circulatory system734 discharges in 20 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 104 | $35,562 | $7,316 | $7,966 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 90 | $146,315 | $19,087 | $32,775 | 3.24 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 78 | $117,888 | $9,684 | $26,407 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 58 | $45,682 | $8,950 | $10,233 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 51 | $18,740 | $3,781 | $4,198 | 0.74 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 45 | $20,634 | $2,148 | $4,622 | 0.55 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 43 | $33,177 | $5,276 | $7,432 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 40 | $167,241 | $20,692 | $37,462 | 2.87 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 33 | $346,800 | $64,477 | $77,683 | 4.88 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 29 | $42,897 | $6,950 | $9,609 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 25 | $43,845 | $5,017 | $9,821 | 1.08 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 20 | $99,727 | $13,259 | $22,339 | 2.28 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 19 | $231,497 | $32,854 | $51,855 | 3.18 |
| Syncope and collapseMS-DRG 312, medical | 19 | $23,132 | $4,505 | $5,182 | 0.86 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 17 | $21,986 | $3,291 | $4,925 | 0.72 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 15 | $298,808 | $44,058 | $66,933 | 5.20 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 15 | $90,700 | $10,017 | $20,317 | 1.83 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 11 | $359,544 | $59,241 | $80,538 | 7.80 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 11 | $255,102 | $31,718 | $57,143 | 4.04 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 11 | $56,196 | $12,967 | $12,588 | 2.16 |
Infectious and parasitic diseases219 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 | 137 | $49,338 | $10,896 | $11,052 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 50 | $24,110 | $4,663 | $5,401 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 32 | $145,470 | $32,279 | $32,585 | 5.00 |
Digestive system189 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 38 | $33,388 | $5,098 | $7,479 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 24 | $22,069 | $3,623 | $4,943 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 20 | $112,832 | $13,387 | $25,274 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 19 | $155,160 | $25,367 | $34,756 | 4.52 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 19 | $16,348 | $2,544 | $3,662 | 0.56 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 16 | $53,846 | $11,679 | $12,062 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $15,392 | $3,536 | $3,448 | 0.80 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 13 | $102,408 | $6,860 | $22,939 | 1.67 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 13 | $30,541 | $4,838 | $6,841 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $36,076 | $7,241 | $8,081 | 1.28 |
Respiratory system170 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 36 | $34,806 | $6,896 | $7,797 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 33 | $34,532 | $7,020 | $7,735 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 27 | $40,180 | $9,147 | $9,000 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 17 | $22,273 | $3,633 | $4,989 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 17 | $92,968 | $15,300 | $20,825 | 2.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 15 | $48,750 | $7,560 | $10,920 | 1.10 |
| Major chest procedures with MCCMS-DRG 163, surgical | 14 | $165,522 | $27,047 | $37,077 | 4.71 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $28,912 | $7,595 | $6,476 | 1.40 |
Kidney and urinary tract102 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 43 | $23,509 | $4,305 | $5,266 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 23 | $20,893 | $4,487 | $4,680 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 21 | $33,099 | $8,609 | $7,414 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 15 | $19,857 | $5,665 | $4,448 | 1.02 |
Musculoskeletal system and connective tissue85 discharges in 4 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 | 29 | $82,751 | $9,320 | $18,536 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 21 | $85,403 | $12,235 | $19,130 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 20 | $94,761 | $12,709 | $21,226 | 2.07 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 15 | $20,864 | $4,541 | $4,674 | 0.90 |
Endocrine, nutritional and metabolic35 discharges in 2 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 | 20 | $26,464 | $4,576 | $5,928 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 15 | $42,910 | $7,415 | $9,612 | 1.32 |
Nervous system34 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 | 22 | $28,748 | $4,491 | $6,440 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 12 | $38,675 | $10,626 | $8,663 | 2.00 |
Blood and immune system31 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 17 | $35,423 | $4,432 | $7,935 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 14 | $45,345 | $7,596 | $10,157 | 1.40 |
Liver, gallbladder and pancreas25 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 14 | $25,891 | $5,516 | $5,800 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 11 | $58,618 | $9,236 | $13,130 | 1.63 |
Skin, subcutaneous tissue and breast23 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 23 | $23,716 | $3,894 | $5,312 | 0.88 |
Factors influencing health status19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 19 | $21,139 | $4,137 | $4,735 | 0.80 |
Other14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 14 | $218,375 | $35,583 | $48,916 | 4.74 |
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 | 477 | 283 | $4,147 | $433 | $502 |
| Level 3 Urology and Related ServicesAPC 5373 | 192 | 173 | $13,030 | $1,331 | $1,516 |
| Comprehensive Observation ServicesAPC 8011 | 190 | 185 | $15,692 | $1,805 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 172 | 172 | $23,031 | $1,923 | $2,208 |
| Level 4 Urology and Related ServicesAPC 5374 | 133 | 108 | $16,958 | $2,319 | $2,629 |
| Level 3 Endovascular ProceduresAPC 5193 | 132 | 126 | $97,433 | $7,445 | $8,874 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 128 | 73 | $25,150 | $1,517 | $1,780 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 125 | 117 | $69,531 | $9,427 | $10,772 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 115 | 115 | $57,157 | $6,956 | $8,164 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 104 | 96 | $13,039 | $976 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 95 | 95 | $39,687 | $3,810 | $4,358 |
| Level 4 Endovascular ProceduresAPC 5194 | 75 | 72 | $164,306 | $13,016 | $14,606 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 74 | 73 | $218,027 | $17,930 | $21,117 |
| Level 2 Upper GI ProceduresAPC 5302 | 64 | 57 | $14,166 | $1,265 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 64 | 60 | $25,162 | $3,434 | $3,918 |
| Level 5 Gynecologic ProceduresAPC 5415 | 61 | 61 | $46,602 | $3,296 | $3,792 |
| Level 3 Vascular ProceduresAPC 5183 | 56 | 56 | $27,020 | $2,070 | $2,405 |
| Level 4 Gynecologic ProceduresAPC 5414 | 56 | 55 | $19,720 | $2,028 | $2,389 |
| Level 2 Endovascular ProceduresAPC 5192 | 51 | 51 | $68,140 | $3,624 | $4,338 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 45 | 45 | $77,296 | $7,242 | $8,569 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 39 | 39 | $19,513 | $1,790 | $2,141 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 38 | 38 | $37,788 | $2,273 | $2,636 |
| Level 6 Urology and Related ServicesAPC 5376 | 32 | 32 | $64,674 | $6,216 | $7,291 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 29 | 29 | $67,637 | $5,727 | $6,514 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 28 | 27 | $186,640 | $13,777 | $17,052 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 23 | 21 | $47,543 | $4,398 | $4,982 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 22 | 22 | $33,420 | $2,572 | $2,930 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 22 | 21 | $22,540 | $2,085 | $2,373 |
| Level 3 Lower GI ProceduresAPC 5313 | 20 | 20 | $23,373 | $1,896 | $2,176 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 19 | 19 | $60,732 | $4,828 | $5,339 |
| Level 2 Vascular ProceduresAPC 5182 | 17 | 17 | $13,906 | $1,081 | $1,204 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 15 | 14 | $11,252 | $1,085 | $1,196 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 14 | 14 | $279,877 | $24,284 | $29,375 |
| Complex GI ProceduresAPC 5331 | 14 | 12 | $33,233 | $3,571 | $4,263 |
| Level 6 Gynecologic ProceduresAPC 5416 | 14 | 14 | $63,406 | $5,093 | $5,836 |
| Level 4 Vascular ProceduresAPC 5184 | 13 | $28,572 | $1,655 | $3,946 | |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 11 | 11 | $95,410 | $12,837 | $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.