Nash General Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Nash General Hospital, Rocky Mount, NC in 2024, from traditional Medicare claims. Back to the Nash General Hospital profile, with quality ratings, finances and negotiated rates.
2,056
Medicare inpatient discharges
In 64 published DRGs
1.53
Case mix index
IPPS FY 2027
10%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
1,853
Medicare outpatient services
In 29 service groups
Inpatient stays by major diagnostic category
Circulatory system435 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 | 174 | $27,771 | $8,123 | $7,221 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 43 | $24,333 | $5,346 | $6,326 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 38 | $23,283 | $4,671 | $6,053 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 29 | $58,971 | $12,612 | $15,333 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 23 | $40,390 | $5,725 | $10,501 | 1.08 |
| Hypertension without MCCMS-DRG 305, medical | 23 | $17,932 | $4,450 | $4,662 | 0.75 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 21 | $48,669 | $5,995 | $12,654 | 1.20 |
| Chest painMS-DRG 313, medical | 20 | $18,523 | $4,263 | $4,816 | 0.72 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 18 | $39,315 | $9,490 | $10,222 | 1.59 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 18 | $57,871 | $13,358 | $15,047 | 2.09 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 17 | $78,045 | $9,020 | $20,292 | 1.82 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 11 | $31,318 | $5,819 | $8,143 | 0.91 |
Infectious and parasitic diseases303 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 | 220 | $46,477 | $12,329 | $12,084 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 45 | $32,548 | $5,957 | $8,462 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 27 | $137,338 | $34,791 | $35,708 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 11 | $52,558 | $13,216 | $13,665 | 2.04 |
Respiratory system259 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 49 | $35,704 | $10,149 | $9,283 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 48 | $36,851 | $7,750 | $9,581 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 32 | $25,745 | $6,752 | $6,694 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 31 | $27,649 | $4,481 | $7,189 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 26 | $41,883 | $8,012 | $10,890 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 24 | $28,937 | $6,135 | $7,524 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $31,646 | $8,451 | $8,228 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 13 | $75,967 | $18,111 | $19,752 | 2.70 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 12 | $20,429 | $4,523 | $5,311 | 0.82 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 11 | $22,836 | $6,191 | $5,937 | 0.96 |
Kidney and urinary tract256 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 61 | $26,721 | $6,817 | $6,947 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 48 | $23,379 | $4,901 | $6,079 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 42 | $24,126 | $5,390 | $6,273 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 36 | $30,520 | $9,937 | $7,935 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 23 | $24,754 | $5,976 | $6,436 | 1.02 |
| Renal failure with MCCMS-DRG 682, medical | 22 | $38,497 | $9,729 | $10,009 | 1.50 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 13 | $57,346 | $16,957 | $14,910 | 2.59 |
| Kidney and ureter procedures for non-neoplasm without cc/mccMS-DRG 661, surgical | 11 | $34,107 | $5,704 | $8,868 | 1.05 |
Digestive system254 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 69 | $22,828 | $5,844 | $5,935 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 45 | $43,690 | $11,168 | $11,359 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 34 | $25,645 | $4,875 | $6,668 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 22 | $24,501 | $4,867 | $6,370 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 21 | $27,094 | $6,008 | $7,044 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 16 | $34,590 | $8,174 | $8,993 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 13 | $75,006 | $14,682 | $19,502 | 2.37 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 12 | $37,991 | $10,642 | $9,878 | 1.75 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 11 | $137,266 | $25,300 | $35,689 | 4.52 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 11 | $32,755 | $6,400 | $8,516 | 1.04 |
Endocrine, nutritional and metabolic165 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 without MCCMS-DRG 641, medical | 69 | $24,583 | $4,790 | $6,392 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 57 | $25,787 | $8,724 | $6,705 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 28 | $21,464 | $5,439 | $5,581 | 0.90 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 11 | $32,863 | $11,410 | $8,544 | 1.98 |
Nervous system129 discharges in 6 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 | 39 | $33,380 | $5,936 | $8,679 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 29 | $27,260 | $4,569 | $7,088 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 23 | $56,155 | $11,943 | $14,600 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 14 | $28,367 | $5,637 | $7,375 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 12 | $32,205 | $7,992 | $8,373 | 1.36 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 12 | $27,839 | $3,630 | $7,238 | 0.69 |
Musculoskeletal system and connective tissue107 discharges in 5 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 | 45 | $41,594 | $11,997 | $10,814 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 25 | $59,030 | $13,123 | $15,348 | 2.07 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 13 | $92,160 | $22,943 | $23,961 | 3.49 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 13 | $72,014 | $18,714 | $18,724 | 2.95 |
| Medical back problems without MCCMS-DRG 552, medical | 11 | $27,187 | $6,032 | $7,069 | 0.97 |
Mental diseases and disorders70 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 70 | $27,463 | $8,422 | $7,140 | 1.37 |
Blood and immune system41 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 | 21 | $32,505 | $9,008 | $8,451 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 20 | $24,232 | $5,662 | $6,300 | 0.90 |
Skin, subcutaneous tissue and breast21 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 21 | $24,699 | $4,992 | $6,422 | 0.88 |
Alcohol and drug use16 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 | 16 | $18,857 | $5,580 | $4,903 | 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 1 Intraocular ProceduresAPC 5491 | 653 | 428 | $9,231 | $1,587 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 144 | 143 | $15,882 | $1,862 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 134 | 124 | $7,342 | $1,095 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 88 | 87 | $38,969 | $9,460 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 78 | 65 | $22,060 | $3,552 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 72 | 67 | $32,820 | $4,779 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 72 | 70 | $14,960 | $2,183 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 65 | 65 | $21,178 | $2,037 | $2,208 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 55 | 53 | $12,266 | $1,132 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 47 | 46 | $19,508 | $2,280 | $2,373 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 47 | 46 | $21,656 | $3,976 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 46 | 40 | $17,953 | $2,456 | $2,629 |
| Level 1 Nerve ProceduresAPC 5431 | 41 | 30 | $11,383 | $1,289 | $1,407 |
| Level 2 Intraocular ProceduresAPC 5492 | 36 | 25 | $12,657 | $2,705 | $3,116 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 30 | 29 | $17,771 | $2,437 | $2,636 |
| Level 3 Urology and Related ServicesAPC 5373 | 27 | 24 | $12,699 | $1,329 | $1,516 |
| Level 3 Intraocular ProceduresAPC 5493 | 27 | 21 | $15,188 | $3,669 | $4,004 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 24 | 24 | $15,001 | $1,956 | $2,141 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 21 | 21 | $21,014 | $5,974 | $6,514 |
| Level 4 Vascular ProceduresAPC 5184 | 20 | 18 | $28,372 | $3,872 | $3,946 |
| Level 4 Airway EndoscopyAPC 5154 | 18 | 18 | $15,340 | $2,482 | $2,833 |
| Level 2 Vascular ProceduresAPC 5182 | 18 | 17 | $4,692 | $940 | $1,204 |
| Level 6 Urology and Related ServicesAPC 5376 | 16 | 16 | $26,334 | $6,514 | $7,291 |
| Level 3 Endovascular ProceduresAPC 5193 | 15 | 14 | $57,545 | $7,550 | $8,874 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 14 | 12 | $17,853 | $2,686 | $2,930 |
| Level 5 Airway EndoscopyAPC 5155 | 12 | 11 | $27,274 | $4,822 | $5,183 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 11 | 11 | $35,780 | $4,177 | $4,982 |
| Level 2 Endovascular ProceduresAPC 5192 | 11 | 11 | $31,739 | $4,027 | $4,338 |
| Level 2 Upper GI ProceduresAPC 5302 | 11 | 11 | $5,425 | $1,348 | $1,445 |
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.