North Carolina Specialty Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for North Carolina Specialty Hospital, Durham, NC in 2024, from traditional Medicare claims. Back to the North Carolina Specialty Hospital profile, with quality ratings, finances and negotiated rates.
87
Medicare inpatient discharges
In 4 published DRGs
3.19
Case mix index
IPPS FY 2027
100%
Surgical stays
0%
Stays with complications
In DRGs with a CC or MCC
1,519
Medicare outpatient services
In 16 service groups
Inpatient stays by major diagnostic category
Musculoskeletal system and connective tissue87 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 | 40 | $42,319 | $10,941 | $16,758 | 1.88 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 22 | $82,345 | $15,440 | $32,609 | 2.67 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 13 | $65,594 | $14,887 | $25,975 | 2.48 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 12 | $123,917 | $31,831 | $49,071 | 4.61 |
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 | 591 | 397 | $5,202 | $1,657 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 415 | 402 | $40,601 | $10,039 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 122 | 118 | $26,436 | $5,141 | $5,339 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 87 | 86 | $62,422 | $14,647 | $15,763 |
| Level 3 Urology and Related ServicesAPC 5373 | 51 | 50 | $2,822 | $1,464 | $1,516 |
| Level 1 Nerve ProceduresAPC 5431 | 43 | 40 | $8,679 | $1,355 | $1,407 |
| Level 2 Intraocular ProceduresAPC 5492 | 42 | 38 | $10,564 | $2,913 | $3,116 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 36 | 35 | $8,898 | $2,297 | $2,373 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 25 | 25 | $3,450 | $1,679 | $1,780 |
| Level 3 Intraocular ProceduresAPC 5493 | 23 | 18 | $12,128 | $3,756 | $4,004 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 17 | 17 | $11,797 | $4,147 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 15 | 15 | $10,002 | $2,505 | $2,629 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 14 | 14 | $2,835 | $1,155 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 14 | 14 | $8,898 | $2,486 | $2,636 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 12 | 12 | $4,206 | $1,165 | $1,220 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 12 | 11 | $29,890 | $4,915 | $4,524 |
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.