North Fulton Regional Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for North Fulton Regional Hospital, Roswell, GA in 2024, from traditional Medicare claims. Back to the North Fulton Regional Hospital profile, with quality ratings, finances and negotiated rates.
1,512
Medicare inpatient discharges
In 50 published DRGs
1.82
Case mix index
IPPS FY 2027
17%
Surgical stays
80%
Stays with complications
In DRGs with a CC or MCC
875
Medicare outpatient services
In 30 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases224 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 | 175 | $138,633 | $15,540 | $22,459 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 29 | $300,426 | $40,979 | $48,669 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 20 | $75,470 | $7,639 | $12,226 | 1.03 |
Circulatory system224 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 81 | $83,911 | $9,546 | $13,594 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 38 | $101,215 | $11,342 | $16,397 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 30 | $58,406 | $5,648 | $9,462 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 26 | $63,046 | $6,623 | $10,213 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 19 | $109,160 | $11,443 | $17,684 | 1.82 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 18 | $44,024 | $7,067 | $7,132 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 12 | $151,708 | $17,532 | $24,577 | 2.16 |
Kidney and urinary tract216 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 65 | $60,878 | $8,836 | $9,862 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 51 | $45,307 | $6,050 | $7,340 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 40 | $49,168 | $6,546 | $7,965 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 24 | $80,069 | $12,268 | $12,971 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 22 | $104,808 | $14,073 | $16,979 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 14 | $72,501 | $7,055 | $11,745 | 1.02 |
Musculoskeletal system and connective tissue194 discharges in 8 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 | 66 | $103,719 | $14,270 | $16,802 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 33 | $52,246 | $6,811 | $8,464 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 22 | $174,570 | $22,471 | $28,280 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 20 | $90,604 | $14,890 | $14,678 | 2.11 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 15 | $50,635 | $6,120 | $8,203 | 0.90 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 14 | $40,755 | $6,209 | $6,602 | 0.79 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 12 | $118,294 | $16,911 | $19,164 | 2.40 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 12 | $107,395 | $20,416 | $17,398 | 2.99 |
Respiratory system188 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 73 | $104,026 | $12,177 | $16,852 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 62 | $91,254 | $9,692 | $14,783 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 25 | $78,801 | $9,247 | $12,766 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 17 | $50,705 | $6,399 | $8,214 | 0.82 |
| Major chest trauma with CCMS-DRG 184, medical | 11 | $78,964 | $7,177 | $12,792 | 1.05 |
Nervous system182 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 58 | $127,153 | $14,943 | $20,599 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 40 | $75,378 | $6,497 | $12,211 | 1.02 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 24 | $243,439 | $27,506 | $39,437 | 4.42 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 21 | $304,752 | $36,436 | $49,370 | 5.67 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 14 | $183,076 | $21,978 | $29,658 | 2.28 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 13 | $63,909 | $9,215 | $10,353 | 1.32 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 12 | $82,169 | $9,852 | $13,311 | 1.36 |
Digestive system177 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 38 | $72,070 | $7,206 | $11,675 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 24 | $50,762 | $5,796 | $8,223 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 23 | $35,447 | $5,976 | $5,742 | 0.80 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 22 | $133,981 | $13,328 | $21,705 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 17 | $105,864 | $12,241 | $17,150 | 0.94 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 16 | $136,612 | $15,867 | $22,131 | 2.37 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 14 | $58,318 | $7,786 | $9,447 | 1.04 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 12 | $128,840 | $13,131 | $20,872 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 11 | $365,266 | $40,785 | $59,173 | 4.52 |
Endocrine, nutritional and metabolic83 discharges in 3 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 | 37 | $80,893 | $9,348 | $13,105 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 34 | $42,148 | $6,019 | $6,828 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 12 | $34,136 | $7,152 | $5,530 | 0.90 |
Skin, subcutaneous tissue and breast13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 13 | $48,638 | $6,857 | $7,879 | 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 without MCCMS-DRG 812, medical | 11 | $84,240 | $6,884 | $13,647 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 142 | 142 | $29,251 | $2,009 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 66 | 65 | $18,889 | $1,196 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 57 | 49 | $25,218 | $1,407 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 44 | 40 | $41,487 | $3,826 | $3,918 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 40 | 40 | $99,951 | $7,909 | $8,164 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 38 | 37 | $65,401 | $5,011 | $5,339 |
| Level 3 Urology and Related ServicesAPC 5373 | 38 | 35 | $24,156 | $1,465 | $1,516 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 34 | 34 | $77,289 | $10,565 | $10,772 |
| Level 3 Vascular ProceduresAPC 5183 | 34 | 33 | $35,027 | $2,351 | $2,405 |
| Level 1 Nerve ProceduresAPC 5431 | 34 | 22 | $20,967 | $1,428 | $1,407 |
| Level 5 ENT ProceduresAPC 5165 | 29 | 29 | $46,414 | $4,181 | $4,436 |
| Level 1 Endovascular ProceduresAPC 5191 | 26 | 26 | $31,467 | $2,090 | $2,208 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 25 | 25 | $137,841 | $20,352 | $21,117 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 24 | 24 | $63,785 | $4,266 | $4,358 |
| Cochlear Implant ProcedureAPC 5166 | 23 | 21 | $151,165 | $28,347 | $29,489 |
| Level 4 Urology and Related ServicesAPC 5374 | 21 | 20 | $33,106 | $2,578 | $2,629 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 19 | 19 | $59,803 | $4,822 | $4,982 |
| Level 5 Airway EndoscopyAPC 5155 | 18 | 18 | $58,648 | $5,061 | $5,183 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 17 | 14 | $27,901 | $2,101 | $2,141 |
| Level 4 Vascular ProceduresAPC 5184 | 16 | 16 | $84,118 | $4,063 | $3,946 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 14 | 14 | $15,413 | $1,162 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 14 | 13 | $12,427 | $1,184 | $1,204 |
| Level 3 Lower GI ProceduresAPC 5313 | 14 | 14 | $33,635 | $1,956 | $2,176 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 13 | 13 | $34,879 | $2,710 | $2,930 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 13 | 13 | $113,632 | $15,625 | $15,763 |
| Level 4 Airway EndoscopyAPC 5154 | 13 | 11 | $32,206 | $2,769 | $2,833 |
| Level 3 Endovascular ProceduresAPC 5193 | 13 | 12 | $77,175 | $8,569 | $8,874 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 13 | 13 | $57,604 | $2,570 | $2,636 |
| Level 4 Endovascular ProceduresAPC 5194 | 12 | 11 | $110,143 | $14,608 | $14,606 |
| Complex GI ProceduresAPC 5331 | 11 | $48,668 | $4,214 | $4,263 |
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.