North Hawaii Community Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for North Hawaii Community Hospital, Kamuela, HI in 2024, from traditional Medicare claims. Back to the North Hawaii Community Hospital profile, with quality ratings, finances and negotiated rates.
121
Medicare inpatient discharges
In 7 published DRGs
1.50
Case mix index
IPPS FY 2027
0%
Surgical stays
79%
Stays with complications
In DRGs with a CC or MCC
328
Medicare outpatient services
In 11 service groups
Inpatient stays by major diagnostic category
Respiratory system46 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 20 | $48,691 | $11,796 | $10,566 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 15 | $57,204 | $14,261 | $12,413 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 11 | $62,653 | $12,652 | $13,596 | 1.23 |
Circulatory system27 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 27 | $60,402 | $11,046 | $13,107 | 1.28 |
Infectious and parasitic diseases21 discharges in 1 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 | 21 | $94,943 | $21,642 | $20,603 | 1.98 |
Digestive system15 discharges in 1 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 | 15 | $36,193 | $7,653 | $7,854 | 0.79 |
Nervous system12 discharges in 1 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 | 12 | $55,206 | $8,977 | $11,980 | 1.02 |
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 5 Musculoskeletal ProceduresAPC 5115 | 63 | 61 | $54,405 | $14,316 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 55 | 55 | $10,207 | $1,561 | $1,220 |
| Comprehensive Observation ServicesAPC 8011 | 49 | 47 | $22,002 | $2,636 | $2,090 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 33 | 32 | $11,473 | $1,519 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 27 | 27 | $25,334 | $3,273 | $2,636 |
| Level 3 Vascular ProceduresAPC 5183 | 20 | 19 | $21,281 | $2,972 | $2,405 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 19 | 18 | $44,459 | $6,419 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 19 | 19 | $30,890 | $5,663 | $4,358 |
| Level 1 Nerve ProceduresAPC 5431 | 18 | 15 | $12,592 | $1,892 | $1,407 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 14 | 14 | $18,959 | $2,620 | $2,141 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 11 | $39,437 | $6,401 | $4,982 |
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.