Paulding Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Paulding Medical Center, Hiram, GA in 2024, from traditional Medicare claims. Back to the Paulding Medical Center profile, with quality ratings, finances and negotiated rates.
1,598
Medicare inpatient discharges
In 46 published DRGs
1.49
Case mix index
IPPS FY 2027
5%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
1,221
Medicare outpatient services
In 27 service groups
Inpatient stays by major diagnostic category
Circulatory system437 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 165 | $77,669 | $7,765 | $12,505 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 42 | $100,291 | $9,748 | $16,147 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 34 | $63,795 | $5,867 | $10,271 | 1.08 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 31 | $44,860 | $3,717 | $7,222 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 27 | $112,171 | $10,663 | $18,060 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 23 | $78,570 | $6,989 | $12,650 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 23 | $53,502 | $4,911 | $8,614 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 21 | $98,425 | $13,757 | $15,846 | 2.16 |
| Chest painMS-DRG 313, medical | 21 | $42,073 | $3,641 | $6,774 | 0.72 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $68,145 | $4,922 | $10,971 | 0.91 |
| Hypertension without MCCMS-DRG 305, medical | 14 | $42,533 | $3,207 | $6,848 | 0.75 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 11 | $35,555 | $1,845 | $5,724 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 11 | $146,124 | $16,851 | $23,526 | 2.87 |
Respiratory system287 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 86 | $87,637 | $8,009 | $14,110 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 71 | $87,219 | $9,688 | $14,042 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 41 | $84,065 | $6,503 | $13,534 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 30 | $99,015 | $7,418 | $15,941 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 24 | $49,270 | $4,068 | $7,932 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 19 | $76,985 | $7,874 | $12,395 | 1.40 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 16 | $67,336 | $5,397 | $10,841 | 0.96 |
Infectious and parasitic diseases277 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 | 212 | $116,754 | $12,562 | $18,797 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 48 | $74,020 | $5,581 | $11,917 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 17 | $221,624 | $27,473 | $35,681 | 5.00 |
Kidney and urinary tract209 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 49 | $51,344 | $4,723 | $8,266 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 42 | $39,987 | $3,784 | $6,438 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 36 | $86,493 | $8,942 | $13,925 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 36 | $65,706 | $7,207 | $10,579 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 33 | $77,184 | $9,374 | $12,427 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 13 | $37,937 | $4,818 | $6,108 | 1.02 |
Digestive system176 discharges in 7 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 | 58 | $45,359 | $4,015 | $7,303 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 46 | $57,503 | $5,517 | $9,258 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 21 | $110,997 | $10,440 | $17,871 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 16 | $64,193 | $7,945 | $10,335 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 12 | $94,053 | $14,704 | $15,142 | 2.37 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 12 | $69,403 | $5,614 | $11,174 | 0.94 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 11 | $59,546 | $4,762 | $9,587 | 1.04 |
Endocrine, nutritional and metabolic104 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 with MCCMS-DRG 640, medical | 44 | $80,321 | $7,644 | $12,932 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 30 | $43,124 | $3,879 | $6,943 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 17 | $43,836 | $3,527 | $7,058 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $51,470 | $7,517 | $8,287 | 1.45 |
Nervous system43 discharges in 3 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 | 17 | $54,081 | $5,017 | $8,707 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 14 | $91,220 | $11,741 | $14,686 | 2.00 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 12 | $58,145 | $5,713 | $9,361 | 1.03 |
Blood and immune system32 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 | 32 | $68,491 | $3,678 | $11,027 | 0.90 |
Skin, subcutaneous tissue and breast22 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 22 | $46,104 | $4,467 | $7,423 | 0.88 |
Musculoskeletal system and connective tissue11 discharges in 1 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 | 11 | $110,573 | $13,071 | $17,802 | 2.07 |
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 | 294 | 274 | $29,744 | $1,922 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 163 | 97 | $23,513 | $1,659 | $1,752 |
| Level 1 Endovascular ProceduresAPC 5191 | 100 | 100 | $29,582 | $2,173 | $2,208 |
| Level 5 Urology and Related ServicesAPC 5375 | 71 | 64 | $32,917 | $3,772 | $3,918 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 67 | 67 | $18,310 | $1,199 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 60 | 60 | $40,455 | $4,264 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 56 | 47 | $26,541 | $2,393 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 48 | 42 | $22,772 | $1,505 | $1,516 |
| Level 3 Endovascular ProceduresAPC 5193 | 31 | 31 | $79,089 | $8,569 | $8,874 |
| Level 3 Vascular ProceduresAPC 5183 | 29 | 28 | $32,315 | $2,194 | $2,405 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 27 | 27 | $29,231 | $2,023 | $2,141 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 26 | 26 | $29,084 | $2,818 | $2,930 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 24 | 22 | $26,542 | $2,393 | $2,373 |
| Level 4 Endovascular ProceduresAPC 5194 | 21 | 17 | $94,429 | $12,521 | $14,606 |
| Level 5 Gynecologic ProceduresAPC 5415 | 21 | 21 | $51,157 | $3,678 | $3,792 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 19 | 19 | $70,435 | $5,290 | $5,339 |
| Level 6 Gynecologic ProceduresAPC 5416 | 19 | 19 | $75,122 | $5,587 | $5,836 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 18 | 18 | $48,241 | $8,270 | $8,569 |
| Level 3 Airway EndoscopyAPC 5153 | 17 | 17 | $18,510 | $1,248 | $1,264 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 16 | 15 | $54,045 | $4,518 | $4,982 |
| Level 2 Vascular ProceduresAPC 5182 | 14 | 14 | $16,117 | $1,167 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 14 | 13 | $43,228 | $4,226 | $4,338 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 14 | 14 | $173,785 | $28,808 | $29,375 |
| Level 2 Upper GI ProceduresAPC 5302 | 14 | 11 | $26,427 | $1,419 | $1,445 |
| Level 3 Intraocular ProceduresAPC 5493 | 14 | $32,797 | $3,847 | $4,004 | |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 13 | 13 | $82,330 | $7,915 | $8,164 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 11 | 11 | $32,198 | $2,089 | $2,636 |
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.