Piedmont Augusta Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Piedmont Augusta, Augusta, GA in 2024, from traditional Medicare claims. Back to the Piedmont Augusta profile, with quality ratings, finances and negotiated rates.
3,880
Medicare inpatient discharges
In 105 published DRGs
1.94
Case mix index
IPPS FY 2027
22%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
3,303
Medicare outpatient services
In 40 service groups
Inpatient stays by major diagnostic category
Circulatory system1,294 discharges in 30 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 381 | $40,875 | $7,920 | $7,521 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 83 | $145,514 | $19,399 | $26,775 | 3.24 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 80 | $24,818 | $4,242 | $4,567 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 70 | $27,360 | $4,885 | $5,034 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 65 | $46,583 | $7,731 | $8,571 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 58 | $68,628 | $12,771 | $12,628 | 2.16 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 45 | $237,332 | $36,600 | $43,669 | 6.25 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 45 | $77,111 | $9,639 | $14,189 | 1.82 |
| Chest painMS-DRG 313, medical | 39 | $30,339 | $4,275 | $5,582 | 0.72 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 38 | $50,533 | $9,602 | $9,298 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 37 | $101,684 | $16,900 | $18,710 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 35 | $37,739 | $5,968 | $6,944 | 1.08 |
| Hypertension without MCCMS-DRG 305, medical | 29 | $23,799 | $4,194 | $4,379 | 0.75 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 25 | $61,017 | $13,646 | $11,227 | 2.09 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 23 | $92,112 | $13,156 | $16,949 | 2.28 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 22 | $32,888 | $5,419 | $6,051 | 0.91 |
| Hypertension with MCCMS-DRG 304, medical | 20 | $34,097 | $6,549 | $6,274 | 1.15 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 20 | $27,573 | $5,557 | $5,073 | 0.97 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 19 | $151,331 | $24,104 | $27,845 | 3.46 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 18 | $218,027 | $36,368 | $40,117 | 5.06 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 17 | $236,539 | $29,354 | $43,523 | 4.04 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 17 | $121,620 | $20,731 | $22,378 | 3.35 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 16 | $86,625 | $10,471 | $15,939 | 1.83 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 16 | $18,103 | $2,891 | $3,331 | 0.55 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 15 | $294,933 | $45,331 | $54,268 | 7.80 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 14 | $276,734 | $44,484 | $50,919 | 5.24 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 12 | $238,981 | $41,275 | $43,972 | 5.20 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 12 | $218,744 | $33,133 | $40,249 | 4.88 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 12 | $30,284 | $6,183 | $5,572 | 1.07 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 11 | $282,648 | $53,773 | $52,007 | 7.71 |
Infectious and parasitic diseases516 discharges in 6 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 | 332 | $66,517 | $12,110 | $12,239 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 87 | $34,137 | $6,147 | $6,281 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 57 | $150,065 | $33,991 | $27,612 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 15 | $68,405 | $11,299 | $12,587 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 13 | $235,004 | $44,701 | $43,241 | 6.96 |
| Postoperative or post-traumatic infections with o.r. procedures with MCCMS-DRG 856, surgical | 12 | $108,136 | $18,298 | $19,897 | 4.43 |
Digestive system455 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 91 | $29,739 | $5,722 | $5,472 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 68 | $30,435 | $4,569 | $5,600 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 55 | $80,721 | $13,359 | $14,853 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 51 | $24,800 | $4,612 | $4,563 | 0.80 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 50 | $61,662 | $10,576 | $11,346 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 33 | $45,450 | $7,608 | $8,363 | 1.28 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 24 | $59,741 | $9,399 | $10,992 | 1.67 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 16 | $140,030 | $27,424 | $25,765 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 16 | $20,956 | $5,139 | $3,856 | 0.94 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 14 | $40,620 | $6,194 | $7,474 | 1.04 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 14 | $68,090 | $10,126 | $12,529 | 1.45 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 12 | $18,812 | $3,023 | $3,461 | 0.56 |
| Digestive malignancy with CCMS-DRG 375, medical | 11 | $33,634 | $6,655 | $6,189 | 1.20 |
Respiratory system405 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 97 | $49,181 | $9,827 | $9,049 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 86 | $41,606 | $7,528 | $7,655 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 47 | $43,937 | $7,380 | $8,084 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 40 | $30,346 | $4,508 | $5,584 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 29 | $52,907 | $6,563 | $9,735 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 20 | $37,835 | $8,250 | $6,962 | 1.40 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 18 | $31,002 | $5,193 | $5,704 | 0.96 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 17 | $47,521 | $8,177 | $8,744 | 0.99 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 16 | $29,237 | $4,416 | $5,380 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 13 | $113,463 | $16,844 | $20,877 | 2.70 |
| Major chest procedures with CCMS-DRG 164, surgical | 11 | $142,206 | $15,653 | $26,166 | 2.55 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 11 | $59,818 | $10,218 | $11,006 | 1.74 |
Kidney and urinary tract340 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 90 | $29,510 | $6,575 | $5,430 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 76 | $26,160 | $4,844 | $4,813 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 65 | $27,730 | $5,222 | $5,102 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 46 | $46,578 | $10,500 | $8,570 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 35 | $50,271 | $10,538 | $9,250 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 17 | $32,639 | $6,274 | $6,006 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 11 | $116,586 | $25,140 | $21,452 | 3.70 |
Nervous system277 discharges in 13 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 | 53 | $37,212 | $5,463 | $6,847 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 34 | $31,207 | $4,279 | $5,742 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 33 | $74,758 | $14,046 | $13,755 | 2.00 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 26 | $37,890 | $6,513 | $6,972 | 1.14 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 21 | $27,878 | $5,937 | $5,130 | 1.03 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 16 | $30,841 | $4,012 | $5,675 | 0.69 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 16 | $27,725 | $6,330 | $5,101 | 1.06 |
| Seizures with MCCMS-DRG 100, medical | 16 | $54,655 | $11,003 | $10,056 | 1.98 |
| Extracranial procedures with CCMS-DRG 038, surgical | 13 | $52,769 | $9,203 | $9,710 | 1.60 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $41,908 | $7,535 | $7,711 | 1.36 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 12 | $152,904 | $28,818 | $28,134 | 4.42 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 12 | $33,599 | $10,295 | $6,182 | 1.79 |
| Seizures without MCCMS-DRG 101, medical | 12 | $28,827 | $4,532 | $5,304 | 0.91 |
Musculoskeletal system and connective tissue214 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 32 | $29,078 | $5,527 | $5,350 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 30 | $79,972 | $11,946 | $14,715 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 30 | $86,484 | $13,148 | $15,913 | 2.11 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 27 | $217,815 | $37,942 | $40,078 | 6.12 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 27 | $107,216 | $17,672 | $19,728 | 2.96 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 23 | $213,937 | $30,905 | $39,364 | 4.61 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 21 | $132,540 | $21,096 | $24,387 | 3.66 |
| Cervical spinal fusion without cc/mccMS-DRG 473, surgical | 12 | $69,642 | $14,852 | $12,814 | 2.46 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 12 | $25,268 | $5,155 | $4,649 | 0.90 |
Endocrine, nutritional and metabolic188 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 | 81 | $38,414 | $8,764 | $7,068 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 68 | $25,849 | $4,360 | $4,756 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 23 | $55,800 | $8,571 | $10,267 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 16 | $27,631 | $4,819 | $5,084 | 0.90 |
Blood and immune system37 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 22 | $28,784 | $5,027 | $5,296 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 15 | $41,296 | $9,393 | $7,598 | 1.40 |
Skin, subcutaneous tissue and breast35 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 24 | $23,028 | $4,951 | $4,237 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 11 | $40,878 | $9,165 | $7,522 | 1.49 |
Other35 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 20 | $141,756 | $25,577 | $26,083 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 15 | $118,216 | $16,919 | $21,752 | 2.49 |
Liver, gallbladder and pancreas26 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 14 | $43,135 | $9,090 | $7,937 | 1.63 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 12 | $78,497 | $12,314 | $14,443 | 1.83 |
Ear, nose, mouth and throat25 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 25 | $23,995 | $4,257 | $4,415 | 0.74 |
Factors influencing health status21 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 21 | $23,929 | $4,819 | $4,403 | 0.80 |
Mental diseases and disorders12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 12 | $37,772 | $10,762 | $6,950 | 1.76 |
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 Endovascular ProceduresAPC 5191 | 457 | 448 | $16,908 | $1,932 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 380 | 365 | $17,658 | $1,796 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 218 | 212 | $58,646 | $9,145 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 201 | 179 | $26,415 | $3,470 | $3,918 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 186 | 181 | $117,721 | $18,118 | $21,117 |
| Level 3 Endovascular ProceduresAPC 5193 | 157 | 147 | $56,899 | $7,477 | $8,874 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 144 | 139 | $10,020 | $1,051 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 122 | 117 | $27,596 | $3,801 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 121 | 104 | $22,248 | $2,309 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 115 | 108 | $15,582 | $1,995 | $2,405 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 110 | 109 | $66,875 | $7,400 | $8,569 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 87 | 80 | $24,199 | $2,542 | $2,930 |
| Level 1 Nerve ProceduresAPC 5431 | 84 | 70 | $12,086 | $1,255 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 72 | 72 | $37,936 | $4,690 | $5,339 |
| Level 4 Endovascular ProceduresAPC 5194 | 68 | 62 | $117,662 | $12,598 | $14,606 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 65 | 64 | $43,134 | $4,262 | $4,982 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 62 | 62 | $18,477 | $2,280 | $2,636 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 49 | 49 | $133,779 | $26,127 | $29,375 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 47 | 47 | $37,908 | $5,728 | $6,514 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 40 | 40 | $98,094 | $13,755 | $15,763 |
| Level 4 Vascular ProceduresAPC 5184 | 39 | 38 | $37,389 | $3,435 | $3,946 |
| Level 4 Gynecologic ProceduresAPC 5414 | 39 | 38 | $15,566 | $2,100 | $2,389 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 37 | 36 | $15,697 | $1,708 | $2,141 |
| Level 3 Lower GI ProceduresAPC 5313 | 36 | 35 | $16,999 | $1,847 | $2,176 |
| Level 2 Vascular ProceduresAPC 5182 | 34 | 34 | $9,726 | $1,045 | $1,204 |
| Level 5 ENT ProceduresAPC 5165 | 33 | 32 | $35,527 | $3,665 | $4,436 |
| Level 2 Endovascular ProceduresAPC 5192 | 31 | 31 | $49,091 | $3,729 | $4,338 |
| Level 5 Airway EndoscopyAPC 5155 | 29 | 29 | $38,533 | $4,296 | $5,183 |
| Level 4 Airway EndoscopyAPC 5154 | 27 | 27 | $19,732 | $2,431 | $2,833 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 26 | 25 | $11,284 | $1,039 | $1,196 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 26 | 26 | $47,768 | $6,868 | $8,164 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 25 | 24 | $79,757 | $14,823 | $17,052 |
| Level 6 Urology and Related ServicesAPC 5376 | 25 | 25 | $48,609 | $6,211 | $7,291 |
| Level 3 Urology and Related ServicesAPC 5373 | 22 | 22 | $16,452 | $1,311 | $1,516 |
| Implantation Wireless PA Pressure MonitorAPC 5200 | 20 | 20 | $151,789 | $22,897 | $26,955 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 16 | 15 | $99,703 | $16,838 | $18,465 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 15 | 15 | $22,457 | $2,182 | $2,373 |
| Level 3 Airway EndoscopyAPC 5153 | 13 | 13 | $12,683 | $1,144 | $1,264 |
| Level 2 Upper GI ProceduresAPC 5302 | 13 | 12 | $12,887 | $1,289 | $1,445 |
| Level 5 Gynecologic ProceduresAPC 5415 | 12 | 12 | $26,014 | $3,074 | $3,792 |
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.