Piedmont Cartersville Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Piedmont Cartersville Medical Center, Cartersville, GA in 2024, from traditional Medicare claims. Back to the Piedmont Cartersville Medical Center profile, with quality ratings, finances and negotiated rates.
1,109
Medicare inpatient discharges
In 38 published DRGs
1.63
Case mix index
IPPS FY 2027
7%
Surgical stays
78%
Stays with complications
In DRGs with a CC or MCC
1,010
Medicare outpatient services
In 21 service groups
Inpatient stays by major diagnostic category
Circulatory system247 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 78 | $60,114 | $8,671 | $9,558 | 1.28 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 25 | $150,802 | $14,292 | $23,977 | 2.16 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 24 | $128,398 | $12,016 | $20,415 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 21 | $64,315 | $8,484 | $10,226 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 21 | $51,286 | $6,146 | $8,155 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 21 | $173,439 | $16,584 | $27,577 | 2.87 |
| Chest painMS-DRG 313, medical | 17 | $46,187 | $5,288 | $7,344 | 0.72 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 15 | $80,690 | $6,704 | $12,830 | 1.08 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 13 | $45,148 | $5,330 | $7,179 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 12 | $137,522 | $11,562 | $21,866 | 1.82 |
Infectious and parasitic diseases245 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 | 197 | $97,996 | $13,416 | $15,581 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 31 | $57,280 | $7,156 | $9,108 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 17 | $271,852 | $31,917 | $43,224 | 5.00 |
Respiratory system183 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 60 | $70,370 | $8,805 | $11,189 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 55 | $87,152 | $11,075 | $13,857 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 33 | $73,273 | $6,910 | $11,650 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 23 | $74,347 | $8,558 | $11,821 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $48,482 | $5,485 | $7,709 | 0.82 |
Kidney and urinary tract165 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 40 | $61,012 | $8,076 | $9,701 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 38 | $71,671 | $9,389 | $11,396 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 37 | $38,621 | $6,164 | $6,141 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 31 | $49,053 | $5,337 | $7,799 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 19 | $87,541 | $11,383 | $13,919 | 1.65 |
Endocrine, nutritional and metabolic85 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 | 46 | $69,094 | $8,975 | $10,986 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 26 | $40,260 | $5,700 | $6,401 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 13 | $52,759 | $6,929 | $8,389 | 0.90 |
Digestive system66 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 22 | $46,730 | $6,411 | $7,430 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 19 | $47,015 | $4,931 | $7,475 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 14 | $63,774 | $11,898 | $10,140 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $88,386 | $8,801 | $14,053 | 1.28 |
Nervous system53 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 26 | $109,278 | $13,623 | $17,375 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 15 | $78,510 | $6,949 | $12,483 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 12 | $64,614 | $5,512 | $10,274 | 0.80 |
Musculoskeletal system and connective tissue39 discharges in 3 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 | 14 | $141,524 | $14,501 | $22,502 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 13 | $164,406 | $14,885 | $26,141 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 12 | $63,406 | $6,779 | $10,081 | 0.97 |
Skin, subcutaneous tissue and breast15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 15 | $31,871 | $5,319 | $5,067 | 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 with MCCMS-DRG 811, medical | 11 | $44,058 | $8,538 | $7,005 | 1.40 |
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 | 160 | 146 | $33,404 | $1,897 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 129 | 83 | $32,098 | $1,696 | $1,752 |
| Level 1 Endovascular ProceduresAPC 5191 | 108 | 105 | $28,625 | $2,091 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 70 | 66 | $19,914 | $1,103 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 59 | 59 | $83,274 | $5,198 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 56 | 54 | $54,009 | $3,885 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 54 | 53 | $138,776 | $9,782 | $10,772 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 50 | 49 | $32,745 | $2,017 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 39 | 33 | $61,054 | $3,581 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 33 | 33 | $34,626 | $2,121 | $2,405 |
| Level 4 Vascular ProceduresAPC 5184 | 33 | 32 | $75,436 | $3,934 | $3,946 |
| Level 4 Urology and Related ServicesAPC 5374 | 29 | 28 | $46,229 | $2,575 | $2,629 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 28 | 27 | $189,718 | $15,059 | $15,763 |
| Level 2 Upper GI ProceduresAPC 5302 | 28 | 27 | $13,076 | $1,407 | $1,445 |
| Level 3 Endovascular ProceduresAPC 5193 | 27 | 26 | $103,873 | $7,929 | $8,874 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 21 | 16 | $20,513 | $1,188 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 21 | 21 | $20,321 | $1,049 | $1,204 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 19 | 18 | $38,016 | $2,141 | $2,373 |
| Level 3 Urology and Related ServicesAPC 5373 | 19 | 11 | $20,051 | $1,496 | $1,516 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 16 | 13 | $39,815 | $2,558 | $2,636 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 11 | 11 | $165,235 | $7,915 | $8,164 |
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.