Piedmont Fayette Hospital Inc. Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Piedmont Fayette Hospital Inc., Fayetteville, GA in 2024, from traditional Medicare claims. Back to the Piedmont Fayette Hospital Inc. profile, with quality ratings, finances and negotiated rates.
3,263
Medicare inpatient discharges
In 78 published DRGs
1.73
Case mix index
IPPS FY 2027
12%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
2,717
Medicare outpatient services
In 34 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases977 discharges in 5 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 | 659 | $85,533 | $13,212 | $14,198 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 170 | $44,022 | $6,860 | $7,308 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 95 | $176,243 | $30,155 | $29,256 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 29 | $92,817 | $14,191 | $15,408 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 24 | $304,586 | $49,763 | $50,561 | 6.96 |
Circulatory system807 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 290 | $58,272 | $8,757 | $9,673 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 63 | $63,637 | $10,663 | $10,564 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 60 | $27,275 | $4,952 | $4,528 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 52 | $41,395 | $5,860 | $6,872 | 0.86 |
| Hypertension without MCCMS-DRG 305, medical | 46 | $39,124 | $4,905 | $6,495 | 0.75 |
| Hypertension with MCCMS-DRG 304, medical | 39 | $55,838 | $7,662 | $9,269 | 1.15 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 35 | $48,096 | $7,676 | $7,984 | 1.20 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 31 | $99,765 | $14,668 | $16,561 | 2.09 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 28 | $96,458 | $15,177 | $16,012 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 23 | $131,655 | $12,120 | $21,855 | 1.82 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 21 | $28,680 | $3,554 | $4,761 | 0.55 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 19 | $45,920 | $10,785 | $7,623 | 1.58 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 18 | $99,438 | $16,128 | $16,507 | 2.28 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 17 | $58,807 | $7,325 | $9,762 | 1.08 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 15 | $32,559 | $6,866 | $5,405 | 1.07 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 13 | $50,335 | $6,254 | $8,356 | 0.91 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 13 | $53,227 | $4,239 | $8,836 | 0.72 |
| Chest painMS-DRG 313, medical | 13 | $34,964 | $5,106 | $5,804 | 0.72 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 11 | $119,212 | $23,715 | $19,789 | 3.46 |
Respiratory system300 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 65 | $49,661 | $8,609 | $8,244 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 58 | $55,743 | $11,280 | $9,253 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 49 | $49,834 | $6,947 | $8,272 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 40 | $52,824 | $8,188 | $8,769 | 1.23 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 30 | $62,986 | $8,871 | $10,456 | 1.40 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 27 | $39,393 | $6,686 | $6,539 | 0.96 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 17 | $33,821 | $5,265 | $5,614 | 0.82 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $37,935 | $5,376 | $6,297 | 0.82 |
Digestive system282 discharges in 10 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 | 51 | $35,064 | $4,966 | $5,821 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 45 | $117,618 | $15,530 | $19,525 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 43 | $76,376 | $12,378 | $12,678 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 40 | $45,554 | $6,576 | $7,562 | 0.98 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 22 | $84,901 | $10,916 | $14,094 | 1.67 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 22 | $67,432 | $8,514 | $11,194 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 16 | $176,008 | $24,911 | $29,217 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 15 | $36,550 | $6,377 | $6,067 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 14 | $29,908 | $5,571 | $4,965 | 0.80 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $67,951 | $10,288 | $11,280 | 1.62 |
Kidney and urinary tract241 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 65 | $32,494 | $6,039 | $5,394 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 39 | $40,943 | $7,947 | $6,797 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 39 | $67,090 | $12,218 | $11,137 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 36 | $35,273 | $5,454 | $5,855 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 35 | $68,598 | $11,325 | $11,387 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 14 | $32,715 | $7,469 | $5,431 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 13 | $61,740 | $7,636 | $10,249 | 1.35 |
Endocrine, nutritional and metabolic225 discharges in 6 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 | 85 | $58,594 | $9,267 | $9,727 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 57 | $38,280 | $5,300 | $6,355 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 36 | $37,234 | $6,226 | $6,181 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 24 | $64,676 | $10,371 | $10,736 | 1.45 |
| Endocrine disorders with CCMS-DRG 644, medical | 12 | $61,895 | $7,290 | $10,275 | 1.06 |
| Endocrine disorders with MCCMS-DRG 643, medical | 11 | $70,826 | $11,352 | $11,757 | 1.65 |
Nervous system156 discharges in 7 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 | 57 | $54,365 | $6,773 | $9,025 | 1.02 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 23 | $40,649 | $7,287 | $6,748 | 1.06 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 22 | $71,747 | $13,025 | $11,910 | 2.00 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 15 | $44,085 | $6,930 | $7,318 | 1.03 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 14 | $40,897 | $3,892 | $6,789 | 0.69 |
| Seizures with MCCMS-DRG 100, medical | 14 | $61,787 | $11,826 | $10,257 | 1.98 |
| Seizures without MCCMS-DRG 101, medical | 11 | $36,478 | $6,263 | $6,055 | 0.91 |
Musculoskeletal system and connective tissue140 discharges in 7 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 | 35 | $97,166 | $13,589 | $16,130 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 21 | $122,606 | $12,845 | $20,353 | 1.88 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 21 | $41,067 | $5,948 | $6,817 | 0.90 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 20 | $124,886 | $13,643 | $20,731 | 2.11 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 16 | $210,363 | $25,305 | $34,920 | 3.66 |
| Medical back problems without MCCMS-DRG 552, medical | 16 | $35,489 | $6,761 | $5,891 | 0.97 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 11 | $28,715 | $5,260 | $4,767 | 0.79 |
Blood and immune system32 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 | 21 | $39,343 | $5,999 | $6,531 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 11 | $53,433 | $9,233 | $8,870 | 1.40 |
Liver, gallbladder and pancreas24 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 | 13 | $94,245 | $10,405 | $15,645 | 1.63 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 11 | $66,254 | $7,403 | $10,998 | 1.09 |
Skin, subcutaneous tissue and breast21 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 21 | $40,817 | $5,967 | $6,776 | 0.88 |
Factors influencing health status17 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 | 17 | $36,749 | $5,594 | $6,100 | 0.80 |
Ear, nose, mouth and throat16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 16 | $39,707 | $5,013 | $6,591 | 0.74 |
Injuries, poisonings and toxic effects of drugs13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with CCMS-DRG 920, medical | 13 | $33,219 | $7,070 | $5,514 | 1.03 |
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 | $36,778 | $10,969 | $6,105 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 337 | 322 | $23,592 | $1,986 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 260 | 253 | $107,587 | $10,443 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 228 | 216 | $14,007 | $1,176 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 198 | 197 | $49,927 | $4,135 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 164 | 164 | $27,210 | $2,147 | $2,208 |
| Level 5 Urology and Related ServicesAPC 5375 | 133 | 121 | $39,335 | $3,738 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 118 | 95 | $15,602 | $1,396 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 117 | 116 | $59,732 | $5,064 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 114 | 95 | $31,242 | $2,484 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 102 | 98 | $23,504 | $2,016 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 91 | 89 | $24,310 | $2,223 | $2,405 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 72 | 72 | $72,422 | $7,576 | $8,164 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 67 | 67 | $66,741 | $8,270 | $8,569 |
| Level 2 Vascular ProceduresAPC 5182 | 62 | 61 | $10,613 | $1,160 | $1,204 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 58 | 57 | $35,210 | $2,184 | $2,373 |
| Level 6 Urology and Related ServicesAPC 5376 | 51 | 51 | $58,300 | $6,911 | $7,291 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 48 | 46 | $66,348 | $4,721 | $4,982 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 46 | 45 | $114,333 | $15,286 | $15,763 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 44 | 44 | $130,298 | $28,808 | $29,375 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 41 | 40 | $38,646 | $2,681 | $2,930 |
| Level 3 Urology and Related ServicesAPC 5373 | 41 | 33 | $22,298 | $1,502 | $1,516 |
| Level 3 Endovascular ProceduresAPC 5193 | 40 | 39 | $94,473 | $8,352 | $8,874 |
| Level 1 Nerve ProceduresAPC 5431 | 37 | 33 | $23,551 | $1,389 | $1,407 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 34 | 32 | $29,082 | $2,508 | $2,636 |
| Level 4 Vascular ProceduresAPC 5184 | 33 | 30 | $43,205 | $3,448 | $3,946 |
| Level 3 Lower GI ProceduresAPC 5313 | 31 | 30 | $25,566 | $2,013 | $2,176 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 22 | 22 | $16,876 | $1,126 | $1,196 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 22 | 22 | $71,942 | $16,410 | $17,052 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 22 | 21 | $111,384 | $18,620 | $18,465 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 21 | 21 | $48,432 | $6,281 | $6,514 |
| Level 4 Gynecologic ProceduresAPC 5414 | 21 | 21 | $36,487 | $2,143 | $2,389 |
| Level 2 Endovascular ProceduresAPC 5192 | 16 | 16 | $49,294 | $3,962 | $4,338 |
| Level 4 Airway EndoscopyAPC 5154 | 13 | 13 | $35,935 | $2,556 | $2,833 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 13 | 13 | $38,498 | $5,522 | $5,682 |
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.