Piedmont Macon Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Piedmont Macon Medical Center, Macon, GA in 2024, from traditional Medicare claims. Back to the Piedmont Macon Medical Center profile, with quality ratings, finances and negotiated rates.
1,217
Medicare inpatient discharges
In 42 published DRGs
2.07
Case mix index
IPPS FY 2027
14%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
1,381
Medicare outpatient services
In 26 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases355 discharges in 4 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 | 263 | $87,627 | $13,395 | $12,706 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 45 | $47,512 | $7,341 | $6,889 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 27 | $162,569 | $35,651 | $23,573 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 20 | $308,396 | $49,288 | $44,717 | 6.96 |
Circulatory system311 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 62 | $65,455 | $9,210 | $9,491 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 28 | $182,491 | $23,951 | $26,461 | 3.24 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 25 | $73,140 | $8,418 | $10,605 | 1.20 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 24 | $97,048 | $11,296 | $14,072 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 21 | $38,039 | $5,062 | $5,516 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 20 | $47,477 | $5,578 | $6,884 | 0.91 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 18 | $260,457 | $26,795 | $37,766 | 4.04 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 18 | $111,120 | $11,762 | $16,112 | 1.82 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 17 | $40,172 | $3,741 | $5,825 | 0.55 |
| Syncope and collapseMS-DRG 312, medical | 15 | $46,855 | $6,011 | $6,794 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 15 | $200,629 | $18,847 | $29,091 | 2.87 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 13 | $284,882 | $29,333 | $41,308 | 5.20 |
| Hypertension with MCCMS-DRG 304, medical | 12 | $61,873 | $8,656 | $8,972 | 1.15 |
| Hypertension without MCCMS-DRG 305, medical | 12 | $34,071 | $5,300 | $4,940 | 0.75 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 11 | $60,615 | $7,058 | $8,789 | 1.08 |
Respiratory system182 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 41 | $52,674 | $10,641 | $7,638 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 39 | $50,239 | $8,873 | $7,285 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 39 | $50,740 | $8,884 | $7,357 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 33 | $58,167 | $7,176 | $8,434 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 15 | $89,329 | $8,952 | $12,953 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 15 | $143,784 | $18,285 | $20,849 | 2.70 |
Kidney and urinary tract133 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 | 38 | $51,142 | $8,322 | $7,416 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 27 | $55,312 | $10,431 | $8,020 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 25 | $37,182 | $6,417 | $5,391 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 23 | $76,750 | $11,093 | $11,129 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 20 | $36,537 | $5,790 | $5,298 | 0.81 |
Digestive system68 discharges in 3 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 | 27 | $34,585 | $4,761 | $5,015 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 25 | $45,523 | $6,866 | $6,601 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 16 | $75,606 | $12,809 | $10,963 | 1.79 |
Nervous system61 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 | 32 | $61,938 | $6,398 | $8,981 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 16 | $88,893 | $12,878 | $12,890 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 13 | $43,574 | $6,611 | $6,318 | 0.91 |
Endocrine, nutritional and metabolic60 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 | 32 | $70,521 | $9,659 | $10,226 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $38,656 | $5,133 | $5,605 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $131,506 | $8,690 | $19,068 | 1.45 |
Musculoskeletal system and connective tissue47 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 17 | $233,992 | $32,526 | $33,929 | 4.61 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 15 | $110,674 | $14,173 | $16,048 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 15 | $119,510 | $15,477 | $17,329 | 2.11 |
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 | 187 | 178 | $25,302 | $1,782 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 160 | 160 | $28,561 | $1,933 | $2,208 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 117 | 117 | $76,075 | $7,530 | $8,569 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 100 | 100 | $173,893 | $18,420 | $21,117 |
| Level 3 Vascular ProceduresAPC 5183 | 85 | 81 | $34,465 | $2,024 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 84 | 79 | $12,093 | $1,064 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 83 | 81 | $40,979 | $3,804 | $4,358 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 55 | 55 | $168,641 | $26,048 | $29,375 |
| Level 3 Endovascular ProceduresAPC 5193 | 53 | 52 | $81,091 | $7,660 | $8,874 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 49 | 49 | $44,770 | $5,807 | $6,514 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 44 | 44 | $37,420 | $2,366 | $2,636 |
| Level 4 Urology and Related ServicesAPC 5374 | 44 | 37 | $40,308 | $2,276 | $2,629 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 39 | 35 | $31,431 | $2,607 | $2,930 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 35 | 33 | $43,406 | $4,461 | $4,982 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 29 | 29 | $93,548 | $15,061 | $17,052 |
| Level 5 Urology and Related ServicesAPC 5375 | 27 | 26 | $42,993 | $3,539 | $3,918 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 26 | 26 | $92,023 | $9,654 | $10,772 |
| Level 3 Urology and Related ServicesAPC 5373 | 25 | 25 | $33,393 | $1,337 | $1,516 |
| Level 4 Endovascular ProceduresAPC 5194 | 21 | 21 | $109,402 | $13,394 | $14,606 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 20 | 20 | $62,961 | $4,894 | $5,339 |
| Level 2 Endovascular ProceduresAPC 5192 | 20 | 17 | $48,759 | $3,714 | $4,338 |
| Level 4 Vascular ProceduresAPC 5184 | 19 | 19 | $55,333 | $3,561 | $3,946 |
| Level 6 Urology and Related ServicesAPC 5376 | 17 | 17 | $61,192 | $6,301 | $7,291 |
| Level 2 Vascular ProceduresAPC 5182 | 16 | 16 | $21,560 | $1,095 | $1,204 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 13 | 13 | $26,730 | $1,928 | $2,141 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 13 | 13 | $70,543 | $6,648 | $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.