Piedmont Mountainside Hospital Inc. Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Piedmont Mountainside Hospital Inc., Jasper, GA in 2024, from traditional Medicare claims. Back to the Piedmont Mountainside Hospital Inc. profile, with quality ratings, finances and negotiated rates.
1,029
Medicare inpatient discharges
In 34 published DRGs
1.52
Case mix index
IPPS FY 2027
6%
Surgical stays
79%
Stays with complications
In DRGs with a CC or MCC
946
Medicare outpatient services
In 24 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases420 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 | 324 | $60,301 | $12,918 | $10,854 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 65 | $37,600 | $6,726 | $6,768 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 19 | $156,237 | $31,568 | $28,123 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $72,177 | $13,327 | $12,992 | 2.04 |
Circulatory system213 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 99 | $43,780 | $8,645 | $7,880 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 26 | $37,687 | $4,998 | $6,784 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 22 | $48,513 | $7,452 | $8,732 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 17 | $27,544 | $3,804 | $4,958 | 0.55 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 14 | $43,937 | $10,391 | $7,909 | 1.59 |
| Hypertension without MCCMS-DRG 305, medical | 13 | $31,638 | $4,982 | $5,695 | 0.75 |
| Syncope and collapseMS-DRG 312, medical | 11 | $31,387 | $5,768 | $5,650 | 0.86 |
| Chest painMS-DRG 313, medical | 11 | $33,592 | $4,927 | $6,047 | 0.72 |
Respiratory system103 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 37 | $52,393 | $10,693 | $9,431 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 21 | $44,540 | $7,476 | $8,017 | 1.10 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 18 | $39,852 | $8,150 | $7,173 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $33,407 | $5,442 | $6,013 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 12 | $36,227 | $6,395 | $6,521 | 0.99 |
Kidney and urinary tract91 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 22 | $39,220 | $6,135 | $7,060 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 21 | $40,302 | $7,818 | $7,254 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 17 | $26,871 | $5,687 | $4,837 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 17 | $43,746 | $10,839 | $7,874 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 14 | $48,604 | $9,775 | $8,749 | 1.50 |
Digestive system65 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 23 | $29,763 | $5,350 | $5,357 | 0.80 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 21 | $41,755 | $6,909 | $7,516 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 21 | $25,167 | $5,360 | $4,530 | 0.79 |
Nervous system48 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Transient ischemia without thrombolyticMS-DRG 069, medical | 17 | $43,038 | $5,252 | $7,747 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 16 | $57,981 | $12,732 | $10,437 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 15 | $44,639 | $6,296 | $8,035 | 1.02 |
Endocrine, nutritional and metabolic36 discharges in 2 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 | 19 | $33,807 | $8,553 | $6,085 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 17 | $23,344 | $4,738 | $4,202 | 0.78 |
Musculoskeletal system and connective tissue26 discharges in 2 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 | 15 | $84,484 | $13,994 | $15,207 | 2.07 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 11 | $110,176 | $19,317 | $19,832 | 2.95 |
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 | $26,706 | $5,930 | $4,807 | 0.88 |
Ear, nose, mouth and throat12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 12 | $37,174 | $5,178 | $6,691 | 0.74 |
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 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 139 | 132 | $13,064 | $1,177 | $1,220 |
| Comprehensive Observation ServicesAPC 8011 | 126 | 122 | $25,157 | $1,944 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 85 | 80 | $114,292 | $10,316 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 76 | 69 | $15,581 | $1,387 | $1,445 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 53 | 53 | $52,753 | $4,822 | $4,982 |
| Level 5 Urology and Related ServicesAPC 5375 | 52 | 50 | $39,691 | $3,826 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 49 | 47 | $49,975 | $5,216 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 41 | 36 | $34,981 | $2,578 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 35 | 34 | $25,217 | $2,101 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 35 | 35 | $21,801 | $2,290 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 34 | 34 | $41,672 | $4,141 | $4,358 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 26 | 26 | $34,141 | $2,460 | $2,636 |
| Level 3 Airway EndoscopyAPC 5153 | 24 | 24 | $20,932 | $1,255 | $1,264 |
| Level 4 Airway EndoscopyAPC 5154 | 22 | 22 | $40,693 | $2,769 | $2,833 |
| Level 5 Airway EndoscopyAPC 5155 | 21 | 21 | $70,189 | $4,820 | $5,183 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 20 | 20 | $34,483 | $2,393 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 17 | 17 | $19,812 | $1,188 | $1,196 |
| Level 1 Endovascular ProceduresAPC 5191 | 16 | 16 | $27,663 | $2,174 | $2,208 |
| Level 3 Urology and Related ServicesAPC 5373 | 16 | 14 | $21,828 | $1,495 | $1,516 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 14 | 14 | $31,624 | $2,818 | $2,930 |
| Level 1 Nerve ProceduresAPC 5431 | 12 | 11 | $26,043 | $1,428 | $1,407 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 11 | 11 | $36,309 | $6,279 | $6,514 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 11 | 11 | $75,080 | $7,518 | $8,569 |
| Level 4 Gynecologic ProceduresAPC 5414 | 11 | 11 | $26,194 | $2,309 | $2,389 |
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.