Piedmont Walton (Fka Clearview Regional Medical Center) Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Piedmont Walton (Fka Clearview Regional Medical Center), Monroe, GA in 2024, from traditional Medicare claims. Back to the Piedmont Walton (Fka Clearview Regional Medical Center) profile, with quality ratings, finances and negotiated rates.
690
Medicare inpatient discharges
In 22 published DRGs
1.49
Case mix index
IPPS FY 2027
5%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
532
Medicare outpatient services
In 9 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases197 discharges in 2 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 | 172 | $74,470 | $12,863 | $12,585 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 25 | $44,732 | $7,149 | $7,560 | 1.03 |
Respiratory system140 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 48 | $55,173 | $8,602 | $9,324 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 43 | $59,007 | $8,790 | $9,972 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 23 | $69,526 | $10,434 | $11,750 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $31,732 | $5,778 | $5,363 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 12 | $73,575 | $7,497 | $12,434 | 1.10 |
Circulatory system136 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 104 | $53,674 | $9,427 | $9,071 | 1.28 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 17 | $48,612 | $7,863 | $8,215 | 1.20 |
| Chest painMS-DRG 313, medical | 15 | $35,885 | $4,950 | $6,064 | 0.72 |
Nervous system62 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 | 27 | $47,826 | $6,530 | $8,083 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 21 | $59,714 | $12,790 | $10,092 | 2.00 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 14 | $45,299 | $7,194 | $7,656 | 1.06 |
Kidney and urinary tract44 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 17 | $47,387 | $8,021 | $8,008 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 15 | $31,771 | $5,563 | $5,369 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 12 | $40,258 | $5,596 | $6,804 | 0.90 |
Endocrine, nutritional and metabolic39 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 without MCCMS-DRG 641, medical | 23 | $32,945 | $5,357 | $5,568 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 16 | $57,423 | $7,795 | $9,704 | 1.32 |
Musculoskeletal system and connective tissue36 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 | 25 | $110,790 | $13,876 | $18,724 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 11 | $121,436 | $14,222 | $20,523 | 2.11 |
Digestive system36 discharges in 2 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 | 24 | $38,491 | $5,160 | $6,505 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 12 | $38,597 | $6,549 | $6,523 | 0.98 |
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 Intraocular ProceduresAPC 5491 | 223 | 137 | $31,660 | $1,665 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 170 | 163 | $28,206 | $1,952 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 28 | 27 | $18,132 | $1,423 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 27 | 27 | $88,491 | $10,165 | $10,772 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 21 | 17 | $18,481 | $1,061 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 20 | 20 | $26,617 | $2,154 | $2,373 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 18 | 18 | $47,778 | $4,266 | $4,358 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 13 | 13 | $123,174 | $15,607 | $15,763 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 12 | 12 | $67,277 | $5,290 | $5,339 |
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.