Raleigh General Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Raleigh General Hospital, Beckley, WV in 2024, from traditional Medicare claims. Back to the Raleigh General Hospital profile, with quality ratings, finances and negotiated rates.
1,958
Medicare inpatient discharges
In 65 published DRGs
1.75
Case mix index
IPPS FY 2027
16%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
1,127
Medicare outpatient services
In 26 service groups
Inpatient stays by major diagnostic category
Circulatory system639 discharges in 22 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 99 | $29,889 | $6,973 | $6,785 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 62 | $41,318 | $8,874 | $9,379 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 41 | $105,359 | $10,186 | $23,916 | 1.82 |
| Syncope and collapseMS-DRG 312, medical | 40 | $31,874 | $4,620 | $7,235 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 40 | $130,117 | $17,162 | $29,536 | 2.87 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 37 | $34,113 | $4,748 | $7,744 | 0.91 |
| Chest painMS-DRG 313, medical | 33 | $21,632 | $3,515 | $4,910 | 0.72 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 30 | $40,464 | $5,618 | $9,185 | 1.08 |
| Hypertension without MCCMS-DRG 305, medical | 30 | $20,793 | $3,561 | $4,720 | 0.75 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 28 | $103,197 | $21,128 | $23,426 | 3.35 |
| Atherosclerosis without MCCMS-DRG 303, medical | 28 | $19,542 | $3,215 | $4,436 | 0.66 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 25 | $20,977 | $3,369 | $4,762 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 23 | $43,157 | $6,343 | $9,797 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 18 | $51,396 | $12,872 | $11,667 | 2.16 |
| Coronary intravascular lithotripsy with intraluminal device without MCCMS-DRG 324, surgical | 17 | $159,271 | $17,114 | $36,155 | 2.97 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 15 | $55,044 | $11,942 | $12,495 | 2.09 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 14 | $26,310 | $3,810 | $5,972 | 0.72 |
| Coronary intravascular lithotripsy with intraluminal device with MCCMS-DRG 323, surgical | 14 | $199,188 | $27,639 | $45,216 | 4.14 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 12 | $16,540 | $2,576 | $3,755 | 0.55 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 11 | $107,295 | $14,003 | $24,356 | 2.28 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 11 | $195,244 | $31,961 | $44,320 | 5.06 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 11 | $35,573 | $5,273 | $8,075 | 1.07 |
Infectious and parasitic diseases305 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 | 245 | $54,720 | $11,231 | $12,422 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 36 | $159,397 | $28,416 | $36,183 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 24 | $30,775 | $5,487 | $6,986 | 1.03 |
Respiratory system265 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 69 | $52,303 | $9,809 | $11,873 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 68 | $37,232 | $7,545 | $8,452 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 46 | $28,062 | $6,163 | $6,370 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 31 | $35,814 | $6,928 | $8,130 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $26,204 | $4,429 | $5,948 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 13 | $19,995 | $3,926 | $4,539 | 0.85 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 12 | $33,096 | $4,157 | $7,513 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $42,020 | $7,888 | $9,539 | 1.40 |
Kidney and urinary tract213 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 | 52 | $32,787 | $6,656 | $7,443 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 49 | $24,798 | $4,188 | $5,629 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 46 | $23,151 | $4,580 | $5,255 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 40 | $34,828 | $8,431 | $7,906 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 26 | $47,576 | $9,377 | $10,800 | 1.65 |
Digestive system158 discharges in 7 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 | 39 | $23,396 | $3,941 | $5,311 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 36 | $55,032 | $10,646 | $12,492 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 27 | $36,587 | $5,063 | $8,305 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 21 | $21,318 | $3,715 | $4,839 | 0.80 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 13 | $44,188 | $9,639 | $10,031 | 1.62 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $30,548 | $7,164 | $6,934 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 11 | $29,745 | $4,956 | $6,752 | 0.94 |
Nervous system148 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 | 34 | $30,044 | $4,918 | $6,820 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 34 | $30,309 | $4,047 | $6,880 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 22 | $53,867 | $10,977 | $12,228 | 2.00 |
| Seizures with MCCMS-DRG 100, medical | 20 | $43,027 | $11,670 | $9,767 | 1.98 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 13 | $59,719 | $4,660 | $13,556 | 1.14 |
| Seizures without MCCMS-DRG 101, medical | 13 | $21,419 | $4,816 | $4,862 | 0.91 |
| Extracranial procedures with CCMS-DRG 038, surgical | 12 | $84,028 | $8,578 | $19,074 | 1.60 |
Musculoskeletal system and connective tissue88 discharges in 5 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 | 28 | $94,080 | $11,927 | $21,356 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 17 | $88,437 | $11,241 | $20,075 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 16 | $32,713 | $4,520 | $7,426 | 0.97 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 14 | $81,072 | $9,157 | $18,403 | 1.59 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 13 | $296,372 | $41,759 | $67,277 | 6.12 |
Endocrine, nutritional and metabolic66 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 without MCCMS-DRG 641, medical | 30 | $20,595 | $3,692 | $4,675 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 25 | $35,550 | $7,563 | $8,070 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 11 | $21,213 | $4,220 | $4,815 | 0.90 |
Blood and immune system34 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 22 | $56,368 | $7,628 | $12,795 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 12 | $50,542 | $5,847 | $11,473 | 0.90 |
Skin, subcutaneous tissue and breast18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 18 | $28,744 | $4,189 | $6,525 | 0.88 |
Other13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 13 | $155,092 | $32,342 | $35,206 | 4.74 |
Liver, gallbladder and pancreas11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 11 | $38,996 | $11,241 | $8,852 | 1.92 |
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 | 117 | 112 | $15,887 | $1,754 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 80 | 46 | $7,235 | $1,053 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 79 | 75 | $14,842 | $1,358 | $1,516 |
| Level 2 Upper GI ProceduresAPC 5302 | 74 | 68 | $16,898 | $1,284 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 71 | 63 | $38,603 | $3,445 | $3,918 |
| Level 3 Endovascular ProceduresAPC 5193 | 70 | 69 | $85,288 | $7,474 | $8,874 |
| Level 2 Urology and Related ServicesAPC 5372 | 70 | 56 | $1,460 | $445 | $502 |
| Level 1 Endovascular ProceduresAPC 5191 | 65 | 65 | $23,638 | $1,948 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 54 | 54 | $50,517 | $4,742 | $5,339 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 53 | 53 | $13,989 | $1,915 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 50 | 47 | $25,927 | $2,067 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 45 | 45 | $78,765 | $9,193 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 44 | 34 | $27,564 | $2,148 | $2,629 |
| Level 2 Vascular ProceduresAPC 5182 | 29 | 28 | $12,206 | $1,063 | $1,204 |
| Level 1 Nerve ProceduresAPC 5431 | 27 | 25 | $16,211 | $1,304 | $1,407 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 26 | 26 | $37,910 | $3,897 | $4,358 |
| Level 3 Airway EndoscopyAPC 5153 | 20 | 19 | $9,437 | $1,094 | $1,264 |
| Level 5 Gynecologic ProceduresAPC 5415 | 20 | 20 | $33,598 | $3,062 | $3,792 |
| Level 4 Endovascular ProceduresAPC 5194 | 19 | 19 | $121,752 | $13,205 | $14,606 |
| Level 4 Gynecologic ProceduresAPC 5414 | 19 | 19 | $26,244 | $1,895 | $2,389 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 18 | 15 | $19,955 | $4,432 | $4,524 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 17 | 17 | $12,158 | $1,086 | $1,196 |
| Level 6 Urology and Related ServicesAPC 5376 | 17 | 17 | $65,321 | $6,222 | $7,291 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 16 | 16 | $25,180 | $2,050 | $2,373 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 15 | 15 | $118,413 | $15,745 | $18,465 |
| Level 2 Endovascular ProceduresAPC 5192 | 12 | 12 | $53,636 | $3,860 | $4,338 |
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.