Redmond Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Redmond Regional Medical Center, Rome, GA in 2024, from traditional Medicare claims. Back to the Redmond Regional Medical Center profile, with quality ratings, finances and negotiated rates.
2,393
Medicare inpatient discharges
In 72 published DRGs
2.04
Case mix index
IPPS FY 2027
23%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
1,660
Medicare outpatient services
In 24 service groups
Inpatient stays by major diagnostic category
Circulatory system953 discharges in 23 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 206 | $109,957 | $11,098 | $13,195 | 1.59 |
| Heart failure and shock with MCCMS-DRG 291, medical | 126 | $84,534 | $8,701 | $10,144 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 66 | $218,600 | $23,017 | $26,232 | 3.24 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 64 | $73,977 | $5,513 | $8,877 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 64 | $246,750 | $20,370 | $29,610 | 2.87 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 59 | $202,227 | $11,749 | $24,267 | 1.82 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 45 | $482,824 | $48,195 | $57,939 | 6.25 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 44 | $97,910 | $6,867 | $11,749 | 1.08 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 36 | $414,786 | $36,826 | $49,774 | 4.88 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 34 | $45,025 | $4,604 | $5,403 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 27 | $142,184 | $14,430 | $17,062 | 2.16 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 25 | $80,742 | $7,634 | $9,689 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 23 | $64,338 | $5,735 | $7,721 | 0.86 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 16 | $474,807 | $19,094 | $56,977 | 4.04 |
| Hypertension without MCCMS-DRG 305, medical | 16 | $62,608 | $4,171 | $7,513 | 0.75 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 15 | $231,937 | $23,739 | $27,832 | 3.46 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 14 | $261,050 | $25,332 | $31,326 | 3.35 |
| Chest painMS-DRG 313, medical | 14 | $62,908 | $3,781 | $7,549 | 0.72 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 13 | $61,288 | $4,229 | $7,355 | 0.72 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 12 | $747,389 | $62,317 | $89,687 | 7.71 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 12 | $49,979 | $3,060 | $5,997 | 0.55 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 11 | $583,531 | $53,537 | $70,024 | 5.88 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 11 | $138,177 | $13,301 | $16,581 | 2.28 |
Infectious and parasitic diseases479 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 | 346 | $130,875 | $13,068 | $15,705 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 57 | $287,819 | $34,236 | $34,538 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 48 | $81,854 | $6,633 | $9,822 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 16 | $114,244 | $12,299 | $13,709 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 12 | $400,502 | $40,548 | $48,060 | 6.96 |
Respiratory system215 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 | 57 | $117,606 | $11,638 | $14,113 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 42 | $77,889 | $8,749 | $9,347 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 33 | $77,312 | $7,543 | $9,277 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 30 | $75,037 | $8,655 | $9,004 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 17 | $152,432 | $19,308 | $18,292 | 2.70 |
| Major chest procedures with CCMS-DRG 164, surgical | 13 | $266,342 | $19,866 | $31,961 | 2.55 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 12 | $96,140 | $10,215 | $11,537 | 1.90 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $103,728 | $9,252 | $12,447 | 1.40 |
Digestive system191 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 53 | $106,718 | $11,825 | $12,806 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 53 | $69,269 | $6,255 | $8,312 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 31 | $59,141 | $4,844 | $7,097 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 16 | $226,060 | $16,265 | $27,127 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 16 | $99,821 | $8,929 | $11,979 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 11 | $79,655 | $11,781 | $9,559 | 1.62 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 11 | $71,577 | $6,122 | $8,589 | 0.94 |
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 MCCMS-DRG 064, medical | 38 | $121,331 | $12,167 | $14,560 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 38 | $100,372 | $6,473 | $12,045 | 1.02 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 19 | $121,982 | $11,789 | $14,638 | 1.79 |
| Extracranial procedures with CCMS-DRG 038, surgical | 17 | $168,269 | $11,068 | $20,192 | 1.60 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 17 | $83,553 | $4,574 | $10,026 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 16 | $140,679 | $13,147 | $16,881 | 1.98 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 11 | $76,455 | $8,057 | $9,175 | 1.36 |
Kidney and urinary tract147 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 50 | $107,507 | $10,373 | $12,901 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 34 | $109,569 | $11,461 | $13,148 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 32 | $89,362 | $7,553 | $10,723 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 19 | $58,366 | $5,102 | $7,004 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 12 | $57,614 | $5,246 | $6,914 | 0.81 |
Musculoskeletal system and connective tissue99 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 19 | $155,003 | $12,840 | $18,600 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 16 | $167,357 | $14,610 | $20,083 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 16 | $175,990 | $13,899 | $21,119 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 14 | $71,200 | $5,275 | $8,544 | 0.97 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 12 | $284,909 | $27,285 | $34,189 | 3.49 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 11 | $318,569 | $32,773 | $38,228 | 6.12 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 11 | $226,661 | $15,590 | $27,199 | 2.95 |
Endocrine, nutritional and metabolic68 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Diabetes with MCCMS-DRG 637, medical | 19 | $109,674 | $9,770 | $13,161 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 19 | $80,942 | $4,964 | $9,713 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 18 | $80,558 | $7,944 | $9,667 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 12 | $48,864 | $5,038 | $5,864 | 0.90 |
Blood and immune system43 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 17 | $116,549 | $11,933 | $13,986 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 13 | $56,181 | $5,964 | $6,742 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 13 | $75,475 | $10,282 | $9,057 | 1.56 |
Skin, subcutaneous tissue and breast16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 16 | $61,872 | $5,684 | $7,425 | 0.88 |
Liver, gallbladder and pancreas15 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 | 15 | $164,537 | $15,058 | $19,744 | 1.92 |
Mental diseases and disorders11 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 | 11 | $82,748 | $10,567 | $9,930 | 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 |
|---|---|---|---|---|---|
| Level 1 Endovascular ProceduresAPC 5191 | 335 | 334 | $53,487 | $2,091 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 214 | 211 | $51,314 | $1,931 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 152 | 148 | $135,231 | $10,077 | $10,772 |
| Level 3 Endovascular ProceduresAPC 5193 | 101 | 99 | $145,303 | $8,140 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 97 | 95 | $64,844 | $4,071 | $4,358 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 81 | 79 | $150,686 | $19,519 | $21,117 |
| Level 4 Urology and Related ServicesAPC 5374 | 73 | 62 | $50,107 | $2,528 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 70 | 69 | $63,117 | $5,084 | $5,339 |
| Level 2 Urology and Related ServicesAPC 5372 | 62 | 11 | $3,695 | $496 | $502 |
| Level 5 Urology and Related ServicesAPC 5375 | 57 | 55 | $53,396 | $3,558 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 53 | 48 | $23,522 | $1,358 | $1,445 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 51 | 51 | $332,310 | $28,269 | $29,375 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 47 | 47 | $222,940 | $15,012 | $15,763 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 42 | 42 | $82,156 | $7,904 | $8,569 |
| Level 3 Vascular ProceduresAPC 5183 | 40 | 35 | $69,597 | $2,258 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 39 | 39 | $23,369 | $1,128 | $1,220 |
| Level 4 Vascular ProceduresAPC 5184 | 29 | 23 | $135,128 | $3,992 | $3,946 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 26 | 26 | $37,637 | $2,351 | $2,373 |
| Level 3 Urology and Related ServicesAPC 5373 | 24 | 24 | $32,489 | $1,480 | $1,516 |
| Level 4 Endovascular ProceduresAPC 5194 | 17 | 14 | $172,780 | $11,795 | $14,606 |
| Level 2 Endovascular ProceduresAPC 5192 | 13 | 13 | $84,052 | $4,152 | $4,338 |
| Level 3 Lower GI ProceduresAPC 5313 | 13 | 13 | $42,472 | $2,040 | $2,176 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 12 | 12 | $73,791 | $5,626 | $6,514 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 12 | 12 | $60,319 | $2,497 | $2,636 |
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.