Rutherford Hospital Inc. Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Rutherford Hospital Inc., Rutherfordton, NC in 2024, from traditional Medicare claims. Back to the Rutherford Hospital Inc. profile, with quality ratings, finances and negotiated rates.
430
Medicare inpatient discharges
In 19 published DRGs
1.64
Case mix index
IPPS FY 2027
29%
Surgical stays
67%
Stays with complications
In DRGs with a CC or MCC
405
Medicare outpatient services
In 12 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases143 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 | 109 | $51,193 | $13,225 | $7,525 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 21 | $34,954 | $7,390 | $5,138 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 13 | $91,750 | $28,276 | $13,487 | 5.00 |
Musculoskeletal system and connective tissue99 discharges in 3 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 | 74 | $100,599 | $13,044 | $14,788 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 13 | $86,081 | $14,435 | $12,654 | 2.07 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 12 | $125,613 | $18,038 | $18,465 | 2.48 |
Respiratory system61 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 23 | $50,386 | $8,928 | $7,407 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 14 | $64,533 | $11,312 | $9,486 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 13 | $34,668 | $7,500 | $5,096 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 11 | $31,635 | $9,022 | $4,650 | 1.23 |
Kidney and urinary tract45 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 | 21 | $37,612 | $8,139 | $5,529 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 12 | $55,059 | $10,507 | $8,094 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 12 | $54,153 | $11,900 | $7,961 | 1.65 |
Circulatory system34 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 21 | $55,219 | $9,126 | $8,117 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 13 | $30,254 | $5,120 | $4,447 | 0.74 |
Endocrine, nutritional and metabolic26 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 | 13 | $36,588 | $9,907 | $5,378 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 13 | $38,701 | $5,568 | $5,689 | 0.78 |
Digestive system22 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 11 | $91,131 | $11,892 | $13,396 | 1.67 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 11 | $43,210 | $6,976 | $6,352 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 122 | 115 | $27,356 | $1,979 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 66 | 63 | $9,287 | $1,366 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 42 | 35 | $21,642 | $2,362 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 32 | 31 | $40,793 | $4,285 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 28 | 28 | $16,516 | $1,204 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 23 | 23 | $48,417 | $5,081 | $5,339 |
| Level 1 Nerve ProceduresAPC 5431 | 21 | 19 | $13,613 | $1,365 | $1,407 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 19 | 19 | $11,042 | $1,184 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 16 | 16 | $20,963 | $2,399 | $2,373 |
| Level 2 Vascular ProceduresAPC 5182 | 13 | 12 | $9,448 | $1,189 | $1,204 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 12 | 12 | $33,375 | $1,976 | $2,141 |
| Level 4 Urology and Related ServicesAPC 5374 | 11 | $32,372 | $2,584 | $2,629 |
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.