Spalding Regional Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Spalding Regional Hospital, Griffin, GA in 2024, from traditional Medicare claims. Back to the Spalding Regional Hospital profile, with quality ratings, finances and negotiated rates.
907
Medicare inpatient discharges
In 31 published DRGs
1.61
Case mix index
IPPS FY 2027
6%
Surgical stays
83%
Stays with complications
In DRGs with a CC or MCC
271
Medicare outpatient services
In 9 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases309 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 | 254 | $111,968 | $14,903 | $15,563 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 25 | $51,291 | $7,661 | $7,129 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 18 | $298,659 | $37,824 | $41,514 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 12 | $305,769 | $45,671 | $42,502 | 6.96 |
Circulatory system217 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 102 | $87,548 | $10,322 | $12,169 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 43 | $110,101 | $12,138 | $15,304 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 21 | $51,358 | $6,026 | $7,139 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 19 | $111,663 | $9,625 | $15,521 | 1.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 18 | $56,097 | $7,650 | $7,797 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 14 | $107,570 | $13,819 | $14,952 | 1.82 |
Respiratory system95 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 | 36 | $81,097 | $9,796 | $11,272 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 24 | $76,601 | $11,763 | $10,647 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 24 | $75,973 | $10,004 | $10,560 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 11 | $71,786 | $8,810 | $9,978 | 1.10 |
Kidney and urinary tract75 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 22 | $90,484 | $11,618 | $12,577 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 22 | $56,565 | $9,500 | $7,863 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 20 | $53,153 | $7,539 | $7,388 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 11 | $101,055 | $12,841 | $14,047 | 1.65 |
Digestive system70 discharges in 4 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 | 21 | $48,592 | $6,407 | $6,754 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 20 | $64,275 | $7,208 | $8,934 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 16 | $97,226 | $12,971 | $13,514 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $43,992 | $6,309 | $6,115 | 0.80 |
Endocrine, nutritional and metabolic59 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 with MCCMS-DRG 640, medical | 25 | $91,657 | $11,174 | $12,740 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 20 | $60,582 | $6,605 | $8,421 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $82,900 | $11,554 | $11,523 | 1.45 |
Nervous system46 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 | $51,428 | $6,644 | $7,148 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 16 | $62,161 | $8,095 | $8,640 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 13 | $96,662 | $14,202 | $13,436 | 2.00 |
Musculoskeletal system and connective tissue25 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 13 | $91,960 | $15,409 | $12,782 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 12 | $90,584 | $14,045 | $12,591 | 2.07 |
Blood and immune system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 11 | $60,000 | $7,544 | $8,340 | 0.90 |
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 | 65 | 64 | $28,327 | $1,993 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 44 | 41 | $16,907 | $1,144 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 36 | 36 | $29,694 | $2,111 | $2,208 |
| Level 4 Vascular ProceduresAPC 5184 | 31 | 30 | $60,128 | $3,920 | $3,946 |
| Level 2 Endovascular ProceduresAPC 5192 | 23 | 16 | $36,300 | $4,040 | $4,338 |
| Level 2 Upper GI ProceduresAPC 5302 | 22 | 18 | $19,374 | $1,393 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 18 | 18 | $33,588 | $2,357 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 17 | 17 | $76,115 | $9,933 | $10,772 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 15 | 14 | $27,838 | $2,101 | $2,141 |
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.