St Marys Health Care System Inc Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St Marys Health Care System Inc, Athens, GA in 2024, from traditional Medicare claims. Back to the St Marys Health Care System Inc profile, with quality ratings, finances and negotiated rates.
1,317
Medicare inpatient discharges
In 58 published DRGs
1.90
Case mix index
IPPS FY 2027
33%
Surgical stays
64%
Stays with complications
In DRGs with a CC or MCC
1,851
Medicare outpatient services
In 29 service groups
Inpatient stays by major diagnostic category
Circulatory system277 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 84 | $29,171 | $9,150 | $7,176 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 37 | $81,599 | $11,934 | $20,073 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 28 | $23,881 | $5,617 | $5,875 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 25 | $33,161 | $7,488 | $8,158 | 1.08 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 18 | $43,241 | $11,313 | $10,637 | 1.59 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 17 | $16,716 | $3,798 | $4,112 | 0.55 |
| Chest painMS-DRG 313, medical | 16 | $23,907 | $5,066 | $5,881 | 0.72 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $30,008 | $6,245 | $7,382 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 14 | $34,383 | $9,062 | $8,458 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 13 | $45,756 | $13,762 | $11,256 | 2.16 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 11 | $116,440 | $17,146 | $28,644 | 2.28 |
Musculoskeletal system and connective tissue265 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 54 | $128,753 | $33,246 | $31,673 | 4.61 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 42 | $157,160 | $42,676 | $38,661 | 6.12 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 42 | $69,798 | $13,797 | $17,170 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 29 | $67,340 | $15,157 | $16,566 | 2.07 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 22 | $66,408 | $18,823 | $16,336 | 2.67 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 20 | $68,207 | $14,587 | $16,779 | 2.11 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 17 | $93,767 | $20,927 | $23,067 | 2.96 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 15 | $118,834 | $27,483 | $29,233 | 3.66 |
| Cervical spinal fusion without cc/mccMS-DRG 473, surgical | 13 | $80,640 | $16,777 | $19,837 | 2.46 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 11 | $77,760 | $23,913 | $19,129 | 3.49 |
Nervous system153 discharges in 8 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 | 41 | $34,041 | $7,394 | $8,374 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 30 | $70,806 | $13,508 | $17,418 | 2.00 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 16 | $31,453 | $9,797 | $7,737 | 1.36 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 16 | $21,746 | $5,506 | $5,350 | 0.80 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 15 | $154,214 | $30,306 | $37,937 | 4.42 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 12 | $93,369 | $16,988 | $22,969 | 2.43 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 12 | $28,305 | $7,256 | $6,963 | 1.03 |
| Precerebral occlusion without infarction without MCCMS-DRG 068, medical | 11 | $21,669 | $6,252 | $5,331 | 0.87 |
Infectious and parasitic diseases144 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 | 88 | $48,464 | $13,910 | $11,922 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 23 | $123,489 | $35,976 | $30,378 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 22 | $24,243 | $6,626 | $5,964 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 11 | $56,955 | $12,255 | $14,011 | 2.04 |
Kidney and urinary tract129 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 46 | $22,431 | $6,086 | $5,518 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 29 | $34,594 | $8,474 | $8,510 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 17 | $25,259 | $6,438 | $6,214 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 13 | $42,386 | $10,409 | $10,427 | 1.50 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 12 | $51,201 | $10,354 | $12,595 | 1.35 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 12 | $46,761 | $12,097 | $11,503 | 1.65 |
Respiratory system112 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 28 | $40,576 | $12,121 | $9,982 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 25 | $30,568 | $9,411 | $7,520 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 23 | $21,978 | $5,672 | $5,407 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 13 | $24,819 | $7,306 | $6,106 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 12 | $33,388 | $7,636 | $8,214 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 11 | $27,130 | $7,236 | $6,674 | 0.99 |
Digestive system99 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 | 32 | $22,445 | $5,572 | $5,522 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 30 | $20,346 | $7,202 | $5,005 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 19 | $38,603 | $12,472 | $9,496 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 18 | $79,817 | $17,966 | $19,635 | 2.37 |
Endocrine, nutritional and metabolic67 discharges in 4 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 | 22 | $18,497 | $5,326 | $4,550 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 21 | $33,705 | $9,482 | $8,291 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $26,933 | $10,785 | $6,625 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 12 | $14,690 | $6,471 | $3,614 | 0.90 |
Blood and immune system30 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 18 | $15,613 | $2,907 | $3,841 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 12 | $31,624 | $6,041 | $7,780 | 1.40 |
Other24 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Single level combined anterior and posterior spinal fusion except cervicalMS-DRG 402 | 12 | $120,821 | $29,197 | $29,722 | |
| Multiple level combined anterior and posterior spinal fusion except cervical with CCMS-DRG 427 | 12 | $174,912 | $49,226 | $43,028 |
Liver, gallbladder and pancreas17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 17 | $57,086 | $11,984 | $14,043 | 1.63 |
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 5 Musculoskeletal ProceduresAPC 5115 | 369 | 354 | $56,994 | $10,240 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 127 | 124 | $40,742 | $5,114 | $5,339 |
| Level 1 Endovascular ProceduresAPC 5191 | 119 | 119 | $21,497 | $2,118 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 117 | 115 | $10,285 | $1,153 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 117 | 111 | $31,428 | $3,711 | $3,918 |
| Comprehensive Observation ServicesAPC 8011 | 117 | 112 | $12,809 | $1,903 | $2,090 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 110 | 108 | $41,631 | $4,133 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 94 | 85 | $28,512 | $2,371 | $2,629 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 92 | 91 | $87,434 | $14,823 | $15,763 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 78 | 77 | $28,091 | $2,321 | $2,373 |
| Level 2 Upper GI ProceduresAPC 5302 | 64 | 62 | $12,356 | $1,384 | $1,445 |
| Level 3 Urology and Related ServicesAPC 5373 | 42 | 41 | $26,631 | $1,409 | $1,516 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 41 | 41 | $27,748 | $2,634 | $2,930 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 40 | 40 | $77,900 | $8,096 | $8,569 |
| Level 1 Intraocular ProceduresAPC 5491 | 37 | 27 | $15,925 | $1,647 | $1,752 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 35 | 33 | $43,796 | $4,602 | $4,982 |
| Level 3 Vascular ProceduresAPC 5183 | 32 | 32 | $21,177 | $2,237 | $2,405 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 29 | 29 | $108,059 | $19,270 | $21,117 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 28 | 28 | $35,929 | $2,468 | $2,636 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 26 | 26 | $20,740 | $2,064 | $2,141 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 22 | 22 | $16,187 | $1,168 | $1,196 |
| Level 4 Vascular ProceduresAPC 5184 | 20 | 18 | $59,297 | $3,789 | $3,946 |
| Level 1 Nerve ProceduresAPC 5431 | 20 | 18 | $27,733 | $1,403 | $1,407 |
| Level 3 Endovascular ProceduresAPC 5193 | 16 | 16 | $68,072 | $8,390 | $8,874 |
| Level 3 Upper GI ProceduresAPC 5303 | 14 | 14 | $23,461 | $2,782 | $2,888 |
| Level 3 Lower GI ProceduresAPC 5313 | 12 | 11 | $21,317 | $1,870 | $2,176 |
| Level 2 Vascular ProceduresAPC 5182 | 11 | 11 | $8,820 | $1,163 | $1,204 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 11 | 11 | $237,544 | $28,274 | $29,375 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 11 | 11 | $64,236 | $7,043 | $8,164 |
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.