Thomas Memorial Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Thomas Memorial Hospital, South Charleston, WV in 2024, from traditional Medicare claims. Back to the Thomas Memorial Hospital profile, with quality ratings, finances and negotiated rates.
1,521
Medicare inpatient discharges
In 54 published DRGs
1.81
Case mix index
IPPS FY 2027
12%
Surgical stays
65%
Stays with complications
In DRGs with a CC or MCC
3,314
Medicare outpatient services
In 37 service groups
Inpatient stays by major diagnostic category
Circulatory system469 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 94 | $40,431 | $8,218 | $13,383 | 1.28 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 78 | $33,222 | $5,512 | $10,997 | 1.08 |
| Syncope and collapseMS-DRG 312, medical | 37 | $25,872 | $4,457 | $8,564 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 34 | $22,408 | $3,513 | $7,417 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 32 | $87,728 | $8,804 | $29,038 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 27 | $60,156 | $9,604 | $19,912 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 27 | $48,870 | $11,242 | $16,176 | 2.16 |
| Chest painMS-DRG 313, medical | 27 | $21,639 | $3,619 | $7,163 | 0.72 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 25 | $42,425 | $6,282 | $14,043 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 22 | $18,916 | $2,435 | $6,261 | 0.55 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 21 | $35,922 | $4,512 | $11,890 | 0.91 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 12 | $23,151 | $5,533 | $7,663 | 1.07 |
| Other vascular procedures with CCMS-DRG 253, surgical | 11 | $89,157 | $12,545 | $29,511 | 2.55 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 11 | $144,101 | $26,217 | $47,698 | 3.46 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 11 | $136,678 | $16,872 | $45,240 | 2.87 |
Respiratory system245 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 75 | $46,427 | $7,427 | $15,367 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 49 | $42,779 | $6,535 | $14,160 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 40 | $55,411 | $7,079 | $18,341 | 1.10 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 38 | $44,395 | $9,282 | $14,695 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 26 | $31,530 | $3,997 | $10,436 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 17 | $47,490 | $5,694 | $15,719 | 0.99 |
Infectious and parasitic diseases184 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 | 144 | $64,817 | $11,431 | $21,454 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 25 | $33,209 | $5,421 | $10,992 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 15 | $124,599 | $29,960 | $41,242 | 5.00 |
Kidney and urinary tract177 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 45 | $23,127 | $4,153 | $7,655 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 37 | $26,019 | $4,129 | $8,612 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 32 | $32,914 | $6,078 | $10,895 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 27 | $41,577 | $7,987 | $13,762 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 23 | $56,013 | $11,211 | $18,540 | 1.65 |
| Renal failure without cc/mccMS-DRG 684, medical | 13 | $21,773 | $2,535 | $7,207 | 0.61 |
Digestive system162 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 | 45 | $24,597 | $3,778 | $8,141 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 34 | $29,390 | $5,036 | $9,728 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 25 | $50,614 | $9,578 | $16,753 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 18 | $95,043 | $12,222 | $31,459 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 18 | $26,338 | $4,118 | $8,718 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $41,200 | $7,112 | $13,637 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 11 | $26,941 | $5,216 | $8,918 | 0.94 |
Musculoskeletal system and connective tissue102 discharges in 6 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 | 27 | $72,131 | $9,643 | $23,875 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 19 | $80,676 | $12,377 | $26,704 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 17 | $66,695 | $11,501 | $22,076 | 2.07 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 14 | $22,025 | $3,988 | $7,290 | 0.90 |
| Medical back problems without MCCMS-DRG 552, medical | 13 | $25,681 | $5,077 | $8,500 | 0.97 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 12 | $163,449 | $24,175 | $54,102 | 3.66 |
Endocrine, nutritional and metabolic62 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 with MCCMS-DRG 640, medical | 21 | $31,802 | $7,298 | $10,526 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $28,000 | $3,616 | $9,268 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $35,999 | $7,595 | $11,916 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 11 | $22,120 | $4,247 | $7,322 | 0.90 |
Skin, subcutaneous tissue and breast37 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 26 | $26,619 | $4,286 | $8,811 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 11 | $28,160 | $6,708 | $9,321 | 1.49 |
Alcohol and drug use28 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 28 | $28,238 | $4,318 | $9,347 | 0.86 |
Liver, gallbladder and pancreas26 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 14 | $50,527 | $10,004 | $16,724 | 1.83 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 12 | $66,428 | $9,208 | $21,988 | 1.63 |
Blood and immune system15 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 | 15 | $31,188 | $4,686 | $10,323 | 0.90 |
Nervous system14 discharges in 1 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 | 14 | $37,298 | $5,048 | $12,346 | 1.02 |
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 Intraocular ProceduresAPC 5491 | 546 | 359 | $9,615 | $1,546 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 256 | 213 | $50,386 | $9,252 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 242 | 241 | $13,863 | $1,896 | $2,208 |
| Level 2 Urology and Related ServicesAPC 5372 | 206 | 164 | $2,718 | $454 | $502 |
| Comprehensive Observation ServicesAPC 8011 | 187 | 183 | $13,775 | $1,809 | $2,090 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 164 | 153 | $42,166 | $14,048 | $15,763 |
| Level 2 Upper GI ProceduresAPC 5302 | 148 | 134 | $7,613 | $1,212 | $1,445 |
| Level 1 Nerve ProceduresAPC 5431 | 148 | 143 | $16,947 | $1,279 | $1,407 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 137 | 134 | $44,956 | $3,696 | $4,358 |
| Level 2 Intraocular ProceduresAPC 5492 | 136 | 126 | $17,303 | $2,707 | $3,116 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 132 | 99 | $9,233 | $1,062 | $1,220 |
| Level 3 Endovascular ProceduresAPC 5193 | 109 | 106 | $66,142 | $7,477 | $8,874 |
| Level 3 Urology and Related ServicesAPC 5373 | 93 | 87 | $11,335 | $1,318 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 75 | 75 | $34,316 | $4,381 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 75 | 72 | $21,215 | $2,091 | $2,405 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 65 | 37 | $11,672 | $2,558 | $4,524 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 64 | 63 | $59,852 | $24,617 | $26,719 |
| Level 5 Urology and Related ServicesAPC 5375 | 48 | 47 | $31,929 | $3,357 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 47 | 39 | $22,070 | $2,355 | $2,629 |
| Level 3 Airway EndoscopyAPC 5153 | 46 | 45 | $11,954 | $1,105 | $1,264 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 36 | 35 | $17,767 | $1,919 | $2,141 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 34 | 34 | $19,763 | $1,998 | $2,373 |
| Level 4 Airway EndoscopyAPC 5154 | 33 | 33 | $22,588 | $2,529 | $2,833 |
| Level 3 Intraocular ProceduresAPC 5493 | 33 | 29 | $23,101 | $3,423 | $4,004 |
| Level 2 Vascular ProceduresAPC 5182 | 31 | 30 | $7,622 | $994 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 25 | 25 | $29,702 | $3,856 | $4,338 |
| Level 3 Upper GI ProceduresAPC 5303 | 24 | 23 | $10,790 | $2,479 | $2,888 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 22 | 21 | $12,744 | $946 | $1,196 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 20 | 19 | $57,337 | $4,184 | $4,982 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 20 | 20 | $99,834 | $7,091 | $8,164 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 19 | 19 | $31,764 | $2,337 | $2,636 |
| Level 6 Urology and Related ServicesAPC 5376 | 19 | 18 | $39,414 | $6,222 | $7,291 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 17 | 17 | $21,544 | $2,423 | $2,930 |
| Level 4 Endovascular ProceduresAPC 5194 | 17 | 15 | $104,050 | $13,205 | $14,606 |
| Complex GI ProceduresAPC 5331 | 17 | 16 | $20,129 | $3,623 | $4,263 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 12 | 12 | $38,406 | $5,738 | $6,514 |
| Level 4 Vascular ProceduresAPC 5184 | 11 | $39,128 | $3,712 | $3,946 |
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.