Unc Health Blue Ridge - Morganton Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Unc Health Blue Ridge - Morganton, Morganton, NC in 2024, from traditional Medicare claims. Back to the Unc Health Blue Ridge - Morganton profile, with quality ratings, finances and negotiated rates.
922
Medicare inpatient discharges
In 33 published DRGs
1.50
Case mix index
IPPS FY 2027
7%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
1,157
Medicare outpatient services
In 23 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases227 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 | 194 | $63,196 | $13,033 | $14,725 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 21 | $35,957 | $6,893 | $8,378 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 12 | $130,620 | $26,887 | $30,434 | 5.00 |
Respiratory system178 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 | 58 | $51,022 | $10,886 | $11,888 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 42 | $43,873 | $9,287 | $10,222 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 30 | $42,713 | $9,091 | $9,952 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 21 | $39,617 | $7,985 | $9,231 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $38,418 | $6,139 | $8,951 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 12 | $108,080 | $19,898 | $25,183 | 2.70 |
Circulatory system149 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 81 | $42,725 | $8,965 | $9,955 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 23 | $30,713 | $5,401 | $7,156 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 16 | $45,752 | $10,643 | $10,660 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 16 | $42,292 | $8,710 | $9,854 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 13 | $38,318 | $6,415 | $8,928 | 0.86 |
Digestive system77 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 28 | $40,772 | $7,088 | $9,500 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 24 | $28,258 | $5,354 | $6,584 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $38,136 | $6,249 | $8,886 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 12 | $77,628 | $15,444 | $18,087 | 2.37 |
Kidney and urinary tract74 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 22 | $31,703 | $5,225 | $7,387 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 21 | $29,879 | $6,461 | $6,962 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 16 | $40,806 | $8,483 | $9,508 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 15 | $49,665 | $10,888 | $11,572 | 1.50 |
Musculoskeletal system and connective tissue56 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 23 | $71,357 | $14,597 | $16,626 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 17 | $81,438 | $15,008 | $18,975 | 2.11 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 16 | $24,642 | $5,552 | $5,742 | 0.79 |
Endocrine, nutritional and metabolic46 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 without MCCMS-DRG 641, medical | 29 | $31,482 | $5,613 | $7,335 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 17 | $45,305 | $9,734 | $10,556 | 1.32 |
Mental diseases and disorders45 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 45 | $35,793 | $9,463 | $8,340 | 1.37 |
Nervous system44 discharges in 3 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 | 20 | $43,789 | $6,631 | $10,203 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 13 | $47,300 | $11,540 | $11,021 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 11 | $34,226 | $5,708 | $7,975 | 0.80 |
Skin, subcutaneous tissue and breast13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 13 | $25,835 | $6,493 | $6,020 | 0.88 |
Blood and immune system13 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 | 13 | $38,710 | $6,710 | $9,019 | 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 | 189 | 181 | $22,506 | $1,838 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 111 | 97 | $17,037 | $1,299 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 94 | 92 | $13,008 | $1,124 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 93 | 89 | $58,775 | $4,694 | $5,339 |
| Level 1 Nerve ProceduresAPC 5431 | 84 | 75 | $23,619 | $1,309 | $1,407 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 76 | 73 | $75,996 | $9,420 | $10,772 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 66 | 63 | $28,338 | $2,176 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 50 | 47 | $17,821 | $1,092 | $1,196 |
| Level 2 Intraocular ProceduresAPC 5492 | 49 | 48 | $36,057 | $2,819 | $3,116 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 46 | 46 | $33,338 | $3,914 | $4,358 |
| Level 2 Urology and Related ServicesAPC 5372 | 42 | 13 | $3,630 | $474 | $502 |
| Level 4 Urology and Related ServicesAPC 5374 | 35 | 31 | $22,399 | $2,348 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 34 | 33 | $15,149 | $2,145 | $2,405 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 28 | 25 | $26,930 | $2,312 | $2,636 |
| Level 3 Urology and Related ServicesAPC 5373 | 26 | 19 | $15,475 | $1,412 | $1,516 |
| Level 1 Endovascular ProceduresAPC 5191 | 24 | 24 | $27,826 | $2,038 | $2,208 |
| Level 5 Urology and Related ServicesAPC 5375 | 22 | 21 | $32,902 | $3,425 | $3,918 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 17 | 15 | $20,352 | $1,738 | $2,141 |
| Level 2 Vascular ProceduresAPC 5182 | 16 | 15 | $14,419 | $1,107 | $1,204 |
| Level 4 Gynecologic ProceduresAPC 5414 | 15 | 15 | $23,017 | $2,168 | $2,389 |
| Level 3 Endovascular ProceduresAPC 5193 | 14 | 13 | $66,669 | $7,935 | $8,874 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 14 | $24,512 | $3,387 | $4,524 | |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 12 | 12 | $28,189 | $5,890 | $6,514 |
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.