Unc Health Southeastern Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Unc Health Southeastern, Lumberton, NC in 2024, from traditional Medicare claims. Back to the Unc Health Southeastern profile, with quality ratings, finances and negotiated rates.
1,008
Medicare inpatient discharges
In 40 published DRGs
1.53
Case mix index
IPPS FY 2027
6%
Surgical stays
76%
Stays with complications
In DRGs with a CC or MCC
719
Medicare outpatient services
In 17 service groups
Inpatient stays by major diagnostic category
Circulatory system233 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 102 | $22,982 | $10,769 | $7,791 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 29 | $31,969 | $13,156 | $10,837 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 17 | $33,927 | $9,011 | $11,501 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 17 | $20,962 | $7,398 | $7,106 | 0.86 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 15 | $62,885 | $18,074 | $21,318 | 2.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 15 | $18,776 | $5,906 | $6,365 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 14 | $70,906 | $14,804 | $24,037 | 1.82 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 12 | $38,150 | $7,723 | $12,933 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 12 | $100,439 | $22,201 | $34,049 | 2.87 |
Respiratory system211 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 58 | $32,771 | $10,415 | $11,109 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 36 | $39,124 | $12,799 | $13,263 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 32 | $24,971 | $9,366 | $8,465 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 24 | $27,868 | $10,516 | $9,447 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 21 | $21,510 | $6,351 | $7,292 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 16 | $24,153 | $7,942 | $8,188 | 0.99 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 13 | $18,758 | $7,324 | $6,359 | 0.85 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $55,209 | $23,195 | $18,716 | 2.70 |
Kidney and urinary tract141 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 47 | $21,894 | $9,981 | $7,422 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 28 | $18,341 | $6,966 | $6,218 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 24 | $23,729 | $7,270 | $8,044 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 21 | $32,722 | $11,841 | $11,093 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 21 | $30,638 | $13,776 | $10,386 | 1.65 |
Infectious and parasitic diseases134 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 | 101 | $41,304 | $15,935 | $14,002 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 18 | $29,131 | $8,223 | $9,875 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 15 | $89,376 | $41,330 | $30,298 | 5.00 |
Endocrine, nutritional and metabolic77 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 | 25 | $26,217 | $11,306 | $8,888 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 25 | $18,749 | $7,008 | $6,356 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 16 | $38,438 | $12,704 | $13,031 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 11 | $21,715 | $7,559 | $7,361 | 0.90 |
Digestive system64 discharges in 3 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 | 29 | $26,052 | $6,659 | $8,832 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 21 | $24,300 | $6,964 | $8,238 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 14 | $22,307 | $10,116 | $7,562 | 1.28 |
Nervous system55 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 16 | $49,639 | $19,071 | $16,828 | 2.00 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 16 | $28,300 | $8,758 | $9,594 | 1.06 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 12 | $33,064 | $15,303 | $11,209 | 1.79 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 11 | $21,839 | $8,994 | $7,403 | 1.03 |
Mental diseases and disorders46 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 46 | $24,535 | $10,589 | $8,317 | 1.37 |
Blood and immune system36 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 | 21 | $19,462 | $7,925 | $6,598 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 15 | $31,400 | $10,972 | $10,645 | 1.40 |
Skin, subcutaneous tissue and breast11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 11 | $25,480 | $7,347 | $8,638 | 0.88 |
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 | 283 | 253 | $12,573 | $2,003 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 105 | 77 | $10,314 | $1,697 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 66 | 61 | $6,534 | $1,093 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 40 | 37 | $16,655 | $2,303 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 37 | 37 | $25,632 | $2,183 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 24 | 19 | $6,530 | $1,412 | $1,445 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 22 | 22 | $35,702 | $8,312 | $8,569 |
| Level 3 Endovascular ProceduresAPC 5193 | 18 | 17 | $52,118 | $8,612 | $8,874 |
| Level 3 Urology and Related ServicesAPC 5373 | 18 | 17 | $12,465 | $1,512 | $1,516 |
| Level 5 Urology and Related ServicesAPC 5375 | 17 | 12 | $23,823 | $3,842 | $3,918 |
| Level 4 ENT ProceduresAPC 5164 | 15 | 15 | $14,758 | $2,219 | $2,217 |
| Level 4 Urology and Related ServicesAPC 5374 | 15 | 11 | $17,063 | $2,416 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 13 | 13 | $16,990 | $2,219 | $2,373 |
| Level 2 Vascular ProceduresAPC 5182 | 12 | 11 | $10,175 | $1,189 | $1,204 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 12 | 12 | $23,037 | $2,569 | $2,636 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 11 | 11 | $30,558 | $4,346 | $5,339 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 11 | $72,247 | $10,617 | $10,772 |
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.