Unc Lenoir Health Care Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Unc Lenoir Health Care, Kinston, NC in 2024, from traditional Medicare claims. Back to the Unc Lenoir Health Care profile, with quality ratings, finances and negotiated rates.
971
Medicare inpatient discharges
In 29 published DRGs
1.55
Case mix index
IPPS FY 2027
3%
Surgical stays
80%
Stays with complications
In DRGs with a CC or MCC
768
Medicare outpatient services
In 12 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases281 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 | 223 | $25,696 | $12,971 | $13,490 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 33 | $21,337 | $6,511 | $11,202 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 25 | $54,585 | $31,443 | $28,657 | 5.00 |
Circulatory system219 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 95 | $17,412 | $8,347 | $9,141 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 41 | $19,956 | $10,304 | $10,477 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 21 | $13,468 | $4,872 | $7,071 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 18 | $18,334 | $5,462 | $9,625 | 0.86 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 17 | $18,765 | $5,913 | $9,852 | 0.91 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 16 | $19,514 | $5,119 | $10,245 | 0.72 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 11 | $27,279 | $6,991 | $14,322 | 1.08 |
Respiratory system182 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 48 | $23,969 | $10,729 | $12,583 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 47 | $19,957 | $8,696 | $10,477 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 34 | $17,890 | $8,552 | $9,392 | 1.23 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 15 | $24,606 | $9,721 | $12,918 | 1.40 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 13 | $20,663 | $5,382 | $10,848 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 13 | $15,537 | $7,125 | $8,157 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $13,896 | $5,053 | $7,295 | 0.82 |
Kidney and urinary tract160 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 | 44 | $20,958 | $7,906 | $11,003 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 39 | $14,127 | $5,811 | $7,416 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 35 | $21,765 | $9,663 | $11,427 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 26 | $24,775 | $11,163 | $13,007 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 16 | $17,529 | $5,309 | $9,202 | 0.81 |
Endocrine, nutritional and metabolic63 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 | 29 | $19,651 | $8,386 | $10,317 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 22 | $14,888 | $5,243 | $7,816 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 12 | $13,707 | $5,870 | $7,196 | 0.90 |
Nervous system46 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 | 18 | $24,002 | $5,979 | $12,601 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 17 | $28,790 | $11,415 | $15,115 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 11 | $14,451 | $5,832 | $7,587 | 0.91 |
Digestive system20 discharges in 1 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 | 20 | $17,032 | $4,623 | $8,942 | 0.79 |
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 | 395 | 212 | $6,496 | $1,750 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 124 | 117 | $11,235 | $2,088 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 45 | 45 | $16,355 | $2,242 | $2,208 |
| Level 3 Urology and Related ServicesAPC 5373 | 43 | 40 | $8,054 | $1,553 | $1,516 |
| Level 5 Urology and Related ServicesAPC 5375 | 28 | 25 | $14,381 | $3,946 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 23 | 23 | $15,798 | $2,325 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 22 | 22 | $16,958 | $4,201 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 21 | 18 | $11,151 | $2,532 | $2,629 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 20 | 20 | $5,016 | $1,175 | $1,220 |
| Level 2 Urology and Related ServicesAPC 5372 | 19 | 13 | $7,071 | $521 | $502 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 16 | 16 | $19,376 | $8,581 | $8,569 |
| Level 4 Airway EndoscopyAPC 5154 | 12 | 12 | $8,845 | $2,856 | $2,833 |
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.