Union General Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Union General Hospital, Blairsville, GA in 2024, from traditional Medicare claims. Back to the Union General Hospital profile, with quality ratings, finances and negotiated rates.
608
Medicare inpatient discharges
In 25 published DRGs
1.22
Case mix index
IPPS FY 2027
12%
Surgical stays
62%
Stays with complications
In DRGs with a CC or MCC
1,372
Medicare outpatient services
In 25 service groups
Inpatient stays by major diagnostic category
Respiratory system217 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 56 | $20,626 | $4,820 | $8,147 | 0.82 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 42 | $38,652 | $10,640 | $15,268 | 1.70 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 26 | $17,044 | $5,083 | $6,733 | 0.85 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 23 | $28,286 | $6,521 | $11,173 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 22 | $27,883 | $5,800 | $11,014 | 0.99 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 22 | $27,518 | $8,425 | $10,870 | 1.33 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 15 | $16,039 | $3,289 | $6,335 | 0.63 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 11 | $31,656 | $7,871 | $12,504 | 1.23 |
Circulatory system119 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 75 | $18,155 | $8,290 | $7,171 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 17 | $15,269 | $4,662 | $6,031 | 0.74 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 14 | $11,892 | $2,912 | $4,697 | 0.55 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 13 | $17,412 | $7,301 | $6,878 | 1.20 |
Musculoskeletal system and connective tissue71 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 30 | $45,289 | $13,347 | $17,889 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 21 | $44,410 | $11,856 | $17,542 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 20 | $47,139 | $13,132 | $18,620 | 2.07 |
Digestive system60 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 | 35 | $13,779 | $4,414 | $5,443 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 13 | $16,478 | $5,857 | $6,509 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 12 | $9,819 | $4,656 | $3,878 | 0.80 |
Kidney and urinary tract59 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 42 | $14,683 | $4,910 | $5,800 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 17 | $14,650 | $5,247 | $5,787 | 0.90 |
Endocrine, nutritional and metabolic31 discharges in 1 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 | 31 | $18,438 | $4,749 | $7,283 | 0.78 |
Infectious and parasitic diseases29 discharges in 2 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 | 17 | $39,099 | $12,821 | $15,444 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 12 | $18,786 | $6,312 | $7,420 | 1.03 |
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 | $14,662 | $5,171 | $5,791 | 0.88 |
Factors influencing health status11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 11 | $17,598 | $5,008 | $6,951 | 0.80 |
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 | 315 | 300 | $10,404 | $1,954 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 163 | 95 | $10,605 | $1,670 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 120 | 112 | $38,214 | $10,265 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 103 | 96 | $3,502 | $1,358 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 81 | 81 | $20,441 | $4,058 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 71 | 70 | $26,189 | $5,157 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 60 | 59 | $16,195 | $2,255 | $2,373 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 49 | 49 | $47,164 | $14,892 | $15,763 |
| Level 1 Nerve ProceduresAPC 5431 | 48 | 37 | $6,813 | $1,389 | $1,407 |
| Level 4 Urology and Related ServicesAPC 5374 | 44 | 38 | $17,906 | $2,511 | $2,629 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 42 | 40 | $9,142 | $1,159 | $1,196 |
| Level 3 Vascular ProceduresAPC 5183 | 41 | 41 | $13,464 | $2,238 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 38 | 37 | $5,685 | $1,169 | $1,220 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 26 | 26 | $20,215 | $2,494 | $2,636 |
| Level 2 Vascular ProceduresAPC 5182 | 19 | 18 | $8,125 | $1,145 | $1,204 |
| Level 4 Airway EndoscopyAPC 5154 | 18 | 18 | $17,789 | $2,547 | $2,833 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 18 | 17 | $64,431 | $26,396 | $26,719 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 17 | 17 | $14,868 | $2,049 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 17 | 16 | $18,160 | $3,732 | $3,918 |
| Level 6 Urology and Related ServicesAPC 5376 | 17 | 17 | $29,430 | $6,706 | $7,291 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 16 | 16 | $24,923 | $4,703 | $4,982 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 13 | 13 | $34,408 | $8,022 | $8,569 |
| Level 3 Airway EndoscopyAPC 5153 | 12 | 12 | $18,260 | $1,224 | $1,264 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 12 | 12 | $29,332 | $7,681 | $8,164 |
| Level 4 Gynecologic ProceduresAPC 5414 | 12 | 12 | $15,160 | $2,254 | $2,389 |
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.