Upson Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Upson Regional Medical Center, Thomaston, GA in 2024, from traditional Medicare claims. Back to the Upson Regional Medical Center profile, with quality ratings, finances and negotiated rates.
193
Medicare inpatient discharges
In 11 published DRGs
1.50
Case mix index
IPPS FY 2027
16%
Surgical stays
49%
Stays with complications
In DRGs with a CC or MCC
307
Medicare outpatient services
In 13 service groups
Inpatient stays by major diagnostic category
Kidney and urinary tract34 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 | 21 | $26,033 | $6,015 | $7,133 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 13 | $33,690 | $6,795 | $9,231 | 0.90 |
Infectious and parasitic diseases33 discharges in 1 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 | 33 | $48,420 | $14,197 | $13,267 | 1.98 |
Musculoskeletal system and connective tissue30 discharges in 2 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 | 19 | $76,885 | $14,847 | $21,067 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 11 | $53,875 | $14,500 | $14,762 | 2.07 |
Respiratory system26 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 14 | $38,292 | $9,105 | $10,492 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $21,800 | $5,799 | $5,973 | 0.82 |
Circulatory system25 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 25 | $36,267 | $9,164 | $9,937 | 1.28 |
Endocrine, nutritional and metabolic19 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 | 19 | $29,971 | $5,714 | $8,212 | 0.78 |
Digestive system15 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 | 15 | $30,305 | $5,702 | $8,304 | 0.79 |
Blood and immune system11 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 | 11 | $26,821 | $6,703 | $7,349 | 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 | 97 | 92 | $24,600 | $2,084 | $2,090 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 32 | 31 | $34,586 | $4,485 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 28 | 22 | $31,808 | $2,708 | $2,629 |
| Level 1 Intraocular ProceduresAPC 5491 | 28 | 23 | $13,611 | $1,813 | $1,752 |
| Level 5 Urology and Related ServicesAPC 5375 | 19 | 15 | $30,910 | $4,015 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 16 | 15 | $15,453 | $2,480 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 16 | 16 | $18,418 | $2,142 | $2,208 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 14 | 14 | $20,512 | $2,338 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 12 | 12 | $31,385 | $5,566 | $5,339 |
| Level 1 Nerve ProceduresAPC 5431 | 12 | $12,495 | $1,502 | $1,407 | |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 11 | $13,072 | $1,147 | $1,220 | |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 11 | 11 | $72,770 | $11,200 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 11 | 11 | $12,774 | $1,480 | $1,445 |
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.