Wayne Unc Health Care Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Wayne Unc Health Care, Goldsboro, NC in 2024, from traditional Medicare claims. Back to the Wayne Unc Health Care profile, with quality ratings, finances and negotiated rates.
1,556
Medicare inpatient discharges
In 51 published DRGs
1.52
Case mix index
IPPS FY 2027
7%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
1,566
Medicare outpatient services
In 27 service groups
Inpatient stays by major diagnostic category
Circulatory system441 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 121 | $28,917 | $9,257 | $10,179 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 40 | $32,800 | $11,385 | $11,546 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 40 | $37,167 | $7,312 | $13,083 | 1.08 |
| Syncope and collapseMS-DRG 312, medical | 33 | $24,481 | $6,111 | $8,617 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 31 | $17,139 | $5,145 | $6,033 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 26 | $29,363 | $6,349 | $10,336 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 26 | $26,226 | $8,916 | $9,232 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 24 | $45,002 | $16,476 | $15,841 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 19 | $66,981 | $12,035 | $23,577 | 1.82 |
| Chest painMS-DRG 313, medical | 17 | $21,887 | $4,385 | $7,704 | 0.72 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 15 | $79,948 | $20,693 | $28,142 | 2.87 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 14 | $39,524 | $16,575 | $13,913 | 2.09 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 13 | $19,751 | $3,467 | $6,952 | 0.55 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 11 | $27,932 | $5,094 | $9,832 | 0.72 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $22,441 | $4,888 | $7,899 | 0.75 |
Respiratory system303 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 74 | $42,266 | $13,345 | $14,878 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 57 | $31,930 | $9,656 | $11,239 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 46 | $21,587 | $5,512 | $7,599 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 26 | $23,751 | $9,327 | $8,360 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 22 | $18,808 | $8,176 | $6,620 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 19 | $26,587 | $6,647 | $9,359 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 18 | $66,326 | $23,208 | $23,347 | 2.70 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 16 | $26,839 | $5,388 | $9,447 | 0.82 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 13 | $117,087 | $55,114 | $41,214 | 6.91 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 12 | $21,800 | $6,136 | $7,674 | 0.85 |
Infectious and parasitic diseases222 discharges in 4 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 | 170 | $40,391 | $15,030 | $14,218 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 21 | $24,948 | $7,215 | $8,782 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 18 | $75,060 | $37,586 | $26,421 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 13 | $141,183 | $61,727 | $49,696 | 6.96 |
Kidney and urinary tract197 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 54 | $19,060 | $5,467 | $6,709 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 52 | $26,742 | $8,054 | $9,413 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 40 | $35,996 | $12,281 | $12,671 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 27 | $28,059 | $11,408 | $9,877 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 24 | $24,224 | $6,151 | $8,527 | 0.90 |
Digestive system142 discharges in 6 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 | 33 | $22,581 | $5,555 | $7,949 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 29 | $20,916 | $5,165 | $7,363 | 0.80 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 28 | $29,844 | $6,588 | $10,505 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 21 | $28,457 | $8,849 | $10,017 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 20 | $34,592 | $14,103 | $12,176 | 1.79 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 11 | $28,407 | $10,266 | $9,999 | 1.45 |
Endocrine, nutritional and metabolic94 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 | 37 | $21,699 | $9,698 | $7,638 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 29 | $22,278 | $5,615 | $7,842 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 17 | $22,151 | $6,438 | $7,797 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 11 | $21,868 | $10,053 | $7,698 | 1.45 |
Nervous system68 discharges in 2 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 | 46 | $21,660 | $7,129 | $7,624 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 22 | $23,133 | $5,292 | $8,143 | 0.80 |
Musculoskeletal system and connective tissue50 discharges in 2 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 | 31 | $47,869 | $15,735 | $16,850 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 19 | $49,398 | $15,151 | $17,388 | 2.11 |
Skin, subcutaneous tissue and breast14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 14 | $19,169 | $5,647 | $6,747 | 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 | $23,490 | $6,277 | $8,269 | 0.90 |
Other12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 12 | $92,953 | $34,200 | $32,720 | 4.74 |
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 | 433 | 257 | $9,115 | $1,865 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 116 | 113 | $13,026 | $2,145 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 110 | 110 | $19,313 | $2,365 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 94 | 88 | $7,368 | $1,292 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 82 | 80 | $39,362 | $11,470 | $10,772 |
| Level 3 Vascular ProceduresAPC 5183 | 71 | 71 | $14,413 | $2,588 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 67 | 65 | $21,125 | $4,683 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 53 | 47 | $19,899 | $2,777 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 42 | 28 | $12,340 | $1,614 | $1,516 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 40 | 39 | $8,367 | $1,272 | $1,196 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 40 | 40 | $23,860 | $5,518 | $5,339 |
| Level 1 Nerve ProceduresAPC 5431 | 40 | 37 | $9,077 | $1,489 | $1,407 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 39 | 36 | $11,830 | $1,897 | $1,780 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 38 | 38 | $45,950 | $17,312 | $15,763 |
| Level 3 Endovascular ProceduresAPC 5193 | 37 | 37 | $39,232 | $9,563 | $8,874 |
| Level 2 Vascular ProceduresAPC 5182 | 31 | 30 | $6,961 | $1,277 | $1,204 |
| Level 2 Upper GI ProceduresAPC 5302 | 28 | 26 | $6,212 | $1,465 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 27 | 27 | $18,775 | $4,201 | $3,918 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 26 | 26 | $8,940 | $2,218 | $2,141 |
| Level 3 Intraocular ProceduresAPC 5493 | 26 | 18 | $14,955 | $3,590 | $4,004 |
| Level 4 Gynecologic ProceduresAPC 5414 | 24 | 23 | $13,855 | $2,431 | $2,389 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 22 | 22 | $13,977 | $2,386 | $2,373 |
| Level 4 Endovascular ProceduresAPC 5194 | 22 | 19 | $51,195 | $16,195 | $14,606 |
| Level 4 Vascular ProceduresAPC 5184 | 18 | 16 | $19,616 | $4,461 | $3,946 |
| Level 2 Endovascular ProceduresAPC 5192 | 18 | 17 | $28,032 | $4,471 | $4,338 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 11 | 11 | $18,158 | $2,809 | $2,636 |
| Level 2 Intraocular ProceduresAPC 5492 | 11 | $16,789 | $3,301 | $3,116 |
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.