Wilkes Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Wilkes Medical Center, North Wilkesboro, NC in 2024, from traditional Medicare claims. Back to the Wilkes Medical Center profile, with quality ratings, finances and negotiated rates.
487
Medicare inpatient discharges
In 21 published DRGs
1.35
Case mix index
IPPS FY 2027
3%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
449
Medicare outpatient services
In 11 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases137 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 | 116 | $42,811 | $12,694 | $13,314 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 21 | $28,820 | $6,050 | $8,963 | 1.03 |
Respiratory system122 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 23 | $29,354 | $5,874 | $9,129 | 0.82 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 22 | $44,434 | $10,175 | $13,819 | 1.70 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 22 | $29,330 | $6,906 | $9,122 | 0.99 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 22 | $36,911 | $9,283 | $11,479 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 20 | $31,200 | $8,404 | $9,703 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 13 | $24,599 | $7,138 | $7,650 | 1.10 |
Circulatory system70 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 44 | $32,092 | $8,732 | $9,981 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 13 | $18,000 | $5,645 | $5,598 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 13 | $26,597 | $6,123 | $8,272 | 0.86 |
Kidney and urinary tract53 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 24 | $21,651 | $5,515 | $6,733 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 16 | $30,541 | $7,542 | $9,498 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 13 | $24,102 | $5,947 | $7,496 | 0.90 |
Endocrine, nutritional and metabolic51 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 without MCCMS-DRG 641, medical | 23 | $23,283 | $5,452 | $7,241 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 14 | $23,840 | $4,946 | $7,414 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 14 | $23,539 | $8,315 | $7,321 | 1.32 |
Musculoskeletal system and connective tissue15 discharges in 1 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 | 15 | $80,803 | $14,016 | $25,130 | 2.07 |
Nervous system13 discharges in 1 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 | 13 | $28,763 | $6,196 | $8,945 | 1.02 |
Digestive system13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 13 | $37,656 | $6,130 | $11,711 | 0.98 |
Skin, subcutaneous tissue and breast13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 13 | $25,673 | $6,409 | $7,984 | 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 |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 165 | 104 | $20,240 | $1,594 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 65 | 63 | $14,309 | $1,868 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 36 | 33 | $6,621 | $1,068 | $1,220 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 30 | 29 | $24,122 | $2,093 | $2,373 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 28 | 27 | $65,826 | $8,753 | $10,772 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 24 | 24 | $11,301 | $1,109 | $1,196 |
| Level 1 Nerve ProceduresAPC 5431 | 24 | 22 | $13,654 | $1,275 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 22 | 22 | $54,425 | $4,960 | $5,339 |
| Level 2 Upper GI ProceduresAPC 5302 | 20 | 20 | $14,773 | $1,262 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 19 | 19 | $16,826 | $2,210 | $2,405 |
| Level 4 Urology and Related ServicesAPC 5374 | 16 | 13 | $19,748 | $2,417 | $2,629 |
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.