Wilson Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Wilson Medical Center, Wilson, NC in 2024, from traditional Medicare claims. Back to the Wilson Medical Center profile, with quality ratings, finances and negotiated rates.
639
Medicare inpatient discharges
In 21 published DRGs
1.60
Case mix index
IPPS FY 2027
5%
Surgical stays
87%
Stays with complications
In DRGs with a CC or MCC
970
Medicare outpatient services
In 15 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases208 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 | 151 | $88,339 | $14,824 | $15,548 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 23 | $187,128 | $35,917 | $32,935 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 23 | $49,924 | $7,471 | $8,787 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 11 | $347,024 | $63,271 | $61,076 | 6.96 |
Circulatory system158 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 | 101 | $54,378 | $9,336 | $9,571 | 1.28 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 25 | $44,179 | $8,464 | $7,775 | 1.20 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 18 | $64,674 | $10,447 | $11,383 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 14 | $28,254 | $4,775 | $4,973 | 0.74 |
Respiratory system115 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 37 | $73,928 | $9,051 | $13,011 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 32 | $47,222 | $9,125 | $8,311 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 31 | $72,570 | $12,413 | $12,772 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 15 | $35,356 | $7,725 | $6,223 | 1.10 |
Kidney and urinary tract94 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 28 | $61,238 | $12,629 | $10,778 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 27 | $81,107 | $9,802 | $14,275 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 22 | $53,422 | $8,434 | $9,402 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 17 | $40,706 | $6,108 | $7,164 | 0.90 |
Endocrine, nutritional and metabolic27 discharges in 2 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 | 15 | $104,975 | $9,972 | $18,476 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 12 | $26,858 | $5,196 | $4,727 | 0.78 |
Nervous system15 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 | 15 | $59,855 | $6,817 | $10,535 | 1.02 |
Digestive system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 11 | $38,548 | $6,152 | $6,784 | 0.98 |
Musculoskeletal system and connective tissue11 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 | 11 | $134,193 | $15,574 | $23,618 | 2.07 |
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 | 367 | 239 | $19,818 | $1,599 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 153 | 148 | $34,872 | $1,926 | $2,090 |
| Level 3 Vascular ProceduresAPC 5183 | 77 | 66 | $28,633 | $2,100 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 73 | 64 | $12,782 | $1,136 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 48 | 47 | $51,073 | $3,646 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 45 | 37 | $29,914 | $1,333 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 40 | 39 | $71,006 | $3,843 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 38 | 35 | $16,137 | $1,316 | $1,445 |
| Level 4 Urology and Related ServicesAPC 5374 | 21 | 20 | $37,320 | $2,454 | $2,629 |
| Level 2 Vascular ProceduresAPC 5182 | 20 | 19 | $10,667 | $1,123 | $1,204 |
| Level 6 Urology and Related ServicesAPC 5376 | 20 | 20 | $56,878 | $6,503 | $7,291 |
| Level 1 Endovascular ProceduresAPC 5191 | 19 | 19 | $28,521 | $2,071 | $2,208 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 18 | 17 | $34,639 | $2,281 | $2,373 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 18 | 18 | $58,520 | $2,430 | $2,636 |
| Level 4 Endovascular ProceduresAPC 5194 | 13 | $90,073 | $10,649 | $14,606 |
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.