Andalusia Regional Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Andalusia Regional Hospital, Andalusia, AL in 2024, from traditional Medicare claims. Back to the Andalusia Regional Hospital profile, with quality ratings, finances and negotiated rates.
270
Medicare inpatient discharges
In 13 published DRGs
1.40
Case mix index
IPPS FY 2027
6%
Surgical stays
59%
Stays with complications
In DRGs with a CC or MCC
578
Medicare outpatient services
In 16 service groups
Inpatient stays by major diagnostic category
Respiratory system76 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 20 | $46,481 | $8,115 | $6,647 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 15 | $41,846 | $7,369 | $5,984 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $37,064 | $5,228 | $5,300 | 0.82 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 14 | $52,577 | $10,294 | $7,518 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 12 | $75,120 | $7,804 | $10,742 | 1.23 |
Infectious and parasitic diseases58 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 | 42 | $67,159 | $12,782 | $9,604 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 16 | $49,237 | $6,779 | $7,041 | 1.03 |
Kidney and urinary tract42 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 | 30 | $36,729 | $4,750 | $5,252 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 12 | $57,260 | $7,847 | $8,188 | 1.17 |
Circulatory system40 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 | 40 | $41,488 | $8,278 | $5,933 | 1.28 |
Digestive system26 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 | 26 | $40,106 | $5,170 | $5,735 | 0.79 |
Musculoskeletal system and connective tissue17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 17 | $93,978 | $10,323 | $13,439 | 1.88 |
Endocrine, nutritional and metabolic11 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 | 11 | $37,051 | $4,760 | $5,298 | 0.78 |
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 | 154 | 96 | $11,430 | $1,563 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 81 | 79 | $20,000 | $1,844 | $2,090 |
| Level 4 Urology and Related ServicesAPC 5374 | 77 | 61 | $25,510 | $2,346 | $2,629 |
| Level 2 Upper GI ProceduresAPC 5302 | 36 | 35 | $11,143 | $1,263 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 29 | 28 | $11,200 | $1,105 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 25 | 25 | $20,921 | $3,808 | $4,358 |
| Level 2 Urology and Related ServicesAPC 5372 | 25 | 15 | $16,966 | $466 | $502 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 22 | 19 | $11,497 | $1,095 | $1,196 |
| Level 5 Urology and Related ServicesAPC 5375 | 22 | 21 | $25,042 | $3,528 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 20 | 20 | $19,132 | $2,092 | $2,373 |
| Level 3 Urology and Related ServicesAPC 5373 | 19 | 19 | $14,235 | $1,227 | $1,516 |
| Level 3 Vascular ProceduresAPC 5183 | 17 | 15 | $10,881 | $2,173 | $2,405 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 15 | 14 | $46,204 | $4,878 | $5,339 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 14 | 14 | $65,090 | $7,485 | $8,569 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 11 | $15,926 | $2,599 | $2,930 | |
| Level 1 Endovascular ProceduresAPC 5191 | 11 | 11 | $25,500 | $2,005 | $2,208 |
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.