Athens Limestone Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Athens Limestone, Athens, AL in 2024, from traditional Medicare claims. Back to the Athens Limestone profile, with quality ratings, finances and negotiated rates.
569
Medicare inpatient discharges
In 26 published DRGs
1.60
Case mix index
IPPS FY 2027
25%
Surgical stays
57%
Stays with complications
In DRGs with a CC or MCC
1,117
Medicare outpatient services
In 20 service groups
Inpatient stays by major diagnostic category
Musculoskeletal system and connective tissue141 discharges in 5 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 | 68 | $35,852 | $10,863 | $13,408 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 25 | $30,801 | $12,108 | $11,519 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 21 | $36,913 | $12,596 | $13,805 | 2.11 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 15 | $163,618 | $33,339 | $61,193 | 4.61 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 12 | $183,618 | $43,230 | $68,673 | 6.12 |
Respiratory system98 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 21 | $15,440 | $6,307 | $5,775 | 1.10 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 19 | $31,829 | $9,617 | $11,904 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 17 | $17,955 | $6,552 | $6,715 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $15,505 | $4,696 | $5,799 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 14 | $20,950 | $7,159 | $7,835 | 1.23 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 12 | $26,161 | $5,912 | $9,784 | 0.99 |
Infectious and parasitic diseases84 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 | 66 | $26,251 | $11,843 | $9,818 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 18 | $23,678 | $6,140 | $8,856 | 1.03 |
Kidney and urinary tract61 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 16 | $19,492 | $8,628 | $7,290 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 16 | $12,874 | $5,112 | $4,815 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 15 | $19,167 | $6,433 | $7,168 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 14 | $12,677 | $4,808 | $4,741 | 0.81 |
Endocrine, nutritional and metabolic55 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 without MCCMS-DRG 641, medical | 32 | $12,108 | $4,401 | $4,528 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 23 | $19,430 | $8,091 | $7,267 | 1.32 |
Circulatory system41 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 | 41 | $15,115 | $7,483 | $5,653 | 1.28 |
Blood and immune system38 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 23 | $15,850 | $5,225 | $5,928 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 15 | $18,209 | $8,538 | $6,810 | 1.40 |
Digestive system24 discharges in 2 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 | 13 | $17,190 | $4,473 | $6,429 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 11 | $22,740 | $4,993 | $8,505 | 0.98 |
Factors influencing health status15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 15 | $14,070 | $4,515 | $5,262 | 0.80 |
Mental diseases and disorders12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 12 | $11,780 | $8,508 | $4,406 | 1.76 |
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 | 178 | 171 | $9,168 | $1,791 | $2,090 |
| Level 1 Nerve ProceduresAPC 5431 | 153 | 135 | $10,498 | $779 | $1,407 |
| Level 1 Intraocular ProceduresAPC 5491 | 139 | 87 | $7,494 | $694 | $1,752 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 131 | 127 | $21,263 | $1,265 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 91 | 87 | $25,450 | $3,227 | $5,339 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 66 | 64 | $34,937 | $8,340 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 63 | 46 | $7,959 | $989 | $1,220 |
| Level 4 Vascular ProceduresAPC 5184 | 52 | 48 | $11,991 | $3,408 | $3,946 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 36 | 35 | $19,976 | $3,640 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 32 | 32 | $8,265 | $1,341 | $1,516 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 25 | 24 | $6,468 | $622 | $1,196 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 24 | 23 | $12,427 | $1,575 | $2,141 |
| Level 2 Upper GI ProceduresAPC 5302 | 23 | 21 | $7,453 | $967 | $1,445 |
| Level 2 Vascular ProceduresAPC 5182 | 21 | 20 | $4,379 | $1,010 | $1,204 |
| Level 5 Urology and Related ServicesAPC 5375 | 18 | 17 | $26,154 | $2,975 | $3,918 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 14 | 14 | $46,372 | $13,407 | $15,763 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 14 | 14 | $46,582 | $22,733 | $26,719 |
| Level 3 Vascular ProceduresAPC 5183 | 13 | 13 | $10,222 | $2,142 | $2,405 |
| Level 2 Endovascular ProceduresAPC 5192 | 13 | 11 | $12,552 | $3,840 | $4,338 |
| Level 4 Urology and Related ServicesAPC 5374 | 11 | $19,623 | $2,342 | $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.