Baptist Medical Center East Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Baptist Medical Center East, Montgomery, AL in 2024, from traditional Medicare claims. Back to the Baptist Medical Center East profile, with quality ratings, finances and negotiated rates.
743
Medicare inpatient discharges
In 27 published DRGs
1.54
Case mix index
IPPS FY 2027
5%
Surgical stays
85%
Stays with complications
In DRGs with a CC or MCC
601
Medicare outpatient services
In 15 service groups
Inpatient stays by major diagnostic category
Circulatory system169 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 | 119 | $27,359 | $8,087 | $8,290 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 35 | $29,911 | $9,101 | $9,063 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 15 | $35,142 | $6,442 | $10,648 | 1.20 |
Respiratory system157 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 | 64 | $30,083 | $8,173 | $9,115 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 46 | $45,258 | $9,365 | $13,713 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 24 | $36,258 | $6,877 | $10,986 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $22,177 | $4,419 | $6,720 | 0.82 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 11 | $46,589 | $11,168 | $14,116 | 1.90 |
Digestive system122 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 26 | $25,096 | $5,262 | $7,604 | 0.98 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 24 | $44,082 | $9,290 | $13,357 | 1.67 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 16 | $61,277 | $10,394 | $18,567 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 16 | $38,022 | $10,400 | $11,521 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 15 | $22,448 | $4,237 | $6,802 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 13 | $41,242 | $7,290 | $12,496 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 12 | $31,057 | $5,966 | $9,410 | 0.94 |
Kidney and urinary tract116 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 30 | $39,577 | $9,340 | $11,992 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 22 | $24,764 | $6,701 | $7,504 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 22 | $18,794 | $4,926 | $5,694 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 22 | $47,418 | $10,414 | $14,368 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 20 | $20,274 | $5,219 | $6,143 | 0.90 |
Infectious and parasitic diseases107 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 | 91 | $56,112 | $11,389 | $17,002 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 16 | $27,943 | $5,790 | $8,467 | 1.03 |
Endocrine, nutritional and metabolic24 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 | 13 | $36,407 | $7,559 | $11,031 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 11 | $19,177 | $5,581 | $5,811 | 0.90 |
Blood and immune system23 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 | 23 | $21,452 | $4,531 | $6,500 | 0.90 |
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 | $29,227 | $4,561 | $8,856 | 0.88 |
Nervous system11 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 | 11 | $25,229 | $4,842 | $7,644 | 1.02 |
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 | 145 | 140 | $11,328 | $1,725 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 68 | 65 | $5,428 | $1,068 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 65 | 65 | $23,028 | $3,742 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 56 | 54 | $10,128 | $2,053 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 43 | 40 | $9,883 | $1,329 | $1,516 |
| Level 2 Upper GI ProceduresAPC 5302 | 35 | 34 | $5,354 | $1,195 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 30 | 28 | $17,165 | $3,231 | $3,918 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 28 | 28 | $13,031 | $1,864 | $2,141 |
| Level 4 Urology and Related ServicesAPC 5374 | 24 | 22 | $14,125 | $2,332 | $2,629 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 23 | 23 | $41,711 | $13,984 | $15,763 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 20 | 20 | $29,030 | $6,368 | $8,164 |
| Level 2 Vascular ProceduresAPC 5182 | 19 | 18 | $2,507 | $969 | $1,204 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 17 | 17 | $16,625 | $2,314 | $2,636 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 16 | 16 | $10,758 | $1,895 | $2,373 |
| Level 4 Vascular ProceduresAPC 5184 | 12 | 12 | $16,466 | $3,676 | $3,946 |
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.