Cullman Regional Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Cullman Regional, Cullman, AL in 2024, from traditional Medicare claims. Back to the Cullman Regional profile, with quality ratings, finances and negotiated rates.
1,626
Medicare inpatient discharges
In 48 published DRGs
1.31
Case mix index
IPPS FY 2027
5%
Surgical stays
62%
Stays with complications
In DRGs with a CC or MCC
1,315
Medicare outpatient services
In 18 service groups
Inpatient stays by major diagnostic category
Circulatory system304 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 158 | $25,498 | $8,717 | $7,343 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 24 | $25,435 | $5,429 | $7,325 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 21 | $24,610 | $4,326 | $7,088 | 0.74 |
| Chest painMS-DRG 313, medical | 21 | $15,103 | $4,295 | $4,350 | 0.72 |
| Hypertension without MCCMS-DRG 305, medical | 19 | $22,750 | $4,672 | $6,552 | 0.75 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 18 | $30,229 | $6,962 | $8,706 | 1.08 |
| Heart failure and shock with CCMS-DRG 292, medical | 15 | $22,951 | $5,882 | $6,610 | 0.86 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 15 | $16,579 | $2,828 | $4,775 | 0.55 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 13 | $39,192 | $10,553 | $11,287 | 1.59 |
Infectious and parasitic diseases292 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 | 194 | $42,913 | $13,958 | $12,359 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 71 | $25,995 | $6,480 | $7,487 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 16 | $80,654 | $36,377 | $23,228 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 11 | $39,858 | $13,292 | $11,479 | 2.04 |
Respiratory system289 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 75 | $23,674 | $4,820 | $6,818 | 0.82 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 47 | $41,541 | $11,714 | $11,964 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 44 | $35,161 | $9,068 | $10,126 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 32 | $27,876 | $7,509 | $8,028 | 1.10 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 32 | $23,473 | $5,626 | $6,760 | 0.85 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 19 | $26,334 | $6,750 | $7,584 | 0.99 |
| Simple pneumonia and pleurisy without cc/mccMS-DRG 195, medical | 14 | $20,646 | $3,579 | $5,946 | 0.63 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 13 | $19,649 | $5,242 | $5,659 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 13 | $48,637 | $8,200 | $14,007 | 1.23 |
Kidney and urinary tract203 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 100 | $21,428 | $5,105 | $6,171 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 38 | $27,426 | $8,026 | $7,899 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 28 | $35,773 | $11,661 | $10,303 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 21 | $23,524 | $5,686 | $6,775 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 16 | $21,396 | $6,202 | $6,162 | 1.02 |
Digestive system134 discharges in 5 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 | 63 | $21,022 | $4,608 | $6,054 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 28 | $23,890 | $6,172 | $6,880 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 17 | $17,035 | $4,408 | $4,906 | 0.80 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 13 | $43,840 | $12,584 | $12,626 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 13 | $27,365 | $8,627 | $7,881 | 1.28 |
Endocrine, nutritional and metabolic122 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 | 73 | $19,118 | $4,905 | $5,506 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 37 | $25,875 | $8,821 | $7,452 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 12 | $25,876 | $5,747 | $7,452 | 0.90 |
Nervous system101 discharges in 5 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 | 33 | $31,144 | $6,546 | $8,969 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 19 | $26,156 | $4,997 | $7,533 | 0.80 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 18 | $28,190 | $3,686 | $8,119 | 0.69 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 16 | $30,136 | $7,135 | $8,679 | 1.06 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 15 | $39,187 | $14,044 | $11,286 | 2.00 |
Musculoskeletal system and connective tissue79 discharges in 4 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 | 27 | $58,222 | $14,610 | $16,768 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 23 | $64,784 | $15,012 | $18,658 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 18 | $23,667 | $6,129 | $6,816 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 11 | $18,281 | $5,727 | $5,265 | 0.90 |
Blood and immune system31 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 | 31 | $17,714 | $5,948 | $5,102 | 0.90 |
Skin, subcutaneous tissue and breast30 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 30 | $20,811 | $5,621 | $5,994 | 0.88 |
Mental diseases and disorders30 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 | 30 | $25,024 | $12,267 | $7,207 | 1.76 |
Liver, gallbladder and pancreas11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 11 | $23,177 | $7,590 | $6,675 | 1.03 |
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 | 497 | 291 | $7,099 | $1,646 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 189 | 182 | $16,797 | $1,900 | $2,090 |
| Level 4 Urology and Related ServicesAPC 5374 | 71 | 59 | $10,737 | $2,478 | $2,629 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 70 | 70 | $61,926 | $9,947 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 62 | 57 | $24,672 | $4,982 | $5,339 |
| Level 1 Nerve ProceduresAPC 5431 | 58 | 49 | $6,438 | $1,345 | $1,407 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 57 | 54 | $5,488 | $1,166 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 54 | 50 | $12,958 | $3,605 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 50 | 46 | $9,819 | $2,096 | $2,373 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 35 | 35 | $18,235 | $3,985 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 32 | 32 | $16,056 | $2,115 | $2,208 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 29 | 25 | $5,989 | $1,037 | $1,196 |
| Level 2 Upper GI ProceduresAPC 5302 | 24 | 22 | $5,570 | $1,286 | $1,445 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 23 | 19 | $6,989 | $1,511 | $2,141 |
| Level 3 Urology and Related ServicesAPC 5373 | 19 | 17 | $6,911 | $1,466 | $1,516 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 18 | 18 | $32,074 | $7,327 | $8,164 |
| Level 2 Vascular ProceduresAPC 5182 | 16 | $6,452 | $952 | $1,204 | |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 11 | 11 | $17,593 | $4,693 | $4,982 |
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.