Decatur Morgan Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Decatur Morgan Hospital, Decatur, AL in 2024, from traditional Medicare claims. Back to the Decatur Morgan Hospital profile, with quality ratings, finances and negotiated rates.
1,247
Medicare inpatient discharges
In 37 published DRGs
1.55
Case mix index
IPPS FY 2027
9%
Surgical stays
78%
Stays with complications
In DRGs with a CC or MCC
1,057
Medicare outpatient services
In 24 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases393 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 | 303 | $32,585 | $11,591 | $11,144 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 53 | $16,951 | $5,794 | $5,797 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 26 | $76,298 | $30,056 | $26,094 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 11 | $101,009 | $42,223 | $34,545 | 6.96 |
Circulatory system202 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 87 | $20,775 | $7,552 | $7,105 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 30 | $15,642 | $4,218 | $5,350 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 23 | $25,123 | $7,034 | $8,592 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 22 | $14,028 | $4,916 | $4,798 | 0.86 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 16 | $10,897 | $2,571 | $3,727 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 13 | $32,031 | $12,657 | $10,955 | 2.16 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 11 | $37,092 | $11,933 | $12,685 | 2.09 |
Respiratory system176 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 53 | $26,929 | $9,871 | $9,210 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 49 | $19,109 | $7,615 | $6,535 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 28 | $15,179 | $6,475 | $5,191 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 24 | $13,293 | $3,835 | $4,546 | 0.82 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 11 | $19,749 | $4,472 | $6,754 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 11 | $19,412 | $7,231 | $6,639 | 1.23 |
Endocrine, nutritional and metabolic126 discharges in 4 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 | 52 | $18,163 | $7,651 | $6,212 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 46 | $12,916 | $4,122 | $4,417 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 15 | $16,885 | $4,475 | $5,775 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $17,182 | $6,935 | $5,876 | 1.45 |
Digestive system126 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 41 | $20,366 | $5,632 | $6,965 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 26 | $15,135 | $4,324 | $5,176 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 17 | $32,070 | $10,604 | $10,968 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 16 | $83,918 | $13,607 | $28,700 | 2.37 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 15 | $102,027 | $9,106 | $34,893 | 1.67 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 11 | $10,624 | $4,547 | $3,633 | 0.80 |
Kidney and urinary tract120 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 | 32 | $11,789 | $4,484 | $4,032 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 27 | $13,997 | $6,551 | $4,787 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 24 | $24,414 | $8,346 | $8,350 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 24 | $13,596 | $5,125 | $4,650 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 13 | $24,463 | $9,185 | $8,366 | 1.65 |
Musculoskeletal system and connective tissue53 discharges in 2 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 | 37 | $44,891 | $11,947 | $15,353 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 16 | $55,703 | $12,521 | $19,050 | 2.11 |
Nervous system35 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 19 | $39,266 | $10,623 | $13,429 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 16 | $23,738 | $5,527 | $8,118 | 1.02 |
Skin, subcutaneous tissue and breast16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 16 | $12,583 | $4,911 | $4,303 | 0.88 |
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 5 Musculoskeletal ProceduresAPC 5115 | 130 | 127 | $55,253 | $9,471 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 120 | 117 | $11,103 | $1,752 | $2,090 |
| Level 4 Urology and Related ServicesAPC 5374 | 92 | 71 | $13,965 | $2,345 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 76 | 70 | $13,108 | $2,060 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 70 | 70 | $49,246 | $3,611 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 58 | 55 | $6,566 | $1,050 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 56 | 55 | $20,530 | $3,324 | $3,918 |
| Level 2 Endovascular ProceduresAPC 5192 | 45 | 38 | $21,949 | $3,758 | $4,338 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 45 | 45 | $92,564 | $6,792 | $8,164 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 39 | 39 | $72,213 | $13,717 | $15,763 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 38 | 38 | $33,635 | $4,815 | $5,339 |
| Level 3 Urology and Related ServicesAPC 5373 | 37 | 35 | $10,344 | $1,334 | $1,516 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 33 | 33 | $9,709 | $1,854 | $2,141 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 32 | 32 | $17,626 | $2,111 | $2,373 |
| Level 2 Vascular ProceduresAPC 5182 | 31 | 28 | $4,618 | $1,078 | $1,204 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 23 | 23 | $29,910 | $2,328 | $2,636 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 22 | 22 | $29,766 | $4,389 | $4,982 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 19 | 19 | $5,210 | $1,075 | $1,196 |
| Level 1 Endovascular ProceduresAPC 5191 | 18 | 18 | $12,058 | $1,869 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 18 | 18 | $10,476 | $1,270 | $1,445 |
| Level 4 Vascular ProceduresAPC 5184 | 16 | 15 | $25,248 | $3,467 | $3,946 |
| Level 3 Endovascular ProceduresAPC 5193 | 16 | 13 | $46,592 | $7,655 | $8,874 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 12 | 11 | $41,617 | $16,803 | $18,465 |
| Level 4 Endovascular ProceduresAPC 5194 | 11 | $63,625 | $13,152 | $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.