East Alabama Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for East Alabama Medical Center, Opelika, AL in 2024, from traditional Medicare claims. Back to the East Alabama Medical Center profile, with quality ratings, finances and negotiated rates.
1,620
Medicare inpatient discharges
In 59 published DRGs
1.69
Case mix index
IPPS FY 2027
26%
Surgical stays
62%
Stays with complications
In DRGs with a CC or MCC
2,224
Medicare outpatient services
In 34 service groups
Inpatient stays by major diagnostic category
Circulatory system367 discharges in 17 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 129 | $30,218 | $7,943 | $10,848 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 27 | $18,019 | $4,038 | $6,469 | 0.74 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 22 | $12,531 | $2,671 | $4,499 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 20 | $41,841 | $14,811 | $15,021 | 2.16 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 20 | $35,702 | $7,536 | $12,817 | 1.20 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 15 | $47,731 | $23,388 | $17,135 | 3.35 |
| Syncope and collapseMS-DRG 312, medical | 15 | $16,201 | $5,041 | $5,816 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 15 | $46,347 | $10,799 | $16,639 | 1.82 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 14 | $80,431 | $16,453 | $28,875 | 4.04 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 12 | $45,554 | $14,799 | $16,354 | 2.28 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 12 | $32,992 | $12,692 | $11,844 | 2.09 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 11 | $94,032 | $30,717 | $33,758 | 5.20 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 11 | $102,113 | $36,670 | $36,658 | 5.06 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 11 | $44,062 | $12,928 | $15,818 | 1.59 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 11 | $24,587 | $4,779 | $8,827 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 11 | $25,866 | $6,097 | $9,286 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 11 | $73,293 | $19,235 | $26,312 | 2.87 |
Musculoskeletal system and connective tissue260 discharges in 6 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 | 160 | $30,586 | $10,583 | $10,980 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 35 | $40,633 | $13,161 | $14,587 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 26 | $39,502 | $12,981 | $14,181 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 15 | $28,303 | $6,728 | $10,161 | 0.97 |
| Bilateral or multiple major joint procedures of lower extremity without MCCMS-DRG 462, surgical | 12 | $43,360 | $17,198 | $15,566 | 2.85 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 12 | $26,768 | $9,886 | $9,610 | 1.59 |
Respiratory system245 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 52 | $43,272 | $10,143 | $15,534 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 49 | $39,094 | $7,852 | $14,035 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 39 | $27,719 | $6,620 | $9,951 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 34 | $35,163 | $8,124 | $12,623 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $27,533 | $4,722 | $9,884 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 20 | $22,258 | $5,352 | $7,991 | 0.85 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 17 | $72,306 | $14,251 | $25,958 | 2.70 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 12 | $32,392 | $5,627 | $11,629 | 0.99 |
Infectious and parasitic diseases211 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 | 132 | $46,368 | $11,991 | $16,646 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 37 | $34,158 | $6,054 | $12,263 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 27 | $159,497 | $49,359 | $57,259 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 15 | $58,658 | $13,900 | $21,058 | 2.04 |
Digestive system151 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 46 | $26,379 | $5,891 | $9,470 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 33 | $18,135 | $4,175 | $6,510 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 21 | $16,483 | $5,045 | $5,917 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 16 | $23,374 | $5,784 | $8,391 | 0.94 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 13 | $53,579 | $15,486 | $19,235 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 11 | $34,310 | $11,099 | $12,317 | 1.79 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 11 | $40,511 | $11,132 | $14,543 | 1.45 |
Kidney and urinary tract149 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 | 46 | $18,351 | $4,518 | $6,588 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 40 | $23,694 | $5,134 | $8,506 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 28 | $25,693 | $7,289 | $9,224 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 22 | $42,625 | $9,087 | $15,302 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 13 | $19,042 | $5,596 | $6,836 | 1.02 |
Endocrine, nutritional and metabolic76 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 without MCCMS-DRG 641, medical | 31 | $24,561 | $5,952 | $8,818 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 18 | $22,147 | $6,670 | $7,951 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 16 | $17,838 | $4,785 | $6,404 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 11 | $29,587 | $8,103 | $10,622 | 1.45 |
Nervous system75 discharges in 4 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 | 30 | $19,054 | $5,993 | $6,840 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 16 | $45,278 | $13,839 | $16,255 | 2.00 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 15 | $22,685 | $9,870 | $8,144 | 1.81 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 14 | $17,428 | $4,407 | $6,257 | 1.14 |
Mental diseases and disorders31 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 31 | $19,536 | $7,829 | $7,013 | 1.37 |
Blood and immune system29 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 | 29 | $24,343 | $5,924 | $8,739 | 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 | $25,382 | $5,889 | $9,112 | 0.88 |
Liver, gallbladder and pancreas12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 12 | $25,972 | $5,732 | $9,324 | 0.95 |
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 Endovascular ProceduresAPC 5191 | 243 | 242 | $7,280 | $2,055 | $2,208 |
| Level 1 Intraocular ProceduresAPC 5491 | 212 | 129 | $3,628 | $1,642 | $1,752 |
| Level 3 Endovascular ProceduresAPC 5193 | 152 | 147 | $29,033 | $7,992 | $8,874 |
| Comprehensive Observation ServicesAPC 8011 | 141 | 137 | $8,176 | $1,930 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 140 | 133 | $5,232 | $772 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 125 | 121 | $13,428 | $3,970 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 124 | 113 | $6,345 | $1,423 | $1,516 |
| Level 5 Urology and Related ServicesAPC 5375 | 112 | 103 | $10,529 | $3,550 | $3,918 |
| Level 2 Endovascular ProceduresAPC 5192 | 99 | 87 | $13,433 | $4,027 | $4,338 |
| Level 4 Urology and Related ServicesAPC 5374 | 96 | 80 | $8,418 | $2,432 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 87 | 84 | $9,755 | $2,205 | $2,405 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 77 | 77 | $21,786 | $7,703 | $8,569 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 66 | 66 | $12,060 | $4,963 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 48 | 46 | $8,698 | $2,278 | $2,373 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 45 | 45 | $24,862 | $9,331 | $10,772 |
| Level 1 Nerve ProceduresAPC 5431 | 44 | 41 | $5,393 | $1,327 | $1,407 |
| Level 4 Vascular ProceduresAPC 5184 | 41 | 35 | $11,476 | $3,596 | $3,946 |
| Level 3 Airway EndoscopyAPC 5153 | 37 | 34 | $4,245 | $1,196 | $1,264 |
| Level 6 Urology and Related ServicesAPC 5376 | 34 | 33 | $12,954 | $6,327 | $7,291 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 27 | 26 | $10,293 | $1,913 | $2,141 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 27 | 27 | $5,191 | $4,821 | $4,524 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 26 | 25 | $23,300 | $7,471 | $8,164 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 22 | 22 | $10,090 | $2,687 | $2,930 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 22 | 22 | $22,212 | $13,596 | $15,763 |
| Level 2 Upper GI ProceduresAPC 5302 | 22 | 21 | $4,666 | $1,345 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 22 | 22 | $8,785 | $2,439 | $2,636 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 21 | 19 | $22,384 | $17,677 | $18,465 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 19 | 19 | $15,616 | $4,597 | $4,982 |
| Level 4 Endovascular ProceduresAPC 5194 | 17 | 17 | $40,665 | $12,284 | $14,606 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 17 | 17 | $18,876 | $5,989 | $6,514 |
| Level 4 Gynecologic ProceduresAPC 5414 | 17 | 17 | $9,349 | $2,204 | $2,389 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 16 | 16 | $5,809 | $1,133 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 13 | 12 | $4,784 | $1,129 | $1,204 |
| Level 2 Intraocular ProceduresAPC 5492 | 13 | $12,889 | $2,866 | $3,116 |
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.