Gadsden Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Gadsden Regional Medical Center, Gadsden, AL in 2024, from traditional Medicare claims. Back to the Gadsden Regional Medical Center profile, with quality ratings, finances and negotiated rates.
1,047
Medicare inpatient discharges
In 38 published DRGs
1.59
Case mix index
IPPS FY 2027
6%
Surgical stays
65%
Stays with complications
In DRGs with a CC or MCC
984
Medicare outpatient services
In 18 service groups
Inpatient stays by major diagnostic category
Circulatory system264 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 65 | $144,862 | $7,223 | $8,402 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 64 | $150,690 | $9,142 | $8,740 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 25 | $109,425 | $4,907 | $6,347 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 22 | $107,730 | $4,172 | $6,248 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 20 | $100,327 | $5,182 | $5,819 | 0.91 |
| Chest painMS-DRG 313, medical | 18 | $88,567 | $4,215 | $5,137 | 0.72 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 15 | $272,790 | $9,899 | $15,822 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 12 | $166,398 | $7,357 | $9,651 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 12 | $79,136 | $2,952 | $4,590 | 0.55 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 11 | $84,088 | $3,802 | $4,877 | 0.72 |
Kidney and urinary tract162 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 39 | $152,510 | $6,690 | $8,846 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 38 | $98,745 | $5,103 | $5,727 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 36 | $149,983 | $9,005 | $8,699 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 35 | $107,696 | $4,572 | $6,246 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 14 | $170,563 | $9,695 | $9,893 | 1.65 |
Infectious and parasitic diseases145 discharges in 3 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 | 109 | $208,847 | $11,498 | $12,113 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 21 | $135,244 | $5,873 | $7,844 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 15 | $449,354 | $26,460 | $26,063 | 5.00 |
Respiratory system120 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 39 | $137,014 | $7,247 | $7,947 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 35 | $213,777 | $9,625 | $12,399 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 31 | $127,582 | $6,207 | $7,400 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 15 | $123,857 | $7,829 | $7,184 | 1.23 |
Digestive system108 discharges in 6 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 | 26 | $111,503 | $4,042 | $6,467 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 25 | $143,177 | $5,629 | $8,304 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 19 | $215,519 | $9,119 | $12,500 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $114,952 | $4,359 | $6,667 | 0.80 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 11 | $69,613 | $2,967 | $4,038 | 0.56 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 11 | $136,235 | $5,123 | $7,902 | 0.94 |
Mental diseases and disorders81 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 81 | $120,215 | $7,856 | $6,972 | 1.37 |
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 | 26 | $138,118 | $5,146 | $8,011 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 24 | $180,647 | $10,634 | $10,478 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 13 | $129,348 | $5,347 | $7,502 | 0.91 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 12 | $105,193 | $4,714 | $6,101 | 0.80 |
Endocrine, nutritional and metabolic47 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 | 25 | $119,496 | $7,703 | $6,931 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 22 | $78,588 | $4,414 | $4,558 | 0.78 |
Musculoskeletal system and connective tissue33 discharges in 2 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 | 19 | $219,127 | $8,916 | $12,709 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 14 | $217,536 | $12,700 | $12,617 | 2.11 |
Skin, subcutaneous tissue and breast12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 12 | $108,259 | $5,112 | $6,279 | 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 4 Urology and Related ServicesAPC 5374 | 134 | 112 | $84,567 | $2,218 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 110 | 95 | $75,484 | $3,230 | $3,918 |
| Level 1 Endovascular ProceduresAPC 5191 | 104 | 104 | $59,203 | $1,883 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 96 | 89 | $38,422 | $1,187 | $1,445 |
| Comprehensive Observation ServicesAPC 8011 | 96 | 86 | $72,394 | $1,624 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 71 | 64 | $35,326 | $1,004 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 68 | 67 | $189,943 | $8,995 | $10,772 |
| Level 3 Urology and Related ServicesAPC 5373 | 68 | 67 | $60,663 | $1,273 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 57 | 56 | $108,712 | $3,633 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 41 | 41 | $120,942 | $4,399 | $5,339 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 24 | 24 | $58,205 | $1,869 | $2,141 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 20 | 19 | $79,044 | $2,125 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 20 | 20 | $54,032 | $2,000 | $2,405 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 18 | 18 | $215,264 | $13,789 | $15,763 |
| Level 3 Endovascular ProceduresAPC 5193 | 18 | 18 | $172,833 | $7,069 | $8,874 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 14 | 14 | $119,206 | $7,218 | $8,569 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 14 | 14 | $94,414 | $2,285 | $2,636 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 11 | $53,259 | $1,055 | $1,196 |
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.