Helen Keller Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Helen Keller Hospital, Sheffield, AL in 2024, from traditional Medicare claims. Back to the Helen Keller Hospital profile, with quality ratings, finances and negotiated rates.
892
Medicare inpatient discharges
In 32 published DRGs
1.34
Case mix index
IPPS FY 2027
8%
Surgical stays
64%
Stays with complications
In DRGs with a CC or MCC
826
Medicare outpatient services
In 15 service groups
Inpatient stays by major diagnostic category
Respiratory system190 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 41 | $31,307 | $7,415 | $9,831 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 39 | $27,258 | $6,327 | $8,559 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 35 | $24,132 | $4,277 | $7,577 | 0.82 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 31 | $49,453 | $9,554 | $15,528 | 1.70 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 16 | $20,927 | $5,131 | $6,571 | 0.99 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 15 | $28,413 | $6,867 | $8,922 | 1.23 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 13 | $29,932 | $5,079 | $9,399 | 0.85 |
Kidney and urinary tract168 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 | 61 | $18,200 | $4,053 | $5,715 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 37 | $29,492 | $6,140 | $9,260 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 29 | $22,495 | $4,909 | $7,063 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 21 | $37,639 | $9,267 | $11,818 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 20 | $32,253 | $8,691 | $10,127 | 1.50 |
Infectious and parasitic diseases144 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 | 94 | $42,241 | $10,987 | $13,264 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 35 | $27,360 | $5,404 | $8,591 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 15 | $71,482 | $27,096 | $22,445 | 5.00 |
Circulatory system140 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 80 | $26,915 | $6,954 | $8,451 | 1.28 |
| Hypertension without MCCMS-DRG 305, medical | 19 | $18,103 | $3,810 | $5,684 | 0.75 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 17 | $14,720 | $2,758 | $4,622 | 0.55 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 12 | $23,292 | $7,029 | $7,314 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 12 | $16,461 | $5,212 | $5,169 | 0.86 |
Digestive system82 discharges in 3 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 | 47 | $22,065 | $4,099 | $6,928 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 23 | $27,276 | $5,082 | $8,565 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 12 | $19,864 | $4,418 | $6,237 | 0.80 |
Musculoskeletal system and connective tissue70 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 | 21 | $38,222 | $11,839 | $12,002 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 17 | $36,575 | $10,928 | $11,485 | 2.11 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 16 | $30,406 | $8,676 | $9,547 | 1.59 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 16 | $17,248 | $3,746 | $5,416 | 0.79 |
Endocrine, nutritional and metabolic54 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 without MCCMS-DRG 641, medical | 38 | $18,409 | $4,162 | $5,780 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 16 | $39,938 | $7,151 | $12,541 | 1.32 |
Blood and immune system16 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 | 16 | $22,669 | $4,620 | $7,118 | 0.90 |
Skin, subcutaneous tissue and breast15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 15 | $23,363 | $4,510 | $7,336 | 0.88 |
Nervous system13 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 | 13 | $25,888 | $5,126 | $8,129 | 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 | 154 | 147 | $12,811 | $1,751 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 136 | 79 | $5,336 | $1,454 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 91 | 88 | $25,913 | $8,936 | $10,772 |
| Level 5 Urology and Related ServicesAPC 5375 | 71 | 70 | $8,975 | $3,187 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 67 | 59 | $6,747 | $1,224 | $1,445 |
| Level 3 Urology and Related ServicesAPC 5373 | 63 | 61 | $7,929 | $1,297 | $1,516 |
| Level 4 Urology and Related ServicesAPC 5374 | 63 | 53 | $7,999 | $2,144 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 42 | 41 | $30,652 | $3,407 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 28 | 23 | $3,946 | $938 | $1,220 |
| Level 2 Vascular ProceduresAPC 5182 | 24 | 23 | $5,336 | $994 | $1,204 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 20 | 20 | $5,807 | $1,049 | $1,196 |
| Level 6 Urology and Related ServicesAPC 5376 | 20 | 20 | $25,677 | $6,012 | $7,291 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 17 | 17 | $15,410 | $4,394 | $5,339 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 16 | 16 | $15,857 | $2,117 | $2,636 |
| Level 3 Vascular ProceduresAPC 5183 | 14 | 14 | $6,208 | $2,080 | $2,405 |
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.