Highlands Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Highlands Medical Center, Scottsboro, AL in 2024, from traditional Medicare claims. Back to the Highlands Medical Center profile, with quality ratings, finances and negotiated rates.
198
Medicare inpatient discharges
In 10 published DRGs
1.34
Case mix index
IPPS FY 2027
7%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
293
Medicare outpatient services
In 11 service groups
Inpatient stays by major diagnostic category
Kidney and urinary tract62 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 29 | $14,224 | $5,250 | $6,287 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 21 | $17,159 | $7,844 | $7,584 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 12 | $12,799 | $6,145 | $5,657 | 0.90 |
Respiratory system53 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 22 | $26,366 | $10,439 | $11,654 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 20 | $18,252 | $8,547 | $8,067 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $18,303 | $5,512 | $8,090 | 0.82 |
Infectious and parasitic diseases35 discharges in 1 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 | 35 | $29,302 | $12,696 | $12,952 | 1.98 |
Digestive system18 discharges in 1 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 | 18 | $13,867 | $5,391 | $6,129 | 0.79 |
Circulatory system17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 17 | $20,355 | $8,714 | $8,997 | 1.28 |
Musculoskeletal system and connective tissue13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 13 | $46,849 | $14,430 | $20,707 | 2.11 |
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 | 110 | 101 | $9,610 | $1,929 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 32 | 19 | $6,275 | $1,700 | $1,752 |
| Level 1 Nerve ProceduresAPC 5431 | 27 | 22 | $7,945 | $1,402 | $1,407 |
| Level 4 Urology and Related ServicesAPC 5374 | 23 | 19 | $18,196 | $2,529 | $2,629 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 18 | 18 | $9,334 | $1,174 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 18 | 18 | $23,441 | $4,925 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 17 | 16 | $19,363 | $3,775 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 14 | 14 | $6,273 | $1,384 | $1,445 |
| Level 2 Vascular ProceduresAPC 5182 | 12 | 12 | $6,230 | $1,055 | $1,204 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 11 | 11 | $6,534 | $1,173 | $1,196 |
| Level 3 Vascular ProceduresAPC 5183 | 11 | $15,003 | $2,325 | $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.