Jackson Hospital And Clinic Inc Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Jackson Hospital And Clinic Inc, Montgomery, AL in 2024, from traditional Medicare claims. Back to the Jackson Hospital And Clinic Inc profile, with quality ratings, finances and negotiated rates.
1,248
Medicare inpatient discharges
In 51 published DRGs
1.59
Case mix index
IPPS FY 2027
12%
Surgical stays
66%
Stays with complications
In DRGs with a CC or MCC
1,899
Medicare outpatient services
In 22 service groups
Inpatient stays by major diagnostic category
Circulatory system351 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 114 | $34,888 | $6,874 | $8,652 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 30 | $20,622 | $3,532 | $5,114 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 29 | $95,543 | $9,206 | $23,695 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 22 | $36,219 | $8,304 | $8,982 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 21 | $39,484 | $6,991 | $9,792 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 21 | $20,896 | $3,983 | $5,182 | 0.86 |
| Chest painMS-DRG 313, medical | 19 | $15,668 | $3,927 | $3,886 | 0.72 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 18 | $45,144 | $5,665 | $11,196 | 1.08 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 16 | $13,318 | $2,493 | $3,303 | 0.55 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 13 | $106,915 | $18,690 | $26,515 | 3.35 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 13 | $67,120 | $12,185 | $16,646 | 2.16 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 12 | $129,924 | $21,390 | $32,221 | 3.46 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 12 | $105,150 | $13,007 | $26,077 | 2.87 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 11 | $36,148 | $11,047 | $8,965 | 2.09 |
Infectious and parasitic diseases193 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 | 123 | $63,846 | $12,048 | $15,834 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 26 | $113,530 | $25,690 | $28,155 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 26 | $31,962 | $5,085 | $7,926 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 18 | $179,079 | $34,586 | $44,412 | 6.96 |
Digestive system169 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 43 | $33,212 | $5,092 | $8,237 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 43 | $24,400 | $4,117 | $6,051 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 17 | $40,928 | $6,581 | $10,150 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 16 | $42,037 | $9,854 | $10,425 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $31,191 | $4,553 | $7,735 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 12 | $20,565 | $4,611 | $5,100 | 0.94 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 11 | $84,047 | $13,839 | $20,844 | 2.37 |
| Gastrointestinal hemorrhage without cc/mccMS-DRG 379, medical | 11 | $17,896 | $3,047 | $4,438 | 0.63 |
Respiratory system160 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 50 | $36,483 | $7,311 | $9,048 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 33 | $28,904 | $4,233 | $7,168 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 25 | $35,644 | $7,622 | $8,840 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 23 | $50,734 | $9,700 | $12,582 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 18 | $36,649 | $5,823 | $9,089 | 1.10 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 11 | $156,490 | $41,217 | $38,810 | 6.91 |
Kidney and urinary tract130 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 | 31 | $26,880 | $4,400 | $6,666 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 29 | $55,517 | $9,767 | $13,768 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 27 | $27,035 | $6,585 | $6,705 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 25 | $30,895 | $4,719 | $7,662 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 18 | $42,162 | $7,774 | $10,456 | 1.50 |
Endocrine, nutritional and metabolic73 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 | 24 | $38,517 | $7,236 | $9,552 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 24 | $22,729 | $4,040 | $5,637 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 13 | $23,069 | $3,954 | $5,721 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $36,112 | $8,612 | $8,956 | 1.45 |
Musculoskeletal system and connective tissue69 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 | $60,010 | $12,309 | $14,883 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 18 | $63,282 | $12,534 | $15,694 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 18 | $21,590 | $5,158 | $5,354 | 0.97 |
| Cervical spinal fusion without cc/mccMS-DRG 473, surgical | 12 | $61,486 | $14,528 | $15,249 | 2.46 |
Nervous system49 discharges in 3 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 | 23 | $24,140 | $5,133 | $5,987 | 1.02 |
| Seizures without MCCMS-DRG 101, medical | 14 | $25,079 | $4,867 | $6,220 | 0.91 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 12 | $20,504 | $3,990 | $5,085 | 0.80 |
Skin, subcutaneous tissue and breast23 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 23 | $24,494 | $4,787 | $6,074 | 0.88 |
Factors influencing health status16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 16 | $22,515 | $3,814 | $5,584 | 0.80 |
Blood and immune system15 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 | 15 | $26,353 | $4,958 | $6,536 | 0.90 |
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 2 Urology and Related ServicesAPC 5372 | 674 | 398 | $1,336 | $401 | $502 |
| Level 3 Urology and Related ServicesAPC 5373 | 222 | 198 | $6,256 | $1,244 | $1,516 |
| Comprehensive Observation ServicesAPC 8011 | 128 | 123 | $14,086 | $1,635 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 91 | 79 | $7,856 | $1,186 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 86 | 86 | $20,700 | $1,897 | $2,208 |
| Level 5 Urology and Related ServicesAPC 5375 | 86 | 79 | $18,266 | $3,304 | $3,918 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 83 | 80 | $48,438 | $8,747 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 82 | 72 | $17,156 | $2,248 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 78 | 74 | $25,724 | $4,429 | $5,339 |
| Level 3 Endovascular ProceduresAPC 5193 | 59 | 53 | $64,331 | $7,480 | $8,874 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 53 | 50 | $8,880 | $1,071 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 43 | 43 | $22,436 | $3,811 | $4,358 |
| Level 2 Vascular ProceduresAPC 5182 | 42 | 39 | $13,092 | $1,034 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 29 | 29 | $34,819 | $3,766 | $4,338 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 24 | 24 | $45,435 | $7,208 | $8,569 |
| Level 4 Vascular ProceduresAPC 5184 | 23 | 20 | $25,851 | $3,342 | $3,946 |
| Level 3 Vascular ProceduresAPC 5183 | 21 | 20 | $21,762 | $1,917 | $2,405 |
| Level 6 Gynecologic ProceduresAPC 5416 | 18 | 18 | $16,469 | $4,992 | $5,836 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 17 | 17 | $22,765 | $2,285 | $2,636 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 17 | 17 | $27,444 | $6,900 | $8,164 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 12 | 12 | $20,348 | $1,960 | $2,373 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 11 | 11 | $84,178 | $24,041 | $26,719 |
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.