North Alabama Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for North Alabama Medical Center, Florence, AL in 2024, from traditional Medicare claims. Back to the North Alabama Medical Center profile, with quality ratings, finances and negotiated rates.
2,470
Medicare inpatient discharges
In 71 published DRGs
1.78
Case mix index
IPPS FY 2027
16%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
1,640
Medicare outpatient services
In 27 service groups
Inpatient stays by major diagnostic category
Circulatory system709 discharges in 22 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 151 | $42,868 | $7,809 | $6,130 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 64 | $24,851 | $4,084 | $3,554 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 49 | $27,068 | $4,966 | $3,871 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 49 | $106,879 | $10,342 | $15,284 | 1.82 |
| Chest painMS-DRG 313, medical | 45 | $25,790 | $3,856 | $3,688 | 0.72 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 44 | $51,327 | $6,002 | $7,340 | 1.08 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 37 | $54,803 | $9,573 | $7,837 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 36 | $132,039 | $16,443 | $18,882 | 2.87 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 28 | $46,890 | $6,689 | $6,705 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 26 | $23,712 | $2,539 | $3,391 | 0.55 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 23 | $34,145 | $5,207 | $4,883 | 0.91 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 19 | $124,553 | $22,016 | $17,811 | 3.35 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 18 | $69,104 | $12,937 | $9,882 | 2.09 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 16 | $36,358 | $5,371 | $5,199 | 0.97 |
| Other vascular procedures with CCMS-DRG 253, surgical | 15 | $112,732 | $16,234 | $16,121 | 2.55 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 14 | $104,342 | $12,169 | $14,921 | 2.28 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 14 | $216,424 | $26,356 | $30,949 | 4.16 |
| Atherosclerosis without MCCMS-DRG 303, medical | 13 | $22,100 | $3,297 | $3,160 | 0.66 |
| Hypertension without MCCMS-DRG 305, medical | 13 | $26,122 | $4,151 | $3,735 | 0.75 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 12 | $368,534 | $52,506 | $52,700 | 7.80 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 12 | $94,172 | $12,934 | $13,467 | 2.16 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 11 | $228,628 | $33,836 | $32,694 | 5.20 |
Respiratory system402 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 118 | $67,200 | $10,007 | $9,610 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 95 | $47,654 | $7,821 | $6,815 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 55 | $54,015 | $7,359 | $7,724 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 46 | $39,416 | $6,828 | $5,637 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 25 | $36,254 | $4,690 | $5,184 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 21 | $34,902 | $5,314 | $4,991 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 16 | $55,447 | $7,747 | $7,929 | 1.40 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 14 | $39,710 | $5,034 | $5,678 | 0.85 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 12 | $89,666 | $17,565 | $12,822 | 2.70 |
Infectious and parasitic diseases397 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 | 281 | $75,374 | $12,089 | $10,778 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 55 | $38,558 | $5,797 | $5,514 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 44 | $162,079 | $28,755 | $23,177 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 17 | $245,170 | $44,530 | $35,059 | 6.96 |
Nervous system252 discharges in 10 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 | 50 | $41,546 | $5,139 | $5,941 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 43 | $78,473 | $11,937 | $11,222 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 40 | $32,583 | $4,116 | $4,659 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 24 | $73,335 | $11,710 | $10,487 | 1.98 |
| Seizures without MCCMS-DRG 101, medical | 21 | $23,326 | $5,416 | $3,336 | 0.91 |
| Extracranial procedures with CCMS-DRG 038, surgical | 17 | $91,593 | $9,131 | $13,098 | 1.60 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 16 | $42,498 | $9,091 | $6,077 | 1.79 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 16 | $36,292 | $5,912 | $5,190 | 1.03 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 14 | $44,203 | $7,063 | $6,321 | 1.32 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 11 | $74,594 | $5,618 | $10,667 | 1.14 |
Digestive system236 discharges in 9 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 | 74 | $34,240 | $4,263 | $4,896 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 47 | $39,729 | $5,526 | $5,681 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 26 | $63,230 | $11,329 | $9,042 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 22 | $25,512 | $3,907 | $3,648 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 16 | $46,891 | $7,971 | $6,705 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 15 | $31,050 | $5,408 | $4,440 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 13 | $68,271 | $9,889 | $9,763 | 1.62 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 12 | $101,703 | $13,991 | $14,543 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 11 | $215,942 | $23,419 | $30,880 | 4.52 |
Kidney and urinary tract210 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 54 | $32,384 | $4,932 | $4,631 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 54 | $38,757 | $6,716 | $5,542 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 46 | $30,049 | $4,265 | $4,297 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 31 | $49,356 | $9,069 | $7,058 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 25 | $56,530 | $9,347 | $8,084 | 1.65 |
Musculoskeletal system and connective tissue113 discharges in 5 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 | 32 | $64,985 | $12,329 | $9,293 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 27 | $60,850 | $12,373 | $8,702 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 22 | $28,632 | $5,493 | $4,094 | 0.97 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 19 | $75,607 | $11,291 | $10,812 | 1.88 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 13 | $94,798 | $17,579 | $13,556 | 2.95 |
Endocrine, nutritional and metabolic90 discharges in 3 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 | $25,014 | $4,345 | $3,577 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 37 | $44,614 | $7,403 | $6,380 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 15 | $36,911 | $8,288 | $5,278 | 1.45 |
Skin, subcutaneous tissue and breast17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 17 | $28,553 | $4,898 | $4,083 | 0.88 |
Factors influencing health status16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 16 | $13,823 | $3,342 | $1,977 | 0.59 |
Other15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 15 | $163,443 | $26,683 | $23,372 | 4.74 |
Liver, gallbladder and pancreas13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 13 | $61,964 | $9,887 | $8,861 | 1.63 |
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 | 224 | 218 | $15,546 | $1,726 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 178 | 176 | $28,248 | $1,871 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 151 | 141 | $12,534 | $996 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 148 | 138 | $12,120 | $1,213 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 140 | 136 | $56,626 | $9,031 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 104 | 103 | $27,257 | $3,653 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 83 | 69 | $21,875 | $1,737 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 69 | 64 | $16,638 | $1,260 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 57 | 57 | $32,807 | $4,516 | $5,339 |
| Level 3 Endovascular ProceduresAPC 5193 | 55 | 53 | $77,317 | $7,373 | $8,874 |
| Level 4 Urology and Related ServicesAPC 5374 | 54 | 48 | $23,338 | $2,244 | $2,629 |
| Level 4 Endovascular ProceduresAPC 5194 | 37 | 26 | $93,708 | $9,270 | $14,606 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 34 | 34 | $98,357 | $17,252 | $21,117 |
| Level 5 Urology and Related ServicesAPC 5375 | 34 | 33 | $21,151 | $3,178 | $3,918 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 32 | 32 | $64,884 | $7,107 | $8,569 |
| Level 4 Vascular ProceduresAPC 5184 | 30 | 24 | $39,214 | $3,184 | $3,946 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 28 | 24 | $16,376 | $1,803 | $2,373 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 24 | 24 | $40,396 | $6,798 | $8,164 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 23 | 18 | $29,751 | $2,433 | $2,930 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 23 | 23 | $26,600 | $2,059 | $2,636 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 21 | 21 | $63,533 | $12,955 | $15,763 |
| Level 4 Airway EndoscopyAPC 5154 | 21 | 21 | $36,020 | $2,444 | $2,833 |
| Level 2 Vascular ProceduresAPC 5182 | 18 | 16 | $10,930 | $808 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 18 | 18 | $55,117 | $3,730 | $4,338 |
| Level 1 Nerve ProceduresAPC 5431 | 12 | 11 | $14,777 | $1,256 | $1,407 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 11 | 11 | $37,008 | $5,544 | $6,514 |
| Level 5 Gynecologic ProceduresAPC 5415 | 11 | 11 | $20,619 | $2,947 | $3,792 |
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.