Providence Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Providence Hospital, Mobile, AL in 2024, from traditional Medicare claims. Back to the Providence Hospital profile, with quality ratings, finances and negotiated rates.
1,358
Medicare inpatient discharges
In 52 published DRGs
1.89
Case mix index
IPPS FY 2027
24%
Surgical stays
64%
Stays with complications
In DRGs with a CC or MCC
1,598
Medicare outpatient services
In 29 service groups
Inpatient stays by major diagnostic category
Circulatory system449 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 123 | $31,923 | $7,387 | $9,258 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 47 | $100,883 | $18,908 | $29,256 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 38 | $26,494 | $5,106 | $7,683 | 0.86 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 30 | $15,212 | $3,204 | $4,412 | 0.55 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 29 | $63,676 | $10,407 | $18,466 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 28 | $36,404 | $7,349 | $10,557 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 28 | $19,328 | $4,123 | $5,605 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 25 | $64,879 | $9,503 | $18,815 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 21 | $66,183 | $13,897 | $19,193 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 16 | $31,724 | $5,640 | $9,200 | 1.08 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 14 | $67,110 | $13,924 | $19,462 | 2.28 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 14 | $151,168 | $29,643 | $43,839 | 4.88 |
| Chest painMS-DRG 313, medical | 13 | $14,629 | $4,286 | $4,242 | 0.72 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 12 | $66,251 | $17,955 | $19,213 | 2.87 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 11 | $155,812 | $33,883 | $45,186 | 6.25 |
Respiratory system214 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 | 85 | $39,398 | $7,825 | $11,426 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 41 | $52,223 | $9,855 | $15,145 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 30 | $41,507 | $7,406 | $12,037 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 23 | $26,035 | $4,673 | $7,550 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 22 | $36,357 | $6,181 | $10,544 | 1.10 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 13 | $82,622 | $15,327 | $23,961 | 2.70 |
Musculoskeletal system and connective tissue183 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 25 | $68,551 | $24,543 | $19,880 | 4.61 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 24 | $41,011 | $21,096 | $11,893 | 3.66 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 23 | $41,292 | $12,341 | $11,975 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 23 | $23,134 | $5,418 | $6,709 | 0.97 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 22 | $31,339 | $15,495 | $9,088 | 2.96 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 21 | $35,638 | $11,106 | $10,335 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 16 | $47,752 | $12,770 | $13,848 | 2.07 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 15 | $68,782 | $15,518 | $19,947 | 2.95 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 14 | $66,037 | $37,057 | $19,151 | 6.12 |
Kidney and urinary tract162 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 50 | $21,291 | $4,867 | $6,174 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 32 | $40,930 | $6,852 | $11,870 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 31 | $47,076 | $8,493 | $13,652 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 25 | $24,275 | $5,217 | $7,040 | 0.90 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 12 | $33,943 | $7,915 | $9,843 | 1.35 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 12 | $41,090 | $10,280 | $11,916 | 1.65 |
Digestive system117 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 | 39 | $21,803 | $4,515 | $6,323 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 21 | $30,430 | $5,521 | $8,825 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 19 | $50,165 | $11,390 | $14,548 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 16 | $30,662 | $7,402 | $8,892 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 11 | $133,979 | $29,742 | $38,854 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 11 | $18,831 | $5,087 | $5,461 | 0.80 |
Infectious and parasitic diseases91 discharges in 2 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 | 73 | $54,540 | $11,060 | $15,817 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 18 | $116,075 | $31,416 | $33,662 | 5.00 |
Endocrine, nutritional and metabolic69 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 | 30 | $19,970 | $4,427 | $5,791 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 21 | $26,581 | $5,468 | $7,708 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 18 | $26,213 | $8,135 | $7,602 | 1.32 |
Nervous system29 discharges in 2 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 | 17 | $34,516 | $5,222 | $10,010 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 12 | $66,720 | $11,244 | $19,349 | 2.00 |
Blood and immune system26 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 15 | $23,120 | $5,196 | $6,705 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 11 | $31,374 | $8,415 | $9,098 | 1.40 |
Skin, subcutaneous tissue and breast18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 18 | $17,824 | $5,397 | $5,169 | 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 1 Intraocular ProceduresAPC 5491 | 242 | 143 | $4,981 | $1,534 | $1,752 |
| Level 1 Endovascular ProceduresAPC 5191 | 200 | 200 | $19,196 | $1,903 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 88 | 77 | $4,793 | $1,218 | $1,445 |
| Comprehensive Observation ServicesAPC 8011 | 81 | 79 | $13,784 | $1,750 | $2,090 |
| Level 3 Endovascular ProceduresAPC 5193 | 80 | 76 | $42,433 | $7,392 | $8,874 |
| Level 4 Urology and Related ServicesAPC 5374 | 80 | 65 | $8,859 | $2,262 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 79 | 76 | $10,749 | $3,288 | $3,918 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 77 | 73 | $26,635 | $8,908 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 71 | 63 | $5,244 | $1,069 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 68 | 67 | $23,659 | $3,663 | $4,358 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 67 | 67 | $43,319 | $7,111 | $8,569 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 61 | 61 | $109,657 | $18,013 | $21,117 |
| Level 3 Urology and Related ServicesAPC 5373 | 46 | 45 | $6,884 | $1,255 | $1,516 |
| Level 4 Endovascular ProceduresAPC 5194 | 37 | 33 | $47,933 | $11,677 | $14,606 |
| Level 3 Vascular ProceduresAPC 5183 | 36 | 36 | $8,026 | $2,106 | $2,405 |
| Level 2 Intraocular ProceduresAPC 5492 | 32 | 31 | $6,456 | $2,602 | $3,116 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 30 | 30 | $15,826 | $4,569 | $5,339 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 30 | 30 | $36,560 | $13,660 | $15,763 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 29 | 27 | $4,692 | $1,529 | $1,780 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 25 | 22 | $6,594 | $2,518 | $2,930 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 22 | 22 | $132,781 | $25,549 | $29,375 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 19 | 19 | $27,389 | $5,610 | $6,514 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 17 | 17 | $12,738 | $4,308 | $4,982 |
| Level 2 Endovascular ProceduresAPC 5192 | 15 | 15 | $24,608 | $3,596 | $4,338 |
| Level 3 Airway EndoscopyAPC 5153 | 14 | 14 | $5,815 | $1,121 | $1,264 |
| Level 2 Vascular ProceduresAPC 5182 | 14 | 14 | $3,120 | $978 | $1,204 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 14 | 14 | $15,888 | $2,286 | $2,636 |
| Level 4 Vascular ProceduresAPC 5184 | 13 | 12 | $13,830 | $3,630 | $3,946 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 11 | 11 | $31,781 | $5,646 | $8,164 |
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.