Regional Medical Center Anniston Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Regional Medical Center Anniston, Anniston, AL in 2024, from traditional Medicare claims. Back to the Regional Medical Center Anniston profile, with quality ratings, finances and negotiated rates.
1,633
Medicare inpatient discharges
In 53 published DRGs
1.74
Case mix index
IPPS FY 2027
17%
Surgical stays
67%
Stays with complications
In DRGs with a CC or MCC
1,824
Medicare outpatient services
In 25 service groups
Inpatient stays by major diagnostic category
Circulatory system439 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 | 88 | $43,942 | $8,286 | $7,075 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 60 | $60,342 | $9,715 | $9,715 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 42 | $118,520 | $10,974 | $19,082 | 1.82 |
| Syncope and collapseMS-DRG 312, medical | 37 | $31,184 | $5,374 | $5,021 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 31 | $30,312 | $4,737 | $4,880 | 0.74 |
| Chest painMS-DRG 313, medical | 29 | $28,532 | $4,529 | $4,594 | 0.72 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 28 | $41,174 | $7,933 | $6,629 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 27 | $136,207 | $17,986 | $21,929 | 2.87 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 24 | $43,000 | $5,704 | $6,923 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 20 | $56,825 | $5,717 | $9,149 | 1.08 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 15 | $63,597 | $13,924 | $10,239 | 2.16 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 14 | $30,445 | $6,859 | $4,902 | 1.07 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 12 | $134,860 | $30,477 | $21,712 | 5.06 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 12 | $20,521 | $2,584 | $3,304 | 0.55 |
Infectious and parasitic diseases271 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 | 190 | $82,003 | $12,491 | $13,203 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 34 | $142,805 | $30,235 | $22,992 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 31 | $38,331 | $6,513 | $6,171 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 16 | $198,785 | $43,268 | $32,004 | 6.96 |
Respiratory system257 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 58 | $57,039 | $7,249 | $9,183 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 51 | $50,434 | $10,215 | $8,120 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 44 | $44,543 | $8,170 | $7,171 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 28 | $38,971 | $6,869 | $6,274 | 1.10 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 19 | $72,500 | $11,466 | $11,672 | 1.74 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 17 | $36,138 | $5,849 | $5,818 | 0.96 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $29,563 | $4,679 | $4,760 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 13 | $25,412 | $5,601 | $4,091 | 0.99 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 12 | $212,444 | $44,531 | $34,204 | 6.91 |
Kidney and urinary tract161 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 | 52 | $32,451 | $5,111 | $5,225 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 39 | $37,972 | $7,287 | $6,113 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 28 | $74,724 | $9,800 | $12,031 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 26 | $40,281 | $5,484 | $6,485 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 16 | $116,819 | $13,028 | $18,808 | 1.65 |
Musculoskeletal system and connective tissue156 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 71 | $122,348 | $11,789 | $19,698 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 31 | $81,018 | $13,142 | $13,044 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 25 | $126,972 | $13,569 | $20,442 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 17 | $127,584 | $18,892 | $20,541 | 2.95 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 12 | $25,709 | $4,697 | $4,139 | 0.79 |
Digestive system154 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 43 | $58,162 | $5,697 | $9,364 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 38 | $70,117 | $11,596 | $11,289 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 35 | $37,883 | $4,488 | $6,099 | 0.79 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $76,064 | $9,295 | $12,246 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 12 | $194,088 | $29,239 | $31,248 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 12 | $44,832 | $6,242 | $7,218 | 0.94 |
Endocrine, nutritional and metabolic62 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 with MCCMS-DRG 640, medical | 27 | $34,497 | $8,338 | $5,554 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 21 | $26,397 | $4,561 | $4,250 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $47,732 | $8,578 | $7,685 | 1.45 |
Nervous system57 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 18 | $76,211 | $12,872 | $12,270 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 16 | $40,181 | $5,444 | $6,469 | 1.02 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 12 | $49,887 | $6,956 | $8,032 | 1.06 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 11 | $57,801 | $11,602 | $9,306 | 1.79 |
Alcohol and drug use43 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence with rehabilitation therapyMS-DRG 895, medical | 43 | $20,140 | $9,771 | $3,243 | 1.61 |
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 | $30,504 | $5,898 | $4,911 | 0.88 |
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 | $36,933 | $5,390 | $5,946 | 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 Upper GI ProceduresAPC 5302 | 577 | 504 | $15,186 | $1,327 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 211 | 209 | $25,424 | $2,093 | $2,208 |
| Level 2 Urology and Related ServicesAPC 5372 | 153 | 128 | $1,376 | $495 | $502 |
| Level 3 Endovascular ProceduresAPC 5193 | 96 | 91 | $76,951 | $7,953 | $8,874 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 86 | 83 | $15,243 | $1,162 | $1,220 |
| Level 1 Intraocular ProceduresAPC 5491 | 82 | 50 | $19,427 | $1,631 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 71 | 71 | $21,980 | $1,823 | $2,090 |
| Level 4 Urology and Related ServicesAPC 5374 | 69 | 63 | $40,099 | $2,424 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 59 | 53 | $15,324 | $2,254 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 55 | 44 | $15,863 | $1,346 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 38 | 38 | $53,928 | $4,923 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 38 | 36 | $38,787 | $3,660 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 35 | 35 | $39,481 | $2,217 | $2,373 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 32 | 32 | $47,651 | $7,844 | $8,569 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 32 | 32 | $42,100 | $3,924 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 25 | 22 | $103,839 | $10,351 | $10,772 |
| Level 3 Airway EndoscopyAPC 5153 | 25 | 21 | $11,080 | $1,233 | $1,264 |
| Level 3 Intraocular ProceduresAPC 5493 | 23 | 15 | $23,595 | $3,647 | $4,004 |
| Level 4 Endovascular ProceduresAPC 5194 | 22 | 20 | $89,952 | $13,021 | $14,606 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 19 | 19 | $17,716 | $1,100 | $1,196 |
| Level 5 Gynecologic ProceduresAPC 5415 | 18 | 18 | $34,229 | $3,445 | $3,792 |
| Level 3 Upper GI ProceduresAPC 5303 | 17 | 16 | $18,358 | $2,618 | $2,888 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 15 | 15 | $36,129 | $6,171 | $6,514 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 14 | 14 | $40,118 | $2,064 | $2,141 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 12 | 12 | $62,317 | $5,926 | $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.