Riverview Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Riverview Regional Medical Center, Gadsden, AL in 2024, from traditional Medicare claims. Back to the Riverview Regional Medical Center profile, with quality ratings, finances and negotiated rates.
1,336
Medicare inpatient discharges
In 44 published DRGs
1.70
Case mix index
IPPS FY 2027
8%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
504
Medicare outpatient services
In 10 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases362 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 | 272 | $96,711 | $10,702 | $12,089 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 33 | $278,271 | $31,565 | $34,784 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 29 | $294,278 | $41,968 | $36,785 | 6.96 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 28 | $45,254 | $5,127 | $5,657 | 1.03 |
Circulatory system295 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 105 | $60,241 | $7,141 | $7,530 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 28 | $30,157 | $3,426 | $3,770 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 19 | $80,817 | $8,568 | $10,102 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 17 | $47,884 | $6,316 | $5,986 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 16 | $27,667 | $2,942 | $3,458 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 16 | $148,472 | $15,875 | $18,559 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 15 | $98,889 | $12,330 | $12,361 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 15 | $49,113 | $5,489 | $6,139 | 1.08 |
| Hypertension without MCCMS-DRG 305, medical | 15 | $30,139 | $3,697 | $3,767 | 0.75 |
| Chest painMS-DRG 313, medical | 14 | $27,790 | $3,411 | $3,474 | 0.72 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 13 | $123,595 | $9,277 | $15,449 | 1.82 |
| Atherosclerosis without MCCMS-DRG 303, medical | 11 | $25,368 | $3,071 | $3,171 | 0.66 |
| Syncope and collapseMS-DRG 312, medical | 11 | $28,866 | $4,117 | $3,608 | 0.86 |
Respiratory system181 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 58 | $53,799 | $6,481 | $6,725 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 57 | $74,418 | $8,611 | $9,302 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 44 | $56,684 | $7,120 | $7,085 | 1.33 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $55,358 | $7,109 | $6,920 | 1.40 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 11 | $32,005 | $5,067 | $4,001 | 0.96 |
Kidney and urinary tract141 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 64 | $55,627 | $8,233 | $6,953 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 36 | $38,563 | $4,454 | $4,820 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 21 | $33,360 | $6,312 | $4,170 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 20 | $35,859 | $3,916 | $4,482 | 0.81 |
Digestive system113 discharges in 5 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 | 49 | $34,184 | $3,672 | $4,273 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 25 | $85,039 | $9,480 | $10,630 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 15 | $52,221 | $5,135 | $6,528 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 12 | $57,124 | $6,526 | $7,141 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 12 | $61,983 | $9,397 | $7,748 | 1.62 |
Endocrine, nutritional and metabolic91 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 | 42 | $47,258 | $7,000 | $5,907 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 38 | $32,277 | $3,901 | $4,035 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 11 | $36,166 | $8,218 | $4,521 | 1.45 |
Nervous system68 discharges in 4 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 | $56,925 | $5,220 | $7,116 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 21 | $74,958 | $10,796 | $9,370 | 2.00 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 13 | $39,042 | $5,355 | $4,880 | 1.06 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 11 | $32,226 | $5,349 | $4,028 | 1.03 |
Musculoskeletal system and connective tissue55 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 | 19 | $117,924 | $11,033 | $14,741 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 13 | $53,242 | $4,775 | $6,655 | 0.97 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 12 | $137,178 | $10,372 | $17,147 | 1.88 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 11 | $151,671 | $15,576 | $18,959 | 2.95 |
Blood and immune system18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 18 | $47,873 | $8,055 | $5,984 | 1.40 |
Skin, subcutaneous tissue and breast12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 12 | $37,830 | $3,902 | $4,729 | 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 Endovascular ProceduresAPC 5191 | 139 | 138 | $25,311 | $1,859 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 81 | 74 | $11,623 | $1,236 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 72 | 68 | $131,592 | $8,892 | $10,772 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 51 | 51 | $49,928 | $2,057 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 46 | 42 | $81,254 | $4,726 | $5,339 |
| Level 3 Endovascular ProceduresAPC 5193 | 43 | 40 | $93,804 | $7,485 | $8,874 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 28 | 28 | $35,689 | $1,052 | $1,196 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 16 | 16 | $18,994 | $1,066 | $1,220 |
| Level 1 Nerve ProceduresAPC 5431 | 15 | 15 | $38,991 | $1,190 | $1,407 |
| Comprehensive Observation ServicesAPC 8011 | 13 | 11 | $30,171 | $877 | $2,090 |
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.