South Baldwin Regional Medical Cente Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for South Baldwin Regional Medical Cente, Foley, AL in 2024, from traditional Medicare claims. Back to the South Baldwin Regional Medical Cente profile, with quality ratings, finances and negotiated rates.
974
Medicare inpatient discharges
In 40 published DRGs
1.57
Case mix index
IPPS FY 2027
19%
Surgical stays
67%
Stays with complications
In DRGs with a CC or MCC
1,557
Medicare outpatient services
In 29 service groups
Inpatient stays by major diagnostic category
Circulatory system280 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 77 | $75,449 | $8,389 | $6,262 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 34 | $113,286 | $9,688 | $9,403 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 22 | $198,216 | $12,346 | $16,452 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 21 | $48,448 | $4,336 | $4,021 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 21 | $69,995 | $5,449 | $5,810 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 19 | $88,511 | $8,256 | $7,346 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 19 | $37,441 | $2,884 | $3,108 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 19 | $236,977 | $19,356 | $19,669 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 17 | $110,458 | $7,179 | $9,168 | 1.08 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 16 | $93,017 | $4,783 | $7,720 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 15 | $124,009 | $12,948 | $10,293 | 2.16 |
Respiratory system159 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 | 42 | $89,279 | $8,395 | $7,410 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 38 | $106,423 | $10,376 | $8,833 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 28 | $90,829 | $8,099 | $7,539 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 22 | $91,995 | $7,134 | $7,636 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 17 | $60,082 | $4,662 | $4,987 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 12 | $135,344 | $18,520 | $11,234 | 2.70 |
Infectious and parasitic diseases127 discharges in 3 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 | 87 | $129,315 | $12,917 | $10,733 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 28 | $92,075 | $6,612 | $7,642 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 12 | $315,467 | $32,498 | $26,184 | 5.00 |
Digestive system121 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 40 | $105,016 | $6,212 | $8,716 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 30 | $62,724 | $4,742 | $5,206 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 15 | $283,179 | $16,040 | $23,504 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 13 | $69,630 | $7,993 | $5,779 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 12 | $427,826 | $28,473 | $35,510 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 11 | $44,994 | $4,182 | $3,735 | 0.80 |
Kidney and urinary tract108 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 37 | $55,506 | $4,972 | $4,607 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 33 | $73,928 | $7,424 | $6,136 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 22 | $67,519 | $5,876 | $5,604 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 16 | $100,159 | $8,847 | $8,313 | 1.50 |
Musculoskeletal system and connective tissue91 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 | 30 | $198,265 | $13,060 | $16,456 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 24 | $166,337 | $13,746 | $13,806 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 23 | $161,513 | $9,878 | $13,406 | 1.88 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 14 | $216,884 | $16,984 | $18,001 | 2.67 |
Endocrine, nutritional and metabolic33 discharges in 2 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 | 19 | $44,551 | $4,790 | $3,698 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 14 | $65,318 | $5,071 | $5,421 | 0.90 |
Nervous system14 discharges in 1 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 | 14 | $69,681 | $6,515 | $5,783 | 1.02 |
Skin, subcutaneous tissue and breast14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 14 | $54,231 | $5,564 | $4,501 | 0.88 |
Blood and immune system14 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 | 14 | $107,874 | $6,238 | $8,954 | 0.90 |
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 | $273,253 | $11,111 | $22,680 | 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 |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 173 | 167 | $132,322 | $8,916 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 164 | 158 | $31,109 | $1,790 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 113 | 113 | $46,270 | $1,936 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 110 | 106 | $28,777 | $1,040 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 101 | 96 | $107,417 | $4,545 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 89 | 72 | $68,601 | $2,205 | $2,629 |
| Level 2 Upper GI ProceduresAPC 5302 | 85 | 76 | $27,556 | $1,214 | $1,445 |
| Level 3 Urology and Related ServicesAPC 5373 | 83 | 79 | $42,560 | $1,324 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 78 | 78 | $199,508 | $3,816 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 69 | 63 | $54,936 | $3,351 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 63 | 62 | $65,063 | $2,082 | $2,373 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 41 | 38 | $240,882 | $17,589 | $21,117 |
| Level 1 Nerve ProceduresAPC 5431 | 35 | 33 | $18,054 | $1,274 | $1,407 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 33 | 32 | $53,122 | $1,828 | $2,141 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 33 | 32 | $33,665 | $1,047 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 30 | 28 | $20,251 | $951 | $1,204 |
| Level 3 Endovascular ProceduresAPC 5193 | 30 | 30 | $146,837 | $7,495 | $8,874 |
| Level 1 Intraocular ProceduresAPC 5491 | 29 | 19 | $30,716 | $1,379 | $1,752 |
| Level 3 Vascular ProceduresAPC 5183 | 27 | 27 | $42,632 | $2,027 | $2,405 |
| Level 4 Endovascular ProceduresAPC 5194 | 26 | 21 | $155,183 | $10,416 | $14,606 |
| Level 3 Airway EndoscopyAPC 5153 | 24 | 24 | $29,117 | $1,122 | $1,264 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 22 | 22 | $214,447 | $13,807 | $15,763 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 17 | 17 | $139,276 | $7,226 | $8,569 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 17 | 17 | $96,830 | $2,153 | $2,636 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 15 | 15 | $194,592 | $6,450 | $8,164 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 14 | 14 | $132,222 | $4,313 | $4,982 |
| Level 2 Endovascular ProceduresAPC 5192 | 14 | 14 | $79,988 | $3,645 | $4,338 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 11 | 11 | $68,839 | $2,521 | $2,930 |
| Level 3 Lower GI ProceduresAPC 5313 | 11 | 11 | $49,390 | $1,857 | $2,176 |
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.