Southeast Alabama Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Southeast Alabama Medical Center, Dothan, AL in 2024, from traditional Medicare claims. Back to the Southeast Alabama Medical Center profile, with quality ratings, finances and negotiated rates.
3,217
Medicare inpatient discharges
In 95 published DRGs
1.85
Case mix index
IPPS FY 2027
21%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
3,054
Medicare outpatient services
In 36 service groups
Inpatient stays by major diagnostic category
Circulatory system923 discharges in 28 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 197 | $38,951 | $8,229 | $7,556 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 119 | $45,987 | $10,522 | $8,921 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 55 | $22,764 | $4,585 | $4,416 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 40 | $22,542 | $5,317 | $4,373 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 38 | $44,509 | $8,068 | $8,635 | 1.20 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 36 | $118,253 | $21,477 | $22,941 | 3.24 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 34 | $82,863 | $10,456 | $16,075 | 1.82 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 30 | $28,445 | $5,408 | $5,518 | 0.91 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 26 | $79,296 | $14,326 | $15,383 | 2.28 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 25 | $33,501 | $6,481 | $6,499 | 1.08 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 24 | $47,858 | $12,763 | $9,285 | 2.16 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 24 | $68,090 | $12,948 | $13,210 | 2.09 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 23 | $147,373 | $30,368 | $28,590 | 4.88 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 23 | $15,336 | $3,066 | $2,975 | 0.55 |
| Chest painMS-DRG 313, medical | 23 | $21,160 | $4,260 | $4,105 | 0.72 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 22 | $114,801 | $17,062 | $22,271 | 2.87 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 21 | $240,524 | $29,508 | $46,662 | 5.20 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 19 | $21,104 | $3,674 | $4,094 | 0.72 |
| Hypertension without MCCMS-DRG 305, medical | 19 | $21,925 | $4,616 | $4,254 | 0.75 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 18 | $73,517 | $11,462 | $14,262 | 1.83 |
| Acute myocardial infarction, expired with MCCMS-DRG 283, medical | 16 | $108,528 | $13,448 | $21,054 | 1.97 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 15 | $112,638 | $23,056 | $21,852 | 3.46 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 15 | $154,904 | $23,887 | $30,051 | 3.35 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 14 | $199,608 | $24,551 | $38,724 | 4.04 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 13 | $32,790 | $5,807 | $6,361 | 1.07 |
| Hypertension with MCCMS-DRG 304, medical | 12 | $47,271 | $7,474 | $9,171 | 1.15 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 11 | $299,513 | $37,597 | $58,106 | 7.80 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 11 | $105,233 | $25,495 | $20,415 | 4.16 |
Infectious and parasitic diseases544 discharges in 6 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 | 354 | $57,048 | $12,557 | $11,067 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 70 | $202,745 | $30,617 | $39,333 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 61 | $30,016 | $6,770 | $5,823 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 30 | $259,969 | $44,570 | $50,434 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 18 | $75,088 | $10,211 | $14,567 | 2.04 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 11 | $44,729 | $12,640 | $8,677 | 1.84 |
Nervous system447 discharges in 17 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 74 | $71,396 | $12,332 | $13,851 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 62 | $40,066 | $6,010 | $7,773 | 1.02 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 47 | $90,166 | $7,136 | $17,492 | 1.14 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 39 | $28,151 | $4,870 | $5,461 | 0.80 |
| Extracranial procedures with CCMS-DRG 038, surgical | 27 | $111,319 | $10,532 | $21,596 | 1.60 |
| Seizures with MCCMS-DRG 100, medical | 25 | $72,636 | $10,805 | $14,091 | 1.98 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 23 | $173,562 | $37,635 | $33,671 | 5.67 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 22 | $182,831 | $23,271 | $35,469 | 4.42 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 20 | $26,027 | $8,639 | $5,049 | 1.36 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 16 | $43,852 | $10,786 | $8,507 | 1.79 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 15 | $26,791 | $3,950 | $5,198 | 0.69 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 15 | $56,019 | $11,473 | $10,868 | 1.79 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis without mcMS-DRG 024, surgical | 13 | $95,613 | $25,644 | $18,549 | 3.79 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 13 | $65,932 | $14,846 | $12,791 | 2.39 |
| Seizures without MCCMS-DRG 101, medical | 13 | $21,109 | $5,988 | $4,095 | 0.91 |
| Precerebral occlusion without infarction without MCCMS-DRG 068, medical | 12 | $49,966 | $5,677 | $9,693 | 0.87 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 11 | $41,875 | $8,966 | $8,124 | 1.32 |
Respiratory system325 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 83 | $49,609 | $8,247 | $9,624 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 78 | $54,523 | $10,237 | $10,577 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 43 | $44,092 | $8,012 | $8,554 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 27 | $45,923 | $6,592 | $8,909 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 17 | $46,598 | $8,003 | $9,040 | 1.40 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 17 | $38,800 | $5,712 | $7,527 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 17 | $24,258 | $5,085 | $4,706 | 0.82 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 15 | $62,595 | $10,724 | $12,144 | 1.81 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 15 | $101,844 | $18,225 | $19,758 | 2.70 |
| Major chest procedures with MCCMS-DRG 163, surgical | 13 | $119,926 | $26,186 | $23,266 | 4.71 |
Kidney and urinary tract301 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 64 | $21,550 | $5,514 | $4,181 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 62 | $42,358 | $9,219 | $8,217 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 52 | $27,200 | $7,445 | $5,277 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 45 | $19,378 | $4,718 | $3,759 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 38 | $46,905 | $9,698 | $9,100 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 15 | $22,058 | $6,643 | $4,279 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 13 | $40,932 | $8,633 | $7,941 | 1.35 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 12 | $167,781 | $26,115 | $32,550 | 3.70 |
Digestive system258 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 57 | $32,621 | $6,213 | $6,328 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 49 | $19,942 | $4,878 | $3,869 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 39 | $59,865 | $11,807 | $11,614 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 26 | $127,019 | $14,333 | $24,642 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 22 | $24,577 | $4,851 | $4,768 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 20 | $29,224 | $7,279 | $5,670 | 1.28 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 17 | $40,236 | $9,752 | $7,806 | 1.45 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 15 | $222,792 | $31,283 | $43,222 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 13 | $43,959 | $6,179 | $8,528 | 0.94 |
Musculoskeletal system and connective tissue131 discharges in 5 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 | 49 | $73,878 | $13,511 | $14,332 | 2.07 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 28 | $87,967 | $18,712 | $17,066 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 26 | $84,395 | $13,850 | $16,373 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 17 | $23,999 | $5,487 | $4,656 | 0.97 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 11 | $20,011 | $5,264 | $3,882 | 0.79 |
Mental diseases and disorders99 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 66 | $14,390 | $7,846 | $2,792 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 33 | $34,240 | $10,702 | $6,643 | 1.76 |
Endocrine, nutritional and metabolic90 discharges in 4 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 | 32 | $35,395 | $8,568 | $6,867 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 31 | $28,519 | $4,641 | $5,533 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 14 | $25,526 | $4,946 | $4,952 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $45,050 | $8,326 | $8,740 | 1.45 |
Blood and immune system41 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 | 25 | $24,130 | $6,054 | $4,681 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 16 | $32,039 | $9,503 | $6,216 | 1.40 |
Skin, subcutaneous tissue and breast16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 16 | $24,854 | $4,753 | $4,822 | 0.88 |
Other16 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 | 16 | $156,239 | $33,299 | $30,310 | 4.74 |
Factors influencing health status15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 15 | $28,139 | $4,090 | $5,459 | 0.80 |
Transplants, ECMO and tracheostomy (pre-MDC)11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical | 11 | $738,479 | $91,218 | $143,265 | 21.32 |
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 | 557 | 528 | $11,069 | $1,806 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 269 | 269 | $15,607 | $1,944 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 188 | 175 | $9,638 | $1,081 | $1,220 |
| Level 4 Urology and Related ServicesAPC 5374 | 172 | 147 | $30,381 | $2,266 | $2,629 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 150 | 150 | $52,614 | $7,458 | $8,569 |
| Level 3 Vascular ProceduresAPC 5183 | 143 | 120 | $22,215 | $2,039 | $2,405 |
| Level 4 Vascular ProceduresAPC 5184 | 138 | 121 | $51,569 | $3,613 | $3,946 |
| Level 2 Vascular ProceduresAPC 5182 | 136 | 111 | $8,562 | $1,051 | $1,204 |
| Level 2 Upper GI ProceduresAPC 5302 | 110 | 94 | $11,944 | $1,247 | $1,445 |
| Level 1 Nerve ProceduresAPC 5431 | 97 | 81 | $11,127 | $1,289 | $1,407 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 96 | 96 | $41,856 | $3,779 | $4,358 |
| Level 3 Endovascular ProceduresAPC 5193 | 93 | 85 | $60,580 | $7,381 | $8,874 |
| Level 3 Urology and Related ServicesAPC 5373 | 88 | 77 | $16,624 | $1,337 | $1,516 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 66 | 66 | $39,043 | $5,710 | $6,514 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 64 | 63 | $34,622 | $2,250 | $2,636 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 61 | 58 | $50,445 | $4,722 | $5,339 |
| Level 2 Endovascular ProceduresAPC 5192 | 61 | 58 | $33,141 | $3,837 | $4,338 |
| Level 5 Urology and Related ServicesAPC 5375 | 50 | 49 | $26,291 | $3,461 | $3,918 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 48 | 48 | $113,691 | $18,661 | $21,117 |
| Level 4 Airway EndoscopyAPC 5154 | 45 | 45 | $17,969 | $2,387 | $2,833 |
| Level 3 Airway EndoscopyAPC 5153 | 44 | 43 | $11,156 | $1,106 | $1,264 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 42 | 37 | $18,613 | $1,854 | $2,141 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 42 | 42 | $74,805 | $9,174 | $10,772 |
| Level 4 Endovascular ProceduresAPC 5194 | 36 | 33 | $85,106 | $12,612 | $14,606 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 34 | 32 | $42,899 | $4,450 | $4,982 |
| Level 3 Upper GI ProceduresAPC 5303 | 29 | 28 | $28,088 | $2,478 | $2,888 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 27 | 27 | $92,604 | $7,182 | $8,164 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 25 | 25 | $26,990 | $2,601 | $2,930 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 25 | 23 | $29,366 | $2,121 | $2,373 |
| Level 2 Intraocular ProceduresAPC 5492 | 25 | 23 | $21,472 | $2,664 | $3,116 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 20 | 20 | $153,349 | $26,466 | $29,375 |
| Complex GI ProceduresAPC 5331 | 20 | 18 | $41,444 | $3,695 | $4,263 |
| Level 4 Gynecologic ProceduresAPC 5414 | 15 | 15 | $22,620 | $2,062 | $2,389 |
| Level 8 Urology and Related ServicesAPC 5378 | 13 | 13 | $78,674 | $13,807 | $17,428 |
| Level 3 Intraocular ProceduresAPC 5493 | 13 | 12 | $25,564 | $3,567 | $4,004 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 12 | 12 | $120,095 | $13,123 | $15,763 |
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.