St. Vincent S Birmingham Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St. Vincent S Birmingham, Birmingham, AL in 2024, from traditional Medicare claims. Back to the St. Vincent S Birmingham profile, with quality ratings, finances and negotiated rates.
2,064
Medicare inpatient discharges
In 73 published DRGs
1.99
Case mix index
IPPS FY 2027
26%
Surgical stays
66%
Stays with complications
In DRGs with a CC or MCC
3,506
Medicare outpatient services
In 40 service groups
Inpatient stays by major diagnostic category
Circulatory system525 discharges in 17 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 132 | $29,499 | $7,626 | $7,493 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 76 | $65,781 | $18,481 | $16,708 | 3.24 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 48 | $41,020 | $9,280 | $10,419 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 31 | $19,833 | $4,171 | $5,038 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 31 | $142,711 | $10,416 | $36,249 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 26 | $101,428 | $10,774 | $25,763 | 2.16 |
| Syncope and collapseMS-DRG 312, medical | 23 | $25,668 | $4,898 | $6,520 | 0.86 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 21 | $16,723 | $2,823 | $4,248 | 0.55 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 17 | $43,896 | $5,563 | $11,150 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 17 | $65,312 | $6,165 | $16,589 | 1.08 |
| Chest painMS-DRG 313, medical | 17 | $25,033 | $4,153 | $6,358 | 0.72 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 17 | $175,076 | $19,063 | $44,469 | 2.87 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 15 | $149,652 | $29,036 | $38,011 | 4.88 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 15 | $28,578 | $6,885 | $7,259 | 1.20 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 14 | $24,228 | $6,208 | $6,154 | 1.07 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 14 | $43,233 | $12,923 | $10,981 | 2.09 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 11 | $132,134 | $24,149 | $33,562 | 3.35 |
Infectious and parasitic diseases307 discharges in 5 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 | 218 | $57,168 | $11,389 | $14,521 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 37 | $31,090 | $5,895 | $7,897 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 26 | $112,824 | $27,163 | $28,657 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 15 | $237,742 | $39,823 | $60,386 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 11 | $67,512 | $12,201 | $17,148 | 2.04 |
Respiratory system281 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 68 | $37,696 | $9,931 | $9,575 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 62 | $39,929 | $7,645 | $10,142 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 37 | $40,857 | $7,118 | $10,378 | 1.23 |
| Major chest procedures with CCMS-DRG 164, surgical | 24 | $88,064 | $13,915 | $22,368 | 2.55 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 15 | $69,120 | $9,493 | $17,556 | 1.88 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 14 | $28,871 | $8,356 | $7,333 | 1.40 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 14 | $27,199 | $5,770 | $6,909 | 0.99 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 14 | $21,842 | $5,709 | $5,548 | 0.96 |
| Major chest procedures with MCCMS-DRG 163, surgical | 11 | $100,254 | $22,087 | $25,465 | 4.71 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 11 | $40,314 | $10,668 | $10,240 | 1.74 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $109,088 | $18,513 | $27,708 | 2.70 |
Digestive system240 discharges in 9 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 | 57 | $21,901 | $4,457 | $5,563 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 35 | $30,616 | $5,425 | $7,777 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 31 | $62,029 | $12,278 | $15,755 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 31 | $57,787 | $10,867 | $14,678 | 1.79 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 23 | $61,176 | $8,902 | $15,539 | 1.67 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 19 | $43,303 | $7,279 | $10,999 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 15 | $167,693 | $27,172 | $42,594 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 15 | $27,994 | $5,480 | $7,110 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $26,767 | $9,932 | $6,799 | 1.62 |
Musculoskeletal system and connective tissue238 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 42 | $86,341 | $18,776 | $21,931 | 3.66 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 33 | $57,186 | $11,623 | $14,525 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 32 | $24,774 | $5,420 | $6,293 | 0.97 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 23 | $57,897 | $9,478 | $14,706 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 22 | $61,003 | $12,243 | $15,495 | 2.11 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 17 | $126,908 | $35,326 | $32,235 | 6.12 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 15 | $76,216 | $15,865 | $19,359 | 3.49 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 15 | $80,502 | $15,299 | $20,447 | 2.96 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 14 | $77,777 | $17,182 | $19,755 | 2.95 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 14 | $57,899 | $13,668 | $14,706 | 2.48 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 11 | $22,687 | $4,877 | $5,763 | 0.90 |
Kidney and urinary tract187 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 47 | $29,388 | $7,089 | $7,465 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 37 | $26,128 | $4,955 | $6,637 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 35 | $30,580 | $8,841 | $7,767 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 31 | $38,498 | $9,651 | $9,779 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 26 | $23,691 | $5,464 | $6,018 | 0.90 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 11 | $46,873 | $7,507 | $11,906 | 1.35 |
Nervous system124 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 44 | $61,836 | $10,908 | $15,706 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 36 | $36,033 | $5,975 | $9,152 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $25,151 | $4,560 | $6,388 | 0.80 |
| Seizures without MCCMS-DRG 101, medical | 15 | $24,501 | $4,998 | $6,223 | 0.91 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 14 | $103,772 | $24,244 | $26,358 | 4.42 |
Endocrine, nutritional and metabolic74 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 | 31 | $33,905 | $7,515 | $8,612 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 26 | $18,028 | $4,480 | $4,579 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 17 | $23,623 | $5,198 | $6,000 | 0.90 |
Blood and immune system30 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 19 | $43,565 | $9,290 | $11,066 | 1.56 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 11 | $17,885 | $4,786 | $4,543 | 0.90 |
Skin, subcutaneous tissue and breast23 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 23 | $16,513 | $5,046 | $4,194 | 0.88 |
Mental diseases and disorders12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 12 | $25,149 | $9,212 | $6,388 | 1.76 |
Factors influencing health status12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other factors influencing health statusMS-DRG 951, medical | 12 | $3,839 | $4,350 | $975 | 0.59 |
Other11 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 | 11 | $117,079 | $25,142 | $29,738 | 4.74 |
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 | 802 | 763 | $53,368 | $9,195 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 338 | 331 | $35,943 | $4,620 | $5,339 |
| Level 1 Endovascular ProceduresAPC 5191 | 278 | 274 | $49,277 | $1,898 | $2,208 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 219 | 215 | $61,137 | $13,830 | $15,763 |
| Level 1 Intraocular ProceduresAPC 5491 | 167 | 116 | $13,878 | $1,541 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 145 | 140 | $9,154 | $1,061 | $1,220 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 142 | 139 | $26,980 | $2,078 | $2,373 |
| Comprehensive Observation ServicesAPC 8011 | 134 | 126 | $16,977 | $1,772 | $2,090 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 106 | 106 | $53,893 | $6,845 | $8,164 |
| Level 3 Endovascular ProceduresAPC 5193 | 81 | 76 | $109,007 | $7,453 | $8,874 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 74 | 73 | $107,344 | $17,898 | $21,117 |
| Level 5 Urology and Related ServicesAPC 5375 | 73 | 68 | $31,874 | $3,394 | $3,918 |
| Level 5 Airway EndoscopyAPC 5155 | 65 | 63 | $40,050 | $4,484 | $5,183 |
| Level 4 Urology and Related ServicesAPC 5374 | 62 | 53 | $27,049 | $2,279 | $2,629 |
| Level 2 Endovascular ProceduresAPC 5192 | 57 | 57 | $56,127 | $3,799 | $4,338 |
| Level 3 Urology and Related ServicesAPC 5373 | 54 | 49 | $24,517 | $1,305 | $1,516 |
| Level 4 Vascular ProceduresAPC 5184 | 48 | 43 | $30,289 | $3,427 | $3,946 |
| Level 1 Nerve ProceduresAPC 5431 | 48 | 42 | $19,409 | $1,227 | $1,407 |
| Level 3 Vascular ProceduresAPC 5183 | 47 | 44 | $34,337 | $2,071 | $2,405 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 43 | 43 | $90,221 | $7,278 | $8,569 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 42 | 42 | $18,145 | $1,804 | $2,141 |
| Level 2 Upper GI ProceduresAPC 5302 | 42 | 39 | $17,177 | $1,232 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 42 | 42 | $37,794 | $3,838 | $4,358 |
| Level 4 Endovascular ProceduresAPC 5194 | 41 | 35 | $108,307 | $12,669 | $14,606 |
| Level 5 ENT ProceduresAPC 5165 | 40 | 39 | $32,603 | $3,645 | $4,436 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 39 | 38 | $17,259 | $974 | $1,196 |
| Level 3 Airway EndoscopyAPC 5153 | 28 | 27 | $18,801 | $1,089 | $1,264 |
| Level 5 Gynecologic ProceduresAPC 5415 | 27 | 27 | $28,194 | $3,178 | $3,792 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 27 | 23 | $45,004 | $14,130 | $18,465 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 24 | 24 | $47,465 | $5,650 | $6,514 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 23 | 23 | $50,402 | $4,337 | $4,982 |
| Level 3 Lower GI ProceduresAPC 5313 | 23 | 23 | $23,307 | $1,689 | $2,176 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 20 | 20 | $180,318 | $25,752 | $29,375 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 20 | 20 | $73,663 | $24,217 | $26,719 |
| Level 4 Airway EndoscopyAPC 5154 | 18 | 17 | $17,389 | $2,379 | $2,833 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 15 | 15 | $133,167 | $14,585 | $17,052 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 14 | 14 | $32,963 | $2,354 | $2,930 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 14 | 13 | $26,068 | $1,959 | $2,636 |
| Cochlear Implant ProcedureAPC 5166 | 13 | 13 | $84,095 | $26,281 | $29,489 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 11 | $34,926 | $4,135 | $4,524 |
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.