St. Vincent S East Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St. Vincent S East, Birmingham, AL in 2024, from traditional Medicare claims. Back to the St. Vincent S East profile, with quality ratings, finances and negotiated rates.
1,495
Medicare inpatient discharges
In 51 published DRGs
1.92
Case mix index
IPPS FY 2027
17%
Surgical stays
63%
Stays with complications
In DRGs with a CC or MCC
927
Medicare outpatient services
In 21 service groups
Inpatient stays by major diagnostic category
Circulatory system446 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 100 | $38,133 | $8,536 | $8,427 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 82 | $74,465 | $19,733 | $16,457 | 3.24 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 42 | $49,464 | $9,373 | $10,931 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 32 | $29,529 | $5,261 | $6,526 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 24 | $31,853 | $4,795 | $7,039 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 24 | $123,324 | $10,592 | $27,255 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 22 | $33,684 | $7,708 | $7,444 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 19 | $21,314 | $3,563 | $4,710 | 0.55 |
| Hypertension without MCCMS-DRG 305, medical | 15 | $26,448 | $4,604 | $5,845 | 0.75 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 15 | $182,929 | $19,480 | $40,427 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 13 | $59,510 | $6,439 | $13,152 | 1.08 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 12 | $154,465 | $30,877 | $34,137 | 4.88 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 12 | $85,721 | $24,032 | $18,944 | 3.90 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 12 | $84,510 | $13,317 | $18,677 | 2.16 |
| Chest painMS-DRG 313, medical | 11 | $20,731 | $4,784 | $4,582 | 0.72 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 11 | $63,810 | $15,235 | $14,102 | 2.09 |
Infectious and parasitic diseases243 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 | 170 | $64,538 | $12,152 | $14,263 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 32 | $160,546 | $28,773 | $35,481 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 26 | $27,123 | $5,917 | $5,994 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 15 | $171,362 | $41,538 | $37,871 | 6.96 |
Respiratory system239 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 82 | $52,683 | $10,605 | $11,643 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 58 | $49,034 | $8,626 | $10,836 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 30 | $42,078 | $7,595 | $9,299 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 23 | $33,341 | $6,661 | $7,368 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $23,303 | $5,252 | $5,150 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 13 | $25,311 | $6,360 | $5,594 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $77,976 | $17,939 | $17,233 | 2.70 |
Kidney and urinary tract140 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 36 | $39,888 | $7,563 | $8,815 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 31 | $22,896 | $5,372 | $5,060 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 29 | $46,474 | $8,748 | $10,271 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 27 | $27,209 | $5,490 | $6,013 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 17 | $36,690 | $9,867 | $8,109 | 1.65 |
Digestive system135 discharges in 7 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 | 39 | $27,868 | $4,698 | $6,159 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 24 | $34,918 | $6,234 | $7,717 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 20 | $44,655 | $7,793 | $9,869 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 17 | $75,073 | $11,243 | $16,591 | 1.79 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 12 | $66,298 | $10,366 | $14,652 | 1.67 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 12 | $23,431 | $6,384 | $5,178 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 11 | $18,132 | $5,374 | $4,007 | 0.80 |
Mental diseases and disorders109 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 84 | $40,749 | $8,424 | $9,006 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 25 | $38,984 | $10,438 | $8,615 | 1.76 |
Endocrine, nutritional and metabolic68 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 | 36 | $42,214 | $7,756 | $9,329 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 17 | $20,127 | $5,423 | $4,448 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 15 | $29,862 | $6,391 | $6,600 | 0.90 |
Nervous system52 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 20 | $138,774 | $10,608 | $30,669 | 1.81 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 17 | $38,982 | $6,544 | $8,615 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 15 | $62,040 | $11,006 | $13,711 | 2.00 |
Musculoskeletal system and connective tissue45 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 18 | $56,817 | $12,511 | $12,557 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 16 | $55,453 | $13,295 | $12,255 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 11 | $73,099 | $17,924 | $16,155 | 2.99 |
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 | $18,393 | $5,747 | $4,065 | 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 | 216 | 215 | $47,086 | $1,873 | $2,208 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 77 | 74 | $93,587 | $18,140 | $21,117 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 76 | 72 | $38,025 | $3,686 | $4,358 |
| Level 3 Endovascular ProceduresAPC 5193 | 71 | 63 | $99,133 | $7,334 | $8,874 |
| Comprehensive Observation ServicesAPC 8011 | 70 | 70 | $16,876 | $1,723 | $2,090 |
| Level 4 Vascular ProceduresAPC 5184 | 46 | 36 | $28,569 | $3,567 | $3,946 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 46 | 46 | $94,720 | $7,120 | $8,569 |
| Level 4 Endovascular ProceduresAPC 5194 | 41 | 36 | $108,886 | $12,026 | $14,606 |
| Level 3 Vascular ProceduresAPC 5183 | 36 | 33 | $27,461 | $1,983 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 32 | 31 | $48,783 | $9,052 | $10,772 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 26 | 26 | $54,142 | $6,959 | $8,164 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 25 | 25 | $11,953 | $1,078 | $1,220 |
| Level 2 Endovascular ProceduresAPC 5192 | 25 | 23 | $40,489 | $3,719 | $4,338 |
| Level 2 Upper GI ProceduresAPC 5302 | 22 | 22 | $16,299 | $1,266 | $1,445 |
| Level 4 Airway EndoscopyAPC 5154 | 20 | 19 | $15,558 | $2,366 | $2,833 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 18 | 18 | $38,032 | $4,494 | $5,339 |
| Level 2 Vascular ProceduresAPC 5182 | 18 | 17 | $9,806 | $1,065 | $1,204 |
| Level 5 Urology and Related ServicesAPC 5375 | 18 | 18 | $23,836 | $3,441 | $3,918 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 16 | 15 | $145,130 | $13,852 | $17,052 |
| Level 4 Urology and Related ServicesAPC 5374 | 16 | 15 | $25,248 | $2,162 | $2,629 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 12 | 12 | $221,991 | $25,745 | $29,375 |
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.