Thomas Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Thomas Hospital, Fairhope, AL in 2024, from traditional Medicare claims. Back to the Thomas Hospital profile, with quality ratings, finances and negotiated rates.
1,976
Medicare inpatient discharges
In 69 published DRGs
1.85
Case mix index
IPPS FY 2027
23%
Surgical stays
60%
Stays with complications
In DRGs with a CC or MCC
2,018
Medicare outpatient services
In 39 service groups
Inpatient stays by major diagnostic category
Circulatory system542 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 117 | $28,950 | $8,393 | $7,614 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 55 | $24,376 | $5,142 | $6,411 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 43 | $21,638 | $4,173 | $5,691 | 0.74 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 39 | $77,663 | $25,279 | $20,425 | 4.04 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 32 | $196,685 | $38,539 | $51,728 | 6.25 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 29 | $33,598 | $7,371 | $8,836 | 1.20 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 28 | $151,335 | $49,524 | $39,801 | 7.71 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 28 | $99,135 | $37,036 | $26,073 | 5.88 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 22 | $56,794 | $10,590 | $14,937 | 1.82 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 20 | $14,923 | $3,035 | $3,925 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 19 | $100,751 | $18,523 | $26,498 | 2.87 |
| Chest painMS-DRG 313, medical | 16 | $18,395 | $4,267 | $4,838 | 0.72 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 15 | $117,737 | $35,803 | $30,965 | 5.24 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 15 | $99,584 | $30,759 | $26,191 | 5.20 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 14 | $129,963 | $43,377 | $34,180 | 7.80 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 14 | $55,242 | $13,678 | $14,529 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 13 | $38,927 | $7,006 | $10,238 | 1.08 |
| Hypertension without MCCMS-DRG 305, medical | 12 | $21,961 | $4,481 | $5,776 | 0.75 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 11 | $45,505 | $8,987 | $11,968 | 1.07 |
Infectious and parasitic diseases290 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 | 194 | $45,271 | $12,660 | $11,906 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 54 | $31,945 | $5,958 | $8,402 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 31 | $105,246 | $31,347 | $27,680 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 11 | $107,193 | $28,890 | $28,192 | 6.96 |
Digestive system225 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 | 80 | $22,265 | $4,582 | $5,856 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 36 | $26,893 | $6,260 | $7,073 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 25 | $21,108 | $4,619 | $5,551 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 19 | $36,522 | $7,453 | $9,605 | 1.28 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 17 | $26,909 | $7,183 | $7,077 | 1.04 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 14 | $31,488 | $11,844 | $8,281 | 1.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 12 | $82,136 | $26,230 | $21,602 | 4.52 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 11 | $61,200 | $13,321 | $16,096 | 2.37 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 11 | $32,297 | $5,013 | $8,494 | 0.94 |
Respiratory system221 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 59 | $34,081 | $10,181 | $8,963 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 47 | $34,131 | $8,380 | $8,976 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 32 | $21,698 | $4,871 | $5,707 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 22 | $27,769 | $5,713 | $7,303 | 0.99 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 18 | $43,163 | $8,015 | $11,352 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 17 | $32,350 | $6,680 | $8,508 | 1.10 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 14 | $27,315 | $5,402 | $7,184 | 0.82 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 12 | $32,622 | $5,443 | $8,580 | 0.96 |
Kidney and urinary tract207 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 71 | $20,340 | $4,848 | $5,349 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 50 | $26,583 | $7,416 | $6,991 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 31 | $41,092 | $11,828 | $10,807 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 25 | $28,499 | $5,695 | $7,495 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 15 | $31,590 | $9,269 | $8,308 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 15 | $21,379 | $6,618 | $5,623 | 1.02 |
Musculoskeletal system and connective tissue191 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 39 | $54,497 | $12,182 | $14,333 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 34 | $50,916 | $13,360 | $13,391 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 25 | $25,996 | $6,037 | $6,837 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 22 | $52,564 | $13,702 | $13,824 | 2.11 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 20 | $77,704 | $16,601 | $20,436 | 2.67 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 15 | $21,632 | $5,407 | $5,689 | 0.90 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 13 | $90,921 | $21,764 | $23,912 | 3.49 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 12 | $66,638 | $16,189 | $17,526 | 2.40 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 11 | $27,921 | $7,070 | $7,343 | 1.09 |
Nervous system87 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 27 | $21,099 | $6,594 | $5,549 | 1.14 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 22 | $29,174 | $8,662 | $7,673 | 1.36 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 21 | $28,304 | $6,274 | $7,444 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 17 | $23,169 | $4,933 | $6,093 | 0.80 |
Endocrine, nutritional and metabolic83 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 without MCCMS-DRG 641, medical | 35 | $24,081 | $4,787 | $6,333 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 29 | $33,063 | $8,117 | $8,695 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 19 | $22,129 | $5,801 | $5,820 | 0.90 |
Skin, subcutaneous tissue and breast54 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 40 | $20,806 | $5,001 | $5,472 | 0.88 |
| Trauma to the skin, subcutaneous tissue and breast without MCCMS-DRG 605, medical | 14 | $22,917 | $5,889 | $6,027 | 0.91 |
Liver, gallbladder and pancreas28 discharges in 2 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 | 17 | $40,242 | $10,555 | $10,584 | 1.63 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 11 | $32,398 | $5,025 | $8,521 | 0.86 |
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 without MCCMS-DRG 812, medical | 18 | $25,464 | $5,365 | $6,697 | 0.90 |
Factors influencing health status16 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 | 16 | $21,613 | $5,102 | $5,684 | 0.80 |
Other14 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 | 14 | $88,642 | $30,355 | $23,313 | 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 1 Endovascular ProceduresAPC 5191 | 195 | 193 | $15,254 | $1,880 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 177 | 169 | $5,482 | $1,048 | $1,220 |
| Level 2 Upper GI ProceduresAPC 5302 | 151 | 144 | $6,061 | $1,226 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 144 | 136 | $43,786 | $9,079 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 130 | 126 | $12,078 | $1,683 | $2,090 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 106 | 100 | $96,501 | $17,510 | $21,117 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 92 | 90 | $13,403 | $3,689 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 84 | 73 | $8,471 | $2,301 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 81 | 78 | $13,864 | $3,164 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 73 | 70 | $7,138 | $2,046 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 70 | 69 | $53,180 | $7,381 | $8,874 |
| Level 2 Vascular ProceduresAPC 5182 | 69 | 64 | $3,866 | $1,021 | $1,204 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 55 | 55 | $28,893 | $4,642 | $5,339 |
| Level 3 Urology and Related ServicesAPC 5373 | 55 | 51 | $5,816 | $1,247 | $1,516 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 49 | 48 | $12,180 | $2,094 | $2,373 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 47 | 46 | $54,684 | $13,208 | $15,763 |
| Level 3 Airway EndoscopyAPC 5153 | 45 | 45 | $3,901 | $1,097 | $1,264 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 36 | 35 | $26,626 | $6,900 | $8,164 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 34 | 34 | $45,090 | $7,222 | $8,569 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 25 | 25 | $10,304 | $2,195 | $2,636 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 24 | 24 | $9,060 | $1,808 | $2,141 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 21 | 21 | $5,311 | $1,053 | $1,196 |
| Level 3 Upper GI ProceduresAPC 5303 | 20 | 19 | $16,275 | $2,529 | $2,888 |
| Complex GI ProceduresAPC 5331 | 20 | 17 | $27,211 | $3,201 | $4,263 |
| Level 6 Gynecologic ProceduresAPC 5416 | 19 | 19 | $28,184 | $4,994 | $5,836 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 19 | 18 | $137,781 | $16,471 | $18,465 |
| Level 4 Gynecologic ProceduresAPC 5414 | 18 | 18 | $8,973 | $1,835 | $2,389 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 16 | 14 | $8,568 | $2,514 | $2,930 |
| Level 4 Endovascular ProceduresAPC 5194 | 16 | 15 | $63,294 | $12,080 | $14,606 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 16 | 16 | $82,307 | $13,591 | $17,052 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 14 | 14 | $28,759 | $5,608 | $6,514 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 14 | 14 | $126,174 | $24,052 | $26,719 |
| Level 3 Lower GI ProceduresAPC 5313 | 13 | 13 | $8,700 | $1,873 | $2,176 |
| Level 5 Gynecologic ProceduresAPC 5415 | 13 | 13 | $12,672 | $3,287 | $3,792 |
| Level 5 Airway EndoscopyAPC 5155 | 12 | 12 | $14,307 | $4,146 | $5,183 |
| Level 2 Endovascular ProceduresAPC 5192 | 12 | 12 | $25,670 | $3,462 | $4,338 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 11 | 11 | $13,453 | $4,309 | $4,982 |
| Level 5 ENT ProceduresAPC 5165 | 11 | $11,912 | $3,518 | $4,436 | |
| Level 2 ICD and Similar ProceduresAPC 5232 | 11 | 11 | $159,886 | $25,577 | $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.