Adventist Health And Rideout Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Adventist Health And Rideout, Marysville, CA in 2024, from traditional Medicare claims. Back to the Adventist Health And Rideout profile, with quality ratings, finances and negotiated rates.
3,114
Medicare inpatient discharges
In 81 published DRGs
1.76
Case mix index
IPPS FY 2027
13%
Surgical stays
79%
Stays with complications
In DRGs with a CC or MCC
1,957
Medicare outpatient services
In 24 service groups
Inpatient stays by major diagnostic category
Circulatory system809 discharges in 23 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 249 | $104,093 | $13,576 | $20,610 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 122 | $113,387 | $16,013 | $22,451 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 45 | $84,601 | $11,241 | $16,751 | 1.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 39 | $88,022 | $8,313 | $17,428 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 37 | $174,949 | $21,161 | $34,640 | 2.16 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 37 | $58,142 | $6,604 | $11,512 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 25 | $257,090 | $29,555 | $50,904 | 2.87 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 25 | $190,886 | $17,942 | $37,795 | 1.82 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 22 | $108,803 | $33,107 | $21,543 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 22 | $93,857 | $8,475 | $18,584 | 0.86 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 21 | $173,758 | $23,769 | $34,404 | 2.09 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 19 | $47,449 | $4,303 | $9,395 | 0.55 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 18 | $225,572 | $36,065 | $44,663 | 3.35 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 17 | $572,646 | $87,347 | $113,384 | 7.80 |
| Acute myocardial infarction, expired with MCCMS-DRG 283, medical | 16 | $248,147 | $29,801 | $49,133 | 1.97 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 15 | $133,318 | $10,442 | $26,397 | 1.08 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 13 | $81,037 | $10,212 | $16,045 | 1.07 |
| Hypertension with MCCMS-DRG 304, medical | 12 | $101,351 | $11,396 | $20,067 | 1.15 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 11 | $219,122 | $36,681 | $43,386 | 3.46 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 11 | $111,864 | $23,206 | $22,149 | 2.28 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 11 | $350,925 | $55,197 | $69,483 | 5.06 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 11 | $74,442 | $15,673 | $14,740 | 1.58 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $60,756 | $6,685 | $12,030 | 0.75 |
Infectious and parasitic diseases776 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 | 578 | $136,132 | $20,370 | $26,954 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 105 | $80,691 | $9,827 | $15,977 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 60 | $356,572 | $59,420 | $70,601 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 18 | $389,998 | $70,375 | $77,220 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 15 | $166,074 | $20,360 | $32,883 | 2.04 |
Respiratory system343 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 95 | $118,481 | $14,217 | $23,459 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 65 | $110,047 | $16,884 | $21,789 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 50 | $92,546 | $10,757 | $18,324 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 49 | $98,747 | $12,222 | $19,552 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 23 | $67,782 | $7,577 | $13,421 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 21 | $234,346 | $28,341 | $46,401 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 17 | $111,706 | $13,923 | $22,118 | 1.40 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 12 | $355,490 | $70,067 | $70,387 | 6.91 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 11 | $73,454 | $7,928 | $14,544 | 0.85 |
Kidney and urinary tract281 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 61 | $94,883 | $15,005 | $18,787 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 59 | $119,951 | $17,373 | $23,750 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 50 | $77,503 | $8,535 | $15,346 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 49 | $90,485 | $11,429 | $17,916 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 40 | $61,217 | $7,255 | $12,121 | 0.81 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 11 | $117,251 | $38,773 | $23,216 | 3.70 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 11 | $65,895 | $10,138 | $13,047 | 1.02 |
Endocrine, nutritional and metabolic225 discharges in 6 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 | 81 | $103,404 | $14,259 | $20,474 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 75 | $65,573 | $7,303 | $12,983 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 23 | $79,538 | $14,566 | $15,749 | 1.45 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 17 | $117,775 | $18,572 | $23,320 | 1.98 |
| Diabetes with CCMS-DRG 638, medical | 16 | $63,361 | $8,471 | $12,546 | 0.90 |
| Endocrine disorders with CCMS-DRG 644, medical | 13 | $81,560 | $10,340 | $16,149 | 1.06 |
Nervous system222 discharges in 10 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 | 56 | $72,862 | $9,420 | $14,427 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 45 | $132,959 | $21,686 | $26,326 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 22 | $72,939 | $8,606 | $14,442 | 0.91 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 18 | $66,051 | $7,127 | $13,078 | 0.80 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 17 | $135,985 | $18,202 | $26,925 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 17 | $80,719 | $20,248 | $15,982 | 1.98 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 13 | $73,626 | $9,443 | $14,578 | 1.03 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 12 | $67,901 | $5,886 | $13,444 | 0.69 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 11 | $116,553 | $12,461 | $23,077 | 1.36 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 11 | $101,796 | $18,307 | $20,156 | 1.87 |
Musculoskeletal system and connective tissue163 discharges in 7 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 | 58 | $116,203 | $20,992 | $23,008 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 30 | $142,556 | $21,256 | $28,226 | 2.11 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 21 | $191,650 | $34,830 | $37,947 | 3.49 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 17 | $176,389 | $30,098 | $34,925 | 2.95 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 13 | $153,075 | $24,299 | $30,309 | 2.40 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 12 | $162,211 | $27,041 | $32,118 | 2.67 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 12 | $103,429 | $15,423 | $20,479 | 1.59 |
Digestive system162 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 39 | $69,912 | $9,215 | $13,842 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 32 | $119,890 | $18,353 | $23,738 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 30 | $56,874 | $7,312 | $11,261 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 23 | $61,882 | $7,380 | $12,253 | 0.80 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 13 | $89,058 | $10,049 | $17,633 | 1.04 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 13 | $84,385 | $12,683 | $16,708 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 12 | $329,898 | $50,587 | $65,320 | 4.52 |
Skin, subcutaneous tissue and breast42 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 42 | $63,788 | $8,134 | $12,630 | 0.88 |
Liver, gallbladder and pancreas35 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 12 | $75,961 | $7,999 | $15,040 | 0.86 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 12 | $79,340 | $18,893 | $15,709 | 1.83 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 11 | $77,040 | $9,620 | $15,254 | 0.95 |
Injuries, poisonings and toxic effects of drugs25 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 25 | $111,322 | $16,633 | $22,042 | 1.60 |
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 with MCCMS-DRG 811, medical | 18 | $81,198 | $13,669 | $16,077 | 1.40 |
Factors influencing health status13 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 | 13 | $35,705 | $5,407 | $7,069 | 0.59 |
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 | 717 | 647 | $43,735 | $2,863 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 195 | 193 | $73,175 | $3,052 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 140 | 135 | $97,283 | $15,331 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 97 | 85 | $12,066 | $1,648 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 91 | 85 | $34,869 | $3,341 | $2,405 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 85 | 85 | $132,639 | $29,546 | $21,117 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 71 | 71 | $51,370 | $5,965 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 60 | 53 | $42,391 | $5,338 | $3,918 |
| Level 3 Endovascular ProceduresAPC 5193 | 54 | 50 | $110,740 | $12,827 | $8,874 |
| Level 2 Vascular ProceduresAPC 5182 | 50 | 47 | $10,991 | $1,660 | $1,204 |
| Level 3 Urology and Related ServicesAPC 5373 | 49 | 27 | $10,825 | $1,959 | $1,516 |
| Level 2 Endovascular ProceduresAPC 5192 | 47 | 38 | $55,290 | $5,865 | $4,338 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 41 | 41 | $57,123 | $12,404 | $8,569 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 33 | 33 | $20,202 | $2,891 | $2,141 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 32 | 32 | $54,701 | $7,780 | $5,339 |
| Level 2 Upper GI ProceduresAPC 5302 | 32 | 29 | $17,991 | $1,973 | $1,445 |
| Level 4 Urology and Related ServicesAPC 5374 | 32 | 30 | $35,762 | $3,651 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 28 | 28 | $36,119 | $3,395 | $2,373 |
| Level 4 Vascular ProceduresAPC 5184 | 25 | 25 | $57,184 | $5,765 | $3,946 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 21 | 21 | $16,760 | $1,646 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 20 | 20 | $37,504 | $3,630 | $2,636 |
| Level 4 Endovascular ProceduresAPC 5194 | 14 | 12 | $130,543 | $19,860 | $14,606 |
| Level 3 Airway EndoscopyAPC 5153 | 12 | 12 | $12,980 | $1,772 | $1,264 |
| Level 4 Airway EndoscopyAPC 5154 | 11 | 11 | $26,451 | $3,929 | $2,833 |
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.