Adventist Health Bakersfield Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Adventist Health Bakersfield, Bakersfield, CA in 2024, from traditional Medicare claims. Back to the Adventist Health Bakersfield profile, with quality ratings, finances and negotiated rates.
2,588
Medicare inpatient discharges
In 79 published DRGs
2.04
Case mix index
IPPS FY 2027
18%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
3,392
Medicare outpatient services
In 35 service groups
Inpatient stays by major diagnostic category
Circulatory system783 discharges in 26 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 217 | $83,684 | $11,264 | $14,059 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 52 | $122,708 | $15,852 | $20,615 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 48 | $124,827 | $15,913 | $20,971 | 1.82 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 37 | $160,630 | $28,551 | $26,986 | 3.24 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 36 | $127,530 | $18,820 | $21,425 | 2.09 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 34 | $54,550 | $7,750 | $9,164 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 33 | $75,654 | $10,443 | $12,710 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 33 | $49,783 | $6,028 | $8,364 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 27 | $165,733 | $25,916 | $27,843 | 2.87 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 24 | $273,614 | $45,963 | $45,967 | 4.88 |
| Syncope and collapseMS-DRG 312, medical | 24 | $63,643 | $7,582 | $10,692 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 21 | $122,878 | $19,194 | $20,644 | 2.16 |
| Hypertension with MCCMS-DRG 304, medical | 20 | $78,018 | $10,466 | $13,107 | 1.15 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 18 | $49,984 | $5,552 | $8,397 | 0.72 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 16 | $153,075 | $21,291 | $25,717 | 2.28 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 16 | $216,796 | $43,616 | $36,422 | 5.06 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 16 | $84,362 | $9,611 | $14,173 | 1.08 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 16 | $43,789 | $4,190 | $7,356 | 0.55 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 13 | $156,675 | $31,039 | $26,321 | 3.46 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 13 | $116,670 | $16,549 | $19,600 | 1.83 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 12 | $438,263 | $37,810 | $73,628 | 4.04 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 12 | $90,580 | $13,773 | $15,217 | 1.58 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 12 | $88,001 | $9,395 | $14,784 | 1.07 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 11 | $358,126 | $59,848 | $60,165 | 6.25 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $66,765 | $6,593 | $11,216 | 0.75 |
| Chest painMS-DRG 313, medical | 11 | $55,966 | $5,986 | $9,402 | 0.72 |
Infectious and parasitic diseases632 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 | 433 | $132,222 | $17,438 | $22,213 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 87 | $71,094 | $8,783 | $11,944 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 67 | $312,435 | $43,074 | $52,489 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 28 | $529,022 | $71,943 | $88,876 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 17 | $104,876 | $17,345 | $17,619 | 2.04 |
Respiratory system294 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 | 105 | $92,154 | $11,714 | $15,482 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 55 | $109,644 | $14,265 | $18,420 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 41 | $85,430 | $10,982 | $14,352 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 30 | $88,413 | $9,723 | $14,853 | 1.10 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 15 | $246,253 | $26,935 | $41,371 | 2.70 |
| Major chest procedures with MCCMS-DRG 163, surgical | 13 | $260,147 | $41,544 | $43,705 | 4.71 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $124,644 | $14,065 | $20,940 | 1.40 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $52,643 | $6,828 | $8,844 | 0.82 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 11 | $378,848 | $55,753 | $63,647 | 6.91 |
Kidney and urinary tract218 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 46 | $105,786 | $14,516 | $17,772 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 40 | $63,810 | $7,605 | $10,720 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 36 | $80,489 | $9,914 | $13,522 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 35 | $57,185 | $6,913 | $9,607 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 34 | $78,119 | $12,519 | $13,124 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 14 | $57,417 | $9,365 | $9,646 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 13 | $136,517 | $32,798 | $22,935 | 3.70 |
Nervous system186 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 50 | $97,627 | $17,299 | $16,401 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 46 | $68,509 | $8,020 | $11,510 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 28 | $61,201 | $6,793 | $10,282 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 27 | $105,867 | $17,298 | $17,786 | 1.98 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 12 | $51,174 | $5,505 | $8,597 | 0.69 |
| Seizures without MCCMS-DRG 101, medical | 12 | $68,884 | $8,098 | $11,572 | 0.91 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 11 | $62,093 | $8,610 | $10,432 | 1.03 |
Digestive system172 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 49 | $61,387 | $8,441 | $10,313 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 37 | $86,207 | $15,640 | $14,483 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 20 | $47,400 | $6,639 | $7,963 | 0.79 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 15 | $97,596 | $13,880 | $16,396 | 1.75 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 13 | $108,190 | $13,312 | $18,176 | 1.45 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 13 | $78,935 | $11,758 | $13,261 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 13 | $61,429 | $8,193 | $10,320 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 12 | $61,796 | $5,488 | $10,382 | 0.80 |
Endocrine, nutritional and metabolic98 discharges in 5 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 | $91,159 | $11,831 | $15,315 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 24 | $60,398 | $6,739 | $10,147 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 15 | $71,988 | $13,187 | $12,094 | 1.45 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 12 | $78,956 | $15,585 | $13,265 | 1.98 |
| Diabetes with CCMS-DRG 638, medical | 11 | $72,793 | $8,064 | $12,229 | 0.90 |
Musculoskeletal system and connective tissue82 discharges in 4 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 | 35 | $121,061 | $17,534 | $20,338 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 21 | $157,679 | $18,268 | $26,490 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 14 | $179,531 | $25,281 | $30,161 | 2.95 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 12 | $314,769 | $43,552 | $52,881 | 4.61 |
Liver, gallbladder and pancreas73 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 20 | $93,533 | $16,379 | $15,713 | 1.76 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 18 | $118,109 | $21,801 | $19,842 | 2.32 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 13 | $119,949 | $13,672 | $20,151 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 11 | $84,679 | $18,103 | $14,226 | 1.92 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 11 | $53,367 | $9,689 | $8,966 | 1.09 |
Skin, subcutaneous tissue and breast22 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 22 | $62,398 | $7,338 | $10,483 | 0.88 |
Other17 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 | 17 | $277,192 | $43,240 | $46,568 | 4.74 |
Injuries, poisonings and toxic effects of drugs11 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 | 11 | $73,075 | $14,125 | $12,277 | 1.60 |
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 | 747 | 738 | $22,161 | $2,841 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 473 | 450 | $40,693 | $2,643 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 325 | 318 | $124,753 | $14,342 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 214 | 192 | $5,816 | $1,564 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 179 | 153 | $16,588 | $3,044 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 158 | 147 | $73,472 | $11,793 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 120 | 119 | $64,150 | $5,468 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 90 | 89 | $78,929 | $7,002 | $5,339 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 89 | 89 | $67,701 | $11,476 | $8,569 |
| Level 2 Vascular ProceduresAPC 5182 | 82 | 80 | $6,468 | $1,565 | $1,204 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 71 | 71 | $147,336 | $27,482 | $21,117 |
| Level 3 Urology and Related ServicesAPC 5373 | 69 | 39 | $14,663 | $1,966 | $1,516 |
| Level 2 Upper GI ProceduresAPC 5302 | 67 | 63 | $12,124 | $1,868 | $1,445 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 65 | 64 | $13,589 | $2,740 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 65 | 58 | $56,733 | $5,066 | $3,918 |
| Level 2 Endovascular ProceduresAPC 5192 | 57 | 51 | $36,268 | $5,501 | $4,338 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 48 | 37 | $50,293 | $3,314 | $2,636 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 36 | 35 | $40,563 | $6,382 | $4,982 |
| Level 4 Airway EndoscopyAPC 5154 | 36 | 35 | $33,175 | $3,668 | $2,833 |
| Level 3 Upper GI ProceduresAPC 5303 | 35 | 34 | $15,406 | $3,751 | $2,888 |
| Complex GI ProceduresAPC 5331 | 35 | 22 | $22,016 | $5,583 | $4,263 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 34 | 34 | $39,827 | $3,171 | $2,373 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 34 | 34 | $170,317 | $21,219 | $15,763 |
| Level 4 Urology and Related ServicesAPC 5374 | 32 | 31 | $41,321 | $3,415 | $2,629 |
| Level 3 Airway EndoscopyAPC 5153 | 31 | 30 | $23,912 | $1,663 | $1,264 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 29 | 29 | $243,681 | $37,349 | $29,375 |
| Level 4 Endovascular ProceduresAPC 5194 | 28 | 25 | $107,858 | $19,162 | $14,606 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 27 | 27 | $120,787 | $22,259 | $17,052 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 23 | 22 | $16,167 | $1,532 | $1,196 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 22 | 22 | $25,570 | $3,734 | $2,930 |
| Level 3 Lower GI ProceduresAPC 5313 | 19 | 19 | $9,842 | $2,639 | $2,176 |
| Level 4 Vascular ProceduresAPC 5184 | 14 | 13 | $40,899 | $4,998 | $3,946 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 13 | 13 | $73,527 | $7,097 | $5,682 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 13 | 13 | $92,304 | $10,987 | $8,164 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 12 | 12 | $163,090 | $27,263 | $21,011 |
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.