Adventist Health Castle Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Adventist Health Castle, Kailua, HI in 2024, from traditional Medicare claims. Back to the Adventist Health Castle profile, with quality ratings, finances and negotiated rates.
775
Medicare inpatient discharges
In 26 published DRGs
1.74
Case mix index
IPPS FY 2027
11%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
779
Medicare outpatient services
In 18 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases206 discharges in 3 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 | 145 | $50,846 | $16,461 | $15,305 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 32 | $31,714 | $8,118 | $9,546 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 29 | $128,619 | $41,375 | $38,714 | 5.00 |
Circulatory system114 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 51 | $56,648 | $16,082 | $17,051 | 1.59 |
| Heart failure and shock with MCCMS-DRG 291, medical | 42 | $31,390 | $10,601 | $9,449 | 1.28 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 21 | $36,093 | $7,795 | $10,864 | 0.91 |
Respiratory system103 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 61 | $48,899 | $14,051 | $14,719 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 25 | $42,071 | $11,502 | $12,663 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 17 | $37,109 | $9,800 | $11,170 | 1.23 |
Digestive system85 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 24 | $39,468 | $7,843 | $11,880 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 21 | $60,198 | $16,286 | $18,120 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $27,828 | $6,252 | $8,376 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 13 | $28,666 | $6,025 | $8,629 | 0.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 11 | $129,453 | $40,264 | $38,965 | 4.52 |
Mental diseases and disorders80 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 80 | $31,216 | $12,837 | $9,396 | 1.37 |
Nervous system51 discharges in 3 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 | 19 | $39,546 | $7,595 | $11,903 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 17 | $52,014 | $15,751 | $15,656 | 2.00 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 15 | $25,987 | $10,062 | $7,822 | 1.03 |
Musculoskeletal system and connective tissue42 discharges in 2 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 | 26 | $56,955 | $17,322 | $17,143 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 16 | $64,644 | $18,989 | $19,458 | 2.11 |
Kidney and urinary tract42 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 17 | $32,988 | $6,428 | $9,929 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 13 | $35,666 | $14,389 | $10,736 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 12 | $54,168 | $13,377 | $16,304 | 1.50 |
Endocrine, nutritional and metabolic36 discharges in 2 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 | 23 | $27,735 | $10,576 | $8,348 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 13 | $25,785 | $6,461 | $7,761 | 0.78 |
Skin, subcutaneous tissue and breast16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 16 | $28,882 | $5,539 | $8,694 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 147 | 137 | $19,341 | $2,460 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 101 | 95 | $2,082 | $606 | $502 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 71 | 67 | $48,801 | $13,476 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 61 | 61 | $19,903 | $2,555 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 52 | 49 | $6,864 | $1,429 | $1,220 |
| Level 3 Airway EndoscopyAPC 5153 | 47 | 30 | $7,101 | $1,555 | $1,264 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 34 | 33 | $30,187 | $6,396 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 34 | 34 | $28,649 | $5,123 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 33 | 29 | $14,916 | $1,808 | $1,516 |
| Level 3 Endovascular ProceduresAPC 5193 | 30 | 28 | $55,643 | $10,991 | $8,874 |
| Level 5 Urology and Related ServicesAPC 5375 | 28 | 28 | $24,855 | $4,742 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 27 | 19 | $23,856 | $3,188 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 25 | 24 | $16,387 | $2,799 | $2,405 |
| Level 2 Vascular ProceduresAPC 5182 | 20 | 20 | $5,997 | $1,468 | $1,204 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 19 | 17 | $7,972 | $2,597 | $2,141 |
| Level 4 Endovascular ProceduresAPC 5194 | 18 | 17 | $98,683 | $18,480 | $14,606 |
| Level 5 Airway EndoscopyAPC 5155 | 16 | 16 | $27,429 | $6,258 | $5,183 |
| Level 2 Endovascular ProceduresAPC 5192 | 16 | 14 | $18,407 | $5,238 | $4,338 |
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.