Adventist Health Lodi Memorial Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Adventist Health Lodi Memorial, Lodi, CA in 2024, from traditional Medicare claims. Back to the Adventist Health Lodi Memorial profile, with quality ratings, finances and negotiated rates.
1,592
Medicare inpatient discharges
In 40 published DRGs
1.58
Case mix index
IPPS FY 2027
7%
Surgical stays
83%
Stays with complications
In DRGs with a CC or MCC
1,302
Medicare outpatient services
In 21 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases518 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 | 401 | $185,553 | $17,710 | $18,741 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 71 | $107,846 | $9,404 | $10,892 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 28 | $393,048 | $46,776 | $39,698 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 18 | $290,652 | $20,009 | $29,356 | 2.04 |
Circulatory system257 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 141 | $142,061 | $12,056 | $14,348 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 41 | $134,277 | $12,886 | $13,562 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 24 | $163,069 | $11,239 | $16,470 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 14 | $82,338 | $6,793 | $8,316 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 13 | $85,892 | $7,507 | $8,675 | 0.91 |
| Hypertension with MCCMS-DRG 304, medical | 13 | $155,334 | $10,738 | $15,689 | 1.15 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 11 | $70,681 | $4,457 | $7,139 | 0.55 |
Respiratory system240 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 97 | $141,667 | $12,209 | $14,308 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 64 | $162,290 | $15,009 | $16,391 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 36 | $158,630 | $11,612 | $16,022 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 28 | $113,141 | $9,800 | $11,427 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $85,751 | $6,689 | $8,661 | 0.82 |
Kidney and urinary tract210 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 49 | $133,087 | $13,575 | $13,442 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 45 | $138,301 | $15,158 | $13,968 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 44 | $130,697 | $10,495 | $13,200 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 30 | $98,785 | $6,402 | $9,977 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 28 | $89,445 | $8,240 | $9,034 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 14 | $102,923 | $9,460 | $10,395 | 1.02 |
Digestive system111 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 34 | $185,444 | $17,011 | $18,730 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 30 | $104,614 | $8,292 | $10,566 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 19 | $91,871 | $6,373 | $9,279 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 17 | $89,552 | $6,559 | $9,045 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 11 | $222,709 | $22,725 | $22,494 | 2.37 |
Endocrine, nutritional and metabolic96 discharges in 4 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 | 39 | $108,412 | $12,208 | $10,950 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 27 | $97,518 | $6,838 | $9,849 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 17 | $87,612 | $7,859 | $8,849 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $208,456 | $14,147 | $21,054 | 1.45 |
Nervous system58 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 | 30 | $121,680 | $8,828 | $12,290 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 17 | $147,806 | $16,928 | $14,928 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 11 | $126,778 | $6,923 | $12,805 | 0.80 |
Musculoskeletal system and connective tissue56 discharges in 3 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 | 20 | $197,588 | $19,123 | $19,956 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 20 | $204,173 | $19,030 | $20,621 | 2.11 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 16 | $114,716 | $23,856 | $11,586 | 2.67 |
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 | $111,310 | $7,865 | $11,242 | 0.88 |
Blood and immune system13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 13 | $242,701 | $16,584 | $24,513 | 1.56 |
Liver, gallbladder and pancreas11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 11 | $173,873 | $18,496 | $17,561 | 1.92 |
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 | 361 | 334 | $69,041 | $2,728 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 316 | 287 | $137,428 | $14,814 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 107 | 78 | $27,808 | $1,912 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 92 | 92 | $113,421 | $5,639 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 69 | 56 | $17,568 | $1,598 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 46 | 42 | $57,592 | $5,065 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 35 | 34 | $38,212 | $3,098 | $2,405 |
| Level 4 Urology and Related ServicesAPC 5374 | 30 | 28 | $48,674 | $3,486 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 27 | 26 | $121,431 | $7,348 | $5,339 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 26 | 26 | $162,564 | $10,903 | $8,164 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 25 | 23 | $19,306 | $1,543 | $1,196 |
| Level 3 Urology and Related ServicesAPC 5373 | 22 | 18 | $29,588 | $2,038 | $1,516 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 21 | 21 | $70,167 | $6,557 | $4,982 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 19 | 19 | $48,325 | $3,239 | $2,373 |
| Level 2 Vascular ProceduresAPC 5182 | 18 | 17 | $32,515 | $1,397 | $1,204 |
| Complex GI ProceduresAPC 5331 | 18 | 11 | $86,491 | $5,703 | $4,263 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 18 | 17 | $64,599 | $3,267 | $2,636 |
| Level 6 Urology and Related ServicesAPC 5376 | 14 | 14 | $97,379 | $9,923 | $7,291 |
| Level 4 Gynecologic ProceduresAPC 5414 | 14 | 14 | $36,787 | $3,128 | $2,389 |
| Level 3 Upper GI ProceduresAPC 5303 | 12 | 11 | $82,893 | $3,832 | $2,888 |
| Level 1 Nerve ProceduresAPC 5431 | 12 | 12 | $19,878 | $1,928 | $1,407 |
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.