Adventist Health Ukiah Valley Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Adventist Health Ukiah Valley, Ukiah, CA in 2024, from traditional Medicare claims. Back to the Adventist Health Ukiah Valley profile, with quality ratings, finances and negotiated rates.
606
Medicare inpatient discharges
In 24 published DRGs
1.59
Case mix index
IPPS FY 2027
6%
Surgical stays
86%
Stays with complications
In DRGs with a CC or MCC
1,813
Medicare outpatient services
In 23 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases210 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 | 167 | $103,160 | $21,790 | $28,782 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 24 | $63,049 | $11,151 | $17,591 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 19 | $243,302 | $62,388 | $67,881 | 5.00 |
Respiratory system114 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 | 36 | $80,833 | $14,271 | $22,552 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 29 | $107,496 | $18,476 | $29,991 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 22 | $96,348 | $13,866 | $26,881 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 15 | $60,618 | $12,298 | $16,912 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 12 | $58,035 | $15,334 | $16,192 | 1.40 |
Circulatory system88 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 55 | $79,258 | $14,330 | $22,113 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 20 | $53,325 | $6,778 | $14,878 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 13 | $88,849 | $17,820 | $24,789 | 1.59 |
Kidney and urinary tract78 discharges in 5 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 | 21 | $96,310 | $20,393 | $26,871 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 18 | $59,992 | $15,345 | $16,738 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 16 | $50,816 | $9,700 | $14,178 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 12 | $53,450 | $8,495 | $14,912 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 11 | $49,179 | $12,232 | $13,721 | 1.17 |
Digestive system53 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 16 | $104,780 | $26,364 | $29,234 | 2.37 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 14 | $45,835 | $10,736 | $12,788 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 12 | $59,607 | $20,024 | $16,630 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 11 | $52,077 | $8,281 | $14,529 | 0.79 |
Nervous system33 discharges in 2 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 | 18 | $56,154 | $10,888 | $15,667 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 15 | $80,576 | $22,137 | $22,481 | 2.00 |
Endocrine, nutritional and metabolic30 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 | 15 | $71,812 | $14,473 | $20,036 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 15 | $40,842 | $8,384 | $11,395 | 0.78 |
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 2 Urology and Related ServicesAPC 5372 | 345 | 212 | $718 | $710 | $502 |
| Level 1 Intraocular ProceduresAPC 5491 | 253 | 191 | $12,886 | $2,444 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 203 | 198 | $32,255 | $2,842 | $2,090 |
| Level 3 Urology and Related ServicesAPC 5373 | 153 | 123 | $4,219 | $2,133 | $1,516 |
| Level 1 Nerve ProceduresAPC 5431 | 142 | 131 | $9,028 | $2,026 | $1,407 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 100 | 96 | $14,837 | $1,700 | $1,220 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 72 | 61 | $29,868 | $2,981 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 61 | 58 | $36,388 | $5,425 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 56 | 56 | $38,824 | $5,944 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 54 | 50 | $7,830 | $1,958 | $1,445 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 46 | 43 | $28,947 | $3,999 | $2,930 |
| Level 4 Urology and Related ServicesAPC 5374 | 45 | 36 | $28,550 | $3,657 | $2,629 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 44 | 44 | $48,021 | $6,952 | $4,982 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 35 | 34 | $29,443 | $3,630 | $2,636 |
| Level 2 Vascular ProceduresAPC 5182 | 33 | 32 | $5,191 | $1,673 | $1,204 |
| Level 3 Lower GI ProceduresAPC 5313 | 33 | 33 | $15,650 | $3,036 | $2,176 |
| Level 3 Vascular ProceduresAPC 5183 | 26 | 26 | $33,390 | $3,337 | $2,405 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 26 | 26 | $60,159 | $12,404 | $8,569 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 22 | 21 | $30,260 | $3,396 | $2,373 |
| Level 4 Gynecologic ProceduresAPC 5414 | 20 | 19 | $26,949 | $3,116 | $2,389 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 18 | 16 | $104,290 | $15,660 | $10,772 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 15 | 14 | $17,134 | $1,678 | $1,196 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 11 | 11 | $11,329 | $2,452 | $1,780 |
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.