Adventist Health White Memorial Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Adventist Health White Memorial, Los Angeles, CA in 2024, from traditional Medicare claims. Back to the Adventist Health White Memorial profile, with quality ratings, finances and negotiated rates.
1,317
Medicare inpatient discharges
In 42 published DRGs
1.92
Case mix index
IPPS FY 2027
9%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
950
Medicare outpatient services
In 19 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases381 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 | 258 | $202,486 | $22,289 | $25,513 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 60 | $96,843 | $10,797 | $12,202 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 35 | $459,752 | $54,766 | $57,929 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 16 | $526,181 | $65,875 | $66,299 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $202,392 | $21,763 | $25,501 | 2.04 |
Circulatory system245 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 73 | $147,234 | $14,576 | $18,551 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 72 | $283,225 | $27,770 | $35,686 | 1.59 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 18 | $273,248 | $27,215 | $34,429 | 2.09 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 17 | $116,802 | $9,747 | $14,717 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 15 | $370,124 | $29,010 | $46,636 | 2.87 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 14 | $266,684 | $38,849 | $33,602 | 3.35 |
| Syncope and collapseMS-DRG 312, medical | 14 | $89,145 | $9,679 | $11,232 | 0.86 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 11 | $705,187 | $73,113 | $88,854 | 5.06 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 11 | $110,613 | $12,676 | $13,937 | 1.20 |
Kidney and urinary tract147 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 34 | $89,321 | $8,757 | $11,254 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 27 | $145,175 | $17,182 | $18,292 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 26 | $134,633 | $15,384 | $16,964 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 25 | $104,449 | $12,713 | $13,161 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 23 | $115,373 | $9,672 | $14,537 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 12 | $131,076 | $10,775 | $16,516 | 1.02 |
Respiratory system113 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 52 | $136,307 | $13,269 | $17,175 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 31 | $185,142 | $19,357 | $23,328 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 19 | $174,677 | $15,675 | $22,009 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $272,963 | $31,010 | $34,393 | 2.70 |
Digestive system109 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 39 | $164,443 | $20,232 | $20,720 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 35 | $117,646 | $10,922 | $14,823 | 0.98 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 13 | $133,369 | $18,559 | $16,805 | 1.62 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 11 | $73,036 | $8,669 | $9,203 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 11 | $118,824 | $9,782 | $14,972 | 0.94 |
Mental diseases and disorders108 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 108 | $66,046 | $15,591 | $8,322 | 1.37 |
Endocrine, nutritional and metabolic91 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 | 37 | $123,440 | $14,476 | $15,553 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 22 | $93,045 | $8,853 | $11,724 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 17 | $120,783 | $10,309 | $15,219 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 15 | $183,796 | $16,537 | $23,158 | 1.45 |
Musculoskeletal system and connective tissue47 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 18 | $292,538 | $28,691 | $36,860 | 2.48 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 17 | $144,156 | $19,079 | $18,164 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 12 | $111,549 | $10,908 | $14,055 | 0.97 |
Nervous system28 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 16 | $220,760 | $17,415 | $27,816 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 12 | $125,034 | $10,443 | $15,754 | 1.02 |
Skin, subcutaneous tissue and breast21 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 21 | $95,771 | $9,978 | $12,067 | 0.88 |
Liver, gallbladder and pancreas14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 14 | $150,851 | $20,580 | $19,007 | 1.83 |
Blood and immune system13 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 | 13 | $144,978 | $15,938 | $18,267 | 1.40 |
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 | 371 | 340 | $58,951 | $2,679 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 118 | 43 | $8,625 | $1,587 | $1,220 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 55 | 55 | $232,027 | $21,218 | $15,763 |
| Level 1 Endovascular ProceduresAPC 5191 | 43 | 42 | $53,405 | $2,880 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 41 | 41 | $120,188 | $7,155 | $5,339 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 41 | 40 | $155,677 | $14,497 | $10,772 |
| Level 3 Endovascular ProceduresAPC 5193 | 40 | 38 | $127,900 | $11,857 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 30 | 30 | $69,939 | $5,636 | $4,358 |
| Level 2 Vascular ProceduresAPC 5182 | 26 | 25 | $19,701 | $1,569 | $1,204 |
| Level 4 Endovascular ProceduresAPC 5194 | 25 | 21 | $171,081 | $19,077 | $14,606 |
| Level 3 Vascular ProceduresAPC 5183 | 24 | 23 | $50,181 | $3,122 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 23 | 23 | $57,170 | $3,154 | $2,373 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 21 | 21 | $60,397 | $3,383 | $2,636 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 19 | 19 | $123,256 | $11,463 | $8,569 |
| Level 2 Upper GI ProceduresAPC 5302 | 17 | 15 | $18,721 | $1,816 | $1,445 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 15 | 14 | $53,510 | $2,783 | $2,141 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 15 | 15 | $188,565 | $27,450 | $21,117 |
| Level 2 Endovascular ProceduresAPC 5192 | 13 | 12 | $87,151 | $5,590 | $4,338 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 13 | 13 | $350,729 | $38,684 | $29,375 |
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.