Adventist Medical Center Selma Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Adventist Medical Center Selma, Selma, CA in 2024, from traditional Medicare claims. Back to the Adventist Medical Center Selma profile, with quality ratings, finances and negotiated rates.
1,281
Medicare inpatient discharges
In 39 published DRGs
1.74
Case mix index
IPPS FY 2027
12%
Surgical stays
83%
Stays with complications
In DRGs with a CC or MCC
1,104
Medicare outpatient services
In 24 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases368 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 | 266 | $84,316 | $18,447 | $23,862 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 41 | $205,729 | $48,785 | $58,221 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 34 | $41,661 | $9,441 | $11,790 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 15 | $276,368 | $71,048 | $78,212 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $81,020 | $19,411 | $22,929 | 2.04 |
Respiratory system188 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 57 | $57,748 | $12,164 | $16,343 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 47 | $68,366 | $15,411 | $19,348 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 34 | $61,506 | $11,425 | $17,406 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 22 | $54,729 | $9,878 | $15,488 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 15 | $68,336 | $11,991 | $19,339 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 13 | $133,951 | $23,817 | $37,908 | 2.70 |
Circulatory system180 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 112 | $56,033 | $11,917 | $15,857 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 29 | $74,341 | $14,861 | $21,039 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 16 | $43,656 | $11,484 | $12,355 | 1.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 12 | $42,186 | $8,398 | $11,939 | 0.91 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 11 | $57,098 | $9,996 | $16,159 | 1.07 |
Kidney and urinary tract169 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 | 41 | $61,943 | $14,679 | $17,530 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 32 | $37,945 | $7,473 | $10,739 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 26 | $70,126 | $13,640 | $19,846 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 22 | $45,931 | $10,099 | $12,998 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 21 | $43,821 | $7,309 | $12,401 | 0.81 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 16 | $93,731 | $37,348 | $26,526 | 3.70 |
| Other kidney and urinary tract procedures with CCMS-DRG 674, surgical | 11 | $85,937 | $20,763 | $24,320 | 2.38 |
Endocrine, nutritional and metabolic112 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 | 64 | $57,963 | $12,027 | $16,403 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 19 | $65,447 | $12,587 | $18,522 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 18 | $31,904 | $7,140 | $9,029 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 11 | $58,244 | $8,301 | $16,483 | 0.90 |
Digestive system99 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 33 | $49,852 | $8,830 | $14,108 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 30 | $89,544 | $16,748 | $25,341 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $44,576 | $7,196 | $12,615 | 0.80 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 12 | $60,767 | $13,802 | $17,197 | 1.45 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 11 | $42,410 | $6,930 | $12,002 | 0.79 |
Musculoskeletal system and connective tissue71 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 | 50 | $82,269 | $19,575 | $23,282 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 21 | $101,758 | $20,298 | $28,797 | 2.11 |
Nervous system69 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 | 28 | $50,232 | $8,762 | $14,216 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 21 | $48,751 | $7,247 | $13,796 | 0.80 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 20 | $105,379 | $19,081 | $29,822 | 2.00 |
Alcohol and drug use13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 13 | $35,057 | $8,648 | $9,921 | 0.86 |
Skin, subcutaneous tissue and breast12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 12 | $49,298 | $7,722 | $13,951 | 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 | 189 | 184 | $29,931 | $2,652 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 134 | 134 | $35,256 | $2,830 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 95 | 85 | $15,812 | $1,866 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 76 | 75 | $79,505 | $14,244 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 67 | 66 | $9,328 | $1,526 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 67 | 66 | $30,838 | $5,127 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 64 | 62 | $20,714 | $2,868 | $2,373 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 45 | 44 | $115,457 | $27,470 | $21,117 |
| Level 3 Vascular ProceduresAPC 5183 | 39 | 36 | $27,274 | $2,994 | $2,405 |
| Level 4 Urology and Related ServicesAPC 5374 | 37 | 32 | $22,110 | $2,990 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 34 | 33 | $25,684 | $4,974 | $3,918 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 32 | 32 | $28,648 | $3,133 | $2,636 |
| Level 3 Urology and Related ServicesAPC 5373 | 29 | 28 | $15,697 | $1,829 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 25 | 24 | $37,656 | $6,629 | $5,339 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 24 | 24 | $16,391 | $2,528 | $2,141 |
| Level 5 ENT ProceduresAPC 5165 | 23 | 23 | $36,692 | $4,835 | $4,436 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 21 | 21 | $84,478 | $10,383 | $8,569 |
| Level 1 Nerve ProceduresAPC 5431 | 21 | 21 | $14,388 | $1,772 | $1,407 |
| Level 3 Lower GI ProceduresAPC 5313 | 15 | 15 | $15,908 | $2,796 | $2,176 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 15 | 14 | $69,194 | $11,005 | $8,164 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 14 | 14 | $11,403 | $1,574 | $1,196 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 14 | 14 | $47,273 | $7,528 | $5,682 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 13 | 13 | $117,383 | $21,219 | $15,763 |
| Level 4 Gynecologic ProceduresAPC 5414 | 11 | 11 | $16,370 | $3,062 | $2,389 |
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.