Alhambra Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Alhambra Hospital, Alhambra, CA in 2024, from traditional Medicare claims. Back to the Alhambra Hospital profile, with quality ratings, finances and negotiated rates.
575
Medicare inpatient discharges
In 21 published DRGs
1.65
Case mix index
IPPS FY 2027
0%
Surgical stays
86%
Stays with complications
In DRGs with a CC or MCC
149
Medicare outpatient services
In 4 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases165 discharges in 2 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 | 141 | $119,435 | $19,154 | $34,875 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 24 | $71,526 | $9,539 | $20,886 | 1.03 |
Respiratory system124 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 49 | $102,878 | $16,128 | $30,041 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 49 | $75,782 | $12,419 | $22,128 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 14 | $89,696 | $10,793 | $26,191 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $66,778 | $7,258 | $19,499 | 0.82 |
Digestive system86 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 29 | $92,552 | $16,997 | $27,025 | 1.79 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 18 | $105,299 | $16,084 | $30,747 | 1.62 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 14 | $60,457 | $6,929 | $17,654 | 0.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 13 | $64,004 | $8,028 | $18,689 | 0.94 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 12 | $57,398 | $8,979 | $16,760 | 0.98 |
Kidney and urinary tract74 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 26 | $69,510 | $13,624 | $20,297 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 20 | $62,486 | $11,011 | $18,246 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 16 | $49,113 | $7,364 | $14,341 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 12 | $65,564 | $8,298 | $19,145 | 0.90 |
Endocrine, nutritional and metabolic56 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 | 45 | $84,450 | $12,484 | $24,659 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 11 | $53,959 | $6,542 | $15,756 | 0.78 |
Circulatory system55 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 | 29 | $79,453 | $11,770 | $23,200 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 13 | $59,516 | $13,062 | $17,379 | 1.59 |
| Chest painMS-DRG 313, medical | 13 | $49,351 | $6,525 | $14,411 | 0.72 |
Nervous system15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 15 | $82,489 | $17,911 | $24,087 | 2.00 |
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 1 Intraocular ProceduresAPC 5491 | 73 | 65 | $21,039 | $2,188 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 40 | 39 | $25,557 | $2,679 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 25 | 22 | $15,799 | $1,858 | $1,445 |
| Level 4 Gynecologic ProceduresAPC 5414 | 11 | 11 | $18,553 | $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.