Antelope Valley Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Antelope Valley Hospital, Lancaster, CA in 2024, from traditional Medicare claims. Back to the Antelope Valley Hospital profile, with quality ratings, finances and negotiated rates.
1,574
Medicare inpatient discharges
In 49 published DRGs
2.20
Case mix index
IPPS FY 2027
24%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
553
Medicare outpatient services
In 21 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases513 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 | 404 | $99,916 | $19,448 | $23,880 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 44 | $225,577 | $48,554 | $53,913 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 33 | $57,595 | $9,208 | $13,765 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 32 | $362,312 | $76,736 | $86,593 | 6.96 |
Circulatory system362 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 83 | $173,581 | $32,168 | $41,486 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 78 | $254,267 | $48,689 | $60,770 | 4.88 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 40 | $366,666 | $72,965 | $87,633 | 6.25 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 36 | $63,753 | $15,176 | $15,237 | 1.59 |
| Heart failure and shock with MCCMS-DRG 291, medical | 34 | $80,975 | $12,388 | $19,353 | 1.28 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 26 | $114,602 | $21,141 | $27,390 | 2.09 |
| Syncope and collapseMS-DRG 312, medical | 19 | $47,641 | $7,946 | $11,386 | 0.86 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 18 | $266,390 | $41,769 | $63,667 | 3.90 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 16 | $139,122 | $17,286 | $33,250 | 1.82 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 12 | $207,723 | $32,085 | $49,646 | 3.18 |
Nervous system151 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 39 | $101,820 | $18,702 | $24,335 | 2.00 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 27 | $85,260 | $17,256 | $20,377 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 21 | $73,350 | $19,602 | $17,531 | 1.98 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 16 | $46,046 | $8,850 | $11,005 | 1.02 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 14 | $278,203 | $55,555 | $66,490 | 5.67 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 12 | $36,957 | $5,614 | $8,833 | 0.69 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 11 | $66,501 | $9,897 | $15,894 | 1.06 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 11 | $55,338 | $12,572 | $13,226 | 1.32 |
Kidney and urinary tract130 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 26 | $56,909 | $14,112 | $13,601 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 23 | $46,547 | $8,277 | $11,125 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 22 | $47,614 | $6,799 | $11,380 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 20 | $41,401 | $10,489 | $9,895 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 14 | $70,296 | $14,888 | $16,801 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 13 | $45,762 | $10,031 | $10,937 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 12 | $220,407 | $40,498 | $52,677 | 3.70 |
Respiratory system127 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 33 | $59,191 | $12,124 | $14,147 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 28 | $65,356 | $11,873 | $15,620 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 25 | $87,779 | $16,156 | $20,979 | 1.70 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 18 | $140,676 | $25,069 | $33,621 | 2.70 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 12 | $289,359 | $64,851 | $69,157 | 6.91 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $63,221 | $10,202 | $15,110 | 1.40 |
Endocrine, nutritional and metabolic78 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 | 32 | $61,612 | $12,325 | $14,725 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 16 | $87,598 | $14,767 | $20,936 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 16 | $49,426 | $9,065 | $11,813 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 14 | $47,643 | $7,210 | $11,387 | 0.78 |
Digestive system77 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 34 | $82,182 | $17,075 | $19,642 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 24 | $53,612 | $8,648 | $12,813 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 19 | $46,140 | $7,159 | $11,027 | 0.79 |
Musculoskeletal system and connective tissue70 discharges in 4 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 | 29 | $114,104 | $19,798 | $27,271 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 15 | $87,828 | $18,520 | $20,991 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 15 | $54,280 | $8,885 | $12,973 | 0.97 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 11 | $138,914 | $27,971 | $33,201 | 2.95 |
Mental diseases and disorders42 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 42 | $30,283 | $13,413 | $7,238 | 1.37 |
Liver, gallbladder and pancreas13 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 | 13 | $62,525 | $16,502 | $14,943 | 1.83 |
Injuries, poisonings and toxic effects of drugs11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 11 | $71,849 | $14,806 | $17,172 | 1.60 |
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 3 Vascular ProceduresAPC 5183 | 44 | 41 | $25,627 | $3,122 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 44 | 40 | $35,701 | $5,069 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 42 | 40 | $9,780 | $1,778 | $1,445 |
| Level 4 Urology and Related ServicesAPC 5374 | 42 | 36 | $27,303 | $3,415 | $2,629 |
| Comprehensive Observation ServicesAPC 8011 | 39 | 39 | $31,400 | $2,681 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 37 | 37 | $27,974 | $2,797 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 35 | 34 | $10,424 | $1,587 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 35 | 33 | $21,553 | $1,938 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 30 | 28 | $36,939 | $5,459 | $4,358 |
| Level 4 Vascular ProceduresAPC 5184 | 27 | 27 | $56,306 | $5,373 | $3,946 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 26 | 25 | $16,937 | $2,778 | $2,141 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 25 | 25 | $74,766 | $14,516 | $10,772 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 20 | 20 | $25,710 | $3,389 | $2,636 |
| Level 4 Gynecologic ProceduresAPC 5414 | 17 | 17 | $21,504 | $2,888 | $2,389 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 15 | 15 | $75,715 | $11,476 | $8,569 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 14 | 14 | $24,056 | $3,171 | $2,373 |
| Level 2 Vascular ProceduresAPC 5182 | 14 | 14 | $18,992 | $1,457 | $1,204 |
| Level 5 Gynecologic ProceduresAPC 5415 | 14 | 14 | $27,364 | $4,872 | $3,792 |
| Level 3 Airway EndoscopyAPC 5153 | 11 | 11 | $9,738 | $1,663 | $1,264 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 11 | 11 | $293,664 | $38,684 | $29,375 |
| Level 3 Upper GI ProceduresAPC 5303 | 11 | 11 | $31,637 | $3,751 | $2,888 |
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.