Barton Memorial Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Barton Memorial Hospital, South Lake Tahoe, CA in 2024, from traditional Medicare claims. Back to the Barton Memorial Hospital profile, with quality ratings, finances and negotiated rates.
119
Medicare inpatient discharges
In 7 published DRGs
1.67
Case mix index
IPPS FY 2027
0%
Surgical stays
80%
Stays with complications
In DRGs with a CC or MCC
792
Medicare outpatient services
In 17 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases49 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 | 36 | $110,102 | $25,418 | $22,681 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 13 | $92,066 | $12,687 | $18,966 | 1.03 |
Respiratory system42 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 17 | $73,847 | $9,929 | $15,213 | 0.82 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 14 | $76,950 | $21,477 | $15,852 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 11 | $122,277 | $20,365 | $25,189 | 1.33 |
Circulatory system17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 17 | $105,133 | $17,186 | $21,657 | 1.28 |
Digestive system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 11 | $89,705 | $8,321 | $18,479 | 0.79 |
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 | 220 | 206 | $41,028 | $2,759 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 136 | 131 | $150,475 | $14,834 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 83 | 83 | $83,280 | $7,408 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 64 | 59 | $46,102 | $3,214 | $2,373 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 37 | 33 | $20,361 | $1,560 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 36 | 36 | $135,443 | $5,708 | $4,358 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 33 | 32 | $168,009 | $22,105 | $15,763 |
| Level 5 Urology and Related ServicesAPC 5375 | 31 | 28 | $68,914 | $5,265 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 28 | 24 | $52,126 | $3,547 | $2,629 |
| Level 2 Upper GI ProceduresAPC 5302 | 25 | 23 | $24,709 | $1,945 | $1,445 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 23 | 21 | $23,897 | $1,558 | $1,196 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 15 | 14 | $53,172 | $2,891 | $2,141 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 15 | 15 | $69,172 | $3,520 | $2,636 |
| Level 1 Nerve ProceduresAPC 5431 | 13 | 12 | $20,890 | $1,965 | $1,407 |
| Level 3 Vascular ProceduresAPC 5183 | 11 | $45,450 | $3,236 | $2,405 | |
| Level 3 Lower GI ProceduresAPC 5313 | 11 | 11 | $24,162 | $2,841 | $2,176 |
| Level 3 Urology and Related ServicesAPC 5373 | 11 | $31,285 | $2,073 | $1,516 |
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.