Community Memorial Hospital San Buenaventura Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Community Memorial Hospital San Buenaventura, Ventura, CA in 2024, from traditional Medicare claims. Back to the Community Memorial Hospital San Buenaventura profile, with quality ratings, finances and negotiated rates.
2,260
Medicare inpatient discharges
In 80 published DRGs
1.92
Case mix index
IPPS FY 2027
28%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
4,084
Medicare outpatient services
In 42 service groups
Inpatient stays by major diagnostic category
Circulatory system543 discharges in 17 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 133 | $38,300 | $12,495 | $11,222 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 108 | $105,050 | $34,054 | $30,780 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 55 | $243,939 | $53,317 | $71,474 | 4.88 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 37 | $110,037 | $17,701 | $32,241 | 1.82 |
| Syncope and collapseMS-DRG 312, medical | 25 | $25,717 | $8,607 | $7,535 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 23 | $22,213 | $7,024 | $6,508 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 22 | $160,905 | $31,246 | $47,145 | 2.87 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 18 | $28,415 | $12,452 | $8,326 | 1.20 |
| Other vascular procedures with CCMS-DRG 253, surgical | 16 | $123,725 | $27,279 | $36,251 | 2.55 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 15 | $388,559 | $75,799 | $113,848 | 6.25 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 14 | $67,406 | $22,989 | $19,750 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 14 | $40,211 | $9,347 | $11,782 | 1.08 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 13 | $136,513 | $33,989 | $39,998 | 3.18 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 13 | $38,422 | $15,467 | $11,258 | 1.59 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 13 | $65,982 | $20,829 | $19,333 | 2.09 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 12 | $110,035 | $36,335 | $32,240 | 3.35 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 12 | $137,148 | $34,414 | $40,184 | 3.46 |
Infectious and parasitic diseases395 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 | 272 | $55,668 | $19,308 | $16,311 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 68 | $27,275 | $9,870 | $7,992 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 31 | $204,402 | $46,084 | $59,890 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $52,427 | $18,056 | $15,361 | 2.04 |
| Postoperative and post-traumatic infections without MCCMS-DRG 863, medical | 12 | $21,366 | $9,798 | $6,260 | 1.01 |
Respiratory system303 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 63 | $46,215 | $12,583 | $13,541 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 61 | $47,495 | $16,125 | $13,916 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 28 | $45,978 | $11,620 | $13,472 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 28 | $31,094 | $7,591 | $9,111 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 27 | $33,865 | $9,308 | $9,922 | 0.99 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 21 | $40,179 | $9,837 | $11,772 | 1.10 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 15 | $22,104 | $7,418 | $6,476 | 0.82 |
| Major chest procedures with CCMS-DRG 164, surgical | 14 | $105,014 | $24,493 | $30,769 | 2.55 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 12 | $94,604 | $19,426 | $27,719 | 1.88 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 12 | $32,626 | $9,421 | $9,559 | 0.96 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $28,605 | $13,280 | $8,381 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $93,186 | $26,581 | $27,303 | 2.70 |
Musculoskeletal system and connective tissue257 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 63 | $90,741 | $19,157 | $26,587 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 46 | $78,416 | $20,423 | $22,976 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 24 | $81,993 | $21,830 | $24,024 | 2.11 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 23 | $25,108 | $10,809 | $7,357 | 1.09 |
| Medical back problems without MCCMS-DRG 552, medical | 23 | $22,978 | $9,053 | $6,733 | 0.97 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 16 | $161,154 | $28,235 | $47,218 | 2.67 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 15 | $54,722 | $15,798 | $16,034 | 1.59 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 12 | $168,941 | $37,496 | $49,500 | 3.49 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 12 | $103,399 | $30,834 | $30,296 | 2.95 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 12 | $100,182 | $19,788 | $29,353 | 1.97 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 11 | $222,739 | $38,451 | $65,263 | 3.66 |
Digestive system243 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 51 | $42,753 | $9,469 | $12,527 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 40 | $30,688 | $7,525 | $8,992 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 23 | $53,555 | $18,307 | $15,692 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 19 | $26,503 | $9,488 | $7,765 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 18 | $18,037 | $7,314 | $5,285 | 0.80 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 18 | $17,118 | $4,610 | $5,016 | 0.56 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 17 | $95,269 | $24,339 | $27,914 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 17 | $51,566 | $12,716 | $15,109 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 14 | $188,020 | $49,722 | $55,090 | 4.52 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 14 | $48,886 | $13,392 | $14,323 | 1.45 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 12 | $48,300 | $17,251 | $14,152 | 1.62 |
Kidney and urinary tract195 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 59 | $21,876 | $8,844 | $6,410 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 33 | $58,663 | $16,355 | $17,188 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 32 | $19,009 | $7,542 | $5,570 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 29 | $39,525 | $14,098 | $11,581 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 23 | $26,506 | $11,491 | $7,766 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 19 | $29,833 | $9,691 | $8,741 | 1.02 |
Endocrine, nutritional and metabolic128 discharges in 6 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 | 33 | $34,518 | $12,682 | $10,114 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 33 | $20,950 | $7,235 | $6,138 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 25 | $21,489 | $9,147 | $6,296 | 0.90 |
| Endocrine disorders with CCMS-DRG 644, medical | 14 | $26,842 | $10,010 | $7,865 | 1.06 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $79,738 | $15,097 | $23,363 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 11 | $55,080 | $16,923 | $16,139 | 1.65 |
Nervous system94 discharges in 5 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 | 33 | $35,757 | $8,950 | $10,477 | 1.02 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 17 | $28,739 | $9,616 | $8,421 | 1.03 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 16 | $49,135 | $20,550 | $14,396 | 2.00 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 16 | $29,690 | $6,130 | $8,699 | 0.69 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 12 | $47,231 | $18,832 | $13,839 | 1.79 |
Skin, subcutaneous tissue and breast33 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 21 | $19,443 | $7,973 | $5,697 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 12 | $31,982 | $14,389 | $9,371 | 1.49 |
Liver, gallbladder and pancreas28 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 16 | $71,222 | $16,753 | $20,868 | 1.63 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 12 | $25,130 | $8,606 | $7,363 | 0.95 |
Blood and immune system15 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 | 15 | $45,769 | $14,600 | $13,410 | 1.40 |
Other14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 14 | $101,595 | $41,824 | $29,767 | 4.74 |
Factors influencing health status12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 12 | $20,822 | $7,854 | $6,101 | 0.80 |
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 2 Urology and Related ServicesAPC 5372 | 841 | 615 | $267 | $668 | $502 |
| Comprehensive Observation ServicesAPC 8011 | 366 | 350 | $13,544 | $2,645 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 250 | 150 | $18,915 | $2,264 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 207 | 200 | $75,943 | $14,515 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 176 | 154 | $7,051 | $1,506 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 157 | 157 | $22,597 | $2,823 | $2,208 |
| Level 3 Urology and Related ServicesAPC 5373 | 144 | 129 | $3,057 | $1,995 | $1,516 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 138 | 135 | $152,197 | $27,079 | $21,117 |
| Level 3 Endovascular ProceduresAPC 5193 | 127 | 109 | $71,351 | $11,796 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 117 | 116 | $42,826 | $5,464 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 114 | 103 | $23,723 | $3,067 | $2,405 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 102 | 102 | $51,093 | $7,158 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 101 | 88 | $19,753 | $3,415 | $2,629 |
| Level 3 ENT ProceduresAPC 5163 | 100 | 64 | $173 | $1,494 | $1,106 |
| Level 5 Urology and Related ServicesAPC 5375 | 95 | 94 | $27,620 | $5,069 | $3,918 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 77 | 76 | $82,254 | $20,434 | $15,763 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 73 | 70 | $11,499 | $1,574 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 69 | 68 | $32,462 | $3,382 | $2,636 |
| Level 1 Nerve ProceduresAPC 5431 | 67 | 59 | $14,658 | $1,891 | $1,407 |
| Level 2 Upper GI ProceduresAPC 5302 | 66 | 58 | $12,291 | $1,836 | $1,445 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 62 | 61 | $27,155 | $3,060 | $2,373 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 62 | 62 | $77,172 | $10,993 | $8,164 |
| Level 4 Vascular ProceduresAPC 5184 | 60 | 55 | $40,823 | $5,380 | $3,946 |
| Level 2 Endovascular ProceduresAPC 5192 | 49 | 41 | $42,071 | $5,482 | $4,338 |
| Level 4 Endovascular ProceduresAPC 5194 | 49 | 43 | $120,604 | $19,865 | $14,606 |
| Level 4 Gynecologic ProceduresAPC 5414 | 49 | 49 | $17,319 | $3,057 | $2,389 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 37 | 37 | $34,771 | $6,215 | $4,982 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 34 | 34 | $87,984 | $11,469 | $8,569 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 33 | 31 | $20,363 | $3,734 | $2,930 |
| Level 5 Gynecologic ProceduresAPC 5415 | 28 | 28 | $32,110 | $4,702 | $3,792 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 26 | 26 | $16,334 | $2,678 | $2,141 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 26 | 26 | $116,027 | $22,259 | $17,052 |
| Level 2 Intraocular ProceduresAPC 5492 | 25 | 23 | $25,544 | $3,983 | $3,116 |
| Level 3 Lower GI ProceduresAPC 5313 | 24 | 23 | $19,670 | $2,698 | $2,176 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 24 | 21 | $23,894 | $2,281 | $1,780 |
| Level 3 Airway EndoscopyAPC 5153 | 23 | 22 | $9,310 | $1,654 | $1,264 |
| Level 2 Vascular ProceduresAPC 5182 | 17 | 17 | $7,113 | $1,569 | $1,204 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 17 | 17 | $107,121 | $25,186 | $18,465 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 16 | 15 | $12,436 | $6,775 | $4,524 |
| Level 3 Intraocular ProceduresAPC 5493 | 14 | $29,998 | $5,120 | $4,004 | |
| Level 5 ENT ProceduresAPC 5165 | 11 | 11 | $31,110 | $5,736 | $4,436 |
| Level 6 Urology and Related ServicesAPC 5376 | 11 | 11 | $33,089 | $9,681 | $7,291 |
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.