Contra Costa Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Contra Costa Regional Medical Center, Martinez, CA in 2024, from traditional Medicare claims. Back to the Contra Costa Regional Medical Center profile, with quality ratings, finances and negotiated rates.
305
Medicare inpatient discharges
In 13 published DRGs
1.33
Case mix index
IPPS FY 2027
0%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
408
Medicare outpatient services
In 13 service groups
Inpatient stays by major diagnostic category
Circulatory system105 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 91 | $48,318 | $21,661 | $37,881 | 1.28 |
| Heart failure and shock with CCMS-DRG 292, medical | 14 | $39,047 | $15,527 | $30,613 | 0.86 |
Infectious and parasitic diseases63 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 | 43 | $66,434 | $30,164 | $52,085 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 20 | $37,055 | $16,981 | $29,051 | 1.03 |
Respiratory system58 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 | 17 | $79,390 | $30,788 | $62,241 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 16 | $39,476 | $14,605 | $30,949 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 13 | $60,157 | $22,720 | $47,163 | 1.10 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 12 | $66,028 | $22,964 | $51,766 | 1.33 |
Kidney and urinary tract24 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 24 | $32,068 | $14,564 | $25,141 | 0.81 |
Digestive system15 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 | 15 | $36,509 | $14,392 | $28,623 | 0.79 |
Skin, subcutaneous tissue and breast15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 15 | $42,096 | $15,397 | $33,003 | 0.88 |
Nervous system13 discharges in 1 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 | 13 | $35,695 | $17,289 | $27,985 | 1.02 |
Alcohol and drug use12 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 | 12 | $32,407 | $14,351 | $25,407 | 0.86 |
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 | 124 | 99 | $12,488 | $2,554 | $1,752 |
| Level 2 Urology and Related ServicesAPC 5372 | 65 | 58 | $1,058 | $536 | $502 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 34 | 31 | $4,294 | $1,525 | $1,220 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 32 | 27 | $12,776 | $3,140 | $2,373 |
| Level 1 Nerve ProceduresAPC 5431 | 22 | 22 | $10,987 | $2,131 | $1,407 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 21 | 21 | $20,453 | $6,383 | $4,358 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 18 | 17 | $8,076 | $1,724 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 18 | 17 | $18,490 | $3,825 | $2,636 |
| Level 5 Urology and Related ServicesAPC 5375 | 18 | 17 | $20,446 | $5,740 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 16 | 16 | $30,916 | $8,321 | $5,339 |
| Level 4 Gynecologic ProceduresAPC 5414 | 16 | 16 | $16,192 | $3,468 | $2,389 |
| Level 4 Urology and Related ServicesAPC 5374 | 13 | 12 | $8,948 | $2,677 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 11 | 11 | $6,608 | $3,343 | $2,405 |
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.