Dominican Santa Cruz Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Dominican Santa Cruz Hospital, Santa Cruz, CA in 2024, from traditional Medicare claims. Back to the Dominican Santa Cruz Hospital profile, with quality ratings, finances and negotiated rates.
3,169
Medicare inpatient discharges
In 90 published DRGs
1.91
Case mix index
IPPS FY 2027
15%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
1,780
Medicare outpatient services
In 28 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases838 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 | 577 | $211,840 | $21,014 | $31,564 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 132 | $120,542 | $9,705 | $17,961 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 81 | $475,742 | $59,271 | $70,885 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 26 | $220,479 | $22,869 | $32,851 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 22 | $681,460 | $80,109 | $101,538 | 6.96 |
Circulatory system588 discharges in 20 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 168 | $154,520 | $12,872 | $23,023 | 1.28 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 33 | $317,708 | $49,073 | $47,338 | 4.88 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 33 | $88,484 | $6,965 | $13,184 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 32 | $290,562 | $31,380 | $43,294 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 30 | $128,798 | $9,900 | $19,191 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 30 | $179,826 | $17,859 | $26,794 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 29 | $213,063 | $15,618 | $31,746 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 27 | $220,026 | $23,143 | $32,784 | 2.16 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 23 | $499,581 | $68,101 | $74,438 | 6.25 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 22 | $114,513 | $12,005 | $17,062 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 22 | $91,917 | $8,300 | $13,696 | 0.86 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 20 | $183,385 | $21,271 | $27,324 | 2.09 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 18 | $532,220 | $50,606 | $79,301 | 5.24 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 17 | $644,686 | $81,669 | $96,058 | 7.71 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 17 | $68,218 | $4,719 | $10,165 | 0.55 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 15 | $252,956 | $34,735 | $37,690 | 3.35 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 14 | $97,344 | $9,254 | $14,504 | 0.97 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 13 | $122,896 | $9,055 | $18,311 | 0.91 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 13 | $124,874 | $9,838 | $18,606 | 1.07 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 12 | $292,491 | $40,547 | $43,581 | 3.46 |
Respiratory system360 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 94 | $155,738 | $15,600 | $23,205 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 78 | $144,720 | $13,683 | $21,563 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 47 | $134,170 | $11,060 | $19,991 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 39 | $150,686 | $13,743 | $22,452 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $116,013 | $6,821 | $17,286 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 20 | $96,625 | $9,237 | $14,397 | 0.99 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 13 | $101,453 | $7,393 | $15,116 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 13 | $120,714 | $7,840 | $17,986 | 0.85 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 12 | $317,592 | $32,148 | $47,321 | 2.70 |
| Major chest procedures with CCMS-DRG 164, surgical | 11 | $218,173 | $25,109 | $32,508 | 2.55 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $157,810 | $13,754 | $23,514 | 1.40 |
Kidney and urinary tract323 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 76 | $161,794 | $17,429 | $24,107 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 75 | $84,511 | $7,435 | $12,592 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 58 | $101,747 | $8,177 | $15,160 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 51 | $109,094 | $11,260 | $16,255 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 44 | $172,426 | $15,202 | $25,691 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 19 | $107,901 | $10,231 | $16,077 | 1.02 |
Digestive system287 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 59 | $116,786 | $10,017 | $17,401 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 53 | $103,296 | $7,230 | $15,391 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 31 | $172,605 | $17,403 | $25,718 | 1.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 25 | $437,224 | $54,200 | $65,146 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 24 | $82,389 | $7,163 | $12,276 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 23 | $123,561 | $8,996 | $18,411 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 19 | $127,708 | $12,472 | $19,029 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 15 | $227,917 | $23,987 | $33,960 | 2.37 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 14 | $175,579 | $16,643 | $26,161 | 1.75 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 13 | $67,141 | $4,334 | $10,004 | 0.56 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 11 | $118,008 | $16,057 | $17,583 | 1.67 |
Nervous system224 discharges in 11 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 | 51 | $118,026 | $9,197 | $17,586 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 38 | $186,777 | $18,463 | $27,830 | 2.00 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 18 | $94,785 | $9,656 | $14,123 | 1.03 |
| Seizures without MCCMS-DRG 101, medical | 17 | $107,551 | $8,754 | $16,025 | 0.91 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 16 | $131,525 | $11,968 | $19,597 | 1.32 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $102,183 | $7,420 | $15,225 | 0.80 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 15 | $121,060 | $17,177 | $18,038 | 1.79 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 14 | $300,388 | $36,633 | $44,758 | 4.42 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 14 | $126,110 | $12,476 | $18,790 | 1.36 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 14 | $111,379 | $6,026 | $16,595 | 0.69 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 12 | $146,860 | $18,018 | $21,882 | 1.87 |
Musculoskeletal system and connective tissue212 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 37 | $99,663 | $9,064 | $14,850 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 30 | $162,093 | $19,529 | $24,152 | 2.07 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 27 | $235,702 | $27,857 | $35,120 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 22 | $179,045 | $20,877 | $26,678 | 2.11 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 20 | $108,868 | $9,576 | $16,221 | 1.09 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 19 | $74,034 | $7,183 | $11,031 | 0.79 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 17 | $125,107 | $15,237 | $18,641 | 1.59 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 15 | $99,826 | $8,009 | $14,874 | 0.90 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 13 | $93,483 | $7,453 | $13,929 | 0.82 |
| Medical back problems with MCCMS-DRG 551, medical | 12 | $266,305 | $23,844 | $39,679 | 1.70 |
Endocrine, nutritional and metabolic117 discharges in 5 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 | 40 | $135,169 | $12,748 | $20,140 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 29 | $93,892 | $7,058 | $13,990 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 20 | $106,103 | $8,680 | $15,809 | 0.90 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 17 | $162,477 | $18,754 | $24,209 | 1.98 |
| Endocrine disorders with MCCMS-DRG 643, medical | 11 | $182,206 | $15,515 | $27,149 | 1.65 |
Skin, subcutaneous tissue and breast59 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 59 | $88,105 | $8,133 | $13,128 | 0.88 |
Alcohol and drug use55 discharges in 2 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 | 34 | $116,504 | $8,302 | $17,359 | 0.86 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 21 | $116,705 | $17,549 | $17,389 | 1.78 |
Liver, gallbladder and pancreas48 discharges in 4 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 | 14 | $239,116 | $25,583 | $35,628 | 1.83 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 12 | $90,421 | $9,568 | $13,473 | 1.09 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 11 | $142,992 | $15,928 | $21,306 | 1.63 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 11 | $97,433 | $9,318 | $14,518 | 0.95 |
Injuries, poisonings and toxic effects of drugs28 discharges in 2 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 | 17 | $192,164 | $19,949 | $28,632 | 1.60 |
| Complications of treatment with MCCMS-DRG 919, medical | 11 | $165,642 | $17,984 | $24,681 | 1.82 |
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 | $144,106 | $14,075 | $21,472 | 1.40 |
Factors influencing health status15 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 | 15 | $74,509 | $7,430 | $11,102 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 304 | 295 | $46,900 | $2,847 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 227 | 227 | $41,972 | $3,056 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 119 | 114 | $108,417 | $15,569 | $10,772 |
| Level 3 Vascular ProceduresAPC 5183 | 102 | 97 | $23,826 | $3,325 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 94 | 85 | $17,592 | $1,991 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 92 | 91 | $63,677 | $7,733 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 85 | 78 | $40,089 | $3,639 | $2,629 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 79 | 79 | $14,218 | $1,690 | $1,220 |
| Level 3 Endovascular ProceduresAPC 5193 | 76 | 72 | $80,069 | $12,756 | $8,874 |
| Level 5 Urology and Related ServicesAPC 5375 | 73 | 70 | $49,648 | $5,401 | $3,918 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 68 | 65 | $14,439 | $2,963 | $2,141 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 55 | 55 | $65,901 | $6,023 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 53 | 32 | $16,848 | $2,123 | $1,516 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 41 | 41 | $45,127 | $12,334 | $8,569 |
| Level 2 Endovascular ProceduresAPC 5192 | 39 | 31 | $41,953 | $5,966 | $4,338 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 37 | 36 | $18,785 | $1,673 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 32 | 30 | $29,044 | $3,611 | $2,636 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 29 | 28 | $131,766 | $11,628 | $8,164 |
| Level 2 Vascular ProceduresAPC 5182 | 28 | 28 | $15,342 | $1,582 | $1,204 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 19 | 19 | $137,504 | $22,706 | $15,763 |
| Level 4 Vascular ProceduresAPC 5184 | 19 | 17 | $50,714 | $5,736 | $3,946 |
| Level 4 Endovascular ProceduresAPC 5194 | 19 | 19 | $110,076 | $21,281 | $14,606 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 18 | 18 | $44,277 | $9,486 | $6,514 |
| Level 4 Gynecologic ProceduresAPC 5414 | 18 | 18 | $31,582 | $3,264 | $2,389 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 15 | 15 | $100,740 | $23,826 | $17,052 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 14 | 14 | $65,811 | $6,416 | $4,982 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 14 | 14 | $102,997 | $41,329 | $29,375 |
| Level 3 Airway EndoscopyAPC 5153 | 11 | 11 | $25,869 | $1,772 | $1,264 |
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.