Eden Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Eden Medical Center, Castro Valley, CA in 2024, from traditional Medicare claims. Back to the Eden Medical Center profile, with quality ratings, finances and negotiated rates.
1,735
Medicare inpatient discharges
In 55 published DRGs
1.84
Case mix index
IPPS FY 2027
12%
Surgical stays
77%
Stays with complications
In DRGs with a CC or MCC
1,071
Medicare outpatient services
In 17 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases588 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 | 418 | $109,140 | $20,888 | $32,633 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 82 | $58,679 | $10,130 | $17,545 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 51 | $214,460 | $49,576 | $64,123 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 22 | $430,043 | $83,748 | $128,583 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 15 | $91,091 | $20,930 | $27,236 | 2.04 |
Nervous system309 discharges in 14 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 | 63 | $80,934 | $10,559 | $24,199 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 54 | $138,631 | $20,642 | $41,451 | 2.00 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 27 | $280,868 | $52,603 | $83,980 | 4.42 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 20 | $88,635 | $13,546 | $26,502 | 1.32 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 19 | $361,495 | $62,181 | $108,087 | 5.67 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 18 | $97,011 | $14,165 | $29,006 | 1.36 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 16 | $73,404 | $8,346 | $21,948 | 0.80 |
| Seizures without MCCMS-DRG 101, medical | 16 | $61,012 | $9,723 | $18,243 | 0.91 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 14 | $87,400 | $19,085 | $26,132 | 1.79 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $69,074 | $14,577 | $20,653 | 1.36 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 061, medical | 13 | $213,114 | $37,509 | $63,721 | 2.80 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 13 | $69,364 | $10,080 | $20,740 | 1.06 |
| Seizures with MCCMS-DRG 100, medical | 12 | $115,163 | $21,235 | $34,434 | 1.98 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 11 | $66,719 | $10,417 | $19,949 | 1.03 |
Circulatory system169 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 106 | $68,972 | $12,550 | $20,623 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 22 | $63,910 | $8,582 | $19,109 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 21 | $59,926 | $7,513 | $17,918 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 20 | $73,005 | $14,095 | $21,828 | 1.59 |
Respiratory system153 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 52 | $99,020 | $17,149 | $29,607 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 41 | $83,109 | $12,996 | $24,849 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 30 | $79,588 | $13,205 | $23,797 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 16 | $79,528 | $11,342 | $23,779 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $42,953 | $8,498 | $12,843 | 0.82 |
Kidney and urinary tract150 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 | 40 | $87,978 | $16,730 | $26,305 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 33 | $54,971 | $9,267 | $16,436 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 31 | $80,536 | $14,558 | $24,080 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 20 | $48,629 | $8,283 | $14,540 | 0.81 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 15 | $53,586 | $11,004 | $16,022 | 1.02 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 11 | $64,831 | $11,436 | $19,385 | 1.17 |
Musculoskeletal system and connective tissue119 discharges in 6 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 | 37 | $117,877 | $21,604 | $35,245 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 25 | $67,461 | $9,966 | $20,171 | 0.97 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 16 | $112,224 | $19,797 | $33,555 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 15 | $129,900 | $22,260 | $38,840 | 2.11 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 15 | $59,055 | $8,499 | $17,657 | 0.90 |
| Medical back problems with MCCMS-DRG 551, medical | 11 | $131,821 | $16,903 | $39,414 | 1.70 |
Digestive system90 discharges in 6 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 | 21 | $55,236 | $7,927 | $16,516 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 19 | $48,038 | $8,018 | $14,363 | 0.80 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 16 | $49,998 | $9,830 | $14,949 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 12 | $77,921 | $19,432 | $23,298 | 1.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 11 | $228,512 | $39,011 | $68,325 | 4.52 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $86,417 | $13,529 | $25,839 | 1.28 |
Endocrine, nutritional and metabolic86 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 | 34 | $62,570 | $13,583 | $18,709 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 20 | $47,948 | $9,208 | $14,336 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 18 | $50,289 | $7,485 | $15,036 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $78,253 | $12,544 | $23,398 | 1.45 |
Blood and immune system27 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 15 | $55,606 | $9,117 | $16,626 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 12 | $82,474 | $15,019 | $24,660 | 1.40 |
Skin, subcutaneous tissue and breast22 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 22 | $51,025 | $8,978 | $15,257 | 0.88 |
Liver, gallbladder and pancreas11 discharges in 1 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 | 11 | $96,762 | $17,791 | $28,932 | 1.63 |
Alcohol and drug use11 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 | 11 | $70,847 | $8,460 | $21,183 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 413 | 393 | $39,556 | $3,006 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 117 | 106 | $11,120 | $1,776 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 103 | 99 | $25,981 | $3,506 | $2,405 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 88 | 86 | $38,594 | $8,198 | $5,339 |
| Level 4 Vascular ProceduresAPC 5184 | 52 | 51 | $75,708 | $5,726 | $3,946 |
| Level 5 Urology and Related ServicesAPC 5375 | 42 | 40 | $34,111 | $5,725 | $3,918 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 36 | 36 | $77,099 | $16,141 | $10,772 |
| Level 3 Urology and Related ServicesAPC 5373 | 31 | 25 | $18,553 | $2,254 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 28 | 28 | $59,274 | $6,377 | $4,358 |
| Level 2 Vascular ProceduresAPC 5182 | 24 | 24 | $13,204 | $1,772 | $1,204 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 24 | 22 | $21,967 | $3,820 | $2,636 |
| Level 4 Urology and Related ServicesAPC 5374 | 24 | 19 | $25,170 | $3,857 | $2,629 |
| Level 2 Upper GI ProceduresAPC 5302 | 21 | 20 | $14,272 | $2,105 | $1,445 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 20 | 19 | $54,787 | $7,419 | $4,982 |
| Level 4 Gynecologic ProceduresAPC 5414 | 19 | 19 | $28,417 | $3,459 | $2,389 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 18 | 17 | $20,077 | $1,763 | $1,196 |
| Level 5 Gynecologic ProceduresAPC 5415 | 11 | 11 | $35,566 | $5,503 | $3,792 |
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.