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El Camino Hospital Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for El Camino Hospital, Mountain View, CA in 2024, from traditional Medicare claims. Back to the El Camino Hospital profile, with quality ratings, finances and negotiated rates.

  • 4,925

    Medicare inpatient discharges

    In 124 published DRGs

  • 1.90

    Case mix index

    IPPS FY 2027

  • 21%

    Surgical stays

  • 69%

    Stays with complications

    In DRGs with a CC or MCC

  • 5,504

    Medicare outpatient services

    In 47 service groups

Inpatient stays by major diagnostic category

Circulatory system968 discharges in 23 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Heart failure and shock with MCCMS-DRG 291, medical295$131,100$13,106$22,8111.28
Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical85$342,851$50,824$59,6564.88
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical82$205,902$19,419$35,8271.59
Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical62$218,635$33,680$38,0423.24
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical52$99,845$7,161$17,3730.74
Syncope and collapseMS-DRG 312, medical41$103,886$8,661$18,0760.86
Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical33$475,656$67,053$82,7646.25
Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical33$124,019$8,848$21,5790.91
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical32$133,260$12,121$23,1871.20
Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical31$209,516$17,525$36,4561.82
Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical26$73,822$5,097$12,8450.55
Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical25$305,637$31,337$53,1812.87
Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical20$321,290$40,821$55,9044.04
Other vascular procedures with MCCMS-DRG 252, surgical20$278,896$36,934$48,5283.35
Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical19$444,016$54,909$77,2595.24
Peripheral vascular disorders with CCMS-DRG 300, medical19$110,413$10,969$19,2121.07
Other major cardiovascular procedures with CCMS-DRG 271, surgical17$325,341$38,666$56,6093.46
Other circulatory system diagnoses with MCCMS-DRG 314, medical15$306,560$29,921$53,3412.09
Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical13$178,229$22,127$31,0122.28
Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical13$89,969$6,428$15,6550.72
Hypertension without MCCMS-DRG 305, medical13$75,121$7,162$13,0710.75
Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical11$290,836$35,721$50,6053.46
Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical11$136,259$10,772$23,7091.08

Infectious and parasitic diseases815 discharges in 6 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical549$197,829$21,235$34,4221.98
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical138$110,823$10,040$19,2831.03
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical77$515,856$66,776$89,7595.00
Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical21$190,760$19,914$33,1922.04
Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical18$974,032$109,734$169,4826.96
Postoperative and post-traumatic infections with MCCMS-DRG 862, medical12$122,923$19,026$21,3891.84

Respiratory system725 discharges in 16 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Respiratory infections and inflammations with MCCMS-DRG 177, medical164$185,246$19,335$32,2331.70
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical140$132,783$13,724$23,1041.33
Pulmonary edema and respiratory failureMS-DRG 189, medical93$136,351$12,594$23,7251.23
Respiratory infections and inflammations with CCMS-DRG 178, medical74$108,008$9,513$18,7930.99
Simple pneumonia and pleurisy with CCMS-DRG 194, medical60$89,050$8,184$15,4950.82
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical29$116,877$11,005$20,3371.10
Pulmonary embolism without MCCMS-DRG 176, medical22$119,893$8,169$20,8610.82
Bronchitis and asthma with cc/mccMS-DRG 202, medical21$102,827$9,524$17,8920.96
Major chest procedures with CCMS-DRG 164, surgical18$209,591$26,340$36,4692.55
Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical18$182,643$15,170$31,7801.40
Chronic obstructive pulmonary disease with CCMS-DRG 191, medical18$103,754$8,679$18,0530.85
Other respiratory system o.r. procedures with CCMS-DRG 167, surgical16$172,771$18,572$30,0621.82
Respiratory neoplasms with MCCMS-DRG 180, medical16$175,477$18,121$30,5331.74
Interstitial lung disease with MCCMS-DRG 196, medical14$232,232$20,521$40,4081.90
Other respiratory system diagnoses with MCCMS-DRG 205, medical11$411,893$34,110$71,6691.81
Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical11$424,501$38,118$73,8632.70

Digestive system583 discharges in 17 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Gastrointestinal hemorrhage with CCMS-DRG 378, medical102$108,267$9,675$18,8380.98
Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical93$93,989$7,618$16,3540.79
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical47$175,975$18,462$30,6201.79
Gastrointestinal obstruction with CCMS-DRG 389, medical46$84,041$7,705$14,6230.80
Major small and large bowel procedures with CCMS-DRG 330, surgical39$236,159$23,596$41,0922.37
Other digestive system diagnoses with CCMS-DRG 394, medical35$127,931$10,230$22,2600.94
Gastrointestinal obstruction without cc/mccMS-DRG 390, medical33$71,574$4,663$12,4540.56
Major small and large bowel procedures with MCCMS-DRG 329, surgical30$422,866$51,353$73,5794.52
Other digestive system diagnoses with MCCMS-DRG 393, medical29$168,022$18,114$29,2361.62
Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical27$127,376$13,269$22,1631.28
Major small and large bowel procedures without cc/mccMS-DRG 331, surgical19$162,078$15,200$28,2021.67
Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical18$92,760$10,877$16,1401.04
Other digestive system o.r. procedures with MCCMS-DRG 356, surgical15$399,007$46,595$69,4274.28
Digestive malignancy with CCMS-DRG 375, medical14$123,678$11,465$21,5201.20
Digestive malignancy with MCCMS-DRG 374, medical13$198,430$21,573$34,5272.10
Gastrointestinal hemorrhage without cc/mccMS-DRG 379, medical12$93,565$5,897$16,2800.63
Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical11$181,012$17,456$31,4961.75

Musculoskeletal system and connective tissue494 discharges in 18 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Hip and femur procedures except major joint with CCMS-DRG 481, surgical67$199,407$20,871$34,6972.07
Medical back problems without MCCMS-DRG 552, medical53$83,269$9,452$14,4890.97
Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical49$210,855$19,159$36,6891.88
Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical38$512,392$50,456$89,1564.61
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical38$208,013$21,732$36,1942.11
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical32$92,145$8,719$16,0330.90
Fractures of hip and pelvis without MCCMS-DRG 536, medical28$79,935$7,834$13,9090.79
Hip and femur procedures except major joint with MCCMS-DRG 480, surgical23$405,004$42,172$70,4712.95
Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical22$680,333$80,809$118,3786.12
Combined anterior and posterior spinal fusion with MCCMS-DRG 453, surgical21$763,059$94,225$132,7728.86
Revision of hip or knee replacement with CCMS-DRG 467, surgical18$241,898$36,424$42,0903.49
Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical18$208,966$27,701$36,3602.67
Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical17$323,629$32,862$56,3112.99
Spinal fusion except cervical without MCCMS-DRG 460, surgical16$549,607$54,486$95,6323.66
Biopsies of musculoskeletal system and connective tissue with CCMS-DRG 478, surgical15$231,230$24,018$40,2342.38
Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical14$101,749$10,482$17,7041.09
Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical13$189,466$24,792$32,9672.40
Bone diseases and arthropathies without MCCMS-DRG 554, medical12$72,441$8,101$12,6050.82

Kidney and urinary tract465 discharges in 7 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Kidney and urinary tract infections without MCCMS-DRG 690, medical123$88,391$7,837$15,3800.81
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical105$147,819$16,988$25,7211.65
Renal failure with CCMS-DRG 683, medical68$106,709$8,804$18,5670.90
Kidney and urinary tract infections with MCCMS-DRG 689, medical62$105,183$11,593$18,3021.17
Renal failure with MCCMS-DRG 682, medical44$132,460$14,928$23,0481.50
Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical38$96,715$10,038$16,8281.02
Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical25$136,895$13,871$23,8201.35

Nervous system322 discharges in 13 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical73$155,076$9,794$26,9831.02
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical51$216,272$19,866$37,6312.00
Degenerative nervous system disorders without MCCMS-DRG 057, medical36$86,677$13,234$15,0821.36
Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical24$110,836$5,894$19,2850.69
Carotid artery stent procedures without cc/mccMS-DRG 036, surgical19$134,053$18,870$23,3251.81
Other disorders of nervous system with CCMS-DRG 092, medical19$129,152$10,441$22,4721.03
Transient ischemia without thrombolyticMS-DRG 069, medical18$146,299$7,910$25,4560.80
Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical18$143,120$9,889$24,9031.03
Seizures without MCCMS-DRG 101, medical15$119,720$9,095$20,8310.91
Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical14$428,475$47,411$74,5554.42
Carotid artery stent procedures with CCMS-DRG 035, surgical12$183,752$22,199$31,9732.30
Degenerative nervous system disorders with MCCMS-DRG 056, medical12$166,174$23,617$28,9142.39
Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical11$108,109$13,287$18,8111.32

Endocrine, nutritional and metabolic227 discharges in 7 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical72$140,811$15,916$24,5011.32
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical69$71,719$7,863$12,4790.78
Endocrine disorders with CCMS-DRG 644, medical25$121,547$10,465$21,1491.06
Diabetes with CCMS-DRG 638, medical19$100,654$8,585$17,5140.90
Endocrine disorders with MCCMS-DRG 643, medical18$169,324$18,074$29,4621.65
Diabetes with MCCMS-DRG 637, medical13$124,176$14,246$21,6071.45
Endocrine disorders without cc/mccMS-DRG 645, medical11$61,784$6,927$10,7500.76

Liver, gallbladder and pancreas68 discharges in 4 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical21$179,968$20,423$31,3141.76
Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical18$207,586$16,025$36,1201.63
Disorders of the biliary tract with CCMS-DRG 445, medical17$129,779$11,305$22,5811.09
Malignancy of hepatobiliary system or pancreas with CCMS-DRG 436, medical12$128,207$11,325$22,3081.10

Skin, subcutaneous tissue and breast58 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Cellulitis without MCCMS-DRG 603, medical58$88,887$8,516$15,4660.88

Blood and immune system43 discharges in 3 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Red blood cell disorders without MCCMS-DRG 812, medical19$80,559$9,057$14,0170.90
Major hematological and immunological diagnoses except sickle cell crisis and coagulatioMS-DRG 809, medical13$128,685$12,387$22,3911.20
Coagulation disordersMS-DRG 813, medical11$154,729$16,677$26,9231.56

Blood cancers and poorly differentiated neoplasms37 discharges in 2 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical20$95,699$13,588$16,6521.21
Lymphoma and non-acute leukemia with CCMS-DRG 841, medical17$167,176$17,181$29,0891.57

Injuries, poisonings and toxic effects of drugs34 discharges in 2 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Complications of treatment with MCCMS-DRG 919, medical21$130,227$18,951$22,6591.82
Complications of treatment with CCMS-DRG 920, medical13$107,168$10,667$18,6471.03

Other33 discharges in 2 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical20$392,638$52,541$68,3194.74
Non-extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 987, surgical13$282,981$32,193$49,2393.38

Alcohol and drug use23 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical23$91,157$8,691$15,8610.86

Factors influencing health status19 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Signs and symptoms without MCCMS-DRG 948, medical19$88,074$8,039$15,3250.80

Mental diseases and disorders11 discharges in 1 DRGs

Condition or procedureDischargesAverage chargesAverage Medicare paymentEstimated costDRG weight
Organic disturbances and intellectual disabilityMS-DRG 884, medical11$112,857$18,315$19,6371.76

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 groupServicesPatientsAverage chargesAverage Medicare paymentUS average payment
Comprehensive Observation ServicesAPC 8011671630$57,738$3,036$2,090
Level 5 Musculoskeletal ProceduresAPC 5115588555$153,342$16,742$10,772
Level 5 Urology and Related ServicesAPC 5375421393$66,435$5,764$3,918
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072345330$25,084$1,793$1,220
Level 1 Laparoscopy and Related ServicesAPC 5361274271$86,702$6,396$4,358
Level 2 Laparoscopy and Related ServicesAPC 5362247243$131,735$12,784$8,164
Level 2 Upper GI ProceduresAPC 5302233211$21,023$2,134$1,445
Level 3 Urology and Related ServicesAPC 5373195167$38,751$2,273$1,516
Level 3 Vascular ProceduresAPC 5183181174$42,991$3,575$2,405
Level 4 Urology and Related ServicesAPC 5374173153$50,397$3,911$2,629
Level 1 Intraocular ProceduresAPC 5491170119$32,689$2,612$1,752
Level 3 Electrophysiologic ProceduresAPC 5213147143$332,246$31,498$21,117
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073137131$27,637$3,186$2,141
Level 1 Endovascular ProceduresAPC 5191137137$61,800$3,299$2,208
Level 4 Musculoskeletal ProceduresAPC 5114124122$97,864$8,363$5,339
Level 3 Endovascular ProceduresAPC 5193119108$116,428$13,710$8,874
Level 3 Pacemaker and Similar ProceduresAPC 5223113113$100,293$13,376$8,569
Level 2 Endovascular ProceduresAPC 51929778$51,050$6,416$4,338
Level 5 Airway EndoscopyAPC 51558685$76,274$7,998$5,183
Level 6 Urology and Related ServicesAPC 53767979$88,512$11,320$7,291
Level 6 Musculoskeletal ProceduresAPC 51167169$203,240$24,191$15,763
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 53417168$53,294$3,878$2,636
Level 4 Vascular ProceduresAPC 51846562$72,990$5,974$3,946
Level 4 Endovascular ProceduresAPC 51946560$156,804$22,992$14,606
Level 3 Musculoskeletal ProceduresAPC 51134646$54,285$3,632$2,373
Level 4 Airway EndoscopyAPC 51544644$45,530$4,202$2,833
Level 5 Gynecologic ProceduresAPC 54154646$64,418$5,580$3,792
Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 50914339$56,827$4,276$2,930
Level 2 Vascular ProceduresAPC 51824341$22,499$1,749$1,204
Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 50924038$98,921$7,546$4,982
Level 8 Urology and Related ServicesAPC 53783838$158,645$26,690$17,428
Level 5 ENT ProceduresAPC 51653636$98,052$6,611$4,436
Level 2 Musculoskeletal ProceduresAPC 51123535$23,669$1,801$1,196
Level 4 Gynecologic ProceduresAPC 54143333$50,885$3,508$2,389
Level 3 Upper GI ProceduresAPC 53033130$27,266$4,297$2,888
Level 2 ICD and Similar ProceduresAPC 52322828$208,364$44,539$29,375
Level 3 Lower GI ProceduresAPC 53132827$30,092$3,158$2,176
Level 6 Gynecologic ProceduresAPC 54162727$81,706$8,998$5,836
Level 2 Pacemaker and Similar ProceduresAPC 52222626$71,351$9,917$6,514
Complex GI ProceduresAPC 53312621$45,269$6,394$4,263
Level 2 Neurostimulator and Related ProceduresAPC 54622424$96,136$7,992$4,524
Level 4 Pacemaker and Similar ProceduresAPC 52242020$143,329$25,727$17,052
Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 55032020$33,710$2,622$1,780
Level 4 Neurostimulator and Related ProceduresAPC 54641919$128,332$29,080$18,465
Level 3 Intraocular ProceduresAPC 54931611$60,420$5,864$4,004
Level 3 Airway EndoscopyAPC 51531312$22,353$1,904$1,264
Level 1 ICD and Similar ProceduresAPC 52311111$163,083$31,437$21,011

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.