Emanate Health Inter-Community Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Emanate Health Inter-Community Hospital, Covina, CA in 2024, from traditional Medicare claims. Back to the Emanate Health Inter-Community Hospital profile, with quality ratings, finances and negotiated rates.
3,085
Medicare inpatient discharges
In 76 published DRGs
1.82
Case mix index
IPPS FY 2027
10%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
911
Medicare outpatient services
In 23 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases746 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 | 517 | $84,358 | $18,007 | $14,847 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 97 | $56,313 | $9,473 | $9,911 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 75 | $200,484 | $52,097 | $35,285 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 40 | $215,129 | $38,641 | $37,863 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 17 | $125,588 | $18,961 | $22,104 | 2.04 |
Circulatory system531 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 | 162 | $58,289 | $11,620 | $10,259 | 1.28 |
| Chest painMS-DRG 313, medical | 45 | $36,253 | $6,534 | $6,381 | 0.72 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 38 | $117,024 | $33,716 | $20,596 | 3.35 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 32 | $40,286 | $6,372 | $7,090 | 0.74 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 32 | $97,582 | $20,241 | $17,174 | 2.09 |
| Syncope and collapseMS-DRG 312, medical | 30 | $43,120 | $8,186 | $7,589 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 27 | $75,784 | $14,818 | $13,338 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 27 | $107,547 | $16,535 | $18,928 | 1.82 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 20 | $48,618 | $8,449 | $8,557 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 20 | $60,775 | $11,272 | $10,696 | 1.20 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 18 | $30,219 | $4,579 | $5,318 | 0.55 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 17 | $220,818 | $43,328 | $38,864 | 4.88 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 16 | $209,313 | $41,975 | $36,839 | 5.06 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 12 | $56,718 | $9,549 | $9,982 | 1.08 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 12 | $44,353 | $10,832 | $7,806 | 1.07 |
| Hypertension without MCCMS-DRG 305, medical | 12 | $44,173 | $6,359 | $7,774 | 0.75 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 11 | $59,364 | $13,612 | $10,448 | 1.58 |
Respiratory system422 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 130 | $68,186 | $12,683 | $12,001 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 119 | $68,812 | $15,737 | $12,111 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 37 | $69,123 | $11,451 | $12,166 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 31 | $63,483 | $10,493 | $11,173 | 1.10 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 30 | $194,154 | $45,470 | $34,171 | 6.91 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 25 | $104,845 | $23,547 | $18,453 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 23 | $46,490 | $7,116 | $8,182 | 0.82 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 16 | $51,632 | $8,743 | $9,087 | 0.96 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $62,118 | $14,157 | $10,933 | 1.40 |
Kidney and urinary tract326 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 77 | $66,294 | $14,247 | $11,668 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 69 | $73,333 | $15,629 | $12,907 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 62 | $42,341 | $7,561 | $7,452 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 60 | $49,155 | $7,884 | $8,651 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 43 | $53,476 | $10,754 | $9,412 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 15 | $50,436 | $9,857 | $8,877 | 1.02 |
Digestive system235 discharges in 10 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 | 38 | $45,972 | $6,545 | $8,091 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 33 | $87,733 | $17,618 | $15,441 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 32 | $62,169 | $9,420 | $10,942 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 30 | $50,212 | $7,618 | $8,837 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 23 | $51,218 | $9,492 | $9,014 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 22 | $80,273 | $14,981 | $14,128 | 1.62 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 16 | $36,013 | $4,986 | $6,338 | 0.56 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 15 | $50,525 | $12,585 | $8,892 | 1.28 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 14 | $70,423 | $13,244 | $12,394 | 1.45 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 12 | $240,879 | $45,398 | $42,395 | 4.52 |
Nervous system196 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 | 31 | $62,954 | $8,354 | $11,080 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 27 | $109,960 | $19,552 | $19,353 | 2.00 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 25 | $65,203 | $16,435 | $11,476 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 17 | $68,496 | $18,116 | $12,055 | 1.98 |
| Seizures without MCCMS-DRG 101, medical | 17 | $44,271 | $8,439 | $7,792 | 0.91 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $48,667 | $6,770 | $8,565 | 0.80 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 14 | $238,341 | $51,405 | $41,948 | 5.67 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $49,183 | $13,149 | $8,656 | 1.36 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 13 | $48,595 | $9,923 | $8,553 | 1.03 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 12 | $52,645 | $9,164 | $9,265 | 1.06 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 12 | $88,196 | $16,560 | $15,522 | 1.79 |
Endocrine, nutritional and metabolic175 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 | 101 | $52,922 | $12,732 | $9,314 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 40 | $41,641 | $6,962 | $7,329 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 21 | $47,357 | $8,240 | $8,335 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $68,906 | $14,700 | $12,127 | 1.45 |
Musculoskeletal system and connective tissue148 discharges in 6 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 | 52 | $66,300 | $17,333 | $11,669 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 26 | $102,157 | $18,451 | $17,980 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 25 | $53,076 | $8,911 | $9,341 | 0.97 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 22 | $36,619 | $7,051 | $6,445 | 0.79 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 12 | $104,699 | $20,446 | $18,427 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 11 | $133,265 | $28,109 | $23,455 | 2.95 |
Mental diseases and disorders118 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 118 | $17,640 | $13,700 | $3,105 | 1.37 |
Blood and immune system96 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 54 | $61,080 | $13,512 | $10,750 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 42 | $54,960 | $8,347 | $9,673 | 0.90 |
Liver, gallbladder and pancreas61 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 CCMS-DRG 442, medical | 21 | $52,854 | $9,359 | $9,302 | 0.95 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 15 | $74,653 | $17,364 | $13,139 | 1.83 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 13 | $87,437 | $15,961 | $15,389 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 12 | $145,851 | $24,892 | $25,670 | 2.32 |
Skin, subcutaneous tissue and breast31 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 31 | $48,179 | $7,901 | $8,480 | 0.88 |
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 | 162 | 155 | $31,447 | $2,661 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 101 | 101 | $27,626 | $2,850 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 95 | 87 | $20,989 | $3,077 | $2,405 |
| Level 2 Endovascular ProceduresAPC 5192 | 68 | 55 | $32,573 | $5,429 | $4,338 |
| Level 3 Endovascular ProceduresAPC 5193 | 59 | 58 | $64,822 | $11,862 | $8,874 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 54 | 53 | $14,340 | $1,582 | $1,220 |
| Level 4 Endovascular ProceduresAPC 5194 | 42 | 35 | $83,830 | $19,871 | $14,606 |
| Level 2 Vascular ProceduresAPC 5182 | 36 | 35 | $12,920 | $1,560 | $1,204 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 31 | 30 | $10,712 | $2,694 | $2,141 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 31 | 31 | $56,808 | $14,516 | $10,772 |
| Level 1 Nerve ProceduresAPC 5431 | 27 | 24 | $10,310 | $1,884 | $1,407 |
| Level 4 Vascular ProceduresAPC 5184 | 26 | 25 | $35,884 | $5,383 | $3,946 |
| Level 2 Upper GI ProceduresAPC 5302 | 25 | 22 | $8,484 | $1,854 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 22 | 21 | $43,728 | $7,160 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 18 | 15 | $25,327 | $3,415 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 18 | 18 | $28,364 | $4,787 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 15 | 15 | $20,622 | $3,171 | $2,373 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 15 | 15 | $45,630 | $11,470 | $8,569 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 15 | 15 | $25,880 | $5,646 | $4,358 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 14 | 14 | $10,461 | $1,403 | $1,196 |
| Level 3 Urology and Related ServicesAPC 5373 | 13 | 12 | $16,983 | $1,995 | $1,516 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 12 | 12 | $117,430 | $27,482 | $21,117 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 12 | 12 | $21,750 | $3,389 | $2,636 |
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.