Foothill Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Foothill Regional Medical Center, Tustin, CA in 2024, from traditional Medicare claims. Back to the Foothill Regional Medical Center profile, with quality ratings, finances and negotiated rates.
954
Medicare inpatient discharges
In 29 published DRGs
1.46
Case mix index
IPPS FY 2027
3%
Surgical stays
83%
Stays with complications
In DRGs with a CC or MCC
Inpatient stays by major diagnostic category
Infectious and parasitic diseases253 discharges in 3 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 | 217 | $113,133 | $17,956 | $18,101 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 19 | $301,063 | $48,826 | $48,170 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 17 | $65,646 | $8,845 | $10,503 | 1.03 |
Kidney and urinary tract168 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 59 | $63,126 | $10,511 | $10,100 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 50 | $81,286 | $14,355 | $13,006 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 31 | $55,366 | $6,669 | $8,859 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 28 | $79,682 | $13,355 | $12,749 | 1.50 |
Endocrine, nutritional and metabolic115 discharges in 2 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 | 81 | $68,701 | $12,008 | $10,992 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 34 | $54,402 | $6,779 | $8,704 | 0.78 |
Digestive system83 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 28 | $81,439 | $15,415 | $13,030 | 1.62 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 24 | $52,269 | $6,882 | $8,363 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 18 | $81,411 | $11,732 | $13,026 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 13 | $92,078 | $16,375 | $14,732 | 1.79 |
Respiratory system77 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 38 | $90,554 | $14,834 | $14,489 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 27 | $75,604 | $11,896 | $12,097 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 12 | $75,317 | $10,017 | $12,051 | 1.10 |
Nervous system74 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 42 | $71,183 | $15,287 | $11,389 | 1.79 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 21 | $84,283 | $9,560 | $13,485 | 1.06 |
| Seizures with MCCMS-DRG 100, medical | 11 | $70,863 | $18,473 | $11,338 | 1.98 |
Musculoskeletal system and connective tissue62 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with MCCMS-DRG 562, medical | 15 | $60,772 | $13,130 | $9,724 | 1.52 |
| Medical back problems without MCCMS-DRG 552, medical | 13 | $45,514 | $8,425 | $7,282 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 12 | $43,052 | $7,582 | $6,888 | 0.90 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 11 | $132,668 | $15,813 | $21,227 | 1.88 |
| Medical back problems with MCCMS-DRG 551, medical | 11 | $84,266 | $15,427 | $13,483 | 1.70 |
Circulatory system58 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 58 | $90,125 | $11,613 | $14,420 | 1.28 |
Skin, subcutaneous tissue and breast53 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis with MCCMS-DRG 602, medical | 26 | $72,553 | $13,336 | $11,608 | 1.49 |
| Trauma to the skin, subcutaneous tissue and breast with MCCMS-DRG 604, medical | 15 | $75,143 | $14,441 | $12,023 | 1.51 |
| Cellulitis without MCCMS-DRG 603, medical | 12 | $63,908 | $7,563 | $10,225 | 0.88 |
Factors influencing health status11 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 | 11 | $50,714 | $6,928 | $8,114 | 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.