Fountain Valley Regional Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Fountain Valley Regional Hospital, Fountain Valley, CA in 2024, from traditional Medicare claims. Back to the Fountain Valley Regional Hospital profile, with quality ratings, finances and negotiated rates.
2,203
Medicare inpatient discharges
In 70 published DRGs
1.76
Case mix index
IPPS FY 2027
10%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
272
Medicare outpatient services
In 10 service groups
Inpatient stays by major diagnostic category
Circulatory system541 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 145 | $175,363 | $12,812 | $39,983 | 1.28 |
| Chest painMS-DRG 313, medical | 47 | $83,511 | $6,326 | $19,040 | 0.72 |
| Syncope and collapseMS-DRG 312, medical | 44 | $112,129 | $7,902 | $25,565 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 40 | $198,566 | $15,178 | $45,273 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 34 | $136,022 | $11,089 | $31,013 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 32 | $94,728 | $6,758 | $21,598 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 29 | $141,792 | $10,040 | $32,329 | 1.08 |
| Hypertension without MCCMS-DRG 305, medical | 25 | $91,688 | $6,548 | $20,905 | 0.75 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 19 | $304,386 | $25,006 | $69,400 | 2.09 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 17 | $537,418 | $50,742 | $122,531 | 5.06 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 15 | $495,983 | $27,171 | $113,084 | 2.87 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 13 | $604,269 | $34,275 | $137,773 | 3.46 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 13 | $155,480 | $9,261 | $35,449 | 0.97 |
| Hypertension with MCCMS-DRG 304, medical | 12 | $104,407 | $11,069 | $23,805 | 1.15 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 12 | $295,764 | $17,603 | $67,434 | 1.82 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 11 | $271,386 | $21,555 | $61,876 | 2.28 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 11 | $132,334 | $7,962 | $30,172 | 0.91 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 11 | $57,054 | $3,771 | $13,008 | 0.55 |
| Angina pectorisMS-DRG 311, medical | 11 | $138,057 | $6,468 | $31,477 | 0.70 |
Infectious and parasitic diseases413 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 | 272 | $278,596 | $19,216 | $63,520 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 50 | $127,810 | $9,557 | $29,141 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 43 | $733,018 | $54,627 | $167,128 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 37 | $692,355 | $63,992 | $157,857 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 11 | $251,572 | $19,292 | $57,358 | 2.04 |
Respiratory system323 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 94 | $220,346 | $16,214 | $50,239 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 84 | $189,155 | $12,404 | $43,127 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 25 | $121,566 | $7,022 | $27,717 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 23 | $165,684 | $10,534 | $37,776 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 21 | $170,168 | $10,754 | $38,798 | 1.23 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 18 | $95,847 | $8,825 | $21,853 | 0.96 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 17 | $117,787 | $9,070 | $26,855 | 0.99 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 16 | $588,004 | $63,363 | $134,065 | 6.91 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 13 | $439,172 | $28,561 | $100,131 | 2.70 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 12 | $108,911 | $7,038 | $24,832 | 0.85 |
Kidney and urinary tract221 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 68 | $112,311 | $7,190 | $25,607 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 50 | $132,356 | $10,583 | $30,177 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 36 | $135,046 | $8,443 | $30,791 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 36 | $200,275 | $17,776 | $45,663 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 31 | $169,762 | $13,780 | $38,706 | 1.50 |
Digestive system191 discharges in 7 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 | 64 | $102,826 | $7,120 | $23,444 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 27 | $155,613 | $9,094 | $35,480 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 23 | $123,440 | $12,155 | $28,144 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 22 | $289,742 | $21,069 | $66,061 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 20 | $135,138 | $8,156 | $30,811 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 18 | $93,461 | $7,163 | $21,309 | 0.80 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 17 | $152,110 | $15,956 | $34,681 | 1.62 |
Nervous system173 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 45 | $340,271 | $21,946 | $77,582 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 35 | $138,012 | $9,451 | $31,467 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 25 | $152,854 | $7,324 | $34,851 | 0.80 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 20 | $120,970 | $12,666 | $27,581 | 1.36 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 13 | $660,808 | $54,463 | $150,664 | 5.67 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 12 | $641,161 | $43,935 | $146,185 | 4.42 |
| Seizures without MCCMS-DRG 101, medical | 12 | $96,721 | $8,267 | $22,052 | 0.91 |
| Seizures with MCCMS-DRG 100, medical | 11 | $206,561 | $19,163 | $47,096 | 1.98 |
Endocrine, nutritional and metabolic138 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 | 55 | $173,933 | $13,011 | $39,657 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 41 | $105,187 | $6,821 | $23,983 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 23 | $191,991 | $13,912 | $43,774 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 19 | $102,816 | $8,246 | $23,442 | 0.90 |
Musculoskeletal system and connective tissue103 discharges in 5 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 | 35 | $246,397 | $17,989 | $56,178 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 30 | $117,732 | $8,666 | $26,843 | 0.97 |
| Medical back problems with MCCMS-DRG 551, medical | 14 | $290,002 | $25,238 | $66,120 | 1.70 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 13 | $295,808 | $28,350 | $67,444 | 2.95 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 11 | $115,333 | $8,169 | $26,296 | 0.90 |
Ear, nose, mouth and throat18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 18 | $99,192 | $6,462 | $22,616 | 0.74 |
Skin, subcutaneous tissue and breast18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 18 | $148,068 | $8,132 | $33,760 | 0.88 |
Other18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 18 | $727,893 | $56,489 | $165,960 | 4.74 |
Factors influencing health status13 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 | 13 | $123,400 | $7,479 | $28,135 | 0.80 |
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 MCCMS-DRG 417, surgical | 11 | $280,974 | $22,768 | $64,062 | 2.32 |
Blood and immune system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 11 | $82,188 | $8,741 | $18,739 | 0.90 |
Mental diseases and disorders11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 11 | $114,863 | $15,332 | $26,189 | 1.76 |
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 group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 65 | 63 | $59,311 | $2,636 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 56 | 49 | $15,500 | $1,580 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 34 | 33 | $74,318 | $2,864 | $2,208 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 23 | 23 | $159,639 | $10,958 | $8,569 |
| Level 3 Vascular ProceduresAPC 5183 | 21 | 21 | $34,073 | $3,122 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 20 | 19 | $87,595 | $5,633 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 15 | $20,995 | $1,968 | $1,516 | |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 14 | 14 | $118,575 | $7,160 | $5,339 |
| Level 3 Endovascular ProceduresAPC 5193 | 13 | 13 | $176,057 | $11,871 | $8,874 |
| Level 2 Vascular ProceduresAPC 5182 | 11 | $51,925 | $1,562 | $1,204 |
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.