Fresno Surgical Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Fresno Surgical Hospital, Fresno, CA in 2024, from traditional Medicare claims. Back to the Fresno Surgical Hospital profile, with quality ratings, finances and negotiated rates.
376
Medicare inpatient discharges
In 11 published DRGs
4.20
Case mix index
IPPS FY 2027
100%
Surgical stays
45%
Stays with complications
In DRGs with a CC or MCC
4,604
Medicare outpatient services
In 20 service groups
Inpatient stays by major diagnostic category
Musculoskeletal system and connective tissue345 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 79 | $99,770 | $51,548 | $50,983 | 6.12 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 59 | $44,383 | $25,482 | $22,680 | 2.96 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 53 | $51,937 | $15,558 | $26,540 | 1.88 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 41 | $78,821 | $21,789 | $40,278 | 2.67 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 40 | $91,404 | $41,043 | $46,707 | 4.61 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 28 | $66,915 | $20,680 | $34,194 | 2.48 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 21 | $35,835 | $32,269 | $18,312 | 3.66 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 12 | $81,776 | $26,675 | $41,788 | 3.49 |
| Cervical spinal fusion without cc/mccMS-DRG 473, surgical | 12 | $56,247 | $19,160 | $28,742 | 2.46 |
Other31 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Multiple level combined anterior and posterior spinal fusion except cervical with CCMS-DRG 427 | 18 | $93,559 | $61,892 | $47,808 | |
| Multiple level combined anterior and posterior spinal fusion except cervical without CC/MS-DRG 428 | 13 | $88,077 | $48,714 | $45,007 |
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 |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 2,479 | 1,614 | $10,686 | $2,272 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 891 | 843 | $45,124 | $14,360 | $10,772 |
| Level 2 Intraocular ProceduresAPC 5492 | 261 | 221 | $13,677 | $3,963 | $3,116 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 151 | 146 | $17,438 | $3,150 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 121 | 121 | $29,598 | $7,160 | $5,339 |
| Level 3 Intraocular ProceduresAPC 5493 | 112 | 84 | $15,898 | $5,081 | $4,004 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 101 | 99 | $52,639 | $20,799 | $15,763 |
| Level 1 Nerve ProceduresAPC 5431 | 92 | 86 | $13,470 | $1,883 | $1,407 |
| Level 4 Urology and Related ServicesAPC 5374 | 73 | 68 | $16,161 | $3,383 | $2,629 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 66 | 65 | $13,067 | $1,548 | $1,196 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 65 | 55 | $10,435 | $2,269 | $1,780 |
| Level 5 Urology and Related ServicesAPC 5375 | 48 | 45 | $20,109 | $5,069 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 33 | 32 | $17,383 | $1,994 | $1,516 |
| Level 4 Gynecologic ProceduresAPC 5414 | 19 | 19 | $15,013 | $2,933 | $2,389 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 18 | 18 | $13,471 | $1,588 | $1,220 |
| Level 3 Lower GI ProceduresAPC 5313 | 17 | 17 | $15,899 | $2,750 | $2,176 |
| Level 5 Gynecologic ProceduresAPC 5415 | 17 | 17 | $22,234 | $4,586 | $3,792 |
| Level 6 Urology and Related ServicesAPC 5376 | 15 | 14 | $33,960 | $9,665 | $7,291 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 14 | 14 | $19,253 | $2,783 | $2,141 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 11 | 11 | $68,076 | $25,186 | $18,465 |
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.