Hemet Valley Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Hemet Valley Medical Center, Hemet, CA in 2024, from traditional Medicare claims. Back to the Hemet Valley Medical Center profile, with quality ratings, finances and negotiated rates.
803
Medicare inpatient discharges
In 25 published DRGs
1.69
Case mix index
IPPS FY 2027
5%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
161
Medicare outpatient services
In 7 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases280 discharges in 4 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 | 206 | $83,397 | $19,952 | $18,514 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 33 | $46,109 | $10,455 | $10,236 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 26 | $215,415 | $52,967 | $47,822 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 15 | $233,850 | $71,869 | $51,915 | 6.96 |
Kidney and urinary tract145 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 33 | $37,866 | $8,172 | $8,406 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 30 | $91,146 | $17,084 | $20,234 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 28 | $58,194 | $15,970 | $12,919 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 28 | $47,539 | $11,113 | $10,554 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 15 | $35,799 | $9,250 | $7,947 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 11 | $41,570 | $10,637 | $9,229 | 1.02 |
Respiratory system85 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 50 | $60,385 | $13,821 | $13,405 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 23 | $59,329 | $16,718 | $13,171 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 12 | $43,978 | $9,579 | $9,763 | 1.10 |
Alcohol and drug use80 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence with rehabilitation therapyMS-DRG 895, medical | 80 | $20,439 | $16,338 | $4,537 | 1.61 |
Endocrine, nutritional and metabolic75 discharges in 3 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 | 45 | $53,525 | $13,081 | $11,882 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 16 | $72,250 | $13,691 | $16,039 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 14 | $28,468 | $7,586 | $6,320 | 0.78 |
Circulatory system71 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 48 | $54,844 | $13,503 | $12,175 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 12 | $34,098 | $9,327 | $7,570 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 11 | $88,237 | $16,021 | $19,589 | 1.59 |
Digestive system45 discharges in 3 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 | 18 | $37,751 | $8,278 | $8,381 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 16 | $61,145 | $18,891 | $13,574 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 11 | $45,752 | $10,526 | $10,157 | 0.98 |
Nervous system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Seizures without MCCMS-DRG 101, medical | 11 | $27,040 | $9,036 | $6,003 | 0.91 |
Musculoskeletal system and connective tissue11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 11 | $93,971 | $21,697 | $20,862 | 2.07 |
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 | 70 | 68 | $24,808 | $2,681 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 22 | 22 | $34,171 | $2,869 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 15 | 15 | $21,972 | $3,122 | $2,405 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 15 | 15 | $27,084 | $3,226 | $2,636 |
| Level 4 Urology and Related ServicesAPC 5374 | 14 | 11 | $26,692 | $3,366 | $2,629 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 13 | 13 | $98,727 | $11,476 | $8,569 |
| Level 5 Urology and Related ServicesAPC 5375 | 12 | 12 | $37,029 | $5,061 | $3,918 |
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.