Henry Mayo Newhall Memorial Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Henry Mayo Newhall Memorial Hospital, Valencia, CA in 2024, from traditional Medicare claims. Back to the Henry Mayo Newhall Memorial Hospital profile, with quality ratings, finances and negotiated rates.
1,686
Medicare inpatient discharges
In 54 published DRGs
1.80
Case mix index
IPPS FY 2027
11%
Surgical stays
85%
Stays with complications
In DRGs with a CC or MCC
1,668
Medicare outpatient services
In 32 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases380 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 | 304 | $185,715 | $17,852 | $26,929 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 32 | $384,583 | $48,683 | $55,764 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 28 | $93,651 | $8,421 | $13,579 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 16 | $720,888 | $70,754 | $104,529 | 6.96 |
Circulatory system365 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 150 | $124,949 | $11,878 | $18,118 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 39 | $168,416 | $13,439 | $24,420 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 32 | $73,253 | $6,001 | $10,622 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 26 | $113,679 | $10,543 | $16,483 | 1.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 21 | $100,799 | $7,408 | $14,616 | 0.91 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 20 | $179,890 | $18,703 | $26,084 | 2.09 |
| Syncope and collapseMS-DRG 312, medical | 15 | $119,496 | $7,365 | $17,327 | 0.86 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 13 | $380,545 | $43,685 | $55,179 | 4.88 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 13 | $234,122 | $26,099 | $33,948 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 13 | $265,904 | $22,188 | $38,556 | 2.87 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 12 | $154,443 | $19,970 | $22,394 | 2.28 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $80,625 | $5,383 | $11,691 | 0.75 |
Respiratory system291 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 89 | $129,794 | $11,169 | $18,820 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 78 | $140,797 | $14,465 | $20,416 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 56 | $109,294 | $9,595 | $15,848 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $82,377 | $5,929 | $11,945 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 19 | $91,880 | $8,348 | $13,323 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 16 | $102,147 | $10,967 | $14,811 | 1.40 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 11 | $95,307 | $8,022 | $13,820 | 0.96 |
Kidney and urinary tract196 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 44 | $82,132 | $6,440 | $11,909 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 35 | $107,714 | $8,943 | $15,619 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 35 | $148,122 | $14,109 | $21,478 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 25 | $202,572 | $17,600 | $29,373 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 22 | $78,829 | $6,933 | $11,430 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 19 | $104,373 | $8,201 | $15,134 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 16 | $123,102 | $11,549 | $17,850 | 1.35 |
Digestive system170 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 39 | $158,146 | $15,981 | $22,931 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 38 | $91,419 | $7,769 | $13,256 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 25 | $92,884 | $6,394 | $13,468 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 22 | $59,277 | $6,639 | $8,595 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 19 | $181,339 | $20,291 | $26,294 | 2.37 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $146,821 | $14,447 | $21,289 | 1.62 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 13 | $128,199 | $10,749 | $18,589 | 1.28 |
Musculoskeletal system and connective tissue103 discharges in 6 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 | 24 | $144,488 | $17,793 | $20,951 | 2.07 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 18 | $240,484 | $24,090 | $34,870 | 2.95 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 18 | $141,438 | $18,433 | $20,509 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 18 | $94,835 | $7,575 | $13,751 | 0.97 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 14 | $185,837 | $19,349 | $26,946 | 2.40 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 11 | $119,812 | $13,532 | $17,373 | 1.59 |
Nervous system77 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 21 | $228,179 | $25,594 | $33,086 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 16 | $92,233 | $6,746 | $13,374 | 1.02 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 15 | $110,303 | $16,171 | $15,994 | 1.79 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 14 | $94,575 | $6,093 | $13,713 | 0.80 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 11 | $75,161 | $4,743 | $10,898 | 0.69 |
Endocrine, nutritional and metabolic71 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 | 25 | $108,725 | $10,531 | $15,765 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 17 | $82,547 | $6,612 | $11,969 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 15 | $124,463 | $12,334 | $18,047 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 14 | $91,131 | $7,753 | $13,214 | 0.90 |
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 | $95,909 | $6,939 | $13,907 | 0.88 |
Injuries, poisonings and toxic effects of drugs15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 15 | $189,365 | $14,376 | $27,458 | 1.60 |
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 | 582 | 538 | $53,365 | $2,640 | $2,090 |
| Level 5 Urology and Related ServicesAPC 5375 | 106 | 101 | $46,953 | $4,936 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 79 | 70 | $39,475 | $3,344 | $2,629 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 72 | 70 | $11,580 | $1,560 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 72 | 71 | $66,603 | $5,649 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 70 | 68 | $27,448 | $1,990 | $1,516 |
| Level 1 Endovascular ProceduresAPC 5191 | 69 | 69 | $35,717 | $2,878 | $2,208 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 56 | 53 | $41,190 | $3,613 | $2,930 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 48 | 46 | $65,047 | $7,153 | $5,339 |
| Level 1 Intraocular ProceduresAPC 5491 | 46 | 27 | $18,688 | $2,183 | $1,752 |
| Level 2 Upper GI ProceduresAPC 5302 | 39 | 29 | $20,360 | $1,768 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 34 | 30 | $30,387 | $2,749 | $2,405 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 33 | 29 | $27,229 | $2,462 | $2,141 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 29 | 29 | $66,893 | $6,388 | $4,982 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 29 | 29 | $80,918 | $14,049 | $10,772 |
| Level 2 Endovascular ProceduresAPC 5192 | 28 | 28 | $57,196 | $5,599 | $4,338 |
| Level 3 Endovascular ProceduresAPC 5193 | 27 | 25 | $142,611 | $11,431 | $8,874 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 23 | 21 | $47,656 | $3,381 | $2,636 |
| Level 4 Airway EndoscopyAPC 5154 | 22 | 22 | $62,767 | $3,668 | $2,833 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 21 | 21 | $130,994 | $36,422 | $26,719 |
| Level 4 Endovascular ProceduresAPC 5194 | 20 | 19 | $146,311 | $19,871 | $14,606 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 19 | 19 | $23,306 | $1,573 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 19 | 18 | $36,983 | $3,171 | $2,373 |
| Level 2 Intraocular ProceduresAPC 5492 | 19 | 15 | $20,923 | $3,983 | $3,116 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 18 | 18 | $79,819 | $11,476 | $8,569 |
| Level 3 Airway EndoscopyAPC 5153 | 17 | 17 | $23,078 | $1,663 | $1,264 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 13 | 13 | $206,447 | $27,482 | $21,117 |
| Level 5 Airway EndoscopyAPC 5155 | 12 | 12 | $75,995 | $6,216 | $5,183 |
| Level 2 Vascular ProceduresAPC 5182 | 12 | 11 | $23,773 | $1,569 | $1,204 |
| Level 6 Urology and Related ServicesAPC 5376 | 12 | 12 | $62,298 | $9,681 | $7,291 |
| Level 3 Lower GI ProceduresAPC 5313 | 11 | 11 | $24,668 | $2,765 | $2,176 |
| Level 5 Gynecologic ProceduresAPC 5415 | 11 | 11 | $43,910 | $4,861 | $3,792 |
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.