Highland Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Highland Hospital, Oakland, CA in 2024, from traditional Medicare claims. Back to the Highland Hospital profile, with quality ratings, finances and negotiated rates.
1,374
Medicare inpatient discharges
In 50 published DRGs
1.82
Case mix index
IPPS FY 2027
7%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
894
Medicare outpatient services
In 21 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases271 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 | 201 | $145,490 | $31,690 | $40,883 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 31 | $82,770 | $17,910 | $23,258 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 23 | $425,093 | $92,121 | $119,451 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 16 | $593,244 | $141,069 | $166,702 | 6.96 |
Respiratory system225 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 71 | $96,246 | $20,818 | $27,045 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 58 | $74,332 | $21,232 | $20,887 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 37 | $111,585 | $27,779 | $31,355 | 1.70 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 31 | $200,458 | $47,758 | $56,329 | 2.70 |
| Major chest trauma with CCMS-DRG 184, medical | 16 | $154,852 | $18,314 | $43,513 | 1.05 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 12 | $93,799 | $19,006 | $26,358 | 1.10 |
Circulatory system204 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 112 | $103,803 | $22,373 | $29,169 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 27 | $128,390 | $25,220 | $36,078 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 27 | $74,168 | $15,685 | $20,841 | 0.86 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 14 | $134,045 | $31,918 | $37,667 | 2.09 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 12 | $260,860 | $54,379 | $73,302 | 3.35 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 12 | $90,788 | $16,374 | $25,511 | 0.91 |
Kidney and urinary tract120 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 43 | $117,421 | $25,880 | $32,995 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 31 | $70,485 | $16,129 | $19,806 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 19 | $97,476 | $23,147 | $27,391 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 16 | $53,179 | $13,903 | $14,943 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 11 | $68,216 | $19,662 | $19,169 | 1.17 |
Nervous system110 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 20 | $240,447 | $38,784 | $67,566 | 2.00 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 18 | $217,753 | $28,861 | $61,189 | 1.36 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 17 | $135,622 | $21,117 | $38,110 | 1.02 |
| Seizures with MCCMS-DRG 100, medical | 15 | $145,445 | $31,233 | $40,870 | 1.98 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 14 | $118,346 | $27,652 | $33,255 | 1.79 |
| Seizures without MCCMS-DRG 101, medical | 14 | $78,476 | $15,825 | $22,052 | 0.91 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 12 | $566,714 | $117,699 | $159,246 | 5.67 |
Digestive system107 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 24 | $66,793 | $16,869 | $18,769 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 24 | $56,326 | $14,295 | $15,827 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 20 | $129,210 | $29,841 | $36,308 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 15 | $85,569 | $21,704 | $24,045 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 13 | $52,906 | $25,333 | $14,866 | 1.62 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 11 | $101,729 | $18,562 | $28,586 | 0.94 |
Endocrine, nutritional and metabolic101 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 | 48 | $93,042 | $21,557 | $26,145 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 35 | $65,630 | $14,091 | $18,442 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 18 | $60,491 | $15,207 | $16,998 | 0.90 |
Musculoskeletal system and connective tissue97 discharges in 5 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 | 36 | $167,533 | $33,314 | $47,077 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 22 | $92,687 | $16,749 | $26,045 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 15 | $98,195 | $15,906 | $27,593 | 0.90 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 13 | $131,912 | $32,847 | $37,067 | 2.11 |
| Other musculoskeletal system and connective tissue diagnoses with CCMS-DRG 565, medical | 11 | $109,535 | $17,815 | $30,779 | 1.00 |
Skin, subcutaneous tissue and breast42 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 30 | $61,423 | $14,744 | $17,260 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 12 | $102,884 | $22,835 | $28,911 | 1.49 |
Injuries, poisonings and toxic effects of drugs26 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 | 26 | $99,517 | $25,624 | $27,964 | 1.60 |
Mental diseases and disorders26 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 14 | $99,693 | $26,191 | $28,014 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 12 | $159,062 | $27,318 | $44,696 | 1.76 |
Blood and immune system21 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 | 21 | $68,348 | $16,301 | $19,206 | 0.90 |
Alcohol and drug use13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 13 | $76,812 | $16,369 | $21,584 | 0.86 |
Blood cancers and poorly differentiated neoplasms11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical | 11 | $49,133 | $21,721 | $13,806 | 1.21 |
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 | 315 | 291 | $48,035 | $2,997 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 145 | 105 | $16,523 | $2,569 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 69 | 66 | $12,077 | $1,784 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 50 | 46 | $24,953 | $3,526 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 29 | 29 | $93,855 | $16,602 | $10,772 |
| Level 4 ENT ProceduresAPC 5164 | 26 | 17 | $20,721 | $2,322 | $2,217 |
| Level 4 Vascular ProceduresAPC 5184 | 24 | 23 | $36,230 | $6,080 | $3,946 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 22 | 22 | $23,641 | $3,128 | $2,141 |
| Level 2 Upper GI ProceduresAPC 5302 | 21 | 20 | $13,441 | $2,094 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 21 | 17 | $39,797 | $5,724 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 20 | 20 | $45,217 | $6,371 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 19 | 14 | $16,466 | $2,246 | $1,516 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 18 | 18 | $28,151 | $1,762 | $1,196 |
| Level 4 Airway EndoscopyAPC 5154 | 17 | 16 | $11,739 | $4,121 | $2,833 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 16 | 15 | $61,161 | $8,274 | $5,339 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 16 | 14 | $23,327 | $3,828 | $2,636 |
| Level 4 Urology and Related ServicesAPC 5374 | 16 | 13 | $25,868 | $3,846 | $2,629 |
| Level 1 Endovascular ProceduresAPC 5191 | 14 | 14 | $34,253 | $3,243 | $2,208 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 13 | 13 | $26,635 | $3,576 | $2,373 |
| Level 3 Lower GI ProceduresAPC 5313 | 12 | 12 | $22,066 | $3,101 | $2,176 |
| Level 3 Endovascular ProceduresAPC 5193 | 11 | 11 | $62,681 | $13,615 | $8,874 |
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.