Los Alamitos Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Los Alamitos Medical Center, Los Alamitos, CA in 2024, from traditional Medicare claims. Back to the Los Alamitos Medical Center profile, with quality ratings, finances and negotiated rates.
1,537
Medicare inpatient discharges
In 53 published DRGs
1.77
Case mix index
IPPS FY 2027
7%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
1,093
Medicare outpatient services
In 24 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases308 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 | 209 | $253,101 | $17,126 | $31,638 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 49 | $153,003 | $8,507 | $19,125 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 29 | $642,530 | $46,206 | $80,316 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 21 | $926,998 | $68,361 | $115,875 | 6.96 |
Circulatory system250 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 103 | $165,329 | $10,847 | $20,666 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 33 | $131,603 | $6,795 | $16,450 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 27 | $94,641 | $5,679 | $11,830 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 25 | $195,050 | $13,013 | $24,381 | 1.59 |
| Chest painMS-DRG 313, medical | 24 | $85,470 | $5,477 | $10,684 | 0.72 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 23 | $140,696 | $9,691 | $17,587 | 1.20 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 15 | $247,414 | $18,922 | $30,927 | 2.09 |
Respiratory system208 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 78 | $201,223 | $14,400 | $25,153 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 48 | $208,478 | $11,164 | $26,060 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 23 | $152,280 | $10,251 | $19,035 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 21 | $144,509 | $6,170 | $18,064 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 16 | $129,677 | $7,919 | $16,210 | 0.99 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 11 | $181,214 | $9,532 | $22,652 | 1.10 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 11 | $628,101 | $51,434 | $78,513 | 6.91 |
Kidney and urinary tract189 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 | 43 | $100,759 | $6,333 | $12,595 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 37 | $225,204 | $16,343 | $28,150 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 33 | $217,159 | $12,268 | $27,145 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 29 | $142,680 | $9,557 | $17,835 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 25 | $132,490 | $7,214 | $16,561 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 22 | $156,609 | $8,526 | $19,576 | 1.02 |
Nervous system172 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 | $290,097 | $17,180 | $36,262 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 28 | $138,281 | $7,769 | $17,285 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 26 | $114,381 | $6,208 | $14,298 | 0.80 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 18 | $137,604 | $7,645 | $17,201 | 1.03 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 16 | $107,795 | $10,267 | $13,474 | 1.36 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 14 | $599,410 | $40,916 | $74,926 | 4.42 |
| Seizures without MCCMS-DRG 101, medical | 14 | $88,377 | $7,350 | $11,047 | 0.91 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 11 | $148,603 | $11,898 | $18,575 | 1.36 |
Digestive system150 discharges in 8 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 | 37 | $99,026 | $6,010 | $12,378 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 25 | $137,099 | $7,987 | $17,137 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 18 | $244,343 | $14,865 | $30,543 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 16 | $100,675 | $7,750 | $12,584 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 15 | $158,696 | $10,394 | $19,837 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 14 | $721,557 | $48,448 | $90,195 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 14 | $117,857 | $6,628 | $14,732 | 0.80 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 11 | $139,331 | $13,930 | $17,416 | 1.62 |
Musculoskeletal system and connective tissue107 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 36 | $118,311 | $7,663 | $14,789 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 20 | $211,045 | $16,285 | $26,381 | 2.07 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 14 | $99,896 | $7,080 | $12,487 | 0.90 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 13 | $217,971 | $16,251 | $27,246 | 1.88 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 12 | $240,878 | $17,863 | $30,110 | 2.04 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 12 | $268,796 | $17,744 | $33,600 | 2.11 |
Endocrine, nutritional and metabolic83 discharges in 2 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 | $157,710 | $10,809 | $19,714 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 38 | $94,667 | $6,056 | $11,833 | 0.78 |
Liver, gallbladder and pancreas24 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 13 | $117,633 | $8,544 | $14,704 | 0.95 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 11 | $313,079 | $19,029 | $39,135 | 1.92 |
Skin, subcutaneous tissue and breast21 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 21 | $99,264 | $6,829 | $12,408 | 0.88 |
Blood and immune system13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 13 | $145,986 | $11,382 | $18,248 | 1.40 |
Factors influencing health status12 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 | 12 | $105,781 | $6,227 | $13,223 | 0.80 |
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 | 185 | 178 | $60,918 | $2,664 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 109 | 102 | $22,367 | $1,565 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 98 | 95 | $77,852 | $5,065 | $3,918 |
| Level 2 Intraocular ProceduresAPC 5492 | 93 | 87 | $59,209 | $3,979 | $3,116 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 78 | 77 | $177,989 | $14,339 | $10,772 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 76 | 70 | $80,367 | $3,287 | $2,636 |
| Level 4 Urology and Related ServicesAPC 5374 | 62 | 60 | $65,439 | $3,358 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 44 | 44 | $117,380 | $7,157 | $5,339 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 34 | 34 | $39,907 | $2,712 | $2,141 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 34 | 34 | $87,802 | $5,646 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 33 | 32 | $53,518 | $3,122 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 30 | 27 | $155,543 | $11,862 | $8,874 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 27 | 21 | $65,383 | $2,701 | $2,373 |
| Level 2 Vascular ProceduresAPC 5182 | 25 | 23 | $13,595 | $1,560 | $1,204 |
| Level 1 Endovascular ProceduresAPC 5191 | 25 | 25 | $63,519 | $2,873 | $2,208 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 24 | 24 | $146,586 | $11,476 | $8,569 |
| Level 3 Urology and Related ServicesAPC 5373 | 22 | 18 | $29,312 | $1,995 | $1,516 |
| Level 4 Endovascular ProceduresAPC 5194 | 19 | 17 | $178,721 | $19,871 | $14,606 |
| Level 2 Upper GI ProceduresAPC 5302 | 16 | 14 | $23,203 | $1,859 | $1,445 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 12 | 11 | $76,549 | $3,734 | $2,930 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 12 | 11 | $123,198 | $6,388 | $4,982 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 12 | 12 | $101,738 | $11,005 | $8,164 |
| Level 4 Gynecologic ProceduresAPC 5414 | 12 | 11 | $58,834 | $3,047 | $2,389 |
| Level 4 Vascular ProceduresAPC 5184 | 11 | 11 | $106,131 | $5,383 | $3,946 |
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.