Los Angeles General Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Los Angeles General Medical Center, Los Angeles, CA in 2024, from traditional Medicare claims. Back to the Los Angeles General Medical Center profile, with quality ratings, finances and negotiated rates.
1,547
Medicare inpatient discharges
In 62 published DRGs
1.94
Case mix index
IPPS FY 2027
8%
Surgical stays
78%
Stays with complications
In DRGs with a CC or MCC
949
Medicare outpatient services
In 16 service groups
Inpatient stays by major diagnostic category
Circulatory system423 discharges in 17 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 91 | $79,685 | $25,962 | $16,017 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 68 | $84,824 | $29,019 | $17,050 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 54 | $36,687 | $17,942 | $7,374 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 21 | $44,834 | $16,690 | $9,012 | 0.74 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 21 | $103,081 | $36,247 | $20,719 | 2.09 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 18 | $51,704 | $18,562 | $10,392 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 18 | $37,919 | $32,332 | $7,622 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 16 | $83,953 | $22,559 | $16,874 | 1.20 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 15 | $98,609 | $55,837 | $19,820 | 3.35 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 15 | $101,553 | $46,168 | $20,412 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 14 | $117,916 | $39,528 | $23,701 | 2.16 |
| Hypertension with MCCMS-DRG 304, medical | 14 | $47,813 | $23,241 | $9,610 | 1.15 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 13 | $76,058 | $29,151 | $15,288 | 1.58 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 12 | $57,775 | $20,970 | $11,613 | 1.07 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 11 | $363,768 | $100,100 | $73,117 | 5.06 |
| Heart failure and shock with CCMS-DRG 292, medical | 11 | $210,851 | $48,382 | $42,381 | 0.86 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 11 | $41,614 | $19,524 | $8,364 | 0.97 |
Infectious and parasitic diseases277 discharges in 3 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 | 214 | $109,828 | $35,093 | $22,075 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 47 | $56,478 | $20,696 | $11,352 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 16 | $366,348 | $80,877 | $73,636 | 5.00 |
Respiratory system157 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 35 | $54,002 | $21,480 | $10,854 | 1.10 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 30 | $49,079 | $25,062 | $9,865 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 24 | $133,340 | $34,505 | $26,801 | 1.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 15 | $132,115 | $34,679 | $26,555 | 1.40 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 15 | $65,704 | $25,110 | $13,206 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 15 | $223,499 | $48,736 | $44,923 | 2.70 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 12 | $51,055 | $20,617 | $10,262 | 0.96 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 11 | $161,760 | $32,887 | $32,514 | 1.90 |
Endocrine, nutritional and metabolic146 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 | 64 | $78,693 | $24,698 | $15,817 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 47 | $53,336 | $17,457 | $10,721 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 19 | $38,134 | $19,104 | $7,665 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 16 | $78,622 | $27,077 | $15,803 | 1.45 |
Kidney and urinary tract127 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 | 32 | $38,742 | $17,297 | $7,787 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 30 | $82,105 | $29,730 | $16,503 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 22 | $48,837 | $22,062 | $9,816 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 19 | $31,840 | $19,192 | $6,400 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 13 | $59,434 | $20,983 | $11,946 | 1.02 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 11 | $83,860 | $27,291 | $16,856 | 1.65 |
Nervous system125 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 | 33 | $155,030 | $32,052 | $31,161 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 28 | $97,694 | $23,764 | $19,636 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 15 | $49,493 | $24,710 | $9,948 | 1.36 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 13 | $95,064 | $31,469 | $19,108 | 1.79 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 13 | $92,837 | $38,867 | $18,660 | 2.28 |
| Seizures with MCCMS-DRG 100, medical | 12 | $172,166 | $46,091 | $34,605 | 1.98 |
| Seizures without MCCMS-DRG 101, medical | 11 | $189,300 | $44,514 | $38,049 | 0.91 |
Digestive system97 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 29 | $52,950 | $20,184 | $10,643 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 27 | $110,909 | $33,564 | $22,293 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 25 | $43,029 | $17,435 | $8,649 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 16 | $85,128 | $26,416 | $17,111 | 1.28 |
Liver, gallbladder and pancreas74 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 24 | $100,614 | $33,534 | $20,224 | 1.83 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 15 | $53,027 | $21,910 | $10,658 | 1.09 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 12 | $66,647 | $34,369 | $13,396 | 1.92 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 12 | $103,013 | $32,214 | $20,706 | 1.76 |
| Cirrhosis and alcoholic hepatitis with CCMS-DRG 433, medical | 11 | $48,200 | $21,342 | $9,688 | 1.03 |
Musculoskeletal system and connective tissue44 discharges in 2 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 | 33 | $84,845 | $35,805 | $17,054 | 2.07 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 11 | $146,897 | $47,653 | $29,526 | 2.95 |
Alcohol and drug use22 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 11 | $63,019 | $29,737 | $12,667 | 1.78 |
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 11 | $36,063 | $18,557 | $7,249 | 0.86 |
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 | $47,868 | $19,002 | $9,622 | 0.88 |
Mental diseases and disorders12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 12 | $188,972 | $23,930 | $37,983 | 1.76 |
Transplants, ECMO and tracheostomy (pre-MDC)11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 11 | $603,620 | $176,462 | $121,328 | 14.70 |
Burns11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Non-extensive burnsMS-DRG 935, medical | 11 | $327,213 | $70,247 | $65,770 | 2.04 |
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 | 242 | 182 | $16,855 | $2,275 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 207 | 200 | $49,835 | $2,668 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 125 | 101 | $5,189 | $653 | $502 |
| Level 2 Intraocular ProceduresAPC 5492 | 73 | 62 | $29,050 | $3,976 | $3,116 |
| Level 3 Urology and Related ServicesAPC 5373 | 71 | 64 | $10,653 | $1,970 | $1,516 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 57 | 55 | $4,828 | $1,585 | $1,220 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 30 | 30 | $17,856 | $2,283 | $1,780 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 21 | 21 | $50,744 | $5,640 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 19 | 16 | $6,785 | $1,861 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 19 | 14 | $23,403 | $3,379 | $2,636 |
| Level 4 Urology and Related ServicesAPC 5374 | 18 | 13 | $28,047 | $3,404 | $2,629 |
| Level 4 Gynecologic ProceduresAPC 5414 | 15 | 15 | $28,180 | $3,059 | $2,389 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 14 | 14 | $64,196 | $7,156 | $5,339 |
| Level 3 Lower GI ProceduresAPC 5313 | 14 | 14 | $14,800 | $2,737 | $2,176 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 13 | 13 | $14,922 | $2,769 | $2,141 |
| Level 4 Vascular ProceduresAPC 5184 | 11 | 11 | $54,522 | $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.