Marian Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Marian Medical Center, Santa Maria, CA in 2024, from traditional Medicare claims. Back to the Marian Medical Center profile, with quality ratings, finances and negotiated rates.
3,584
Medicare inpatient discharges
In 102 published DRGs
1.88
Case mix index
IPPS FY 2027
19%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
3,403
Medicare outpatient services
In 37 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases835 discharges in 5 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 | 584 | $99,189 | $18,096 | $17,854 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 134 | $62,449 | $8,983 | $11,241 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 77 | $246,716 | $42,925 | $44,409 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 29 | $102,624 | $19,267 | $18,472 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 11 | $420,125 | $72,168 | $75,623 | 6.96 |
Circulatory system589 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 210 | $64,561 | $11,445 | $11,621 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 69 | $129,990 | $31,556 | $23,398 | 3.24 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 40 | $70,112 | $11,528 | $12,620 | 1.20 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 35 | $78,596 | $13,484 | $14,147 | 1.59 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 33 | $319,399 | $61,958 | $57,492 | 6.25 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 32 | $73,041 | $8,489 | $13,147 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 31 | $131,191 | $17,107 | $23,614 | 1.82 |
| Syncope and collapseMS-DRG 312, medical | 27 | $61,762 | $8,158 | $11,117 | 0.86 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 20 | $93,316 | $19,033 | $16,797 | 2.09 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 18 | $229,512 | $31,116 | $41,312 | 2.87 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 14 | $278,172 | $40,322 | $50,071 | 4.04 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 14 | $314,338 | $49,245 | $56,581 | 4.88 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 13 | $60,314 | $8,327 | $10,857 | 0.91 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 11 | $228,387 | $39,490 | $41,110 | 3.90 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 11 | $74,260 | $14,908 | $13,367 | 1.58 |
| Hypertension with MCCMS-DRG 304, medical | 11 | $57,682 | $11,362 | $10,383 | 1.15 |
Musculoskeletal system and connective tissue377 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 67 | $116,377 | $18,385 | $20,948 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 64 | $129,318 | $19,352 | $23,277 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 48 | $123,297 | $20,225 | $22,193 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 32 | $55,017 | $8,771 | $9,903 | 0.97 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 25 | $54,918 | $8,122 | $9,885 | 0.90 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 24 | $38,813 | $7,078 | $6,986 | 0.79 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 23 | $122,836 | $23,175 | $22,110 | 2.40 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 20 | $148,634 | $25,827 | $26,754 | 2.95 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 13 | $94,196 | $14,062 | $16,955 | 1.59 |
| Lower extremity and humerus procedures except hip, foot and femur without cc/mccMS-DRG 494, surgical | 13 | $112,211 | $17,981 | $20,198 | 1.87 |
| Medical back problems with MCCMS-DRG 551, medical | 13 | $91,494 | $16,525 | $16,469 | 1.70 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 12 | $207,100 | $34,696 | $37,278 | 3.49 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 12 | $140,579 | $27,900 | $25,304 | 2.99 |
| Signs and symptoms of musculoskeletal system and connective tissue without MCCMS-DRG 556, medical | 11 | $52,527 | $6,862 | $9,455 | 0.82 |
Digestive system344 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 66 | $66,805 | $9,029 | $12,025 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 49 | $51,554 | $7,309 | $9,280 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 47 | $43,193 | $7,304 | $7,775 | 0.80 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 28 | $90,345 | $16,255 | $16,262 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 28 | $70,782 | $12,592 | $12,741 | 1.28 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 25 | $39,235 | $4,950 | $7,062 | 0.56 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 21 | $106,554 | $14,645 | $19,180 | 1.67 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 20 | $220,442 | $42,993 | $39,679 | 4.52 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 19 | $74,312 | $14,200 | $13,376 | 1.45 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 17 | $45,994 | $8,743 | $8,279 | 0.94 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 13 | $201,671 | $23,615 | $36,301 | 2.37 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 11 | $93,494 | $15,954 | $16,829 | 1.62 |
Respiratory system337 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 81 | $75,064 | $12,124 | $13,512 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 73 | $68,684 | $11,806 | $12,363 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 67 | $89,554 | $14,775 | $16,120 | 1.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 28 | $79,002 | $12,462 | $14,220 | 1.40 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 28 | $67,217 | $10,125 | $12,099 | 1.10 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 19 | $182,260 | $27,835 | $32,807 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 16 | $54,508 | $7,439 | $9,811 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 14 | $50,065 | $9,008 | $9,012 | 0.99 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 11 | $131,826 | $17,264 | $23,729 | 1.74 |
Kidney and urinary tract314 discharges in 6 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 | 66 | $85,333 | $15,509 | $15,360 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 61 | $72,317 | $13,307 | $13,017 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 59 | $52,449 | $7,915 | $9,441 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 58 | $60,625 | $10,815 | $10,913 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 49 | $56,202 | $7,159 | $10,116 | 0.81 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 21 | $55,328 | $9,623 | $9,959 | 1.02 |
Nervous system268 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 58 | $76,576 | $9,183 | $13,784 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 49 | $129,492 | $17,955 | $23,309 | 2.00 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 18 | $57,057 | $9,281 | $10,270 | 1.06 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 16 | $279,455 | $43,020 | $50,302 | 4.42 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 16 | $79,421 | $14,202 | $14,296 | 1.79 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 14 | $63,391 | $5,551 | $11,410 | 0.69 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 14 | $58,310 | $9,696 | $10,496 | 1.03 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $55,433 | $12,467 | $9,978 | 1.36 |
| Seizures with MCCMS-DRG 100, medical | 13 | $95,154 | $16,574 | $17,128 | 1.98 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 12 | $71,844 | $13,892 | $12,932 | 1.47 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 12 | $97,536 | $12,905 | $17,556 | 1.32 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 11 | $65,924 | $7,243 | $11,866 | 0.80 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 11 | $112,220 | $21,200 | $20,200 | 2.27 |
| Seizures without MCCMS-DRG 101, medical | 11 | $72,999 | $8,426 | $13,140 | 0.91 |
Endocrine, nutritional and metabolic224 discharges in 7 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 | 84 | $83,431 | $12,626 | $15,018 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 51 | $55,302 | $7,155 | $9,954 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 30 | $53,570 | $7,884 | $9,643 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 23 | $83,173 | $13,127 | $14,971 | 1.45 |
| Endocrine disorders with CCMS-DRG 644, medical | 13 | $60,662 | $9,609 | $10,919 | 1.06 |
| O.r. procedures for obesity without cc/mccMS-DRG 621, surgical | 12 | $63,832 | $13,234 | $11,490 | 1.52 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 11 | $81,414 | $15,578 | $14,654 | 1.98 |
Liver, gallbladder and pancreas117 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 16 | $94,983 | $15,126 | $17,097 | 1.63 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 15 | $77,993 | $17,079 | $14,039 | 1.83 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 15 | $67,711 | $10,706 | $12,188 | 1.09 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 14 | $92,103 | $19,203 | $16,579 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 13 | $58,637 | $8,838 | $10,555 | 0.95 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 11 | $150,884 | $21,327 | $27,159 | 2.32 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 11 | $124,281 | $15,783 | $22,371 | 1.63 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 11 | $95,100 | $17,923 | $17,118 | 1.76 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 11 | $58,978 | $7,438 | $10,616 | 0.86 |
Skin, subcutaneous tissue and breast41 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 29 | $45,697 | $7,628 | $8,225 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 12 | $66,880 | $12,461 | $12,038 | 1.49 |
Blood and immune system38 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 24 | $78,253 | $13,753 | $14,086 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 14 | $66,089 | $8,669 | $11,896 | 0.90 |
Factors influencing health status35 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 22 | $48,651 | $7,204 | $8,757 | 0.80 |
| Signs and symptoms with MCCMS-DRG 947, medical | 13 | $56,185 | $10,921 | $10,113 | 1.25 |
Alcohol and drug use26 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 | 13 | $70,543 | $15,400 | $12,698 | 1.78 |
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 13 | $53,943 | $7,186 | $9,710 | 0.86 |
Injuries, poisonings and toxic effects of drugs24 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 | 24 | $104,262 | $15,422 | $18,767 | 1.60 |
Mental diseases and disorders15 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 | 15 | $53,024 | $15,965 | $9,544 | 1.76 |
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 | 932 | 841 | $34,267 | $2,660 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 280 | 260 | $12,824 | $1,493 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 233 | 231 | $28,216 | $2,877 | $2,208 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 201 | 191 | $151,840 | $27,481 | $21,117 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 173 | 164 | $99,971 | $14,133 | $10,772 |
| Level 3 Vascular ProceduresAPC 5183 | 150 | 130 | $20,247 | $3,059 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 129 | 122 | $20,700 | $1,842 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 127 | 126 | $73,735 | $7,114 | $5,339 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 95 | 89 | $20,048 | $2,766 | $2,141 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 95 | 94 | $66,068 | $5,592 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 85 | 79 | $40,838 | $5,068 | $3,918 |
| Level 3 Endovascular ProceduresAPC 5193 | 72 | 66 | $82,150 | $11,541 | $8,874 |
| Level 4 Urology and Related ServicesAPC 5374 | 67 | 61 | $26,539 | $3,262 | $2,629 |
| Level 2 Vascular ProceduresAPC 5182 | 62 | 61 | $8,325 | $1,525 | $1,204 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 59 | 58 | $33,144 | $3,115 | $2,373 |
| Level 2 Endovascular ProceduresAPC 5192 | 59 | 54 | $42,421 | $5,597 | $4,338 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 59 | 59 | $102,445 | $10,814 | $8,164 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 52 | 44 | $29,192 | $3,385 | $2,636 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 51 | 51 | $50,721 | $11,476 | $8,569 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 46 | 46 | $12,059 | $1,552 | $1,196 |
| Level 3 Urology and Related ServicesAPC 5373 | 46 | 38 | $16,934 | $1,995 | $1,516 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 40 | 36 | $125,383 | $21,219 | $15,763 |
| Level 3 Lower GI ProceduresAPC 5313 | 33 | 32 | $24,446 | $2,755 | $2,176 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 27 | 27 | $61,662 | $6,388 | $4,982 |
| Level 2 Urology and Related ServicesAPC 5372 | 24 | $8,997 | $697 | $502 | |
| Level 4 Gynecologic ProceduresAPC 5414 | 24 | 24 | $23,832 | $3,048 | $2,389 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 23 | 23 | $115,108 | $22,259 | $17,052 |
| Complex GI ProceduresAPC 5331 | 23 | 16 | $59,717 | $5,575 | $4,263 |
| Level 4 Vascular ProceduresAPC 5184 | 21 | 20 | $42,787 | $5,383 | $3,946 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 19 | 19 | $191,189 | $38,684 | $29,375 |
| Level 6 Urology and Related ServicesAPC 5376 | 17 | 16 | $84,119 | $9,111 | $7,291 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 16 | 16 | $31,193 | $3,734 | $2,930 |
| Level 5 Gynecologic ProceduresAPC 5415 | 15 | 15 | $45,571 | $4,860 | $3,792 |
| Level 3 Upper GI ProceduresAPC 5303 | 14 | 11 | $44,366 | $3,453 | $2,888 |
| Level 4 Endovascular ProceduresAPC 5194 | 12 | 12 | $109,484 | $19,871 | $14,606 |
| Level 5 ENT ProceduresAPC 5165 | 11 | $45,733 | $5,736 | $4,436 | |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 11 | $155,548 | $36,422 | $26,719 |
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.