Mills-Peninsula Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mills-Peninsula Medical Center, Burlingame, CA in 2024, from traditional Medicare claims. Back to the Mills-Peninsula Medical Center profile, with quality ratings, finances and negotiated rates.
2,917
Medicare inpatient discharges
In 71 published DRGs
1.99
Case mix index
IPPS FY 2027
22%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
3,698
Medicare outpatient services
In 44 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases829 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 | 620 | $84,513 | $19,381 | $27,636 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 129 | $55,949 | $9,985 | $18,295 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 56 | $201,891 | $50,653 | $66,018 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 24 | $89,152 | $19,106 | $29,153 | 2.04 |
Circulatory system733 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 199 | $74,617 | $13,656 | $24,400 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 85 | $152,406 | $33,833 | $49,837 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 63 | $226,482 | $49,237 | $74,060 | 4.88 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 44 | $40,246 | $7,104 | $13,161 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 35 | $106,938 | $16,443 | $34,969 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 35 | $66,622 | $12,399 | $21,785 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 32 | $165,210 | $16,739 | $54,024 | 1.82 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 30 | $260,967 | $34,545 | $85,336 | 2.87 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 27 | $332,429 | $76,209 | $108,704 | 6.25 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 27 | $67,443 | $8,454 | $22,054 | 0.91 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 26 | $31,239 | $4,973 | $10,215 | 0.55 |
| Syncope and collapseMS-DRG 312, medical | 24 | $51,120 | $8,048 | $16,716 | 0.86 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 22 | $200,969 | $31,041 | $65,717 | 3.18 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 17 | $70,437 | $19,584 | $23,033 | 2.09 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 16 | $91,672 | $10,167 | $29,977 | 1.08 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 15 | $214,794 | $43,121 | $70,238 | 3.90 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 13 | $172,851 | $40,277 | $56,522 | 3.35 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 12 | $358,179 | $87,819 | $117,125 | 7.71 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 11 | $131,736 | $20,547 | $43,078 | 2.16 |
Digestive system323 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 74 | $47,850 | $9,463 | $15,647 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 62 | $47,962 | $7,679 | $15,684 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 45 | $132,935 | $22,154 | $43,470 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 30 | $100,389 | $21,532 | $32,827 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 24 | $43,429 | $7,719 | $14,201 | 0.80 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 23 | $78,861 | $16,680 | $25,788 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 18 | $185,032 | $48,586 | $60,505 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 18 | $48,995 | $9,545 | $16,022 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 16 | $73,997 | $13,376 | $24,197 | 1.28 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 13 | $62,207 | $15,163 | $20,342 | 1.45 |
Nervous system262 discharges in 10 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 | 71 | $74,167 | $9,903 | $24,252 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 62 | $102,774 | $20,431 | $33,607 | 2.00 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 21 | $74,204 | $10,568 | $24,265 | 1.03 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 19 | $57,326 | $6,478 | $18,746 | 0.69 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 16 | $320,644 | $65,264 | $104,850 | 5.67 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 16 | $90,327 | $19,448 | $29,537 | 1.79 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 15 | $53,888 | $13,534 | $17,621 | 1.36 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 15 | $55,434 | $7,332 | $18,127 | 0.80 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 14 | $244,371 | $52,622 | $79,909 | 4.42 |
| Seizures with MCCMS-DRG 100, medical | 13 | $106,172 | $19,651 | $34,718 | 1.98 |
Musculoskeletal system and connective tissue212 discharges in 9 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 | 49 | $108,909 | $18,013 | $35,613 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 32 | $49,277 | $9,024 | $16,114 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 30 | $91,495 | $20,386 | $29,919 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 26 | $109,063 | $21,976 | $35,664 | 2.11 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 19 | $38,187 | $8,632 | $12,487 | 0.90 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 15 | $53,501 | $7,576 | $17,495 | 0.79 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 14 | $197,325 | $37,147 | $64,525 | 3.66 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 14 | $110,677 | $29,543 | $36,191 | 2.95 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 13 | $100,174 | $22,766 | $32,757 | 2.40 |
Respiratory system197 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 75 | $79,391 | $18,234 | $25,961 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 44 | $66,451 | $12,895 | $21,729 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 44 | $66,659 | $13,322 | $21,798 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 18 | $52,082 | $11,374 | $17,031 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 16 | $59,949 | $14,007 | $19,603 | 1.40 |
Kidney and urinary tract167 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 | 53 | $60,846 | $16,773 | $19,897 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 30 | $42,526 | $8,571 | $13,906 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 25 | $62,441 | $13,501 | $20,418 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 24 | $58,548 | $8,626 | $19,145 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 23 | $51,788 | $11,121 | $16,935 | 1.17 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 12 | $93,635 | $14,158 | $30,619 | 1.35 |
Endocrine, nutritional and metabolic100 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 | 44 | $60,268 | $12,883 | $19,708 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 44 | $44,345 | $7,691 | $14,501 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $59,296 | $14,226 | $19,390 | 1.45 |
Blood and immune system56 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 27 | $73,270 | $13,157 | $23,959 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 17 | $48,525 | $9,418 | $15,868 | 0.90 |
| Coagulation disordersMS-DRG 813, medical | 12 | $95,988 | $16,349 | $31,388 | 1.56 |
Skin, subcutaneous tissue and breast26 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 26 | $34,894 | $8,228 | $11,410 | 0.88 |
Liver, gallbladder and pancreas12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 12 | $78,930 | $18,814 | $25,810 | 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 |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 918 | 603 | $17,586 | $2,609 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 267 | 247 | $9,526 | $1,829 | $1,220 |
| Comprehensive Observation ServicesAPC 8011 | 244 | 231 | $29,515 | $3,078 | $2,090 |
| Level 5 Urology and Related ServicesAPC 5375 | 150 | 140 | $36,955 | $5,892 | $3,918 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 149 | 145 | $85,650 | $17,137 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 140 | 136 | $48,030 | $8,156 | $5,339 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 128 | 125 | $212,115 | $32,029 | $21,117 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 116 | 116 | $43,497 | $6,326 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 92 | 84 | $11,778 | $2,170 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 87 | 87 | $41,708 | $3,310 | $2,208 |
| Level 2 Endovascular ProceduresAPC 5192 | 83 | 68 | $42,241 | $6,538 | $4,338 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 78 | 76 | $13,095 | $1,783 | $1,196 |
| Level 3 Vascular ProceduresAPC 5183 | 77 | 75 | $23,935 | $3,581 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 76 | 72 | $99,841 | $13,878 | $8,874 |
| Level 2 Intraocular ProceduresAPC 5492 | 71 | 65 | $31,689 | $4,628 | $3,116 |
| Level 3 Intraocular ProceduresAPC 5493 | 69 | 45 | $35,904 | $5,860 | $4,004 |
| Level 4 Urology and Related ServicesAPC 5374 | 68 | 61 | $28,650 | $3,970 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 67 | 65 | $24,226 | $3,631 | $2,373 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 60 | 55 | $22,161 | $4,341 | $2,930 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 60 | 58 | $17,071 | $2,661 | $1,780 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 58 | 58 | $35,408 | $7,684 | $4,982 |
| Level 2 Urology and Related ServicesAPC 5372 | 55 | 21 | $4,973 | $775 | $502 |
| Level 3 Urology and Related ServicesAPC 5373 | 51 | 30 | $13,037 | $2,314 | $1,516 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 50 | 49 | $71,271 | $13,055 | $8,164 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 47 | 44 | $24,425 | $3,935 | $2,636 |
| Level 1 Nerve ProceduresAPC 5431 | 41 | 35 | $16,653 | $2,038 | $1,407 |
| Level 4 Vascular ProceduresAPC 5184 | 39 | 35 | $38,407 | $6,098 | $3,946 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 36 | 36 | $113,791 | $24,925 | $15,763 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 34 | 34 | $21,244 | $3,231 | $2,141 |
| Level 4 Endovascular ProceduresAPC 5194 | 34 | 33 | $152,379 | $23,364 | $14,606 |
| Level 3 Lower GI ProceduresAPC 5313 | 33 | 32 | $19,553 | $3,204 | $2,176 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 26 | 26 | $66,247 | $13,602 | $8,569 |
| Level 5 Airway EndoscopyAPC 5155 | 24 | 24 | $37,504 | $8,144 | $5,183 |
| Level 4 Gynecologic ProceduresAPC 5414 | 24 | 23 | $20,641 | $3,561 | $2,389 |
| Level 3 Airway EndoscopyAPC 5153 | 19 | 19 | $8,104 | $1,933 | $1,264 |
| Level 5 ENT ProceduresAPC 5165 | 17 | 17 | $39,436 | $5,945 | $4,436 |
| Level 4 Airway EndoscopyAPC 5154 | 16 | 16 | $19,070 | $4,265 | $2,833 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 15 | 14 | $52,491 | $10,495 | $6,514 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 15 | 15 | $168,817 | $42,220 | $29,375 |
| Level 3 Upper GI ProceduresAPC 5303 | 15 | 15 | $26,354 | $4,362 | $2,888 |
| Level 2 Vascular ProceduresAPC 5182 | 13 | 13 | $20,736 | $1,824 | $1,204 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 12 | 12 | $117,986 | $26,121 | $17,052 |
| Complex GI ProceduresAPC 5331 | 12 | 12 | $42,072 | $6,514 | $4,263 |
| Level 6 Urology and Related ServicesAPC 5376 | 12 | 12 | $58,759 | $10,556 | $7,291 |
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.