Natividad Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Natividad Medical Center, Salinas, CA in 2024, from traditional Medicare claims. Back to the Natividad Medical Center profile, with quality ratings, finances and negotiated rates.
605
Medicare inpatient discharges
In 28 published DRGs
1.65
Case mix index
IPPS FY 2027
17%
Surgical stays
53%
Stays with complications
In DRGs with a CC or MCC
313
Medicare outpatient services
In 13 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases133 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 | 73 | $142,121 | $24,522 | $37,236 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 34 | $68,981 | $12,389 | $18,073 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 14 | $193,245 | $23,968 | $50,630 | 2.04 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 12 | $322,096 | $61,961 | $84,389 | 5.00 |
Mental diseases and disorders99 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 99 | $79,796 | $16,425 | $20,907 | 1.37 |
Musculoskeletal system and connective tissue95 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 | 35 | $139,883 | $23,312 | $36,649 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 18 | $135,277 | $24,862 | $35,443 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 18 | $76,272 | $11,581 | $19,983 | 0.97 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 13 | $90,246 | $18,099 | $23,644 | 1.59 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 11 | $170,242 | $28,954 | $44,603 | 2.40 |
Respiratory system63 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 21 | $90,760 | $17,201 | $23,779 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 18 | $196,104 | $25,092 | $51,379 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 12 | $68,636 | $13,706 | $17,983 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $60,057 | $10,042 | $15,735 | 0.82 |
Digestive system52 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 16 | $67,680 | $12,061 | $17,732 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 12 | $100,406 | $21,911 | $26,306 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 12 | $72,524 | $10,183 | $19,001 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 12 | $85,920 | $9,266 | $22,511 | 0.79 |
Circulatory system45 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 27 | $85,503 | $15,298 | $22,402 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 18 | $70,155 | $10,570 | $18,381 | 0.86 |
Nervous system40 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 15 | $141,187 | $16,023 | $36,991 | 1.32 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 14 | $98,249 | $10,253 | $25,741 | 1.02 |
| Traumatic stupor and coma >1 hour without cc/mccMS-DRG 084, medical | 11 | $69,194 | $11,207 | $18,129 | 0.92 |
Endocrine, nutritional and metabolic36 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 without MCCMS-DRG 641, medical | 22 | $66,248 | $9,582 | $17,357 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 14 | $90,937 | $14,862 | $23,826 | 1.32 |
Kidney and urinary tract18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 18 | $68,308 | $9,828 | $17,897 | 0.81 |
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 | $101,262 | $11,069 | $26,531 | 0.86 |
Skin, subcutaneous tissue and breast11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 11 | $61,886 | $10,271 | $16,214 | 0.88 |
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 | 114 | 109 | $35,805 | $2,815 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 26 | 26 | $8,314 | $1,651 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 23 | 21 | $34,237 | $3,084 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 22 | 22 | $21,024 | $2,823 | $2,208 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 19 | 19 | $64,415 | $11,873 | $8,569 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 18 | 17 | $18,417 | $1,595 | $1,196 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 15 | 15 | $55,132 | $7,877 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 15 | 15 | $32,924 | $4,975 | $4,358 |
| Level 2 Endovascular ProceduresAPC 5192 | 14 | $38,447 | $6,051 | $4,338 | |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 13 | 12 | $28,247 | $3,430 | $2,373 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 12 | 12 | $25,533 | $3,623 | $2,636 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 11 | 11 | $21,578 | $3,004 | $2,141 |
| Level 3 Intraocular ProceduresAPC 5493 | 11 | $44,169 | $5,539 | $4,004 |
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.