North Bay Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for North Bay Medical Center, Fairfield, CA in 2024, from traditional Medicare claims. Back to the North Bay Medical Center profile, with quality ratings, finances and negotiated rates.
2,456
Medicare inpatient discharges
In 75 published DRGs
1.91
Case mix index
IPPS FY 2027
14%
Surgical stays
80%
Stays with complications
In DRGs with a CC or MCC
1,737
Medicare outpatient services
In 26 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases573 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 | 419 | $232,743 | $22,077 | $28,860 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 74 | $139,375 | $11,205 | $17,282 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 47 | $675,275 | $57,790 | $83,734 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 19 | $1,098,893 | $85,845 | $136,263 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 14 | $310,290 | $22,834 | $38,476 | 2.04 |
Circulatory system438 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 165 | $161,065 | $13,806 | $19,972 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 63 | $192,633 | $17,890 | $23,886 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 34 | $98,309 | $8,013 | $12,190 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 33 | $108,279 | $9,312 | $13,427 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 32 | $466,555 | $20,527 | $57,853 | 1.82 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 22 | $140,450 | $9,634 | $17,416 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 18 | $187,004 | $15,777 | $23,188 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 16 | $280,211 | $25,301 | $34,746 | 2.16 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 16 | $186,892 | $23,778 | $23,175 | 2.09 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 14 | $336,829 | $56,134 | $41,767 | 4.88 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 13 | $300,038 | $37,546 | $37,205 | 3.46 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 12 | $512,962 | $34,848 | $63,607 | 2.87 |
Respiratory system310 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 96 | $167,010 | $14,256 | $20,709 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 70 | $212,725 | $18,452 | $26,378 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 49 | $159,767 | $12,323 | $19,811 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 46 | $154,986 | $13,955 | $19,218 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 19 | $123,119 | $9,108 | $15,267 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 19 | $366,513 | $31,304 | $45,448 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $120,831 | $14,887 | $14,983 | 1.40 |
Digestive system272 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 45 | $139,010 | $10,577 | $17,237 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 40 | $222,473 | $19,938 | $27,587 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 39 | $103,896 | $8,299 | $12,883 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 37 | $111,671 | $8,898 | $13,847 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 24 | $840,441 | $73,333 | $104,215 | 4.52 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 19 | $155,507 | $14,495 | $19,283 | 1.28 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 17 | $151,171 | $15,647 | $18,745 | 1.45 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 15 | $118,964 | $10,475 | $14,752 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $272,845 | $17,485 | $33,833 | 1.62 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 11 | $320,577 | $26,260 | $39,752 | 2.37 |
| Digestive malignancy with CCMS-DRG 375, medical | 11 | $164,221 | $14,119 | $20,363 | 1.20 |
Nervous system245 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 48 | $188,237 | $20,164 | $23,341 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 44 | $123,446 | $10,947 | $15,307 | 1.02 |
| Seizures with MCCMS-DRG 100, medical | 34 | $221,547 | $22,032 | $27,472 | 1.98 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 18 | $587,290 | $43,649 | $72,824 | 4.42 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 17 | $131,429 | $8,507 | $16,297 | 0.80 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 17 | $184,937 | $19,837 | $22,932 | 1.79 |
| Seizures without MCCMS-DRG 101, medical | 16 | $129,204 | $9,740 | $16,021 | 0.91 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 15 | $122,223 | $11,569 | $15,156 | 1.03 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 13 | $146,486 | $11,693 | $18,164 | 1.06 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 12 | $241,373 | $18,415 | $29,930 | 1.87 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 11 | $323,627 | $28,681 | $40,130 | 2.27 |
Kidney and urinary tract212 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 64 | $113,937 | $12,737 | $14,128 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 39 | $101,164 | $8,691 | $12,544 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 35 | $192,442 | $18,543 | $23,863 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 31 | $175,912 | $17,070 | $21,813 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 28 | $135,401 | $10,093 | $16,790 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 15 | $160,641 | $11,012 | $19,919 | 1.02 |
Musculoskeletal system and connective tissue166 discharges in 10 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 | 45 | $321,814 | $23,150 | $39,905 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 21 | $118,166 | $10,451 | $14,653 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 15 | $344,895 | $23,959 | $42,767 | 2.11 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 14 | $694,696 | $75,224 | $86,142 | 6.12 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 13 | $130,650 | $11,532 | $16,201 | 1.09 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 12 | $576,956 | $35,264 | $71,543 | 2.96 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with MCCMS-DRG 542, medical | 12 | $180,810 | $19,254 | $22,420 | 1.82 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 12 | $115,672 | $9,474 | $14,343 | 0.90 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 11 | $470,813 | $32,753 | $58,381 | 2.95 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 11 | $202,135 | $22,942 | $25,065 | 2.04 |
Endocrine, nutritional and metabolic100 discharges in 5 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 | 39 | $160,962 | $15,042 | $19,959 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 18 | $119,401 | $9,507 | $14,806 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 17 | $117,815 | $8,368 | $14,609 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $141,465 | $15,548 | $17,542 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 13 | $198,042 | $18,293 | $24,557 | 1.65 |
Liver, gallbladder and pancreas55 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 17 | $379,555 | $18,639 | $47,065 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 15 | $169,114 | $20,636 | $20,970 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 12 | $173,725 | $18,241 | $21,542 | 1.83 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 11 | $154,117 | $9,530 | $19,111 | 0.86 |
Skin, subcutaneous tissue and breast38 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 38 | $90,747 | $9,412 | $11,253 | 0.88 |
Blood and immune system23 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 23 | $160,008 | $10,291 | $19,841 | 0.90 |
Other13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 13 | $479,648 | $55,063 | $59,476 | 4.74 |
Injuries, poisonings and toxic effects of drugs11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 11 | $531,558 | $47,618 | $65,913 | 3.72 |
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 | 661 | 594 | $67,950 | $3,127 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 115 | 110 | $256,656 | $17,257 | $10,772 |
| Level 3 Vascular ProceduresAPC 5183 | 95 | 84 | $63,106 | $3,612 | $2,405 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 76 | 65 | $25,891 | $1,854 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 73 | 71 | $201,962 | $6,568 | $4,358 |
| Level 2 Endovascular ProceduresAPC 5192 | 59 | 51 | $97,166 | $6,584 | $4,338 |
| Level 3 Endovascular ProceduresAPC 5193 | 58 | 47 | $174,557 | $14,163 | $8,874 |
| Level 3 Urology and Related ServicesAPC 5373 | 57 | 52 | $88,847 | $2,324 | $1,516 |
| Level 1 Endovascular ProceduresAPC 5191 | 55 | 55 | $103,986 | $3,358 | $2,208 |
| Level 5 Urology and Related ServicesAPC 5375 | 54 | 49 | $179,389 | $5,820 | $3,918 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 53 | 51 | $287,419 | $31,800 | $21,117 |
| Level 4 Urology and Related ServicesAPC 5374 | 46 | 39 | $136,595 | $3,991 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 43 | 41 | $208,179 | $8,450 | $5,339 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 41 | 40 | $133,241 | $3,959 | $2,636 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 34 | 34 | $93,897 | $13,702 | $8,569 |
| Level 2 Upper GI ProceduresAPC 5302 | 29 | 24 | $48,169 | $2,116 | $1,445 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 27 | 27 | $91,956 | $3,257 | $2,141 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 24 | 22 | $40,160 | $1,842 | $1,196 |
| Level 4 Vascular ProceduresAPC 5184 | 23 | 20 | $166,137 | $6,300 | $3,946 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 22 | 22 | $170,733 | $3,711 | $2,373 |
| Level 4 Airway EndoscopyAPC 5154 | 22 | 22 | $96,928 | $4,293 | $2,833 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 15 | 15 | $247,337 | $7,745 | $4,982 |
| Level 2 Vascular ProceduresAPC 5182 | 15 | 15 | $39,452 | $1,823 | $1,204 |
| Level 4 Gynecologic ProceduresAPC 5414 | 15 | 15 | $143,554 | $3,345 | $2,389 |
| Level 4 Endovascular ProceduresAPC 5194 | 13 | 13 | $251,486 | $23,528 | $14,606 |
| Level 3 Airway EndoscopyAPC 5153 | 12 | 12 | $43,718 | $1,946 | $1,264 |
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.