Pali Momi Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Pali Momi Medical Center, Aiea, HI in 2024, from traditional Medicare claims. Back to the Pali Momi Medical Center profile, with quality ratings, finances and negotiated rates.
990
Medicare inpatient discharges
In 33 published DRGs
2.08
Case mix index
IPPS FY 2027
14%
Surgical stays
90%
Stays with complications
In DRGs with a CC or MCC
1,622
Medicare outpatient services
In 33 service groups
Inpatient stays by major diagnostic category
Circulatory system236 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 96 | $52,716 | $12,002 | $16,553 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 44 | $57,812 | $13,883 | $18,153 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 22 | $119,636 | $26,170 | $37,566 | 2.87 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 20 | $78,712 | $12,694 | $24,716 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 17 | $59,691 | $16,166 | $18,743 | 2.16 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 15 | $85,120 | $33,194 | $26,728 | 3.35 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 11 | $104,389 | $30,272 | $32,778 | 3.46 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 11 | $29,317 | $5,601 | $9,206 | 0.74 |
Respiratory system199 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 79 | $47,557 | $11,109 | $14,933 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 77 | $56,011 | $15,005 | $17,588 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 16 | $42,867 | $10,341 | $13,460 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 16 | $35,578 | $7,057 | $11,172 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 11 | $31,168 | $8,762 | $9,787 | 1.10 |
Infectious and parasitic diseases176 discharges in 2 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 | 149 | $59,351 | $17,309 | $18,636 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 27 | $158,753 | $43,582 | $49,848 | 5.00 |
Digestive system131 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 50 | $45,249 | $15,571 | $14,208 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 39 | $33,543 | $8,115 | $10,533 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $23,380 | $6,102 | $7,341 | 0.80 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $52,792 | $15,557 | $16,577 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 12 | $152,174 | $40,733 | $47,783 | 4.52 |
Nervous system71 discharges in 3 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 | 32 | $41,466 | $7,840 | $13,020 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 26 | $56,483 | $16,951 | $17,736 | 2.00 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 13 | $60,839 | $15,521 | $19,103 | 1.79 |
Endocrine, nutritional and metabolic69 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 | 35 | $35,020 | $11,403 | $10,996 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 18 | $24,849 | $5,749 | $7,802 | 0.78 |
| Endocrine disorders with MCCMS-DRG 643, medical | 16 | $33,686 | $14,489 | $10,577 | 1.65 |
Kidney and urinary tract39 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 21 | $36,142 | $10,340 | $11,348 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 18 | $25,722 | $7,022 | $8,077 | 0.81 |
Musculoskeletal system and connective tissue30 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 | 17 | $56,720 | $18,758 | $17,810 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 13 | $59,572 | $19,578 | $18,705 | 2.11 |
Liver, gallbladder and pancreas22 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 11 | $46,395 | $14,955 | $14,568 | 1.63 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 11 | $50,078 | $8,850 | $15,724 | 1.09 |
Skin, subcutaneous tissue and breast17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 17 | $29,484 | $6,697 | $9,258 | 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 | 172 | 167 | $15,407 | $2,406 | $2,090 |
| Level 2 Urology and Related ServicesAPC 5372 | 156 | 22 | $1,861 | $613 | $502 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 148 | 138 | $5,919 | $1,424 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 104 | 96 | $5,897 | $1,795 | $1,516 |
| Level 3 Vascular ProceduresAPC 5183 | 74 | 74 | $10,638 | $2,762 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 64 | 64 | $15,885 | $2,568 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 62 | 54 | $12,398 | $1,678 | $1,445 |
| Level 4 Urology and Related ServicesAPC 5374 | 61 | 58 | $11,530 | $3,195 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 59 | 51 | $16,784 | $4,661 | $3,918 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 58 | 57 | $114,118 | $25,606 | $21,117 |
| Level 4 Vascular ProceduresAPC 5184 | 53 | 46 | $18,765 | $4,747 | $3,946 |
| Level 3 Endovascular ProceduresAPC 5193 | 53 | 40 | $30,790 | $11,002 | $8,874 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 43 | 40 | $39,477 | $12,849 | $10,772 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 41 | 41 | $33,381 | $9,960 | $8,164 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 40 | 40 | $25,819 | $5,074 | $4,358 |
| Level 2 Intraocular ProceduresAPC 5492 | 39 | 34 | $20,318 | $3,726 | $3,116 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 37 | 37 | $11,329 | $3,081 | $2,636 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 36 | 36 | $25,261 | $6,229 | $5,339 |
| Level 2 Vascular ProceduresAPC 5182 | 33 | 33 | $5,108 | $1,267 | $1,204 |
| Level 4 Endovascular ProceduresAPC 5194 | 29 | 24 | $36,334 | $18,462 | $14,606 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 28 | 27 | $14,648 | $3,493 | $2,930 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 26 | 25 | $5,913 | $1,354 | $1,196 |
| Level 3 Upper GI ProceduresAPC 5303 | 26 | 25 | $19,717 | $3,502 | $2,888 |
| Level 4 Airway EndoscopyAPC 5154 | 25 | 25 | $16,523 | $3,432 | $2,833 |
| Complex GI ProceduresAPC 5331 | 25 | 21 | $26,898 | $4,801 | $4,263 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 22 | 22 | $11,021 | $2,373 | $2,141 |
| Level 5 Airway EndoscopyAPC 5155 | 19 | 19 | $23,135 | $5,942 | $5,183 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 17 | 16 | $12,327 | $2,966 | $2,373 |
| Level 1 Nerve ProceduresAPC 5431 | 17 | 17 | $6,625 | $1,665 | $1,407 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 16 | 16 | $26,902 | $5,602 | $4,982 |
| Level 2 Endovascular ProceduresAPC 5192 | 15 | 13 | $10,986 | $5,222 | $4,338 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 13 | 13 | $32,959 | $10,632 | $8,569 |
| Level 6 Gynecologic ProceduresAPC 5416 | 11 | 11 | $32,202 | $6,415 | $5,836 |
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.