Paradise Valley Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Paradise Valley Hospital, National City, CA in 2024, from traditional Medicare claims. Back to the Paradise Valley Hospital profile, with quality ratings, finances and negotiated rates.
708
Medicare inpatient discharges
In 22 published DRGs
1.62
Case mix index
IPPS FY 2027
2%
Surgical stays
61%
Stays with complications
In DRGs with a CC or MCC
104
Medicare outpatient services
In 4 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases158 discharges in 3 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 | 135 | $66,336 | $20,573 | $17,778 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 12 | $212,138 | $53,930 | $56,853 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 11 | $339,415 | $74,136 | $90,963 | 6.96 |
Mental diseases and disorders147 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 147 | $56,909 | $14,257 | $15,251 | 1.37 |
Circulatory system98 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 69 | $39,725 | $13,459 | $10,646 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 17 | $82,844 | $15,456 | $22,202 | 1.59 |
| Hypertension without MCCMS-DRG 305, medical | 12 | $32,090 | $7,686 | $8,600 | 0.75 |
Respiratory system86 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 38 | $42,315 | $13,100 | $11,340 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 32 | $54,462 | $17,325 | $14,596 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 16 | $54,039 | $12,985 | $14,482 | 1.33 |
Kidney and urinary tract69 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 38 | $31,019 | $11,962 | $8,313 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 19 | $30,564 | $14,955 | $8,191 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 12 | $23,878 | $8,060 | $6,399 | 0.81 |
Endocrine, nutritional and metabolic58 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 with MCCMS-DRG 640, medical | 40 | $41,786 | $14,064 | $11,199 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 18 | $27,136 | $7,746 | $7,272 | 0.78 |
Digestive system36 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 13 | $23,136 | $8,080 | $6,200 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 12 | $58,453 | $18,583 | $15,665 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $32,005 | $12,749 | $8,577 | 1.28 |
Nervous system33 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cranial and peripheral nerve disorders with MCCMS-DRG 073, medical | 18 | $34,571 | $15,350 | $9,265 | 1.51 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 15 | $24,553 | $10,470 | $6,580 | 1.03 |
Skin, subcutaneous tissue and breast12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 12 | $28,369 | $9,767 | $7,603 | 0.88 |
Injuries, poisonings and toxic effects of drugs11 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 | 11 | $130,383 | $22,425 | $34,943 | 1.60 |
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 3 Airway EndoscopyAPC 5153 | 63 | 58 | $16,972 | $1,661 | $1,264 |
| Level 1 Intraocular ProceduresAPC 5491 | 16 | 14 | $32,234 | $2,283 | $1,752 |
| Level 2 Vascular ProceduresAPC 5182 | 14 | 14 | $25,898 | $1,569 | $1,204 |
| Comprehensive Observation ServicesAPC 8011 | 11 | 11 | $12,442 | $2,681 | $2,090 |
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.