Petaluma Valley Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Petaluma Valley Hospital, Petaluma, CA in 2024, from traditional Medicare claims. Back to the Petaluma Valley Hospital profile, with quality ratings, finances and negotiated rates.
448
Medicare inpatient discharges
In 18 published DRGs
1.56
Case mix index
IPPS FY 2027
11%
Surgical stays
81%
Stays with complications
In DRGs with a CC or MCC
767
Medicare outpatient services
In 12 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases169 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 | 123 | $121,469 | $18,251 | $25,509 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 28 | $92,574 | $9,430 | $19,440 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 18 | $313,579 | $50,133 | $65,852 | 5.00 |
Kidney and urinary tract81 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 24 | $65,118 | $8,550 | $13,675 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 17 | $117,948 | $14,449 | $24,769 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 16 | $115,850 | $13,563 | $24,328 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 13 | $76,040 | $10,762 | $15,968 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 11 | $65,707 | $7,457 | $13,798 | 0.81 |
Respiratory system74 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 32 | $114,641 | $12,451 | $24,075 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 22 | $154,778 | $16,785 | $32,503 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 20 | $105,883 | $12,222 | $22,236 | 1.23 |
Circulatory system56 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 | 45 | $97,197 | $12,429 | $20,411 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 11 | $70,147 | $7,631 | $14,731 | 0.74 |
Musculoskeletal system and connective tissue31 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 | 19 | $153,576 | $20,259 | $32,251 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 12 | $160,560 | $18,612 | $33,718 | 1.88 |
Endocrine, nutritional and metabolic14 discharges in 1 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 | 14 | $80,754 | $12,513 | $16,958 | 1.32 |
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 | $57,989 | $8,699 | $12,178 | 0.88 |
Nervous system11 discharges in 1 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 | 11 | $106,542 | $9,420 | $22,374 | 1.02 |
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 | 314 | 207 | $16,722 | $2,468 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 155 | 148 | $58,745 | $2,909 | $2,090 |
| Level 2 Intraocular ProceduresAPC 5492 | 62 | 47 | $26,023 | $4,319 | $3,116 |
| Level 5 Urology and Related ServicesAPC 5375 | 55 | 51 | $57,693 | $5,503 | $3,918 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 42 | 39 | $14,386 | $1,678 | $1,220 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 28 | 28 | $30,716 | $3,426 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 26 | 26 | $73,223 | $7,902 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 26 | 22 | $46,433 | $3,708 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 16 | 16 | $28,973 | $3,022 | $2,141 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 16 | 16 | $133,001 | $15,897 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 14 | 14 | $14,478 | $1,897 | $1,445 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 12 | $21,825 | $1,578 | $1,196 |
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.