Pioneers Memorial Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Pioneers Memorial Hospital, Brawley, CA in 2024, from traditional Medicare claims. Back to the Pioneers Memorial Hospital profile, with quality ratings, finances and negotiated rates.
610
Medicare inpatient discharges
In 20 published DRGs
1.48
Case mix index
IPPS FY 2027
3%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
1,022
Medicare outpatient services
In 18 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases233 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 | 164 | $59,576 | $19,012 | $19,958 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 52 | $32,151 | $9,845 | $10,770 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 17 | $112,002 | $45,109 | $37,521 | 5.00 |
Respiratory system113 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 | 53 | $52,473 | $11,985 | $17,579 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 35 | $34,067 | $12,395 | $11,412 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 25 | $67,673 | $16,968 | $22,670 | 1.70 |
Circulatory system80 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 39 | $34,463 | $12,183 | $11,545 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 18 | $37,470 | $15,045 | $12,552 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 12 | $22,258 | $8,252 | $7,456 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 11 | $19,557 | $6,700 | $6,551 | 0.74 |
Kidney and urinary tract73 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 24 | $23,372 | $7,248 | $7,829 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 21 | $30,823 | $8,469 | $10,326 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 15 | $29,330 | $11,261 | $9,826 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 13 | $35,562 | $14,199 | $11,913 | 1.50 |
Endocrine, nutritional and metabolic47 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 | 25 | $26,862 | $7,216 | $8,999 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 22 | $50,114 | $14,586 | $16,788 | 1.32 |
Nervous system33 discharges in 2 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 | 22 | $39,767 | $9,441 | $13,322 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 11 | $66,532 | $19,179 | $22,288 | 2.00 |
Digestive system31 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 17 | $18,882 | $7,410 | $6,325 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 14 | $33,713 | $7,187 | $11,294 | 0.79 |
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 2 Endovascular ProceduresAPC 5192 | 388 | 208 | $11,974 | $5,592 | $4,338 |
| Level 3 Endovascular ProceduresAPC 5193 | 97 | 59 | $26,237 | $11,859 | $8,874 |
| Level 3 Vascular ProceduresAPC 5183 | 77 | 68 | $11,129 | $3,120 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 58 | 55 | $32,508 | $14,514 | $10,772 |
| Level 2 Urology and Related ServicesAPC 5372 | 55 | 52 | $2,666 | $656 | $502 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 54 | 51 | $5,603 | $1,551 | $1,220 |
| Level 2 Vascular ProceduresAPC 5182 | 46 | 44 | $8,854 | $1,563 | $1,204 |
| Level 3 Urology and Related ServicesAPC 5373 | 39 | 36 | $9,526 | $1,977 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 34 | 34 | $16,804 | $5,649 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 32 | 31 | $14,586 | $3,165 | $2,373 |
| Comprehensive Observation ServicesAPC 8011 | 30 | 28 | $17,669 | $2,681 | $2,090 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 29 | 27 | $13,070 | $3,382 | $2,636 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 17 | 17 | $9,356 | $2,778 | $2,141 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 17 | 16 | $25,032 | $7,160 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 14 | 11 | $12,555 | $3,415 | $2,629 |
| Level 1 Nerve ProceduresAPC 5431 | 13 | 11 | $9,112 | $1,891 | $1,407 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 11 | 11 | $10,056 | $1,574 | $1,196 |
| Level 5 Gynecologic ProceduresAPC 5415 | 11 | 11 | $27,630 | $4,863 | $3,792 |
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.