Pomona Valley Hospital Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Pomona Valley Hospital Medical Center, Pomona, CA in 2024, from traditional Medicare claims. Back to the Pomona Valley Hospital Medical Center profile, with quality ratings, finances and negotiated rates.
2,288
Medicare inpatient discharges
In 63 published DRGs
2.09
Case mix index
IPPS FY 2027
16%
Surgical stays
82%
Stays with complications
In DRGs with a CC or MCC
1,428
Medicare outpatient services
In 29 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases649 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 | 435 | $176,011 | $18,716 | $19,537 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 92 | $527,915 | $49,359 | $58,599 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 55 | $106,135 | $9,317 | $11,781 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 54 | $626,695 | $63,395 | $69,563 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 13 | $188,309 | $20,425 | $20,902 | 2.04 |
Circulatory system433 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 | 144 | $98,727 | $11,979 | $10,959 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 109 | $130,658 | $15,689 | $14,503 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 28 | $77,263 | $8,236 | $8,576 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 25 | $67,358 | $7,144 | $7,477 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 21 | $96,200 | $8,885 | $10,678 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 19 | $399,972 | $30,511 | $44,397 | 2.87 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 17 | $212,421 | $20,347 | $23,579 | 2.09 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 17 | $259,341 | $16,957 | $28,787 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 16 | $155,290 | $10,256 | $17,237 | 1.20 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 14 | $225,405 | $33,902 | $25,020 | 3.35 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 12 | $184,495 | $29,987 | $20,479 | 3.24 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $77,624 | $6,999 | $8,616 | 0.75 |
Nervous system283 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 75 | $230,297 | $18,186 | $25,563 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 54 | $119,579 | $8,783 | $13,273 | 1.02 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 24 | $611,059 | $57,117 | $67,828 | 5.67 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 23 | $250,669 | $23,038 | $27,824 | 2.28 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 22 | $151,814 | $15,932 | $16,851 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 21 | $143,789 | $19,102 | $15,961 | 1.98 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 20 | $147,776 | $13,148 | $16,403 | 1.36 |
| Seizures without MCCMS-DRG 101, medical | 17 | $79,754 | $8,432 | $8,853 | 0.91 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 15 | $173,617 | $13,000 | $19,271 | 1.06 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 12 | $91,089 | $7,595 | $10,111 | 0.80 |
Kidney and urinary tract224 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 70 | $133,006 | $14,204 | $14,764 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 44 | $97,335 | $11,162 | $10,804 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 36 | $179,922 | $16,170 | $19,971 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 32 | $95,237 | $7,953 | $10,571 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 30 | $93,863 | $7,089 | $10,419 | 0.81 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 12 | $238,015 | $36,145 | $26,420 | 3.70 |
Respiratory system221 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 76 | $140,350 | $14,891 | $15,579 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 35 | $121,451 | $12,630 | $13,481 | 1.33 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 28 | $247,793 | $26,798 | $27,505 | 2.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 27 | $123,149 | $12,024 | $13,670 | 1.23 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 18 | $545,393 | $64,469 | $60,539 | 6.91 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 15 | $173,716 | $17,723 | $19,283 | 1.74 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $106,867 | $13,482 | $11,862 | 1.40 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $76,815 | $7,182 | $8,526 | 0.82 |
Digestive system150 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 42 | $155,380 | $16,619 | $17,247 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 35 | $90,172 | $8,950 | $10,009 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 18 | $77,373 | $7,321 | $8,588 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 16 | $77,476 | $7,560 | $8,600 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 15 | $107,118 | $12,722 | $11,890 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 13 | $163,339 | $17,593 | $18,131 | 1.62 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 11 | $367,613 | $40,062 | $40,805 | 4.52 |
Musculoskeletal system and connective tissue101 discharges in 5 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 | 36 | $168,937 | $20,120 | $18,752 | 2.07 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 23 | $258,862 | $28,086 | $28,734 | 2.95 |
| Medical back problems without MCCMS-DRG 552, medical | 17 | $107,710 | $8,030 | $11,956 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 14 | $156,408 | $20,977 | $17,361 | 2.11 |
| Medical back problems with MCCMS-DRG 551, medical | 11 | $139,816 | $14,467 | $15,520 | 1.70 |
Endocrine, nutritional and metabolic98 discharges in 4 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 | $113,308 | $12,049 | $12,577 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 24 | $152,792 | $15,039 | $16,960 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 22 | $80,581 | $7,308 | $8,944 | 0.78 |
| Endocrine disorders with MCCMS-DRG 643, medical | 12 | $144,081 | $15,561 | $15,993 | 1.65 |
Other53 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 | 53 | $229,816 | $35,445 | $25,510 | 4.74 |
Liver, gallbladder and pancreas35 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 19 | $163,152 | $20,485 | $18,110 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 16 | $134,154 | $17,740 | $14,891 | 1.83 |
Transplants, ECMO and tracheostomy (pre-MDC)28 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 17 | $1,130,749 | $128,816 | $125,513 | 14.70 |
| ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical | 11 | $1,667,423 | $206,196 | $185,084 | 21.32 |
Blood and immune system13 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 | 13 | $111,709 | $8,628 | $12,400 | 0.90 |
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 | 384 | 363 | $53,548 | $2,645 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 200 | 164 | $44,542 | $2,246 | $1,752 |
| Level 1 Endovascular ProceduresAPC 5191 | 75 | 75 | $89,422 | $2,880 | $2,208 |
| Level 2 Intraocular ProceduresAPC 5492 | 73 | 65 | $51,192 | $3,983 | $3,116 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 68 | 63 | $87,250 | $14,312 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 64 | 57 | $27,298 | $1,868 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 54 | 52 | $19,226 | $1,565 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 52 | 51 | $32,132 | $3,001 | $2,405 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 37 | 37 | $66,143 | $7,160 | $5,339 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 37 | 36 | $58,715 | $5,652 | $4,358 |
| Level 4 Vascular ProceduresAPC 5184 | 35 | 34 | $47,972 | $5,383 | $3,946 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 31 | 31 | $40,622 | $3,380 | $2,636 |
| Level 2 Endovascular ProceduresAPC 5192 | 29 | 28 | $87,963 | $5,589 | $4,338 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 28 | 27 | $49,112 | $3,170 | $2,373 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 25 | 25 | $66,722 | $6,388 | $4,982 |
| Level 5 Urology and Related ServicesAPC 5375 | 25 | 24 | $42,502 | $5,069 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 24 | 18 | $37,664 | $3,281 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 23 | 23 | $31,762 | $2,779 | $2,141 |
| Level 3 Endovascular ProceduresAPC 5193 | 21 | 20 | $156,311 | $11,871 | $8,874 |
| Level 3 Intraocular ProceduresAPC 5493 | 20 | 17 | $61,350 | $5,120 | $4,004 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 19 | 17 | $207,502 | $27,482 | $21,117 |
| Level 2 Vascular ProceduresAPC 5182 | 15 | 13 | $15,607 | $1,446 | $1,204 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 14 | 13 | $37,062 | $3,509 | $2,930 |
| Level 4 Airway EndoscopyAPC 5154 | 14 | 14 | $69,840 | $3,668 | $2,833 |
| Level 4 Gynecologic ProceduresAPC 5414 | 14 | 14 | $33,408 | $3,062 | $2,389 |
| Level 3 Urology and Related ServicesAPC 5373 | 13 | 12 | $40,710 | $1,992 | $1,516 |
| Level 4 Endovascular ProceduresAPC 5194 | 12 | 11 | $201,841 | $19,871 | $14,606 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 11 | 11 | $19,669 | $1,574 | $1,196 |
| Level 3 Lower GI ProceduresAPC 5313 | 11 | 11 | $39,149 | $2,750 | $2,176 |
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.