Presbyterian Intercommunity Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Presbyterian Intercommunity Hospital, Whittier, CA in 2024, from traditional Medicare claims. Back to the Presbyterian Intercommunity Hospital profile, with quality ratings, finances and negotiated rates.
2,488
Medicare inpatient discharges
In 74 published DRGs
1.85
Case mix index
IPPS FY 2027
11%
Surgical stays
81%
Stays with complications
In DRGs with a CC or MCC
1,694
Medicare outpatient services
In 32 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases671 discharges in 4 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 | 523 | $138,690 | $17,766 | $20,804 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 62 | $296,720 | $43,034 | $44,508 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 60 | $70,790 | $8,560 | $10,619 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 26 | $264,729 | $52,421 | $39,709 | 6.96 |
Circulatory system535 discharges in 18 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 168 | $88,926 | $11,774 | $13,339 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 82 | $95,004 | $13,840 | $14,251 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 34 | $51,200 | $7,608 | $7,680 | 0.86 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 31 | $185,457 | $30,522 | $27,819 | 3.35 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 25 | $170,252 | $14,273 | $25,538 | 1.82 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 22 | $286,499 | $24,049 | $42,975 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 19 | $82,338 | $8,750 | $12,351 | 1.08 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 18 | $113,895 | $19,369 | $17,084 | 2.09 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 17 | $83,529 | $10,436 | $12,529 | 1.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 16 | $85,383 | $7,795 | $12,807 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 16 | $140,019 | $16,292 | $21,003 | 2.16 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 14 | $88,920 | $7,863 | $13,338 | 0.74 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 13 | $322,978 | $48,924 | $48,447 | 5.06 |
| Hypertension without MCCMS-DRG 305, medical | 13 | $57,576 | $5,358 | $8,636 | 0.75 |
| Chest painMS-DRG 313, medical | 13 | $49,199 | $5,726 | $7,380 | 0.72 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 12 | $120,993 | $14,719 | $18,149 | 1.58 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 11 | $74,470 | $9,392 | $11,171 | 1.07 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 11 | $48,551 | $3,549 | $7,283 | 0.55 |
Nervous system252 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 | 74 | $127,692 | $16,795 | $19,154 | 2.00 |
| Seizures with MCCMS-DRG 100, medical | 28 | $88,008 | $17,482 | $13,201 | 1.98 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 26 | $111,139 | $16,458 | $16,671 | 1.79 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 23 | $84,810 | $8,659 | $12,721 | 1.02 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 23 | $134,575 | $16,314 | $20,186 | 1.79 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 17 | $383,771 | $51,353 | $57,566 | 5.67 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 17 | $82,236 | $10,880 | $12,335 | 1.36 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 16 | $88,869 | $8,842 | $13,330 | 1.03 |
| Seizures without MCCMS-DRG 101, medical | 16 | $55,842 | $7,507 | $8,376 | 0.91 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 12 | $72,616 | $6,167 | $10,892 | 0.80 |
Kidney and urinary tract245 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 72 | $103,592 | $14,370 | $15,539 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 52 | $83,083 | $9,915 | $12,462 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 44 | $60,959 | $7,103 | $9,144 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 32 | $83,164 | $12,745 | $12,475 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 24 | $64,336 | $8,098 | $9,650 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 21 | $59,221 | $8,521 | $8,883 | 1.02 |
Digestive system229 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 42 | $131,414 | $18,799 | $19,712 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 40 | $90,566 | $9,902 | $13,585 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 35 | $83,385 | $7,527 | $12,508 | 0.79 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 19 | $92,627 | $15,387 | $13,894 | 1.62 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 18 | $123,097 | $11,715 | $18,465 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 18 | $73,099 | $6,963 | $10,965 | 0.94 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 17 | $135,075 | $20,651 | $20,261 | 2.37 |
| Digestive malignancy with MCCMS-DRG 374, medical | 15 | $117,899 | $18,177 | $17,685 | 2.10 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 14 | $78,860 | $8,939 | $11,829 | 1.04 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 11 | $133,431 | $11,863 | $20,015 | 1.45 |
Respiratory system200 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 60 | $81,002 | $11,794 | $12,150 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 50 | $100,844 | $14,074 | $15,127 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 39 | $133,443 | $15,255 | $20,016 | 1.23 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 19 | $120,486 | $12,606 | $18,073 | 1.40 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 17 | $70,456 | $9,528 | $10,568 | 1.10 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 15 | $68,639 | $7,794 | $10,296 | 0.96 |
Endocrine, nutritional and metabolic112 discharges in 5 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 | 47 | $73,706 | $11,681 | $11,056 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 25 | $55,347 | $6,602 | $8,302 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 15 | $81,664 | $13,672 | $12,250 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 13 | $111,403 | $15,046 | $16,710 | 1.65 |
| Diabetes with CCMS-DRG 638, medical | 12 | $61,494 | $7,831 | $9,224 | 0.90 |
Musculoskeletal system and connective tissue92 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 MCCMS-DRG 480, surgical | 27 | $214,175 | $30,548 | $32,126 | 2.95 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 20 | $122,522 | $17,956 | $18,378 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 18 | $110,697 | $10,423 | $16,605 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 15 | $113,564 | $19,240 | $17,035 | 2.11 |
| Medical back problems with MCCMS-DRG 551, medical | 12 | $83,046 | $12,822 | $12,457 | 1.70 |
Skin, subcutaneous tissue and breast35 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 20 | $63,178 | $7,066 | $9,477 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 15 | $63,809 | $11,799 | $9,571 | 1.49 |
Liver, gallbladder and pancreas33 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 | 21 | $119,726 | $18,623 | $17,959 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 12 | $98,365 | $16,537 | $14,755 | 1.83 |
Blood and immune system29 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 15 | $57,428 | $8,154 | $8,614 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 14 | $76,334 | $12,053 | $11,450 | 1.40 |
Other27 discharges in 2 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 | 16 | $244,527 | $44,622 | $36,679 | 4.74 |
| Extensive o.r. procedures unrelated to principal diagnosis with CCMS-DRG 982, surgical | 11 | $118,741 | $18,945 | $17,811 | 2.49 |
Injuries, poisonings and toxic effects of drugs16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 16 | $127,803 | $16,366 | $19,170 | 1.82 |
Factors influencing health status12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 12 | $107,435 | $8,842 | $16,115 | 0.80 |
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 | 314 | 287 | $34,612 | $2,663 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 145 | 130 | $12,352 | $1,526 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 141 | 136 | $80,528 | $14,311 | $10,772 |
| Level 1 Intraocular ProceduresAPC 5491 | 134 | 102 | $24,149 | $2,264 | $1,752 |
| Level 3 Vascular ProceduresAPC 5183 | 86 | 84 | $27,697 | $3,122 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 70 | 52 | $13,929 | $1,857 | $1,445 |
| Level 3 Endovascular ProceduresAPC 5193 | 65 | 54 | $94,493 | $11,871 | $8,874 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 57 | 54 | $58,460 | $6,957 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 54 | 42 | $24,587 | $3,406 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 50 | 49 | $24,033 | $3,163 | $2,373 |
| Level 1 Endovascular ProceduresAPC 5191 | 50 | 50 | $37,140 | $2,880 | $2,208 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 49 | 49 | $17,904 | $2,743 | $2,141 |
| Level 3 Urology and Related ServicesAPC 5373 | 43 | 27 | $17,481 | $1,995 | $1,516 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 35 | 34 | $14,317 | $1,569 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 35 | 31 | $30,529 | $3,379 | $2,636 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 35 | 35 | $55,111 | $5,652 | $4,358 |
| Level 2 Endovascular ProceduresAPC 5192 | 32 | 28 | $39,775 | $5,599 | $4,338 |
| Level 2 Intraocular ProceduresAPC 5492 | 32 | 30 | $40,305 | $3,959 | $3,116 |
| Level 4 Vascular ProceduresAPC 5184 | 30 | 29 | $53,668 | $5,377 | $3,946 |
| Level 5 Urology and Related ServicesAPC 5375 | 29 | 27 | $38,544 | $5,064 | $3,918 |
| Level 2 Vascular ProceduresAPC 5182 | 27 | 26 | $12,889 | $1,569 | $1,204 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 25 | 25 | $77,358 | $10,995 | $8,164 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 24 | 23 | $55,926 | $6,122 | $4,982 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 20 | 18 | $32,335 | $3,351 | $2,930 |
| Level 1 Nerve ProceduresAPC 5431 | 19 | 15 | $12,121 | $1,881 | $1,407 |
| Level 4 Endovascular ProceduresAPC 5194 | 17 | 16 | $144,779 | $19,871 | $14,606 |
| Level 4 Gynecologic ProceduresAPC 5414 | 15 | 15 | $24,839 | $3,062 | $2,389 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 14 | 14 | $79,064 | $11,476 | $8,569 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 13 | 13 | $187,446 | $27,482 | $21,117 |
| Level 3 Intraocular ProceduresAPC 5493 | 12 | 11 | $43,577 | $5,116 | $4,004 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 11 | 11 | $99,967 | $21,219 | $15,763 |
| Level 5 ENT ProceduresAPC 5165 | 11 | 11 | $45,138 | $5,736 | $4,436 |
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.