Providence Holy Cross Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Providence Holy Cross Medical Center, Mission Hills, CA in 2024, from traditional Medicare claims. Back to the Providence Holy Cross Medical Center profile, with quality ratings, finances and negotiated rates.
2,163
Medicare inpatient discharges
In 60 published DRGs
2.07
Case mix index
IPPS FY 2027
15%
Surgical stays
86%
Stays with complications
In DRGs with a CC or MCC
1,014
Medicare outpatient services
In 22 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases589 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 | 434 | $152,213 | $19,192 | $25,876 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 67 | $63,607 | $9,113 | $10,813 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 61 | $374,365 | $56,512 | $63,642 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 27 | $382,243 | $64,042 | $64,981 | 6.96 |
Circulatory system522 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 188 | $100,517 | $15,385 | $17,088 | 1.59 |
| Heart failure and shock with MCCMS-DRG 291, medical | 138 | $84,116 | $11,550 | $14,300 | 1.28 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 45 | $173,909 | $34,150 | $29,564 | 3.35 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 25 | $65,095 | $7,880 | $11,066 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 23 | $185,462 | $24,609 | $31,529 | 2.87 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 20 | $102,215 | $13,450 | $17,376 | 1.82 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 19 | $431,091 | $65,461 | $73,286 | 5.06 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 16 | $88,147 | $19,090 | $14,985 | 2.09 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 14 | $51,497 | $6,803 | $8,755 | 0.74 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 12 | $69,261 | $10,529 | $11,774 | 1.07 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 11 | $144,173 | $30,776 | $24,509 | 3.27 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 11 | $75,884 | $9,375 | $12,900 | 1.08 |
Kidney and urinary tract275 discharges in 7 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 | 83 | $119,701 | $15,212 | $20,349 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 60 | $78,589 | $14,264 | $13,360 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 41 | $59,700 | $8,040 | $10,149 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 31 | $46,505 | $7,828 | $7,906 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 29 | $75,043 | $11,357 | $12,757 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 16 | $57,347 | $9,061 | $9,749 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 15 | $206,719 | $39,136 | $35,142 | 3.70 |
Digestive system197 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 41 | $114,718 | $16,694 | $19,502 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 24 | $69,695 | $9,510 | $11,848 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 22 | $58,013 | $7,006 | $9,862 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 17 | $80,624 | $12,271 | $13,706 | 1.28 |
| Digestive malignancy with MCCMS-DRG 374, medical | 16 | $153,242 | $19,415 | $26,051 | 2.10 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 16 | $49,237 | $8,437 | $8,370 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $102,787 | $16,399 | $17,474 | 1.62 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 13 | $229,122 | $17,661 | $38,951 | 2.37 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 12 | $94,371 | $16,794 | $16,043 | 1.75 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 11 | $152,554 | $18,839 | $25,934 | 1.45 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 11 | $77,197 | $5,852 | $13,124 | 0.80 |
Respiratory system150 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 54 | $99,443 | $15,858 | $16,905 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 47 | $86,433 | $12,228 | $14,694 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 36 | $85,004 | $11,730 | $14,451 | 1.23 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $130,931 | $13,081 | $22,258 | 1.40 |
Endocrine, nutritional and metabolic123 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 | 63 | $73,831 | $12,265 | $12,551 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 27 | $58,162 | $7,583 | $9,888 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 22 | $52,898 | $6,832 | $8,993 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 11 | $92,550 | $13,889 | $15,733 | 1.45 |
Nervous system108 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 39 | $189,432 | $19,493 | $32,203 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 27 | $98,722 | $8,667 | $16,783 | 1.02 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 16 | $375,608 | $40,716 | $63,853 | 4.42 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 14 | $314,948 | $50,898 | $53,541 | 5.67 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 12 | $98,718 | $15,344 | $16,782 | 1.79 |
Musculoskeletal system and connective tissue82 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 | 23 | $172,608 | $28,351 | $29,343 | 2.95 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 21 | $136,066 | $19,857 | $23,131 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 16 | $72,051 | $8,226 | $12,249 | 0.97 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 11 | $102,702 | $18,059 | $17,459 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 11 | $119,462 | $20,316 | $20,309 | 2.11 |
Blood and immune system31 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 18 | $107,467 | $13,938 | $18,269 | 1.40 |
| Coagulation disordersMS-DRG 813, medical | 13 | $179,942 | $22,430 | $30,590 | 1.56 |
Liver, gallbladder and pancreas28 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 16 | $86,667 | $16,859 | $14,733 | 1.67 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 12 | $211,829 | $20,294 | $36,011 | 1.92 |
Other18 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 | 18 | $365,165 | $54,721 | $62,078 | 4.74 |
Blood cancers and poorly differentiated neoplasms16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Chemotherapy without acute leukemia as secondary diagnosis with CCMS-DRG 847, medical | 16 | $68,034 | $12,996 | $11,566 | 1.21 |
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 | $69,157 | $8,407 | $11,757 | 0.88 |
Female reproductive system12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Uterine and adnexa procedures for non-malignancy with cc/mccMS-DRG 742, surgical | 12 | $128,266 | $17,300 | $21,805 | 1.78 |
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 | 290 | 262 | $33,116 | $2,681 | $2,090 |
| Level 3 Vascular ProceduresAPC 5183 | 93 | 92 | $26,292 | $3,119 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 88 | 66 | $53,393 | $11,733 | $8,874 |
| Level 1 Endovascular ProceduresAPC 5191 | 70 | 70 | $17,025 | $2,868 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 58 | 58 | $56,567 | $5,509 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 44 | 41 | $12,541 | $1,865 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 43 | 42 | $10,726 | $1,578 | $1,220 |
| Level 4 Vascular ProceduresAPC 5184 | 39 | 38 | $52,662 | $5,378 | $3,946 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 37 | 37 | $14,348 | $2,783 | $2,141 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 31 | 31 | $82,915 | $14,077 | $10,772 |
| Level 2 Vascular ProceduresAPC 5182 | 31 | 31 | $11,475 | $1,563 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 31 | 29 | $29,287 | $5,425 | $4,338 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 29 | 29 | $97,709 | $11,005 | $8,164 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 26 | 26 | $60,349 | $7,160 | $5,339 |
| Level 4 Endovascular ProceduresAPC 5194 | 16 | 16 | $95,523 | $19,864 | $14,606 |
| Level 4 Gynecologic ProceduresAPC 5414 | 15 | 15 | $31,705 | $2,927 | $2,389 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 13 | $15,467 | $1,567 | $1,196 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 13 | 13 | $111,927 | $21,219 | $15,763 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 12 | 12 | $29,119 | $3,170 | $2,373 |
| Level 4 Urology and Related ServicesAPC 5374 | 12 | 11 | $37,083 | $3,415 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 12 | 11 | $44,427 | $4,724 | $3,918 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 11 | 11 | $38,299 | $11,476 | $8,569 |
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.