Providence St Joseph Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Providence St Joseph Medical Center, Burbank, CA in 2024, from traditional Medicare claims. Back to the Providence St Joseph Medical Center profile, with quality ratings, finances and negotiated rates.
4,130
Medicare inpatient discharges
In 102 published DRGs
1.92
Case mix index
IPPS FY 2027
17%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
2,597
Medicare outpatient services
In 31 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases1,131 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 | 777 | $128,488 | $18,256 | $21,843 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 164 | $64,301 | $8,648 | $10,931 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 96 | $266,233 | $42,353 | $45,260 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 75 | $510,984 | $70,045 | $86,867 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 19 | $136,807 | $15,531 | $23,257 | 2.04 |
Circulatory system641 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 | 226 | $96,035 | $12,091 | $16,326 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 85 | $106,133 | $14,640 | $18,043 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 43 | $52,686 | $6,369 | $8,957 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 38 | $102,564 | $15,940 | $17,436 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 32 | $79,479 | $11,001 | $13,511 | 1.20 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 25 | $147,386 | $20,425 | $25,056 | 2.09 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 24 | $183,200 | $27,145 | $31,144 | 2.87 |
| Syncope and collapseMS-DRG 312, medical | 22 | $61,497 | $7,719 | $10,454 | 0.86 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 21 | $227,659 | $44,619 | $38,702 | 4.88 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 17 | $277,985 | $40,691 | $47,258 | 3.35 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 17 | $70,209 | $8,246 | $11,936 | 0.91 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 16 | $98,245 | $20,943 | $16,702 | 2.28 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 14 | $44,374 | $8,639 | $7,544 | 1.07 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 14 | $47,524 | $4,533 | $8,079 | 0.55 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 12 | $331,494 | $55,504 | $56,354 | 5.06 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 12 | $74,723 | $6,771 | $12,703 | 1.08 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 12 | $53,127 | $8,913 | $9,032 | 0.97 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 11 | $156,236 | $20,328 | $26,560 | 2.16 |
Respiratory system478 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 114 | $96,395 | $11,640 | $16,387 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 110 | $126,754 | $15,376 | $21,548 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 61 | $102,194 | $10,863 | $17,373 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 36 | $88,674 | $9,568 | $15,075 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 33 | $70,554 | $6,940 | $11,994 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 31 | $276,940 | $32,004 | $47,080 | 2.70 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 23 | $82,910 | $8,513 | $14,095 | 0.96 |
| Pleural effusion with MCCMS-DRG 186, medical | 15 | $101,760 | $13,882 | $17,299 | 1.55 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 15 | $444,344 | $68,198 | $75,538 | 6.91 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 14 | $114,137 | $15,636 | $19,403 | 1.74 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $102,469 | $13,102 | $17,420 | 1.40 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 13 | $67,406 | $7,499 | $11,459 | 0.85 |
Nervous system407 discharges in 18 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 77 | $181,079 | $18,977 | $30,783 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 42 | $72,703 | $8,327 | $12,359 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 28 | $72,587 | $10,584 | $12,340 | 1.36 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 26 | $326,359 | $48,732 | $55,481 | 5.67 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 26 | $342,944 | $40,796 | $58,300 | 4.42 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 23 | $75,934 | $9,233 | $12,909 | 1.03 |
| Seizures with MCCMS-DRG 100, medical | 21 | $114,773 | $16,196 | $19,511 | 1.98 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 20 | $72,210 | $7,076 | $12,276 | 0.80 |
| Seizures without MCCMS-DRG 101, medical | 18 | $75,521 | $7,611 | $12,839 | 0.91 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 17 | $80,807 | $19,880 | $13,737 | 2.39 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 15 | $211,376 | $19,828 | $35,934 | 2.43 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 15 | $62,664 | $15,529 | $10,653 | 1.79 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 14 | $157,672 | $12,156 | $26,804 | 1.47 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 14 | $68,495 | $5,854 | $11,644 | 0.69 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 14 | $101,906 | $9,125 | $17,324 | 1.03 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 13 | $127,712 | $14,137 | $21,711 | 1.79 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 12 | $73,320 | $8,839 | $12,464 | 1.06 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 12 | $156,346 | $21,623 | $26,579 | 2.28 |
Kidney and urinary tract396 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 89 | $84,097 | $10,832 | $14,297 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 82 | $89,806 | $14,190 | $15,267 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 66 | $92,088 | $13,121 | $15,655 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 66 | $51,414 | $6,734 | $8,740 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 35 | $67,986 | $7,888 | $11,558 | 0.90 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 23 | $98,498 | $12,190 | $16,745 | 1.35 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 20 | $53,625 | $8,864 | $9,116 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 15 | $150,491 | $34,455 | $25,583 | 3.70 |
Digestive system389 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 63 | $65,604 | $8,463 | $11,153 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 61 | $56,990 | $6,626 | $9,688 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 54 | $88,598 | $16,222 | $15,062 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 30 | $52,090 | $6,810 | $8,855 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 30 | $72,682 | $11,472 | $12,356 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 26 | $169,680 | $21,020 | $28,846 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 25 | $257,927 | $37,561 | $43,848 | 4.52 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 23 | $39,498 | $3,956 | $6,715 | 0.56 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 23 | $64,265 | $8,065 | $10,925 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 16 | $85,442 | $15,619 | $14,525 | 1.62 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 14 | $56,688 | $9,112 | $9,637 | 1.04 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 13 | $96,148 | $15,746 | $16,345 | 1.67 |
| Digestive malignancy with CCMS-DRG 375, medical | 11 | $79,047 | $11,036 | $13,438 | 1.20 |
Musculoskeletal system and connective tissue325 discharges in 10 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 | 69 | $110,883 | $18,637 | $18,850 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 61 | $67,107 | $8,042 | $11,408 | 0.97 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 42 | $102,542 | $17,433 | $17,432 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 36 | $111,412 | $19,062 | $18,940 | 2.11 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 28 | $55,206 | $6,991 | $9,385 | 0.90 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 23 | $170,689 | $27,518 | $29,017 | 2.95 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 22 | $93,004 | $13,603 | $15,811 | 1.59 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 18 | $46,519 | $6,844 | $7,908 | 0.79 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 13 | $165,248 | $32,280 | $28,092 | 3.49 |
| Medical back problems with MCCMS-DRG 551, medical | 13 | $74,028 | $13,804 | $12,585 | 1.70 |
Endocrine, nutritional and metabolic118 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 | 50 | $81,301 | $13,101 | $13,821 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 38 | $54,303 | $6,567 | $9,232 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 19 | $71,321 | $7,182 | $12,125 | 0.90 |
| Endocrine disorders with CCMS-DRG 644, medical | 11 | $59,353 | $8,198 | $10,090 | 1.06 |
Liver, gallbladder and pancreas115 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 20 | $106,092 | $13,519 | $18,036 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 18 | $98,193 | $11,720 | $16,693 | 1.31 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 16 | $147,092 | $20,692 | $25,006 | 2.32 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 15 | $133,429 | $16,236 | $22,683 | 1.83 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 12 | $93,546 | $15,139 | $15,903 | 1.76 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 12 | $97,066 | $15,673 | $16,501 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 11 | $81,997 | $16,880 | $13,939 | 1.92 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 11 | $79,969 | $10,203 | $13,595 | 1.09 |
Skin, subcutaneous tissue and breast61 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 50 | $59,278 | $7,633 | $10,077 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 11 | $94,019 | $13,550 | $15,983 | 1.49 |
Blood and immune system37 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 | 24 | $55,011 | $7,878 | $9,352 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 13 | $121,959 | $13,759 | $20,733 | 1.40 |
Transplants, ECMO and tracheostomy (pre-MDC)21 discharges in 1 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 | 21 | $1,405,600 | $207,510 | $238,952 | 14.70 |
Ear, nose, mouth and throat11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 11 | $60,144 | $5,512 | $10,224 | 0.74 |
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 | 951 | 859 | $34,339 | $2,672 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 154 | 144 | $75,197 | $14,422 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 133 | 125 | $10,354 | $1,583 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 131 | 130 | $40,426 | $5,539 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 130 | 118 | $50,273 | $5,069 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 121 | 105 | $10,945 | $1,873 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 75 | 75 | $59,224 | $6,970 | $5,339 |
| Level 1 Endovascular ProceduresAPC 5191 | 70 | 70 | $28,162 | $2,875 | $2,208 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 69 | 69 | $90,313 | $11,005 | $8,164 |
| Level 4 Urology and Related ServicesAPC 5374 | 67 | 62 | $34,150 | $3,415 | $2,629 |
| Level 2 Urology and Related ServicesAPC 5372 | 61 | 12 | $4,311 | $665 | $502 |
| Level 3 Urology and Related ServicesAPC 5373 | 52 | 37 | $17,941 | $1,994 | $1,516 |
| Level 4 Vascular ProceduresAPC 5184 | 51 | 38 | $40,846 | $4,222 | $3,946 |
| Level 3 Vascular ProceduresAPC 5183 | 50 | 48 | $28,327 | $3,119 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 47 | 46 | $64,435 | $11,618 | $8,874 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 45 | 44 | $19,774 | $2,722 | $2,141 |
| Level 4 Gynecologic ProceduresAPC 5414 | 39 | 39 | $24,704 | $3,062 | $2,389 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 34 | 30 | $31,071 | $3,734 | $2,930 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 33 | 32 | $129,353 | $21,219 | $15,763 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 33 | 33 | $35,371 | $11,462 | $8,569 |
| Level 5 Gynecologic ProceduresAPC 5415 | 33 | 21 | $34,449 | $4,733 | $3,792 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 31 | 31 | $33,219 | $3,389 | $2,636 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 26 | 26 | $110,105 | $27,482 | $21,117 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 24 | 23 | $54,521 | $6,146 | $4,982 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 24 | 24 | $15,692 | $1,567 | $1,196 |
| Level 4 Airway EndoscopyAPC 5154 | 22 | 21 | $26,707 | $3,668 | $2,833 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 21 | 20 | $27,453 | $3,171 | $2,373 |
| Level 2 Endovascular ProceduresAPC 5192 | 21 | 21 | $43,509 | $5,599 | $4,338 |
| Level 3 Airway EndoscopyAPC 5153 | 20 | 19 | $19,665 | $1,653 | $1,264 |
| Level 1 Intraocular ProceduresAPC 5491 | 18 | 15 | $20,212 | $2,270 | $1,752 |
| Level 5 Airway EndoscopyAPC 5155 | 11 | 11 | $46,334 | $6,781 | $5,183 |
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.