Rancho Springs Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Rancho Springs Medical Center, Murrieta, CA in 2024, from traditional Medicare claims. Back to the Rancho Springs Medical Center profile, with quality ratings, finances and negotiated rates.
1,402
Medicare inpatient discharges
In 50 published DRGs
1.63
Case mix index
IPPS FY 2027
7%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
700
Medicare outpatient services
In 17 service groups
Inpatient stays by major diagnostic category
Respiratory system208 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 | 70 | $97,100 | $12,567 | $12,720 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 52 | $123,062 | $16,194 | $16,121 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 38 | $100,809 | $12,232 | $13,206 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 18 | $68,562 | $10,418 | $8,982 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $68,746 | $7,922 | $9,006 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 15 | $152,647 | $24,354 | $19,997 | 2.70 |
Nervous system202 discharges in 10 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 | 42 | $91,466 | $9,408 | $11,982 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 34 | $138,517 | $19,137 | $18,146 | 2.00 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 28 | $188,922 | $23,562 | $24,749 | 2.28 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 17 | $84,173 | $7,575 | $11,027 | 0.80 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 15 | $102,683 | $10,248 | $13,451 | 1.03 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 14 | $241,904 | $44,304 | $31,689 | 4.42 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 14 | $73,633 | $13,473 | $9,646 | 1.36 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 14 | $119,892 | $12,995 | $15,706 | 1.32 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 12 | $169,054 | $13,814 | $22,146 | 1.36 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 12 | $187,298 | $22,529 | $24,536 | 2.27 |
Circulatory system201 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 72 | $92,363 | $12,463 | $12,100 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 39 | $88,091 | $8,510 | $11,540 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 22 | $103,870 | $13,167 | $13,607 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 21 | $112,635 | $11,259 | $14,755 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 17 | $74,766 | $7,253 | $9,794 | 0.74 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 17 | $155,292 | $20,799 | $20,343 | 2.09 |
| Chest painMS-DRG 313, medical | 13 | $63,846 | $6,279 | $8,364 | 0.72 |
Infectious and parasitic diseases197 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 | 162 | $151,684 | $19,063 | $19,871 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 18 | $89,597 | $9,635 | $11,737 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 17 | $251,592 | $45,213 | $32,959 | 5.00 |
Kidney and urinary tract189 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 53 | $85,609 | $11,419 | $11,215 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 44 | $59,674 | $7,494 | $7,817 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 33 | $101,059 | $15,769 | $13,239 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 25 | $100,549 | $12,946 | $13,172 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 18 | $74,536 | $8,559 | $9,764 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 16 | $65,889 | $9,632 | $8,631 | 1.02 |
Musculoskeletal system and connective tissue154 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 42 | $93,217 | $9,079 | $12,211 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 28 | $124,059 | $19,083 | $16,252 | 2.07 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 16 | $95,067 | $10,457 | $12,454 | 1.09 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 15 | $150,602 | $23,899 | $19,729 | 2.95 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 15 | $89,839 | $8,602 | $11,769 | 0.90 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 14 | $141,725 | $21,312 | $18,566 | 2.11 |
| Medical back problems with MCCMS-DRG 551, medical | 13 | $141,888 | $15,269 | $18,587 | 1.70 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 11 | $111,685 | $18,972 | $14,631 | 1.88 |
Digestive system115 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 34 | $62,927 | $7,312 | $8,243 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 25 | $120,713 | $17,769 | $15,813 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 22 | $82,965 | $9,572 | $10,868 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 21 | $81,314 | $12,547 | $10,652 | 1.28 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $74,056 | $7,962 | $9,701 | 0.80 |
Endocrine, nutritional and metabolic94 discharges in 3 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 | 57 | $103,614 | $12,644 | $13,573 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 25 | $77,925 | $7,322 | $10,208 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $113,009 | $11,334 | $14,804 | 1.45 |
Mental diseases and disorders24 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 24 | $118,283 | $15,293 | $15,495 | 1.76 |
Injuries, poisonings and toxic effects of drugs18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 18 | $119,285 | $16,656 | $15,626 | 1.60 |
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 | 197 | 190 | $45,520 | $2,604 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 101 | 97 | $76,665 | $14,515 | $10,772 |
| Level 6 Urology and Related ServicesAPC 5376 | 65 | 65 | $53,524 | $9,681 | $7,291 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 51 | 50 | $40,345 | $5,425 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 47 | 45 | $49,547 | $7,152 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 31 | 29 | $27,453 | $3,415 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 30 | 26 | $38,907 | $3,122 | $2,405 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 25 | 25 | $97,141 | $21,219 | $15,763 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 25 | 24 | $40,133 | $3,389 | $2,636 |
| Level 5 Gynecologic ProceduresAPC 5415 | 19 | 19 | $48,553 | $4,862 | $3,792 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 18 | 18 | $80,174 | $11,002 | $8,164 |
| Level 1 Endovascular ProceduresAPC 5191 | 17 | 17 | $31,622 | $2,783 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 16 | 16 | $21,234 | $1,390 | $1,220 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 16 | 16 | $21,470 | $1,574 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 16 | 16 | $30,632 | $2,961 | $2,373 |
| Level 2 Upper GI ProceduresAPC 5302 | 13 | 13 | $10,940 | $1,864 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 13 | 13 | $33,993 | $4,679 | $3,918 |
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.