Redlands Community Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Redlands Community Hospital, Redlands, CA in 2024, from traditional Medicare claims. Back to the Redlands Community Hospital profile, with quality ratings, finances and negotiated rates.
808
Medicare inpatient discharges
In 33 published DRGs
1.94
Case mix index
IPPS FY 2027
12%
Surgical stays
64%
Stays with complications
In DRGs with a CC or MCC
783
Medicare outpatient services
In 18 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases271 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 | 186 | $151,544 | $17,157 | $19,549 | 1.98 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 36 | $278,893 | $54,683 | $35,977 | 6.96 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 31 | $96,249 | $8,719 | $12,416 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 18 | $272,479 | $40,735 | $35,150 | 5.00 |
Respiratory system159 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 45 | $102,857 | $11,491 | $13,269 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 31 | $128,287 | $14,500 | $16,549 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 31 | $88,976 | $11,777 | $11,478 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 24 | $105,448 | $9,821 | $13,603 | 1.10 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 16 | $146,104 | $25,370 | $18,847 | 2.70 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 12 | $334,962 | $53,032 | $43,210 | 6.91 |
Kidney and urinary tract84 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 24 | $69,685 | $6,766 | $8,989 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 19 | $109,655 | $10,344 | $14,145 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 16 | $142,901 | $14,899 | $18,434 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 13 | $131,567 | $13,645 | $16,972 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 12 | $76,025 | $8,160 | $9,807 | 0.90 |
Circulatory system74 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 48 | $97,640 | $11,151 | $12,596 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 14 | $109,008 | $14,972 | $14,062 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 12 | $65,948 | $7,831 | $8,507 | 0.86 |
Musculoskeletal system and connective tissue64 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 19 | $147,580 | $22,993 | $19,038 | 2.67 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 18 | $109,642 | $17,140 | $14,144 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 15 | $125,195 | $16,964 | $16,150 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 12 | $125,601 | $18,853 | $16,203 | 2.11 |
Nervous system54 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 16 | $311,592 | $22,355 | $40,195 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 15 | $121,442 | $8,619 | $15,666 | 1.02 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 12 | $123,385 | $15,318 | $15,917 | 1.79 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 11 | $90,115 | $6,624 | $11,625 | 0.80 |
Endocrine, nutritional and metabolic48 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 without MCCMS-DRG 641, medical | 25 | $71,501 | $6,831 | $9,224 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 12 | $76,329 | $8,246 | $9,846 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 11 | $89,789 | $11,906 | $11,583 | 1.32 |
Digestive system42 discharges in 3 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 | 18 | $71,242 | $6,989 | $9,190 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 13 | $101,173 | $16,333 | $13,051 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 11 | $188,419 | $23,153 | $24,306 | 2.37 |
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 | $77,992 | $7,069 | $10,061 | 0.88 |
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 | 212 | 193 | $53,842 | $2,653 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 194 | 191 | $86,185 | $14,511 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 51 | 46 | $16,659 | $1,579 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 39 | 39 | $36,039 | $3,058 | $2,405 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 32 | 32 | $53,158 | $7,157 | $5,339 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 29 | 29 | $121,388 | $21,203 | $15,763 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 29 | 29 | $54,319 | $5,635 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 28 | 22 | $25,307 | $1,995 | $1,516 |
| Level 4 Vascular ProceduresAPC 5184 | 26 | 26 | $69,721 | $5,383 | $3,946 |
| Level 2 Vascular ProceduresAPC 5182 | 24 | 23 | $11,660 | $1,545 | $1,204 |
| Level 4 Urology and Related ServicesAPC 5374 | 20 | 17 | $43,009 | $3,405 | $2,629 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 19 | 18 | $29,450 | $2,783 | $2,141 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 16 | 16 | $50,209 | $6,057 | $4,982 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 16 | 16 | $41,103 | $3,389 | $2,636 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 13 | 13 | $50,354 | $11,461 | $8,569 |
| Level 2 Upper GI ProceduresAPC 5302 | 13 | 13 | $12,361 | $1,849 | $1,445 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 11 | 11 | $24,009 | $3,171 | $2,373 |
| Level 2 Endovascular ProceduresAPC 5192 | 11 | $18,473 | $5,582 | $4,338 |
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.