Riverside University Health System Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Riverside University Health System, Moreno Valley, CA in 2024, from traditional Medicare claims. Back to the Riverside University Health System profile, with quality ratings, finances and negotiated rates.
1,665
Medicare inpatient discharges
In 57 published DRGs
1.72
Case mix index
IPPS FY 2027
8%
Surgical stays
64%
Stays with complications
In DRGs with a CC or MCC
483
Medicare outpatient services
In 15 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases344 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 | 229 | $153,165 | $24,812 | $28,029 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 61 | $88,557 | $13,555 | $16,206 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 41 | $419,972 | $80,267 | $76,855 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 13 | $637,120 | $112,663 | $116,593 | 6.96 |
Nervous system195 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 25 | $87,991 | $16,580 | $16,102 | 1.36 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 24 | $93,156 | $13,798 | $17,047 | 1.06 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 23 | $201,307 | $29,962 | $36,839 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 22 | $86,709 | $13,106 | $15,868 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 21 | $73,907 | $10,875 | $13,525 | 0.80 |
| Seizures without MCCMS-DRG 101, medical | 19 | $74,796 | $12,246 | $13,688 | 0.91 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 18 | $186,675 | $19,014 | $34,161 | 1.36 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 16 | $114,867 | $22,303 | $21,021 | 1.79 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 15 | $186,973 | $18,649 | $34,216 | 1.32 |
| Seizures with MCCMS-DRG 100, medical | 12 | $123,716 | $22,741 | $22,640 | 1.98 |
Circulatory system183 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 93 | $94,437 | $16,672 | $17,282 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 38 | $99,878 | $11,358 | $18,278 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 20 | $105,144 | $19,006 | $19,241 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 18 | $49,073 | $10,201 | $8,980 | 0.74 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 14 | $133,385 | $25,437 | $24,409 | 2.09 |
Mental diseases and disorders162 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 136 | $90,729 | $16,507 | $16,603 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 26 | $109,744 | $20,465 | $20,083 | 1.76 |
Digestive system161 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 36 | $148,987 | $25,522 | $27,265 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 33 | $72,676 | $13,135 | $13,300 | 0.98 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 24 | $63,534 | $12,329 | $11,627 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 22 | $66,894 | $11,066 | $12,242 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 21 | $120,213 | $17,608 | $21,999 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 13 | $187,634 | $32,089 | $34,337 | 1.62 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 12 | $60,956 | $7,549 | $11,155 | 0.56 |
Kidney and urinary tract158 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 31 | $57,404 | $10,823 | $10,505 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 31 | $119,578 | $21,395 | $21,883 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 29 | $67,665 | $11,473 | $12,383 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 27 | $82,392 | $18,113 | $15,078 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 21 | $73,539 | $13,800 | $13,458 | 1.02 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 19 | $82,310 | $14,742 | $15,063 | 1.17 |
Respiratory system132 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 35 | $84,017 | $15,617 | $15,375 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 33 | $95,169 | $15,891 | $17,416 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 29 | $127,436 | $21,663 | $23,321 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 22 | $76,664 | $13,665 | $14,029 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $132,206 | $16,411 | $24,194 | 1.40 |
Endocrine, nutritional and metabolic101 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 | 45 | $85,660 | $16,749 | $15,676 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 29 | $57,134 | $10,928 | $10,455 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 14 | $68,404 | $12,318 | $12,518 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $154,643 | $19,531 | $28,300 | 1.45 |
Musculoskeletal system and connective tissue101 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 CCMS-DRG 481, surgical | 29 | $181,697 | $23,806 | $33,251 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 23 | $100,030 | $12,913 | $18,305 | 0.97 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 22 | $97,672 | $23,036 | $17,874 | 1.88 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 16 | $112,067 | $13,924 | $20,508 | 1.09 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 11 | $89,779 | $12,096 | $16,430 | 0.90 |
Blood and immune system30 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 | 15 | $71,524 | $18,267 | $13,089 | 1.40 |
| Red blood cell disorders without MCCMS-DRG 812, medical | 15 | $65,875 | $12,043 | $12,055 | 0.90 |
Liver, gallbladder and pancreas28 discharges in 2 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 | 16 | $191,733 | $20,437 | $35,087 | 1.63 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 12 | $124,975 | $21,359 | $22,870 | 1.83 |
Transplants, ECMO and tracheostomy (pre-MDC)24 discharges in 2 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 | 13 | $950,233 | $197,251 | $173,893 | 14.70 |
| ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical | 11 | $1,423,422 | $319,220 | $260,486 | 21.32 |
Skin, subcutaneous tissue and breast20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 20 | $63,107 | $11,520 | $11,549 | 0.88 |
Alcohol and drug use15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 15 | $76,550 | $11,380 | $14,009 | 0.86 |
Injuries, poisonings and toxic effects of drugs11 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 | 11 | $80,730 | $19,514 | $14,774 | 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 | 164 | 156 | $45,800 | $2,582 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 62 | 56 | $12,056 | $1,398 | $1,220 |
| Level 2 Urology and Related ServicesAPC 5372 | 53 | 41 | $3,946 | $664 | $502 |
| Level 2 Upper GI ProceduresAPC 5302 | 26 | 25 | $21,683 | $1,810 | $1,445 |
| Level 1 Intraocular ProceduresAPC 5491 | 26 | 20 | $30,292 | $1,651 | $1,752 |
| Level 3 Urology and Related ServicesAPC 5373 | 25 | 20 | $14,270 | $1,995 | $1,516 |
| Level 3 Vascular ProceduresAPC 5183 | 24 | 24 | $28,097 | $3,042 | $2,405 |
| Level 3 Lower GI ProceduresAPC 5313 | 19 | 18 | $20,986 | $2,570 | $2,176 |
| Level 5 Urology and Related ServicesAPC 5375 | 14 | 13 | $53,388 | $4,417 | $3,918 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 12 | 12 | $23,562 | $1,401 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 12 | 11 | $6,817 | $1,569 | $1,204 |
| Level 1 Endovascular ProceduresAPC 5191 | 12 | 12 | $18,662 | $2,880 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 12 | 12 | $91,149 | $5,641 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 11 | $44,551 | $3,415 | $2,629 | |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 11 | $14,474 | $1,830 | $1,780 |
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.