Salinas Valley Memorial Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Salinas Valley Memorial Hospital, Salinas, CA in 2024, from traditional Medicare claims. Back to the Salinas Valley Memorial Hospital profile, with quality ratings, finances and negotiated rates.
3,058
Medicare inpatient discharges
In 85 published DRGs
1.83
Case mix index
IPPS FY 2027
18%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
2,697
Medicare outpatient services
In 38 service groups
Inpatient stays by major diagnostic category
Circulatory system850 discharges in 25 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 219 | $115,683 | $14,433 | $21,286 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 67 | $159,142 | $35,206 | $29,282 | 3.24 |
| Syncope and collapseMS-DRG 312, medical | 51 | $84,157 | $9,219 | $15,485 | 0.86 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 47 | $243,039 | $55,049 | $44,719 | 4.88 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 43 | $134,239 | $18,540 | $24,700 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 42 | $238,561 | $19,397 | $43,895 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 34 | $97,947 | $13,068 | $18,022 | 1.20 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 31 | $268,159 | $68,672 | $49,341 | 6.25 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 28 | $65,707 | $7,556 | $12,090 | 0.74 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 26 | $415,780 | $46,230 | $76,504 | 4.04 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 24 | $374,616 | $36,253 | $68,929 | 2.87 |
| Chest painMS-DRG 313, medical | 23 | $75,775 | $7,266 | $13,943 | 0.72 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 22 | $360,808 | $47,155 | $66,389 | 3.35 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 20 | $287,869 | $37,954 | $52,968 | 3.46 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 20 | $226,909 | $24,990 | $41,751 | 2.28 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 19 | $196,590 | $22,835 | $36,173 | 2.16 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 18 | $65,621 | $5,284 | $12,074 | 0.55 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 18 | $136,844 | $22,582 | $25,179 | 2.09 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 17 | $233,484 | $34,919 | $42,961 | 3.27 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 15 | $96,656 | $9,476 | $17,785 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 15 | $123,476 | $11,596 | $22,720 | 1.08 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 14 | $70,469 | $10,639 | $12,966 | 0.97 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 13 | $167,079 | $19,721 | $30,743 | 1.83 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 12 | $331,570 | $42,573 | $61,009 | 3.46 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 12 | $188,496 | $17,386 | $34,683 | 1.58 |
Infectious and parasitic diseases553 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 | 367 | $170,563 | $22,307 | $31,384 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 112 | $93,566 | $10,598 | $17,216 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 56 | $453,640 | $65,557 | $83,470 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 18 | $195,491 | $24,659 | $35,970 | 2.04 |
Respiratory system372 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 92 | $114,336 | $13,693 | $21,038 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 75 | $155,239 | $17,935 | $28,564 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 57 | $117,431 | $13,484 | $21,607 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 50 | $109,968 | $12,156 | $20,234 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 28 | $82,859 | $8,310 | $15,246 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 19 | $89,433 | $8,555 | $16,456 | 0.85 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 17 | $93,242 | $9,864 | $17,157 | 0.99 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 12 | $269,247 | $32,136 | $49,541 | 1.74 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 11 | $62,450 | $9,433 | $11,491 | 0.96 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $248,567 | $30,393 | $45,736 | 2.70 |
Nervous system330 discharges in 14 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 | 61 | $110,723 | $10,585 | $20,373 | 1.02 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 44 | $86,348 | $10,852 | $15,888 | 1.06 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 39 | $163,341 | $21,309 | $30,055 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 32 | $87,430 | $8,154 | $16,087 | 0.80 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 27 | $119,588 | $11,366 | $22,004 | 1.03 |
| Seizures without MCCMS-DRG 101, medical | 21 | $88,846 | $9,473 | $16,348 | 0.91 |
| Peripheral, cranial nerve and other nervous system procedures with CC or peripheral neurMS-DRG 041, surgical | 16 | $218,763 | $22,791 | $40,252 | 2.23 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 15 | $88,528 | $6,283 | $16,289 | 0.69 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 14 | $141,936 | $19,768 | $26,116 | 1.81 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 13 | $123,962 | $18,319 | $22,809 | 1.79 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 12 | $427,402 | $56,007 | $78,642 | 4.42 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 12 | $139,809 | $14,819 | $25,725 | 1.36 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 12 | $132,533 | $18,697 | $24,386 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 12 | $134,077 | $20,291 | $24,670 | 1.98 |
Kidney and urinary tract272 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 | 78 | $74,766 | $8,298 | $13,757 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 55 | $76,984 | $9,393 | $14,165 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 50 | $87,605 | $12,558 | $16,119 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 41 | $120,549 | $17,229 | $22,181 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 30 | $132,669 | $15,530 | $24,411 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 18 | $93,584 | $11,109 | $17,220 | 1.02 |
Digestive system247 discharges in 8 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 | 64 | $77,267 | $8,241 | $14,217 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 60 | $96,036 | $10,104 | $17,671 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 33 | $138,083 | $19,609 | $25,407 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 30 | $75,756 | $8,417 | $13,939 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 26 | $104,507 | $14,120 | $19,229 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 12 | $226,885 | $25,869 | $41,747 | 2.37 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 11 | $125,272 | $15,173 | $23,050 | 1.45 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 11 | $74,660 | $10,108 | $13,737 | 0.94 |
Endocrine, nutritional and metabolic192 discharges in 5 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 | 71 | $72,757 | $8,284 | $13,387 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 63 | $114,972 | $14,539 | $21,155 | 1.32 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 21 | $186,169 | $22,514 | $34,255 | 1.98 |
| Diabetes with CCMS-DRG 638, medical | 20 | $84,555 | $9,092 | $15,558 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 17 | $106,367 | $15,237 | $19,572 | 1.45 |
Musculoskeletal system and connective tissue79 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 31 | $83,634 | $9,658 | $15,389 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 20 | $175,709 | $22,754 | $32,330 | 2.11 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 16 | $69,377 | $9,025 | $12,765 | 0.90 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 12 | $159,632 | $22,184 | $29,372 | 2.07 |
Liver, gallbladder and pancreas64 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 20 | $94,852 | $8,715 | $17,453 | 0.86 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with CCMS-DRG 442, medical | 17 | $95,195 | $10,842 | $17,516 | 0.95 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 14 | $173,104 | $15,048 | $31,851 | 1.63 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 13 | $95,979 | $11,759 | $17,660 | 1.09 |
Skin, subcutaneous tissue and breast47 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 47 | $72,408 | $9,111 | $13,323 | 0.88 |
Factors influencing health status17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 17 | $87,637 | $8,712 | $16,125 | 0.80 |
Other13 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 | 13 | $354,113 | $52,194 | $65,157 | 4.74 |
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 | $63,502 | $7,584 | $11,684 | 0.74 |
Alcohol and drug use11 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 | 11 | $78,006 | $8,826 | $14,353 | 0.86 |
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 | 518 | 476 | $42,017 | $3,035 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 252 | 220 | $14,995 | $1,810 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 226 | 225 | $60,772 | $3,299 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 155 | 148 | $132,945 | $16,641 | $10,772 |
| Level 3 Vascular ProceduresAPC 5183 | 142 | 125 | $30,606 | $3,576 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 133 | 112 | $159,615 | $13,825 | $8,874 |
| Level 2 Endovascular ProceduresAPC 5192 | 120 | 79 | $66,031 | $6,416 | $4,338 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 90 | 87 | $25,100 | $3,153 | $2,141 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 77 | 77 | $206,247 | $31,709 | $21,117 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 74 | 72 | $68,127 | $6,493 | $4,358 |
| Level 2 Vascular ProceduresAPC 5182 | 70 | 66 | $10,266 | $1,796 | $1,204 |
| Level 4 Endovascular ProceduresAPC 5194 | 59 | 53 | $236,267 | $22,601 | $14,606 |
| Level 2 Intraocular ProceduresAPC 5492 | 58 | 53 | $42,151 | $4,483 | $3,116 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 55 | 55 | $89,296 | $13,373 | $8,569 |
| Level 4 Urology and Related ServicesAPC 5374 | 52 | 49 | $39,826 | $3,874 | $2,629 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 48 | 40 | $42,986 | $3,882 | $2,636 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 45 | 45 | $88,385 | $10,309 | $6,514 |
| Level 2 Upper GI ProceduresAPC 5302 | 45 | 41 | $21,180 | $2,138 | $1,445 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 43 | 43 | $58,189 | $8,434 | $5,339 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 33 | 32 | $84,762 | $7,546 | $4,982 |
| Level 3 Urology and Related ServicesAPC 5373 | 32 | 23 | $22,776 | $2,283 | $1,516 |
| Level 5 Urology and Related ServicesAPC 5375 | 31 | 29 | $49,492 | $5,805 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 29 | 27 | $35,976 | $3,506 | $2,373 |
| Level 4 Vascular ProceduresAPC 5184 | 29 | 27 | $58,401 | $5,944 | $3,946 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 28 | 27 | $61,494 | $3,971 | $2,930 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 27 | 27 | $102,564 | $12,361 | $8,164 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 25 | 25 | $152,633 | $25,727 | $17,052 |
| Level 4 Airway EndoscopyAPC 5154 | 24 | 23 | $31,815 | $3,851 | $2,833 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 24 | 24 | $252,219 | $44,530 | $29,375 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 21 | 20 | $118,422 | $24,536 | $15,763 |
| Level 5 Gynecologic ProceduresAPC 5415 | 21 | 21 | $36,853 | $5,580 | $3,792 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 18 | 18 | $17,776 | $1,703 | $1,196 |
| Level 3 Lower GI ProceduresAPC 5313 | 18 | 18 | $37,267 | $3,063 | $2,176 |
| Level 4 Gynecologic ProceduresAPC 5414 | 18 | 18 | $31,618 | $3,508 | $2,389 |
| Complex GI ProceduresAPC 5331 | 15 | 15 | $54,416 | $6,394 | $4,263 |
| Level 6 Gynecologic ProceduresAPC 5416 | 15 | 15 | $57,710 | $8,998 | $5,836 |
| Level 5 ENT ProceduresAPC 5165 | 14 | 14 | $50,708 | $6,141 | $4,436 |
| Implantation Wireless PA Pressure MonitorAPC 5200 | 13 | 13 | $148,779 | $39,162 | $26,955 |
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.