San Gabriel Valley Medical Center Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for San Gabriel Valley Medical Center, San Gabriel, CA in 2024, from traditional Medicare claims. Back to the San Gabriel Valley Medical Center profile, with quality ratings, finances and negotiated rates.

941
Medicare inpatient discharges
In 26 published DRGs
1.85
Case mix index
IPPS FY 2027
14%
Surgical stays
87%
Stays with complications
In DRGs with a CC or MCC
256
Medicare outpatient services
In 8 service groups

Inpatient stays by major diagnostic category

Infectious and parasitic diseases407 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	326	$119,782	$19,062	$24,675	1.98
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	30	$253,132	$47,462	$52,145	5.00
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	26	$70,819	$9,564	$14,589	1.03
Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical	25	$356,829	$62,365	$73,507	6.96

Kidney and urinary tract101 discharges in 4 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Renal failure with MCCMS-DRG 682, medical	51	$74,586	$13,796	$15,365	1.50
Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical	17	$149,911	$38,984	$30,882	3.70
Kidney and urinary tract infections with MCCMS-DRG 689, medical	17	$54,154	$11,287	$11,156	1.17
Renal failure with CCMS-DRG 683, medical	16	$56,446	$8,567	$11,628	0.90

Respiratory system100 discharges in 3 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Respiratory infections and inflammations with MCCMS-DRG 177, medical	53	$117,002	$16,045	$24,102	1.70
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	33	$75,292	$12,438	$15,510	1.33
Pulmonary edema and respiratory failureMS-DRG 189, medical	14	$62,716	$11,958	$12,919	1.23

Circulatory system93 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	52	$65,164	$12,319	$13,424	1.28
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical	24	$74,258	$14,694	$15,297	1.59
Other circulatory system diagnoses with MCCMS-DRG 314, medical	17	$102,281	$18,734	$21,070	2.09

Musculoskeletal system and connective tissue82 discharges in 4 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical	22	$111,041	$17,328	$22,875	1.88
Hip and femur procedures except major joint with MCCMS-DRG 480, surgical	20	$150,716	$28,378	$31,047	2.95
Hip and femur procedures except major joint with CCMS-DRG 481, surgical	20	$114,665	$20,096	$23,621	2.07
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical	20	$118,733	$20,475	$24,459	2.11

Nervous system69 discharges in 4 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Other cerebrovascular disorders with MCCMS-DRG 070, medical	29	$83,435	$16,784	$17,188	1.79
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical	14	$90,896	$19,383	$18,725	2.00
Other disorders of nervous system with MCCMS-DRG 091, medical	14	$95,120	$17,622	$19,595	1.79
Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical	12	$64,109	$9,194	$13,206	1.02

Digestive system48 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical	31	$114,176	$17,187	$23,520	1.79
Other digestive system diagnoses with MCCMS-DRG 393, medical	17	$84,064	$15,992	$17,317	1.62

Endocrine, nutritional and metabolic41 discharges in 2 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	27	$67,615	$12,597	$13,929	1.32
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical	14	$45,883	$6,795	$9,452	0.78

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	112	104	$31,787	$2,656	$2,090
Level 3 Vascular ProceduresAPC 5183	49	42	$26,449	$3,119	$2,405
Level 5 Musculoskeletal ProceduresAPC 5115	26	26	$93,905	$14,516	$10,772
Level 2 Upper GI ProceduresAPC 5302	18	16	$8,337	$1,864	$1,445
Level 2 Musculoskeletal ProceduresAPC 5112	13	13	$15,101	$1,514	$1,196
Level 4 Musculoskeletal ProceduresAPC 5114	13	13	$54,401	$7,142	$5,339
Level 2 Vascular ProceduresAPC 5182	13	12	$12,820	$1,551	$1,204
Level 3 Musculoskeletal ProceduresAPC 5113	12	11	$25,701	$3,171	$2,373

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.