San Ramon Regional Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for San Ramon Regional Medical Center, San Ramon, CA in 2024, from traditional Medicare claims. Back to the San Ramon Regional Medical Center profile, with quality ratings, finances and negotiated rates.
731
Medicare inpatient discharges
In 31 published DRGs
1.80
Case mix index
IPPS FY 2027
15%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
1,305
Medicare outpatient services
In 21 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases176 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 | 125 | $309,111 | $19,162 | $31,529 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 39 | $178,888 | $9,483 | $18,247 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 12 | $822,569 | $69,712 | $83,902 | 5.00 |
Respiratory system124 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 50 | $247,858 | $12,428 | $25,282 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 42 | $236,094 | $15,931 | $24,082 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 19 | $157,041 | $7,553 | $16,018 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 13 | $241,893 | $12,490 | $24,673 | 1.23 |
Circulatory system102 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 | 66 | $223,931 | $12,741 | $22,841 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 22 | $173,025 | $14,533 | $17,648 | 1.59 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $208,782 | $8,293 | $21,296 | 0.91 |
Musculoskeletal system and connective tissue100 discharges in 7 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 | 20 | $202,371 | $18,309 | $20,642 | 1.88 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 19 | $634,694 | $61,333 | $64,739 | 6.12 |
| Medical back problems without MCCMS-DRG 552, medical | 16 | $169,357 | $9,124 | $17,274 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 12 | $249,246 | $20,057 | $25,423 | 2.11 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 11 | $384,345 | $46,692 | $39,203 | 4.61 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 11 | $256,136 | $18,350 | $26,126 | 2.07 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 11 | $153,404 | $8,276 | $15,647 | 0.90 |
Kidney and urinary tract91 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 26 | $279,190 | $16,331 | $28,477 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 19 | $174,159 | $10,155 | $17,764 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 19 | $165,264 | $7,336 | $16,857 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 14 | $157,949 | $8,323 | $16,111 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 13 | $267,261 | $14,848 | $27,261 | 1.50 |
Digestive system81 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 | 27 | $173,261 | $7,556 | $17,673 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 16 | $186,531 | $8,464 | $19,026 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $112,181 | $6,790 | $11,442 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 11 | $568,130 | $46,829 | $57,949 | 4.52 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 11 | $291,910 | $22,929 | $29,775 | 2.37 |
Nervous system26 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 14 | $149,567 | $12,262 | $15,256 | 1.36 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 12 | $270,647 | $17,887 | $27,606 | 2.00 |
Skin, subcutaneous tissue and breast18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 18 | $150,706 | $7,541 | $15,372 | 0.88 |
Endocrine, nutritional and metabolic13 discharges in 1 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 | 13 | $180,932 | $12,362 | $18,455 | 1.32 |
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 |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 537 | 337 | $38,399 | $2,554 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 185 | 180 | $104,503 | $3,000 | $2,090 |
| Level 2 Intraocular ProceduresAPC 5492 | 110 | 79 | $42,378 | $4,466 | $3,116 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 92 | 92 | $67,488 | $6,395 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 64 | 60 | $152,031 | $16,391 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 37 | 37 | $92,669 | $8,317 | $5,339 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 31 | 30 | $25,427 | $1,799 | $1,220 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 26 | 25 | $51,924 | $3,591 | $2,373 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 23 | 17 | $26,007 | $2,588 | $1,780 |
| Level 3 Vascular ProceduresAPC 5183 | 22 | 20 | $54,105 | $3,375 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 22 | 22 | $75,440 | $5,471 | $3,918 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 20 | 20 | $104,189 | $13,208 | $8,569 |
| Level 4 Urology and Related ServicesAPC 5374 | 20 | 15 | $50,222 | $3,867 | $2,629 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 19 | 19 | $68,477 | $3,838 | $2,636 |
| Level 1 Endovascular ProceduresAPC 5191 | 18 | 18 | $83,366 | $3,262 | $2,208 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 17 | 17 | $109,855 | $12,661 | $8,164 |
| Level 6 Urology and Related ServicesAPC 5376 | 14 | 14 | $81,982 | $11,175 | $7,291 |
| Level 4 Airway EndoscopyAPC 5154 | 13 | 13 | $110,834 | $4,154 | $2,833 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 12 | 12 | $210,983 | $24,243 | $15,763 |
| Level 2 Upper GI ProceduresAPC 5302 | 12 | 11 | $28,622 | $2,122 | $1,445 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 11 | 11 | $30,810 | $1,783 | $1,196 |
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.