Sequoia Hospital Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Sequoia Hospital, Redwood City, CA in 2024, from traditional Medicare claims. Back to the Sequoia Hospital profile, with quality ratings, finances and negotiated rates.

830
Medicare inpatient discharges
In 28 published DRGs
2.22
Case mix index
IPPS FY 2027
37%
Surgical stays
58%
Stays with complications
In DRGs with a CC or MCC
2,154
Medicare outpatient services
In 33 service groups

Inpatient stays by major diagnostic category

Circulatory system277 discharges in 11 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Heart failure and shock with MCCMS-DRG 291, medical	97	$149,722	$13,002	$31,292	1.28
Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical	38	$255,094	$34,182	$53,315	3.24
Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical	32	$555,660	$90,094	$116,133	7.71
Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical	17	$322,670	$51,101	$67,438	4.88
Other vascular procedures with CCMS-DRG 253, surgical	16	$307,218	$31,587	$64,209	2.55
Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical	15	$476,518	$49,565	$99,592	4.04
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical	13	$104,360	$11,589	$21,811	1.20
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical	13	$97,653	$6,618	$20,410	0.74
Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical	13	$78,435	$4,567	$16,393	0.55
Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical	12	$491,623	$57,741	$102,749	5.24
Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical	11	$440,202	$48,386	$92,002	3.90

Musculoskeletal system and connective tissue166 discharges in 2 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	153	$166,386	$18,947	$34,775	1.88
Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical	13	$218,530	$48,879	$45,673	4.61

Infectious and parasitic diseases163 discharges in 2 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	137	$150,302	$19,207	$31,413	1.98
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	26	$102,593	$9,498	$21,442	1.03

Kidney and urinary tract84 discharges in 5 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Renal failure with MCCMS-DRG 682, medical	25	$134,442	$14,285	$28,098	1.50
Renal failure with CCMS-DRG 683, medical	20	$104,598	$8,460	$21,861	0.90
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical	15	$126,775	$16,020	$26,496	1.65
Kidney and urinary tract infections without MCCMS-DRG 690, medical	13	$80,086	$7,314	$16,738	0.81
Kidney and urinary tract infections with MCCMS-DRG 689, medical	11	$104,370	$10,846	$21,813	1.17

Respiratory system72 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	36	$144,827	$16,552	$30,269	1.70
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	25	$179,741	$14,694	$37,566	1.33
Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical	11	$130,769	$10,586	$27,331	1.10

Digestive system41 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	16	$81,041	$7,222	$16,938	0.79
Gastrointestinal hemorrhage with CCMS-DRG 378, medical	13	$110,054	$9,196	$23,001	0.98
Gastrointestinal obstruction with CCMS-DRG 389, medical	12	$89,562	$7,330	$18,718	0.80

Endocrine, nutritional and metabolic14 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	14	$138,498	$13,367	$28,946	1.32

Nervous system13 discharges in 1 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	13	$132,170	$9,608	$27,624	1.02

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 3 Electrophysiologic ProceduresAPC 5213	425	402	$292,986	$31,559	$21,117
Level 5 Musculoskeletal ProceduresAPC 5115	299	281	$130,111	$16,801	$10,772
Comprehensive Observation ServicesAPC 8011	131	128	$49,237	$3,047	$2,090
Level 4 Musculoskeletal ProceduresAPC 5114	108	104	$75,277	$8,274	$5,339
Level 2 Upper GI ProceduresAPC 5302	99	95	$18,370	$2,113	$1,445
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	92	90	$13,491	$1,818	$1,220
Level 1 Laparoscopy and Related ServicesAPC 5361	87	86	$76,846	$6,489	$4,358
Level 3 Pacemaker and Similar ProceduresAPC 5223	70	70	$78,590	$13,368	$8,569
Level 1 Endovascular ProceduresAPC 5191	69	69	$48,318	$3,299	$2,208
Level 3 Vascular ProceduresAPC 5183	58	57	$31,930	$3,576	$2,405
Level 3 Endovascular ProceduresAPC 5193	51	48	$116,581	$13,824	$8,874
Level 5 Urology and Related ServicesAPC 5375	50	48	$50,265	$5,805	$3,918
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073	47	45	$21,588	$3,119	$2,141
Level 3 Lower GI ProceduresAPC 5313	46	45	$25,790	$3,090	$2,176
Level 3 Musculoskeletal ProceduresAPC 5113	41	41	$51,051	$3,627	$2,373
Level 6 Musculoskeletal ProceduresAPC 5116	41	40	$125,446	$24,532	$15,763
Level 4 Endovascular ProceduresAPC 5194	39	39	$114,976	$22,980	$14,606
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341	37	36	$46,444	$3,882	$2,636
Level 2 Pacemaker and Similar ProceduresAPC 5222	36	36	$58,767	$10,172	$6,514
Level 6 Urology and Related ServicesAPC 5376	35	35	$80,999	$11,320	$7,291
Level 4 Urology and Related ServicesAPC 5374	34	34	$45,624	$3,911	$2,629
Level 2 Endovascular ProceduresAPC 5192	32	29	$59,039	$6,416	$4,338
Level 3 Upper GI ProceduresAPC 5303	31	30	$20,756	$4,297	$2,888
Level 2 Laparoscopy and Related ServicesAPC 5362	31	31	$129,173	$12,837	$8,164
Level 2 ICD and Similar ProceduresAPC 5232	27	27	$210,584	$42,890	$29,375
Level 2 Vascular ProceduresAPC 5182	20	20	$15,394	$1,787	$1,204
Complex GI ProceduresAPC 5331	19	15	$44,893	$6,394	$4,263
Level 3 Urology and Related ServicesAPC 5373	19	13	$17,007	$2,285	$1,516
Level 4 Gynecologic ProceduresAPC 5414	19	19	$34,051	$3,508	$2,389
Level 4 Pacemaker and Similar ProceduresAPC 5224	18	18	$113,117	$25,721	$17,052
Level 4 Vascular ProceduresAPC 5184	16	15	$49,099	$6,165	$3,946
Level 1 Nerve ProceduresAPC 5431	16	15	$25,900	$2,164	$1,407
Level 2 Musculoskeletal ProceduresAPC 5112	11	11	$22,610	$1,803	$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.