Sherman Oaks Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Sherman Oaks Hospital, Sherman Oaks, CA in 2024, from traditional Medicare claims. Back to the Sherman Oaks Hospital profile, with quality ratings, finances and negotiated rates.
1,575
Medicare inpatient discharges
In 46 published DRGs
1.68
Case mix index
IPPS FY 2027
15%
Surgical stays
80%
Stays with complications
In DRGs with a CC or MCC
92
Medicare outpatient services
In 2 service groups
Inpatient stays by major diagnostic category
Endocrine, nutritional and metabolic324 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 | 210 | $26,689 | $12,413 | $5,578 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 81 | $20,340 | $6,953 | $4,251 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 22 | $31,067 | $13,899 | $6,493 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 11 | $21,942 | $8,123 | $4,586 | 0.90 |
Infectious and parasitic diseases269 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 | 206 | $73,661 | $18,891 | $15,395 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 35 | $172,544 | $47,308 | $36,062 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 28 | $292,381 | $68,602 | $61,108 | 6.96 |
Circulatory system213 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 | 101 | $49,340 | $12,116 | $10,312 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 68 | $47,915 | $14,813 | $10,014 | 1.59 |
| Atherosclerosis without MCCMS-DRG 303, medical | 18 | $20,713 | $5,808 | $4,329 | 0.66 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 14 | $25,738 | $11,557 | $5,379 | 1.20 |
| Chest painMS-DRG 313, medical | 12 | $20,904 | $6,006 | $4,369 | 0.72 |
Respiratory system178 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 56 | $61,991 | $15,919 | $12,956 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 41 | $51,816 | $12,318 | $10,830 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 29 | $39,661 | $10,336 | $8,289 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 28 | $48,109 | $11,942 | $10,055 | 1.23 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 13 | $51,284 | $9,004 | $10,718 | 0.96 |
| Other respiratory system diagnoses without MCCMS-DRG 206, medical | 11 | $24,613 | $8,734 | $5,144 | 0.91 |
Kidney and urinary tract148 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 65 | $30,007 | $10,547 | $6,272 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 35 | $22,284 | $7,249 | $4,657 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 25 | $29,563 | $13,878 | $6,179 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 23 | $53,686 | $14,620 | $11,220 | 1.65 |
Musculoskeletal system and connective tissue126 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Local excision and removal of internal fixation devices except hip and femur with CCMS-DRG 496, surgical | 36 | $62,390 | $18,341 | $13,040 | 1.99 |
| Local excision and removal of internal fixation devices except hip and femur without CC/MS-DRG 497, surgical | 24 | $61,102 | $12,716 | $12,770 | 1.43 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 16 | $79,226 | $19,223 | $16,558 | 2.04 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 14 | $113,021 | $19,510 | $23,621 | 2.07 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 14 | $78,886 | $13,741 | $16,487 | 1.49 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 11 | $116,008 | $27,884 | $24,246 | 2.99 |
| Medical back problems without MCCMS-DRG 552, medical | 11 | $21,089 | $9,046 | $4,408 | 0.97 |
Digestive system96 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 26 | $61,670 | $17,279 | $12,889 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 24 | $23,485 | $7,084 | $4,908 | 0.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 19 | $28,696 | $12,103 | $5,998 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 15 | $45,132 | $15,785 | $9,433 | 1.62 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 12 | $33,846 | $16,238 | $7,074 | 1.75 |
Nervous system96 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 19 | $27,770 | $9,682 | $5,804 | 1.06 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 18 | $23,412 | $6,999 | $4,893 | 0.80 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 17 | $22,733 | $9,120 | $4,751 | 1.03 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 15 | $70,042 | $18,723 | $14,639 | 2.00 |
| Cranial and peripheral nerve disorders with MCCMS-DRG 073, medical | 14 | $34,309 | $14,783 | $7,171 | 1.51 |
| Seizures with MCCMS-DRG 100, medical | 13 | $41,803 | $17,020 | $8,737 | 1.98 |
Injuries, poisonings and toxic effects of drugs59 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other o.r. procedures for injuries with CCMS-DRG 908, surgical | 48 | $61,674 | $18,464 | $12,890 | 2.00 |
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 11 | $34,902 | $15,371 | $7,295 | 1.60 |
Ear, nose, mouth and throat20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major head and neck procedures with CCMS-DRG 141, surgical | 20 | $82,008 | $19,876 | $17,140 | 2.07 |
Blood and immune system18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 18 | $65,030 | $14,538 | $13,591 | 1.40 |
Skin, subcutaneous tissue and breast17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis with MCCMS-DRG 602, medical | 17 | $30,025 | $13,352 | $6,275 | 1.49 |
Other11 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 | 11 | $131,896 | $43,867 | $27,566 | 4.74 |
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 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 75 | 19 | $6,263 | $1,588 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 17 | 14 | $34,838 | $3,122 | $2,405 |
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.