Sierra Nevada Memorial Hospital Medicare inpatient and outpatient services

Every DRG and outpatient service group CMS publishes for Sierra Nevada Memorial Hospital, Grass Valley, CA in 2024, from traditional Medicare claims. Back to the Sierra Nevada Memorial Hospital profile, with quality ratings, finances and negotiated rates.

1,290
Medicare inpatient discharges
In 40 published DRGs
1.66
Case mix index
IPPS FY 2027
8%
Surgical stays
76%
Stays with complications
In DRGs with a CC or MCC
1,126
Medicare outpatient services
In 15 service groups

Inpatient stays by major diagnostic category

Infectious and parasitic diseases408 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	318	$99,589	$18,043	$22,408	1.98
Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical	61	$68,604	$8,947	$15,436	1.03
Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical	29	$181,487	$43,791	$40,835	5.00

Respiratory system188 discharges in 4 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Pulmonary edema and respiratory failureMS-DRG 189, medical	74	$68,804	$11,470	$15,481	1.23
Simple pneumonia and pleurisy with MCCMS-DRG 193, medical	55	$75,350	$11,872	$16,954	1.33
Respiratory infections and inflammations with MCCMS-DRG 177, medical	42	$90,915	$15,099	$20,456	1.70
Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical	17	$75,000	$12,346	$16,875	1.40

Kidney and urinary tract158 discharges in 5 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Renal failure with MCCMS-DRG 682, medical	40	$83,375	$13,740	$18,759	1.50
Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical	33	$83,736	$15,496	$18,841	1.65
Kidney and urinary tract infections with MCCMS-DRG 689, medical	29	$71,933	$10,827	$16,185	1.17
Renal failure with CCMS-DRG 683, medical	28	$60,207	$8,139	$13,547	0.90
Kidney and urinary tract infections without MCCMS-DRG 690, medical	28	$48,381	$6,994	$10,886	0.81

Circulatory system155 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	89	$75,041	$11,639	$16,884	1.28
Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical	22	$63,021	$6,484	$14,180	0.74
Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical	16	$75,899	$14,230	$17,077	1.59
Syncope and collapseMS-DRG 312, medical	15	$67,160	$7,401	$15,111	0.86
Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical	13	$65,487	$10,493	$14,735	1.20

Digestive system125 discharges in 7 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	$48,810	$6,844	$10,982	0.79
Gastrointestinal hemorrhage with CCMS-DRG 378, medical	21	$65,344	$8,493	$14,702	0.98
Gastrointestinal obstruction with CCMS-DRG 389, medical	20	$48,358	$6,787	$10,881	0.80
Major small and large bowel procedures with CCMS-DRG 330, surgical	18	$164,620	$21,469	$37,040	2.37
Gastrointestinal hemorrhage with MCCMS-DRG 377, medical	16	$95,096	$16,034	$21,397	1.79
Gastrointestinal obstruction without cc/mccMS-DRG 390, medical	12	$44,249	$4,439	$9,956	0.56
Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical	11	$76,106	$12,015	$17,124	1.28

Nervous system88 discharges in 5 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	33	$78,276	$8,529	$17,612	1.02
Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical	21	$123,762	$17,989	$27,847	2.00
Degenerative nervous system disorders without MCCMS-DRG 057, medical	12	$61,404	$11,612	$13,816	1.36
Transient ischemia without thrombolyticMS-DRG 069, medical	11	$81,020	$6,627	$18,230	0.80
Other disorders of nervous system with MCCMS-DRG 091, medical	11	$92,521	$16,792	$20,817	1.79

Musculoskeletal system and connective tissue67 discharges in 4 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Hip and femur procedures except major joint with CCMS-DRG 481, surgical	29	$122,749	$18,818	$27,618	2.07
Hip and femur procedures except major joint with MCCMS-DRG 480, surgical	15	$149,948	$26,445	$33,738	2.95
Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical	12	$152,251	$19,595	$34,256	2.11
Medical back problems without MCCMS-DRG 552, medical	11	$55,564	$8,510	$12,502	0.97

Endocrine, nutritional and metabolic40 discharges in 3 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	15	$84,493	$12,464	$19,011	1.32
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical	13	$50,066	$7,173	$11,265	0.78
Diabetes with CCMS-DRG 638, medical	12	$59,520	$8,023	$13,392	0.90

Skin, subcutaneous tissue and breast31 discharges in 2 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Cellulitis without MCCMS-DRG 603, medical	20	$54,676	$7,927	$12,302	0.88
Cellulitis with MCCMS-DRG 602, medical	11	$72,010	$12,501	$16,202	1.49

Injuries, poisonings and toxic effects of drugs16 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical	16	$116,174	$15,282	$26,139	1.60

Factors influencing health status14 discharges in 1 DRGs

Condition or procedure	Discharges	Average charges	Average Medicare payment	Estimated cost	DRG weight
Other factors influencing health statusMS-DRG 951, medical	14	$43,646	$4,936	$9,820	0.59

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	539	501	$41,154	$2,780	$2,090
Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072	154	143	$9,258	$1,636	$1,220
Level 5 Musculoskeletal ProceduresAPC 5115	121	114	$71,068	$15,139	$10,772
Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073	67	50	$12,848	$2,890	$2,141
Level 4 Musculoskeletal ProceduresAPC 5114	33	33	$37,974	$7,500	$5,339
Level 2 Vascular ProceduresAPC 5182	32	31	$40,990	$1,630	$1,204
Level 6 Musculoskeletal ProceduresAPC 5116	29	28	$85,411	$21,334	$15,763
Level 3 Vascular ProceduresAPC 5183	27	24	$22,631	$3,242	$2,405
Level 2 Musculoskeletal ProceduresAPC 5112	25	24	$8,939	$1,628	$1,196
Level 1 Laparoscopy and Related ServicesAPC 5361	24	24	$31,226	$5,871	$4,358
Level 3 Musculoskeletal ProceduresAPC 5113	22	19	$28,180	$3,291	$2,373
Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091	18	17	$17,788	$3,879	$2,930
Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341	13	13	$25,570	$3,520	$2,636
Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092	11		$32,223	$6,695	$4,982
Level 4 Gynecologic ProceduresAPC 5414	11	11	$27,486	$3,181	$2,389

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.