St Bernardine Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St Bernardine Medical Center, San Bernardino, CA in 2024, from traditional Medicare claims. Back to the St Bernardine Medical Center profile, with quality ratings, finances and negotiated rates.
1,287
Medicare inpatient discharges
In 49 published DRGs
1.86
Case mix index
IPPS FY 2027
9%
Surgical stays
79%
Stays with complications
In DRGs with a CC or MCC
629
Medicare outpatient services
In 16 service groups
Inpatient stays by major diagnostic category
Circulatory system298 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 86 | $107,787 | $13,750 | $16,491 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 50 | $129,612 | $16,560 | $19,831 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 29 | $279,903 | $32,511 | $42,825 | 2.87 |
| Syncope and collapseMS-DRG 312, medical | 20 | $84,780 | $9,031 | $12,971 | 0.86 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 18 | $88,106 | $9,385 | $13,480 | 0.91 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 16 | $67,051 | $7,433 | $10,259 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 16 | $137,391 | $18,255 | $21,021 | 1.82 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 14 | $506,939 | $78,479 | $77,562 | 7.80 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 14 | $104,636 | $11,274 | $16,009 | 1.20 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 12 | $324,040 | $51,883 | $49,578 | 4.88 |
| Chest painMS-DRG 313, medical | 12 | $59,939 | $7,614 | $9,171 | 0.72 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 11 | $245,095 | $54,882 | $37,500 | 5.04 |
Infectious and parasitic diseases222 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 | 158 | $139,771 | $19,430 | $21,385 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 29 | $77,012 | $10,663 | $11,783 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 24 | $386,161 | $55,130 | $59,083 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 11 | $373,039 | $71,378 | $57,075 | 6.96 |
Respiratory system208 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 93 | $107,649 | $13,651 | $16,470 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 34 | $165,972 | $16,983 | $25,394 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 27 | $76,151 | $11,563 | $11,651 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 24 | $93,232 | $12,746 | $14,264 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 19 | $209,974 | $28,838 | $32,126 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $66,680 | $7,792 | $10,202 | 0.82 |
Kidney and urinary tract168 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 50 | $60,472 | $8,151 | $9,252 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 45 | $93,882 | $11,203 | $14,364 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 34 | $142,033 | $18,477 | $21,731 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 16 | $131,733 | $15,519 | $20,155 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 12 | $47,584 | $9,455 | $7,280 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 11 | $82,080 | $11,312 | $12,558 | 1.02 |
Digestive system118 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 25 | $77,296 | $10,237 | $11,826 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 24 | $59,313 | $8,174 | $9,075 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 20 | $138,753 | $17,559 | $21,229 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 14 | $90,417 | $13,775 | $13,834 | 1.28 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $64,327 | $7,863 | $9,842 | 0.80 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 11 | $118,398 | $17,967 | $18,115 | 1.62 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 11 | $78,133 | $9,976 | $11,954 | 0.94 |
Nervous system111 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 | 24 | $81,271 | $10,445 | $12,435 | 1.06 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 22 | $198,191 | $21,715 | $30,323 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 21 | $104,944 | $10,174 | $16,056 | 1.02 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 19 | $150,763 | $18,970 | $23,067 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 14 | $131,718 | $20,169 | $20,153 | 1.98 |
| Seizures without MCCMS-DRG 101, medical | 11 | $68,189 | $8,410 | $10,433 | 0.91 |
Endocrine, nutritional and metabolic97 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 | 33 | $89,259 | $13,256 | $13,657 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 22 | $63,450 | $7,766 | $9,708 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 21 | $120,870 | $15,069 | $18,493 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 21 | $58,468 | $8,512 | $8,946 | 0.90 |
Skin, subcutaneous tissue and breast20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 20 | $70,133 | $9,064 | $10,730 | 0.88 |
Injuries, poisonings and toxic effects of drugs19 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 | 19 | $137,504 | $16,691 | $21,038 | 1.60 |
Liver, gallbladder and pancreas13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 13 | $161,156 | $19,517 | $24,657 | 1.92 |
Other13 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 | 13 | $250,689 | $45,652 | $38,355 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 205 | 191 | $35,926 | $2,679 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 106 | 106 | $27,323 | $2,845 | $2,208 |
| Level 5 Urology and Related ServicesAPC 5375 | 44 | 38 | $33,378 | $5,063 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 39 | 36 | $28,810 | $3,122 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 37 | 35 | $48,242 | $5,378 | $4,358 |
| Level 3 Endovascular ProceduresAPC 5193 | 33 | 33 | $81,350 | $11,497 | $8,874 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 32 | 32 | $8,087 | $1,550 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 20 | 18 | $21,653 | $1,893 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 18 | 18 | $49,895 | $7,160 | $5,339 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 17 | 17 | $90,967 | $14,503 | $10,772 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 16 | 16 | $88,462 | $21,219 | $15,763 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 13 | 12 | $15,556 | $2,783 | $2,141 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 13 | 13 | $73,853 | $10,994 | $8,164 |
| Level 4 Urology and Related ServicesAPC 5374 | 13 | $30,509 | $3,415 | $2,629 | |
| Level 4 Vascular ProceduresAPC 5184 | 12 | 11 | $46,463 | $5,383 | $3,946 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 11 | 11 | $33,514 | $3,372 | $2,636 |
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.