St Elizabeth Community Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St Elizabeth Community Hospital, Red Bluff, CA in 2024, from traditional Medicare claims. Back to the St Elizabeth Community Hospital profile, with quality ratings, finances and negotiated rates.
609
Medicare inpatient discharges
In 18 published DRGs
1.58
Case mix index
IPPS FY 2027
3%
Surgical stays
78%
Stays with complications
In DRGs with a CC or MCC
558
Medicare outpatient services
In 14 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases256 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 | 210 | $88,095 | $19,283 | $20,174 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 46 | $59,358 | $9,643 | $13,593 | 1.03 |
Respiratory system107 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 | 40 | $80,192 | $12,107 | $18,364 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 28 | $73,268 | $13,092 | $16,778 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 20 | $75,208 | $16,316 | $17,223 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 19 | $61,275 | $10,864 | $14,032 | 1.10 |
Circulatory system68 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 68 | $65,381 | $12,721 | $14,972 | 1.28 |
Kidney and urinary tract54 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 23 | $57,779 | $8,505 | $13,231 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 20 | $82,699 | $15,622 | $18,938 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 11 | $51,269 | $7,796 | $11,741 | 0.81 |
Digestive system43 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 21 | $60,326 | $9,543 | $13,815 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 11 | $56,244 | $7,354 | $12,880 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 11 | $61,852 | $7,160 | $14,164 | 0.79 |
Endocrine, nutritional and metabolic30 discharges in 2 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 | 16 | $60,942 | $12,761 | $13,956 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 14 | $56,419 | $7,328 | $12,920 | 0.78 |
Nervous system21 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 | 21 | $84,289 | $9,747 | $19,302 | 1.02 |
Musculoskeletal system and connective tissue19 discharges in 1 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 | 19 | $104,221 | $20,230 | $23,867 | 2.07 |
Skin, subcutaneous tissue and breast11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 11 | $47,548 | $8,566 | $10,889 | 0.88 |
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 | 233 | 222 | $36,739 | $2,870 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 55 | 40 | $9,077 | $1,697 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 40 | 40 | $85,353 | $15,658 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 35 | 35 | $64,029 | $7,782 | $5,339 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 30 | 30 | $13,655 | $1,629 | $1,196 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 30 | 30 | $48,037 | $6,053 | $4,358 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 26 | 25 | $48,086 | $3,490 | $2,636 |
| Level 2 Vascular ProceduresAPC 5182 | 19 | 16 | $23,259 | $1,608 | $1,204 |
| Level 1 Nerve ProceduresAPC 5431 | 19 | 18 | $18,064 | $2,026 | $1,407 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 16 | 15 | $26,733 | $2,976 | $2,141 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 15 | 15 | $48,173 | $3,396 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 14 | 14 | $51,033 | $3,344 | $2,405 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 13 | 13 | $67,774 | $11,900 | $8,164 |
| Level 5 Gynecologic ProceduresAPC 5415 | 13 | 13 | $37,861 | $5,203 | $3,792 |
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.