St Jude Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St Jude Medical Center, Fullerton, CA in 2024, from traditional Medicare claims. Back to the St Jude Medical Center profile, with quality ratings, finances and negotiated rates.
3,127
Medicare inpatient discharges
In 81 published DRGs
2.07
Case mix index
IPPS FY 2027
16%
Surgical stays
80%
Stays with complications
In DRGs with a CC or MCC
3,714
Medicare outpatient services
In 44 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases974 discharges in 5 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 | 712 | $89,902 | $16,400 | $23,554 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 124 | $50,523 | $8,322 | $13,237 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 86 | $195,606 | $42,523 | $51,249 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 38 | $331,491 | $63,632 | $86,851 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 14 | $91,293 | $13,623 | $23,919 | 2.04 |
Circulatory system442 discharges in 16 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 155 | $57,222 | $10,638 | $14,992 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 43 | $63,496 | $12,474 | $16,636 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 30 | $38,006 | $6,159 | $9,958 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 29 | $56,170 | $10,866 | $14,716 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 22 | $116,483 | $24,076 | $30,519 | 2.87 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 19 | $205,111 | $48,944 | $53,739 | 5.04 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 19 | $240,092 | $54,260 | $62,904 | 6.25 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 18 | $70,840 | $14,487 | $18,560 | 1.82 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 17 | $75,373 | $16,642 | $19,748 | 2.09 |
| Syncope and collapseMS-DRG 312, medical | 16 | $41,054 | $7,404 | $10,756 | 0.86 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $46,781 | $7,729 | $12,257 | 0.91 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 13 | $151,424 | $32,600 | $39,673 | 3.18 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 12 | $274,742 | $47,867 | $71,982 | 5.06 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 12 | $101,675 | $16,635 | $26,639 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 12 | $51,985 | $8,567 | $13,620 | 1.08 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 11 | $50,430 | $7,651 | $13,213 | 1.07 |
Respiratory system388 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 136 | $78,918 | $14,342 | $20,677 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 109 | $70,826 | $11,073 | $18,556 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 71 | $59,847 | $10,982 | $15,680 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 29 | $127,627 | $23,780 | $33,438 | 2.70 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 18 | $92,700 | $14,708 | $24,287 | 1.74 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $77,016 | $12,281 | $20,178 | 1.40 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $36,269 | $6,261 | $9,502 | 0.82 |
Nervous system323 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 82 | $106,309 | $16,324 | $27,853 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 66 | $73,290 | $8,258 | $19,202 | 1.02 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 43 | $216,904 | $37,332 | $56,829 | 4.42 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 19 | $261,191 | $49,636 | $68,432 | 5.67 |
| Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent witMS-DRG 062, medical | 19 | $104,591 | $15,603 | $27,403 | 1.87 |
| Seizures with MCCMS-DRG 100, medical | 16 | $89,849 | $15,902 | $23,540 | 1.98 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 15 | $54,952 | $13,469 | $14,397 | 1.79 |
| Seizures without MCCMS-DRG 101, medical | 15 | $54,618 | $7,559 | $14,310 | 0.91 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 14 | $100,920 | $12,569 | $26,441 | 1.47 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 12 | $62,275 | $11,300 | $16,316 | 1.36 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 11 | $52,712 | $6,476 | $13,811 | 0.80 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 11 | $110,479 | $16,139 | $28,945 | 1.79 |
Kidney and urinary tract286 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 90 | $67,029 | $13,300 | $17,561 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 51 | $42,888 | $7,419 | $11,237 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 47 | $54,511 | $11,656 | $14,282 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 44 | $60,200 | $10,157 | $15,772 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 34 | $43,734 | $6,052 | $11,458 | 0.81 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 20 | $120,350 | $35,610 | $31,532 | 3.70 |
Digestive system282 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 47 | $75,970 | $15,101 | $19,904 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 36 | $55,251 | $8,109 | $14,476 | 0.98 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 28 | $87,237 | $14,401 | $22,856 | 1.62 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 27 | $44,345 | $6,544 | $11,618 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 22 | $101,917 | $20,180 | $26,702 | 2.37 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 21 | $46,221 | $6,650 | $12,110 | 0.80 |
| Digestive malignancy with MCCMS-DRG 374, medical | 16 | $111,353 | $16,565 | $29,175 | 2.10 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 16 | $61,686 | $11,696 | $16,162 | 1.45 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 16 | $55,683 | $11,143 | $14,589 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 15 | $53,601 | $7,596 | $14,044 | 0.94 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 14 | $188,409 | $34,934 | $49,363 | 4.52 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 13 | $75,035 | $12,567 | $19,659 | 1.67 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 11 | $95,517 | $16,748 | $25,026 | 1.75 |
Musculoskeletal system and connective tissue193 discharges in 9 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 | 49 | $77,685 | $17,616 | $20,353 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 31 | $81,723 | $18,055 | $21,412 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 26 | $56,285 | $7,926 | $14,747 | 0.97 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 16 | $181,305 | $39,223 | $47,502 | 6.12 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 15 | $135,456 | $31,762 | $35,489 | 3.66 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 15 | $138,615 | $25,667 | $36,317 | 2.99 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 14 | $165,114 | $33,566 | $43,260 | 4.61 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 14 | $102,834 | $25,257 | $26,942 | 2.95 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 13 | $68,610 | $15,569 | $17,976 | 1.88 |
Endocrine, nutritional and metabolic105 discharges in 5 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 | 40 | $61,068 | $11,448 | $16,000 | 1.32 |
| Endocrine disorders with MCCMS-DRG 643, medical | 19 | $51,275 | $12,559 | $13,434 | 1.65 |
| Diabetes with MCCMS-DRG 637, medical | 16 | $66,767 | $12,216 | $17,493 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 16 | $44,048 | $5,794 | $11,541 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 14 | $44,315 | $7,173 | $11,610 | 0.90 |
Liver, gallbladder and pancreas55 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 18 | $90,254 | $13,849 | $23,647 | 1.83 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 14 | $75,141 | $16,135 | $19,687 | 1.76 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 12 | $129,796 | $14,998 | $34,007 | 1.92 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 11 | $93,757 | $15,267 | $24,564 | 1.63 |
Skin, subcutaneous tissue and breast34 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 34 | $41,063 | $6,933 | $10,759 | 0.88 |
Blood and immune system20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 20 | $72,456 | $14,412 | $18,984 | 1.56 |
Factors influencing health status13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 13 | $37,707 | $6,508 | $9,879 | 0.80 |
Injuries, poisonings and toxic effects of drugs12 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 | 12 | $97,079 | $13,652 | $25,435 | 1.60 |
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 | 719 | 683 | $28,257 | $2,674 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 555 | 372 | $11,216 | $2,278 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 223 | 196 | $9,038 | $1,574 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 221 | 215 | $61,076 | $14,389 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 212 | 160 | $12,714 | $1,858 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 141 | 140 | $36,362 | $5,652 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 135 | 134 | $20,980 | $2,870 | $2,208 |
| Level 2 Intraocular ProceduresAPC 5492 | 122 | 110 | $28,513 | $3,981 | $3,116 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 104 | 102 | $12,232 | $2,749 | $2,141 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 101 | 100 | $36,404 | $7,158 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 95 | 87 | $17,620 | $3,122 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 70 | 59 | $17,312 | $1,962 | $1,516 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 67 | 66 | $17,693 | $3,168 | $2,373 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 63 | 61 | $120,909 | $27,046 | $21,117 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 60 | 60 | $84,277 | $21,219 | $15,763 |
| Level 1 Nerve ProceduresAPC 5431 | 56 | 51 | $8,642 | $1,856 | $1,407 |
| Level 2 Vascular ProceduresAPC 5182 | 54 | 52 | $5,169 | $1,563 | $1,204 |
| Level 3 Endovascular ProceduresAPC 5193 | 54 | 51 | $64,499 | $11,660 | $8,874 |
| Level 3 Lower GI ProceduresAPC 5313 | 45 | 43 | $15,919 | $2,801 | $2,176 |
| Level 5 Urology and Related ServicesAPC 5375 | 44 | 40 | $30,396 | $5,069 | $3,918 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 43 | 40 | $12,360 | $1,574 | $1,196 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 42 | 42 | $64,075 | $11,002 | $8,164 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 39 | 37 | $20,386 | $3,734 | $2,930 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 34 | 32 | $25,010 | $3,388 | $2,636 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 32 | 32 | $37,873 | $6,388 | $4,982 |
| Level 4 Airway EndoscopyAPC 5154 | 31 | 30 | $31,114 | $3,668 | $2,833 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 31 | 31 | $34,724 | $11,470 | $8,569 |
| Level 3 Upper GI ProceduresAPC 5303 | 27 | 27 | $25,103 | $3,751 | $2,888 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 27 | 26 | $14,713 | $2,287 | $1,780 |
| Complex GI ProceduresAPC 5331 | 25 | 22 | $31,687 | $5,583 | $4,263 |
| Level 4 Vascular ProceduresAPC 5184 | 24 | 22 | $40,346 | $4,925 | $3,946 |
| Level 4 Urology and Related ServicesAPC 5374 | 24 | 24 | $22,588 | $3,415 | $2,629 |
| Level 3 Intraocular ProceduresAPC 5493 | 24 | 20 | $33,828 | $5,117 | $4,004 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 19 | 19 | $104,322 | $22,259 | $17,052 |
| Level 2 Urology and Related ServicesAPC 5372 | 19 | $2,871 | $669 | $502 | |
| Level 3 Airway EndoscopyAPC 5153 | 18 | 18 | $13,440 | $1,663 | $1,264 |
| Level 5 ENT ProceduresAPC 5165 | 17 | 17 | $38,427 | $5,456 | $4,436 |
| Level 6 Urology and Related ServicesAPC 5376 | 16 | 16 | $51,472 | $9,681 | $7,291 |
| Level 4 Gynecologic ProceduresAPC 5414 | 16 | 16 | $21,660 | $3,052 | $2,389 |
| Level 4 Endovascular ProceduresAPC 5194 | 14 | 14 | $99,539 | $19,871 | $14,606 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 14 | 14 | $105,427 | $35,921 | $29,375 |
| Level 6 Gynecologic ProceduresAPC 5416 | 13 | 13 | $50,970 | $7,653 | $5,836 |
| Level 2 Endovascular ProceduresAPC 5192 | 12 | 11 | $30,859 | $5,132 | $4,338 |
| Level 5 Gynecologic ProceduresAPC 5415 | 12 | 12 | $38,406 | $4,872 | $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.