St. Mary Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St. Mary Medical Center, Apple Valley, CA in 2024, from traditional Medicare claims. Back to the St. Mary Medical Center profile, with quality ratings, finances and negotiated rates.
1,594
Medicare inpatient discharges
In 52 published DRGs
1.84
Case mix index
IPPS FY 2027
8%
Surgical stays
85%
Stays with complications
In DRGs with a CC or MCC
1,351
Medicare outpatient services
In 21 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases436 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 | 327 | $98,632 | $18,682 | $21,502 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 51 | $50,766 | $9,039 | $11,067 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 38 | $235,589 | $48,010 | $51,358 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 20 | $329,447 | $64,686 | $71,819 | 6.96 |
Circulatory system412 discharges in 15 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 164 | $68,097 | $12,025 | $14,845 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 27 | $112,955 | $18,027 | $24,624 | 1.59 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 23 | $105,202 | $20,074 | $22,934 | 2.09 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 22 | $63,441 | $10,808 | $13,830 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 22 | $36,215 | $6,749 | $7,895 | 0.74 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 19 | $71,578 | $15,297 | $15,604 | 1.58 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 18 | $88,020 | $21,059 | $19,188 | 2.16 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 18 | $52,311 | $9,420 | $11,404 | 1.08 |
| Syncope and collapseMS-DRG 312, medical | 17 | $57,370 | $7,776 | $12,507 | 0.86 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 15 | $44,474 | $8,034 | $9,695 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 15 | $123,281 | $27,901 | $26,875 | 2.87 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 15 | $79,221 | $16,206 | $17,270 | 1.82 |
| Chest painMS-DRG 313, medical | 13 | $28,089 | $6,643 | $6,123 | 0.72 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 12 | $157,975 | $33,029 | $34,439 | 3.35 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 12 | $45,871 | $9,097 | $10,000 | 1.07 |
Kidney and urinary tract186 discharges in 7 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 | 49 | $79,270 | $15,752 | $17,281 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 37 | $63,756 | $14,009 | $13,899 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 28 | $57,223 | $10,931 | $12,475 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 23 | $51,888 | $7,160 | $11,312 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 22 | $38,612 | $8,258 | $8,417 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 16 | $61,784 | $9,542 | $13,469 | 1.02 |
| Other kidney and urinary tract procedures with MCCMS-DRG 673, surgical | 11 | $244,820 | $40,927 | $53,371 | 3.70 |
Respiratory system183 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 | 87 | $60,392 | $11,966 | $13,166 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 36 | $106,655 | $16,390 | $23,251 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 20 | $66,538 | $11,895 | $14,505 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 14 | $53,987 | $10,157 | $11,769 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $63,248 | $12,926 | $13,788 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 13 | $157,086 | $24,560 | $34,245 | 2.70 |
Digestive system111 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 28 | $72,646 | $15,684 | $15,837 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 22 | $44,490 | $6,539 | $9,699 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 19 | $40,516 | $6,523 | $8,832 | 0.80 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 16 | $76,684 | $13,377 | $16,717 | 1.45 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 15 | $56,042 | $11,906 | $12,217 | 1.28 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 11 | $53,312 | $8,994 | $11,622 | 0.98 |
Nervous system94 discharges in 4 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 | 36 | $51,884 | $8,913 | $11,311 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 34 | $90,530 | $18,114 | $19,736 | 2.00 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 12 | $63,405 | $13,945 | $13,822 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 12 | $67,594 | $17,958 | $14,736 | 1.98 |
Endocrine, nutritional and metabolic58 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 | 25 | $56,391 | $12,751 | $12,293 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 21 | $59,005 | $13,295 | $12,863 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 12 | $50,174 | $8,599 | $10,938 | 0.90 |
Musculoskeletal system and connective tissue40 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 15 | $126,805 | $19,694 | $27,644 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 14 | $128,107 | $19,684 | $27,927 | 2.07 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 11 | $123,991 | $27,593 | $27,030 | 2.95 |
Skin, subcutaneous tissue and breast38 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 20 | $43,525 | $8,039 | $9,488 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 18 | $55,237 | $13,291 | $12,042 | 1.49 |
Liver, gallbladder and pancreas36 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 24 | $52,303 | $18,605 | $11,402 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 12 | $75,123 | $16,152 | $16,377 | 1.83 |
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 | 454 | 403 | $32,740 | $2,669 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 188 | 188 | $22,093 | $2,877 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 175 | 62 | $8,415 | $1,585 | $1,220 |
| Level 1 Intraocular ProceduresAPC 5491 | 95 | 71 | $10,732 | $2,268 | $1,752 |
| Level 3 Vascular ProceduresAPC 5183 | 66 | 57 | $23,845 | $3,120 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 40 | 36 | $21,670 | $3,014 | $2,373 |
| Level 3 Endovascular ProceduresAPC 5193 | 38 | 35 | $51,077 | $11,859 | $8,874 |
| Level 2 Endovascular ProceduresAPC 5192 | 35 | 30 | $24,576 | $5,599 | $4,338 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 35 | 35 | $43,156 | $5,651 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 30 | 26 | $35,237 | $7,160 | $5,339 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 30 | 29 | $80,956 | $14,510 | $10,772 |
| Level 2 Vascular ProceduresAPC 5182 | 27 | 26 | $9,391 | $1,558 | $1,204 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 25 | 25 | $42,774 | $11,476 | $8,569 |
| Level 4 Urology and Related ServicesAPC 5374 | 21 | 19 | $19,872 | $3,415 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 20 | 16 | $20,058 | $1,993 | $1,516 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 15 | 14 | $30,149 | $3,389 | $2,636 |
| Level 4 Endovascular ProceduresAPC 5194 | 12 | 12 | $70,749 | $19,871 | $14,606 |
| Level 1 Nerve ProceduresAPC 5431 | 12 | 11 | $14,220 | $1,891 | $1,407 |
| Level 4 Vascular ProceduresAPC 5184 | 11 | 11 | $38,002 | $5,383 | $3,946 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 11 | 11 | $87,088 | $24,983 | $21,117 |
| Level 2 Upper GI ProceduresAPC 5302 | 11 | 11 | $7,970 | $1,864 | $1,445 |
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.