Sutter Coast Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Sutter Coast Hospital, Crescent City, CA in 2024, from traditional Medicare claims. Back to the Sutter Coast Hospital profile, with quality ratings, finances and negotiated rates.
408
Medicare inpatient discharges
In 11 published DRGs
1.60
Case mix index
IPPS FY 2027
4%
Surgical stays
86%
Stays with complications
In DRGs with a CC or MCC
321
Medicare outpatient services
In 13 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases254 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 | 192 | $70,059 | $21,182 | $25,852 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 45 | $41,657 | $10,679 | $15,372 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 17 | $148,966 | $58,117 | $54,969 | 5.00 |
Circulatory system68 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 53 | $60,902 | $13,697 | $22,473 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 15 | $62,735 | $17,154 | $23,149 | 1.59 |
Respiratory system35 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 21 | $52,306 | $13,234 | $19,301 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 14 | $66,293 | $18,141 | $24,462 | 1.70 |
Digestive system23 discharges in 2 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 | 12 | $47,885 | $7,142 | $17,670 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 11 | $38,747 | $10,472 | $14,298 | 0.98 |
Kidney and urinary tract17 discharges in 1 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 | 17 | $66,372 | $18,585 | $24,491 | 1.65 |
Nervous system11 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 | 11 | $60,172 | $10,459 | $22,203 | 1.02 |
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 | 133 | 124 | $30,498 | $2,849 | $2,090 |
| Level 3 Vascular ProceduresAPC 5183 | 28 | 28 | $21,080 | $3,343 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 24 | 24 | $33,216 | $6,053 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 20 | 18 | $13,721 | $2,021 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 16 | 13 | $27,900 | $5,394 | $3,918 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 15 | 15 | $22,854 | $3,630 | $2,636 |
| Level 3 Lower GI ProceduresAPC 5313 | 14 | 13 | $18,542 | $2,932 | $2,176 |
| Level 2 Urology and Related ServicesAPC 5372 | 14 | $5,135 | $717 | $502 | |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 13 | $10,686 | $1,686 | $1,196 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 11 | 11 | $16,066 | $2,981 | $2,141 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 11 | 11 | $36,079 | $7,782 | $5,339 |
| Level 2 Vascular ProceduresAPC 5182 | 11 | 11 | $12,121 | $1,680 | $1,204 |
| Level 4 Urology and Related ServicesAPC 5374 | 11 | 11 | $20,118 | $3,657 | $2,629 |
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.