Sutter Santa Rosa Memorial Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Sutter Santa Rosa Memorial Hospital, Santa Rosa, CA in 2024, from traditional Medicare claims. Back to the Sutter Santa Rosa Memorial Hospital profile, with quality ratings, finances and negotiated rates.
2,010
Medicare inpatient discharges
In 67 published DRGs
1.84
Case mix index
IPPS FY 2027
21%
Surgical stays
75%
Stays with complications
In DRGs with a CC or MCC
2,230
Medicare outpatient services
In 29 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases495 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 | 348 | $116,759 | $24,268 | $33,977 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 83 | $59,749 | $11,355 | $17,387 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 48 | $249,886 | $57,918 | $72,717 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 16 | $151,299 | $24,263 | $44,028 | 2.04 |
Circulatory system401 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 127 | $78,411 | $14,719 | $22,818 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 51 | $113,384 | $19,832 | $32,995 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 33 | $47,922 | $8,055 | $13,945 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 30 | $75,686 | $10,298 | $22,024 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 29 | $156,664 | $20,529 | $45,589 | 1.82 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 21 | $62,403 | $13,442 | $18,159 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 21 | $61,514 | $10,092 | $17,901 | 0.86 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 21 | $118,347 | $25,050 | $34,439 | 2.09 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 14 | $118,069 | $23,798 | $34,358 | 2.16 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 14 | $34,330 | $5,685 | $9,990 | 0.55 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 14 | $178,400 | $34,110 | $51,914 | 2.87 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 13 | $68,370 | $7,826 | $19,896 | 0.72 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 13 | $100,601 | $12,403 | $29,275 | 1.08 |
Digestive system258 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 51 | $67,080 | $11,074 | $19,520 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 34 | $96,678 | $20,298 | $28,133 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 33 | $54,696 | $8,495 | $15,916 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 30 | $142,493 | $26,573 | $41,465 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 24 | $214,718 | $50,251 | $62,483 | 4.52 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 24 | $54,242 | $8,905 | $15,784 | 0.80 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 18 | $67,462 | $17,091 | $19,631 | 1.45 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 17 | $100,326 | $15,373 | $29,195 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 14 | $51,269 | $10,055 | $14,919 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 13 | $102,064 | $19,773 | $29,701 | 1.62 |
Musculoskeletal system and connective tissue246 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 79 | $107,000 | $21,712 | $31,137 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 22 | $132,074 | $23,685 | $38,433 | 2.11 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 19 | $157,067 | $38,423 | $45,706 | 3.49 |
| Medical back problems without MCCMS-DRG 552, medical | 18 | $55,117 | $10,183 | $16,039 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 17 | $116,436 | $22,275 | $33,883 | 2.07 |
| Combined anterior and posterior spinal fusion with MCCMS-DRG 453, surgical | 16 | $280,332 | $94,046 | $81,577 | 8.86 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 16 | $207,395 | $51,883 | $60,352 | 4.61 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 13 | $138,073 | $33,932 | $40,179 | 2.95 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 12 | $130,518 | $28,205 | $37,981 | 2.40 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 12 | $47,219 | $10,009 | $13,741 | 0.90 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 11 | $210,882 | $73,997 | $61,367 | 6.12 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 11 | $103,145 | $28,683 | $30,015 | 2.67 |
Respiratory system199 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 | 56 | $73,346 | $19,127 | $21,344 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 48 | $57,948 | $14,297 | $16,863 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 30 | $61,204 | $12,724 | $17,810 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 24 | $74,465 | $14,511 | $21,669 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $45,599 | $8,755 | $13,269 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 13 | $58,640 | $10,441 | $17,064 | 0.99 |
| Interstitial lung disease with MCCMS-DRG 196, medical | 13 | $100,028 | $22,971 | $29,108 | 1.90 |
Kidney and urinary tract153 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 | 30 | $59,569 | $17,815 | $17,335 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 27 | $75,861 | $15,499 | $22,076 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 26 | $52,265 | $8,504 | $15,209 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 22 | $46,589 | $10,336 | $13,557 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 19 | $47,987 | $10,894 | $13,964 | 1.02 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 16 | $51,930 | $13,420 | $15,112 | 1.17 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 13 | $115,945 | $18,213 | $33,740 | 1.35 |
Endocrine, nutritional and metabolic78 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 | 32 | $94,024 | $15,577 | $27,361 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 21 | $53,464 | $8,703 | $15,558 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $92,156 | $17,221 | $26,817 | 1.45 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 11 | $123,073 | $23,368 | $35,814 | 1.98 |
Nervous system73 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 | 31 | $66,749 | $10,480 | $19,424 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 15 | $86,651 | $19,330 | $25,215 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 14 | $58,494 | $8,981 | $17,022 | 0.80 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 13 | $50,862 | $7,576 | $14,801 | 0.69 |
Liver, gallbladder and pancreas57 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 16 | $127,907 | $18,652 | $37,221 | 1.63 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 15 | $70,942 | $22,835 | $20,644 | 1.92 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 14 | $113,928 | $22,532 | $33,153 | 1.83 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 12 | $54,156 | $8,214 | $15,759 | 0.86 |
Skin, subcutaneous tissue and breast30 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 30 | $50,490 | $9,472 | $14,693 | 0.88 |
Alcohol and drug use20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 20 | $64,544 | $9,852 | $18,782 | 0.86 |
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 |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 316 | 309 | $82,713 | $15,793 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 292 | 281 | $33,912 | $2,901 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 225 | 193 | $12,920 | $2,023 | $1,445 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 137 | 135 | $43,844 | $6,002 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 109 | 102 | $21,159 | $3,385 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 102 | 101 | $44,716 | $3,096 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 92 | 89 | $12,662 | $1,684 | $1,220 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 80 | 76 | $17,423 | $3,022 | $2,141 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 76 | 76 | $85,689 | $11,923 | $8,164 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 74 | 74 | $46,868 | $7,910 | $5,339 |
| Level 2 Endovascular ProceduresAPC 5192 | 71 | 61 | $46,906 | $5,901 | $4,338 |
| Level 5 Urology and Related ServicesAPC 5375 | 69 | 66 | $33,009 | $5,503 | $3,918 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 63 | 63 | $120,052 | $23,175 | $15,763 |
| Level 2 Vascular ProceduresAPC 5182 | 61 | 60 | $10,490 | $1,694 | $1,204 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 58 | 54 | $28,177 | $3,616 | $2,636 |
| Level 3 Endovascular ProceduresAPC 5193 | 51 | 48 | $83,804 | $12,770 | $8,874 |
| Level 4 Urology and Related ServicesAPC 5374 | 50 | 47 | $24,998 | $3,707 | $2,629 |
| Level 4 Gynecologic ProceduresAPC 5414 | 39 | 39 | $26,281 | $3,325 | $2,389 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 34 | 34 | $31,710 | $4,054 | $2,930 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 34 | 34 | $51,860 | $6,862 | $4,982 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 33 | 32 | $29,071 | $3,442 | $2,373 |
| Level 3 Urology and Related ServicesAPC 5373 | 31 | 18 | $15,583 | $2,163 | $1,516 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 27 | 26 | $13,260 | $1,709 | $1,196 |
| Level 3 Lower GI ProceduresAPC 5313 | 27 | 27 | $15,975 | $3,055 | $2,176 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 21 | 21 | $63,673 | $11,996 | $8,569 |
| Level 4 Endovascular ProceduresAPC 5194 | 18 | 17 | $121,645 | $21,711 | $14,606 |
| Level 5 ENT ProceduresAPC 5165 | 15 | 15 | $54,016 | $6,228 | $4,436 |
| Level 5 Gynecologic ProceduresAPC 5415 | 13 | 13 | $30,708 | $5,290 | $3,792 |
| Level 3 Upper GI ProceduresAPC 5303 | 12 | 12 | $25,550 | $4,073 | $2,888 |
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.