Temecula Valley Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Temecula Valley Hospital, Temecula, CA in 2024, from traditional Medicare claims. Back to the Temecula Valley Hospital profile, with quality ratings, finances and negotiated rates.
1,375
Medicare inpatient discharges
In 59 published DRGs
1.94
Case mix index
IPPS FY 2027
14%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
1,117
Medicare outpatient services
In 21 service groups
Inpatient stays by major diagnostic category
Circulatory system454 discharges in 17 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 78 | $90,225 | $15,183 | $10,737 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 47 | $208,964 | $33,139 | $24,867 | 2.87 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 44 | $142,937 | $21,573 | $17,010 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 42 | $91,302 | $12,135 | $10,865 | 1.08 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 39 | $152,408 | $18,806 | $18,137 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 34 | $131,663 | $24,640 | $15,668 | 2.16 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 22 | $59,283 | $8,024 | $7,055 | 0.74 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 20 | $291,053 | $60,184 | $34,635 | 4.88 |
| Syncope and collapseMS-DRG 312, medical | 19 | $90,678 | $9,867 | $10,791 | 0.86 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 17 | $98,355 | $9,442 | $11,704 | 0.91 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 15 | $181,123 | $39,417 | $21,554 | 3.24 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 15 | $97,615 | $13,859 | $11,616 | 1.20 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 14 | $144,716 | $24,817 | $17,221 | 2.09 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 13 | $113,889 | $18,316 | $13,553 | 1.58 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 12 | $57,797 | $6,121 | $6,878 | 0.55 |
| Chest painMS-DRG 313, medical | 12 | $72,033 | $7,669 | $8,572 | 0.72 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $69,739 | $8,394 | $8,299 | 0.75 |
Infectious and parasitic diseases183 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 | 144 | $150,252 | $23,031 | $17,880 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 20 | $83,204 | $11,237 | $9,901 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 19 | $266,855 | $59,075 | $31,756 | 5.00 |
Respiratory system166 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 | 58 | $90,843 | $14,863 | $10,810 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 52 | $151,935 | $19,513 | $18,080 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 18 | $92,245 | $13,898 | $10,977 | 1.23 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 15 | $153,402 | $15,886 | $18,255 | 1.40 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $73,198 | $9,365 | $8,711 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 11 | $63,134 | $13,023 | $7,513 | 1.10 |
Digestive system156 discharges in 8 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 | 38 | $88,811 | $8,883 | $10,568 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 36 | $69,180 | $11,300 | $8,232 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 20 | $113,659 | $22,475 | $13,525 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 14 | $63,591 | $9,158 | $7,567 | 0.80 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 13 | $107,608 | $20,240 | $12,805 | 1.62 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 13 | $72,338 | $11,117 | $8,608 | 0.94 |
| Digestive malignancy with MCCMS-DRG 374, medical | 11 | $130,993 | $23,876 | $15,588 | 2.10 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $138,305 | $14,568 | $16,458 | 1.28 |
Kidney and urinary tract107 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 | 24 | $97,624 | $19,611 | $11,617 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 22 | $65,189 | $9,074 | $7,758 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 20 | $116,105 | $13,645 | $13,816 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 16 | $62,735 | $9,787 | $7,465 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 13 | $91,238 | $17,005 | $10,857 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 12 | $66,600 | $12,420 | $7,925 | 1.02 |
Nervous system97 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 30 | $146,572 | $24,083 | $17,442 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 26 | $109,924 | $11,168 | $13,081 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 18 | $87,351 | $8,422 | $10,395 | 0.80 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 12 | $284,156 | $65,754 | $33,815 | 5.67 |
| Seizures without MCCMS-DRG 101, medical | 11 | $78,798 | $10,583 | $9,377 | 0.91 |
Endocrine, nutritional and metabolic62 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 without MCCMS-DRG 641, medical | 27 | $66,996 | $8,487 | $7,973 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 23 | $141,348 | $15,362 | $16,820 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 12 | $100,827 | $17,817 | $11,998 | 1.45 |
Musculoskeletal system and connective tissue42 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 16 | $98,810 | $9,687 | $11,758 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 15 | $146,407 | $24,153 | $17,422 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 11 | $150,756 | $24,437 | $17,940 | 2.11 |
Liver, gallbladder and pancreas23 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 | 12 | $166,745 | $21,939 | $19,843 | 1.92 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 11 | $126,372 | $18,016 | $15,038 | 1.63 |
Skin, subcutaneous tissue and breast21 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 21 | $66,894 | $10,091 | $7,960 | 0.88 |
Mental diseases and disorders15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 15 | $210,689 | $20,432 | $25,072 | 1.76 |
Other14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 14 | $260,382 | $54,159 | $30,985 | 4.74 |
Ear, nose, mouth and throat12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 12 | $68,739 | $8,399 | $8,180 | 0.74 |
Blood and immune system12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 12 | $104,419 | $19,049 | $12,426 | 1.56 |
Factors influencing health status11 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 | 11 | $75,748 | $9,375 | $9,014 | 0.80 |
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 | 327 | 304 | $42,473 | $2,657 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 247 | 247 | $34,804 | $2,866 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 118 | 115 | $81,856 | $14,410 | $10,772 |
| Level 3 Endovascular ProceduresAPC 5193 | 74 | 70 | $81,695 | $11,741 | $8,874 |
| Level 3 Airway EndoscopyAPC 5153 | 51 | 51 | $14,767 | $1,627 | $1,264 |
| Level 4 Airway EndoscopyAPC 5154 | 33 | 31 | $39,289 | $3,668 | $2,833 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 25 | 25 | $54,521 | $11,017 | $8,569 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 25 | 25 | $51,787 | $5,644 | $4,358 |
| Level 4 Urology and Related ServicesAPC 5374 | 24 | 23 | $22,084 | $3,415 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 22 | 22 | $55,889 | $7,160 | $5,339 |
| Level 2 Endovascular ProceduresAPC 5192 | 21 | 21 | $53,402 | $5,599 | $4,338 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 21 | 21 | $39,061 | $8,594 | $6,514 |
| Level 3 Vascular ProceduresAPC 5183 | 19 | 19 | $36,257 | $3,122 | $2,405 |
| Level 4 Endovascular ProceduresAPC 5194 | 19 | 19 | $126,971 | $19,847 | $14,606 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 15 | 14 | $111,576 | $21,219 | $15,763 |
| Level 5 Airway EndoscopyAPC 5155 | 15 | 15 | $47,548 | $6,781 | $5,183 |
| Level 2 Upper GI ProceduresAPC 5302 | 13 | 13 | $21,038 | $1,873 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 13 | 13 | $27,568 | $5,069 | $3,918 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 12 | 12 | $181,588 | $22,259 | $17,052 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 12 | 12 | $198,462 | $36,422 | $26,719 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 11 | 11 | $35,068 | $3,389 | $2,636 |
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.