Valley Presbyterian Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Valley Presbyterian Hospital, Van Nuys, CA in 2024, from traditional Medicare claims. Back to the Valley Presbyterian Hospital profile, with quality ratings, finances and negotiated rates.
1,127
Medicare inpatient discharges
In 35 published DRGs
1.80
Case mix index
IPPS FY 2027
8%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
498
Medicare outpatient services
In 16 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases418 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 | 282 | $88,719 | $21,585 | $28,834 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 54 | $42,936 | $9,827 | $13,954 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 46 | $231,206 | $75,175 | $75,142 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 36 | $184,061 | $58,053 | $59,820 | 5.00 |
Circulatory system248 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 109 | $54,982 | $13,894 | $17,869 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 22 | $50,794 | $15,859 | $16,508 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 21 | $114,232 | $19,401 | $37,125 | 1.82 |
| Chest painMS-DRG 313, medical | 20 | $33,721 | $6,657 | $10,959 | 0.72 |
| Syncope and collapseMS-DRG 312, medical | 17 | $40,811 | $8,477 | $13,264 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 17 | $144,888 | $32,520 | $47,089 | 2.87 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 16 | $85,901 | $22,793 | $27,918 | 2.09 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 13 | $35,510 | $9,149 | $11,541 | 0.91 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 13 | $21,789 | $6,515 | $7,081 | 0.74 |
Respiratory system132 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 39 | $52,508 | $13,223 | $17,065 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 28 | $65,629 | $18,824 | $21,329 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 28 | $64,462 | $10,836 | $20,950 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 23 | $66,657 | $12,483 | $21,664 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $34,543 | $7,329 | $11,226 | 0.82 |
Kidney and urinary tract110 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 28 | $64,184 | $14,580 | $20,860 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 26 | $36,330 | $7,954 | $11,807 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 22 | $57,292 | $15,156 | $18,620 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 20 | $39,868 | $11,335 | $12,957 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 14 | $27,319 | $8,307 | $8,879 | 0.90 |
Digestive system92 discharges in 5 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 | 27 | $33,608 | $7,477 | $10,922 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 24 | $92,587 | $18,595 | $30,091 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 15 | $51,677 | $9,783 | $16,795 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 14 | $112,163 | $19,892 | $36,453 | 1.62 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 12 | $46,095 | $9,799 | $14,981 | 0.98 |
Endocrine, nutritional and metabolic52 discharges in 2 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 | 30 | $48,027 | $12,952 | $15,609 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 22 | $36,303 | $7,628 | $11,799 | 0.78 |
Musculoskeletal system and connective tissue32 discharges in 2 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 | 21 | $71,157 | $19,190 | $23,126 | 1.88 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 11 | $28,888 | $8,507 | $9,388 | 0.90 |
Nervous system29 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 16 | $85,949 | $22,204 | $27,933 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 13 | $47,022 | $9,982 | $15,282 | 1.02 |
Skin, subcutaneous tissue and breast14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 14 | $32,535 | $8,793 | $10,574 | 0.88 |
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 | 132 | $18,774 | $2,660 | $2,090 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 60 | 59 | $36,733 | $7,160 | $5,339 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 45 | 33 | $9,034 | $1,553 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 38 | 35 | $19,858 | $3,039 | $2,405 |
| Level 1 Endovascular ProceduresAPC 5191 | 34 | 34 | $15,809 | $2,879 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 29 | 29 | $82,327 | $14,516 | $10,772 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 27 | 19 | $21,887 | $2,783 | $2,141 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 23 | 23 | $18,678 | $3,171 | $2,373 |
| Level 2 Endovascular ProceduresAPC 5192 | 19 | 19 | $24,117 | $5,589 | $4,338 |
| Level 3 Endovascular ProceduresAPC 5193 | 18 | 18 | $75,676 | $11,858 | $8,874 |
| Level 2 Upper GI ProceduresAPC 5302 | 13 | 12 | $11,798 | $1,849 | $1,445 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 12 | 12 | $19,371 | $6,356 | $4,982 |
| Level 2 Vascular ProceduresAPC 5182 | 12 | 12 | $8,373 | $1,451 | $1,204 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 12 | 12 | $21,148 | $5,636 | $4,358 |
| Level 1 Intraocular ProceduresAPC 5491 | 12 | $11,150 | $2,280 | $1,752 | |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 11 | 11 | $16,746 | $3,372 | $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.