Ventura County Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ventura County Medical Center, Ventura, CA in 2024, from traditional Medicare claims. Back to the Ventura County Medical Center profile, with quality ratings, finances and negotiated rates.
899
Medicare inpatient discharges
In 34 published DRGs
1.67
Case mix index
IPPS FY 2027
9%
Surgical stays
58%
Stays with complications
In DRGs with a CC or MCC
368
Medicare outpatient services
In 11 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases228 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 | 153 | $124,027 | $20,976 | $23,317 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 51 | $87,035 | $11,098 | $16,363 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 24 | $256,078 | $52,662 | $48,143 | 5.00 |
Musculoskeletal system and connective tissue101 discharges in 4 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 | 33 | $93,453 | $19,604 | $17,569 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 27 | $93,968 | $9,928 | $17,666 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 25 | $151,796 | $22,020 | $28,538 | 2.07 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 16 | $111,662 | $9,774 | $20,993 | 0.90 |
Respiratory system101 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 31 | $71,721 | $11,978 | $13,484 | 1.10 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 28 | $89,267 | $14,221 | $16,782 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 14 | $86,308 | $17,951 | $16,226 | 1.70 |
| Major chest trauma with CCMS-DRG 184, medical | 14 | $98,132 | $11,895 | $18,449 | 1.05 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 14 | $71,136 | $13,591 | $13,374 | 1.23 |
Kidney and urinary tract100 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 30 | $85,735 | $9,053 | $16,118 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 25 | $102,297 | $13,107 | $19,232 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 19 | $124,755 | $18,565 | $23,454 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 15 | $125,661 | $20,629 | $23,624 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 11 | $65,089 | $10,837 | $12,237 | 1.02 |
Mental diseases and disorders89 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 89 | $141,646 | $17,171 | $26,629 | 1.37 |
Nervous system55 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 | 16 | $87,736 | $11,133 | $16,494 | 1.02 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 15 | $140,604 | $14,149 | $26,434 | 1.32 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 13 | $160,498 | $21,497 | $30,174 | 2.00 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 11 | $157,622 | $13,834 | $29,633 | 1.36 |
Circulatory system54 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 | 33 | $84,569 | $13,312 | $15,899 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 21 | $172,228 | $21,332 | $32,379 | 0.86 |
Digestive system48 discharges in 3 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 | 19 | $50,374 | $8,777 | $9,470 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 15 | $129,132 | $19,857 | $24,277 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 14 | $73,172 | $11,064 | $13,756 | 0.98 |
Alcohol and drug use42 discharges in 2 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 | 26 | $96,815 | $10,816 | $18,201 | 0.86 |
| Alcohol, drug abuse or dependence without rehabilitation therapy with MCCMS-DRG 896, medical | 16 | $97,583 | $19,330 | $18,346 | 1.78 |
Endocrine, nutritional and metabolic37 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 without MCCMS-DRG 641, medical | 21 | $57,630 | $9,108 | $10,834 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 16 | $118,502 | $12,545 | $22,278 | 1.32 |
Skin, subcutaneous tissue and breast19 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 19 | $80,094 | $9,971 | $15,058 | 0.88 |
Factors influencing health status14 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 | 14 | $60,604 | $8,628 | $11,393 | 0.80 |
Liver, gallbladder and pancreas11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 11 | $71,482 | $12,301 | $13,439 | 1.09 |
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 | 155 | 147 | $29,471 | $2,664 | $2,090 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 43 | 43 | $30,463 | $5,652 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 41 | 39 | $6,054 | $1,585 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 28 | 27 | $19,414 | $3,122 | $2,405 |
| Level 4 Urology and Related ServicesAPC 5374 | 21 | 19 | $20,134 | $3,415 | $2,629 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 20 | 19 | $37,282 | $7,160 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 14 | 13 | $27,464 | $5,066 | $3,918 |
| Level 3 Endovascular ProceduresAPC 5193 | 13 | $46,956 | $11,871 | $8,874 | |
| Level 2 Upper GI ProceduresAPC 5302 | 11 | $7,403 | $1,779 | $1,445 | |
| Level 3 Lower GI ProceduresAPC 5313 | 11 | 11 | $10,645 | $2,750 | $2,176 |
| Level 5 Gynecologic ProceduresAPC 5415 | 11 | 11 | $29,786 | $4,872 | $3,792 |
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.