Ascension Borgess Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ascension Borgess Hospital, Kalamazoo, MI in 2024, from traditional Medicare claims. Back to the Ascension Borgess Hospital profile, with quality ratings, finances and negotiated rates.
1,343
Medicare inpatient discharges
In 41 published DRGs
2.43
Case mix index
IPPS FY 2027
32%
Surgical stays
78%
Stays with complications
In DRGs with a CC or MCC
1,783
Medicare outpatient services
In 32 service groups
Inpatient stays by major diagnostic category
Circulatory system606 discharges in 17 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 101 | $102,210 | $24,345 | $24,019 | 3.24 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 93 | $46,416 | $11,553 | $10,908 | 1.59 |
| Heart failure and shock with MCCMS-DRG 291, medical | 91 | $36,589 | $9,341 | $8,598 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 61 | $88,667 | $20,980 | $20,837 | 2.87 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 37 | $65,862 | $13,332 | $15,477 | 1.82 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 31 | $134,208 | $47,841 | $31,539 | 6.25 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 27 | $35,576 | $6,339 | $8,360 | 0.91 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 22 | $102,757 | $25,959 | $24,148 | 3.46 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 20 | $67,362 | $15,428 | $15,830 | 2.28 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 20 | $47,861 | $7,460 | $11,247 | 1.08 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 17 | $21,580 | $4,886 | $5,071 | 0.74 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 16 | $232,530 | $61,787 | $54,645 | 7.80 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 15 | $192,218 | $41,176 | $45,171 | 5.88 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 15 | $58,518 | $13,931 | $13,752 | 2.16 |
| Syncope and collapseMS-DRG 312, medical | 15 | $23,778 | $5,291 | $5,588 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 13 | $34,360 | $8,949 | $8,075 | 1.20 |
| Other vascular procedures with CCMS-DRG 253, surgical | 12 | $84,582 | $19,130 | $19,877 | 2.55 |
Infectious and parasitic diseases311 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 | 249 | $59,766 | $13,790 | $14,045 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 36 | $149,472 | $30,819 | $35,126 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 26 | $36,231 | $7,690 | $8,514 | 1.03 |
Respiratory system139 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 45 | $40,694 | $9,141 | $9,563 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 29 | $43,429 | $8,782 | $10,206 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 19 | $39,311 | $11,044 | $9,238 | 1.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 12 | $35,657 | $10,341 | $8,379 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 12 | $103,089 | $14,241 | $24,226 | 2.70 |
| Major chest procedures with MCCMS-DRG 163, surgical | 11 | $114,706 | $36,645 | $26,956 | 4.71 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $24,558 | $5,075 | $5,771 | 0.82 |
Nervous system99 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 39 | $70,550 | $11,932 | $16,579 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 36 | $45,003 | $7,031 | $10,576 | 1.02 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 13 | $61,564 | $13,396 | $14,468 | 1.81 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 11 | $73,449 | $16,912 | $17,261 | 2.30 |
Digestive system68 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 31 | $46,107 | $12,942 | $10,835 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 24 | $31,441 | $6,828 | $7,389 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 13 | $32,935 | $5,644 | $7,740 | 0.79 |
Kidney and urinary tract52 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 24 | $52,502 | $9,629 | $12,338 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 17 | $28,899 | $6,057 | $6,791 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 11 | $57,939 | $10,667 | $13,616 | 1.65 |
Musculoskeletal system and connective tissue44 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 20 | $76,597 | $14,206 | $18,000 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 12 | $68,308 | $12,441 | $16,052 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 12 | $76,821 | $15,034 | $18,053 | 2.11 |
Endocrine, nutritional and metabolic24 discharges in 1 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 | 24 | $42,751 | $10,256 | $10,046 | 1.32 |
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 | 278 | 262 | $17,163 | $1,864 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 230 | 228 | $18,611 | $2,003 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 120 | 113 | $55,410 | $9,574 | $10,772 |
| Level 3 Endovascular ProceduresAPC 5193 | 119 | 114 | $48,440 | $7,745 | $8,874 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 106 | 102 | $9,357 | $1,114 | $1,220 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 69 | 69 | $128,393 | $18,511 | $21,117 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 68 | 67 | $30,962 | $3,946 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 67 | 64 | $18,506 | $2,212 | $2,405 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 64 | 64 | $41,267 | $7,541 | $8,569 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 58 | 53 | $35,715 | $4,877 | $5,339 |
| Level 2 Endovascular ProceduresAPC 5192 | 50 | 49 | $33,464 | $3,883 | $4,338 |
| Level 2 Upper GI ProceduresAPC 5302 | 50 | 46 | $7,445 | $1,299 | $1,445 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 47 | 44 | $16,074 | $1,971 | $2,141 |
| Level 4 Vascular ProceduresAPC 5184 | 43 | 35 | $44,879 | $3,721 | $3,946 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 42 | 42 | $28,683 | $5,847 | $6,514 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 34 | 34 | $131,008 | $25,360 | $29,375 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 33 | 33 | $21,419 | $2,106 | $2,373 |
| Level 4 Endovascular ProceduresAPC 5194 | 31 | 31 | $68,094 | $12,736 | $14,606 |
| Level 1 Nerve ProceduresAPC 5431 | 28 | 26 | $12,025 | $1,243 | $1,407 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 27 | 27 | $69,399 | $13,490 | $15,763 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 26 | 25 | $24,033 | $2,401 | $2,636 |
| Level 3 Airway EndoscopyAPC 5153 | 24 | 24 | $7,992 | $1,177 | $1,264 |
| Level 4 Airway EndoscopyAPC 5154 | 21 | 21 | $12,808 | $2,598 | $2,833 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 21 | 21 | $49,139 | $7,321 | $8,164 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 20 | 16 | $25,663 | $2,646 | $2,930 |
| Level 2 Vascular ProceduresAPC 5182 | 19 | 19 | $6,555 | $990 | $1,204 |
| Level 4 Gynecologic ProceduresAPC 5414 | 19 | 13 | $14,698 | $2,056 | $2,389 |
| Level 4 Urology and Related ServicesAPC 5374 | 16 | 14 | $21,459 | $2,123 | $2,629 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 14 | 14 | $90,902 | $15,307 | $17,052 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 14 | 14 | $87,912 | $23,532 | $26,719 |
| Level 3 Urology and Related ServicesAPC 5373 | 13 | $11,625 | $1,414 | $1,516 | |
| Level 5 Urology and Related ServicesAPC 5375 | 12 | 12 | $26,139 | $3,569 | $3,918 |
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.