Ascension Providence Rochester Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Ascension Providence Rochester Hospital, Rochester, MI in 2024, from traditional Medicare claims. Back to the Ascension Providence Rochester Hospital profile, with quality ratings, finances and negotiated rates.
1,641
Medicare inpatient discharges
In 56 published DRGs
1.77
Case mix index
IPPS FY 2027
15%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
1,305
Medicare outpatient services
In 29 service groups
Inpatient stays by major diagnostic category
Circulatory system340 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 82 | $35,292 | $9,075 | $10,588 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 75 | $40,529 | $10,814 | $12,159 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 35 | $24,170 | $4,791 | $7,251 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 29 | $35,977 | $7,132 | $10,793 | 1.08 |
| Syncope and collapseMS-DRG 312, medical | 28 | $24,081 | $5,597 | $7,224 | 0.86 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 23 | $119,295 | $23,779 | $35,788 | 3.24 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 20 | $70,203 | $12,773 | $21,061 | 1.82 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 18 | $19,514 | $2,769 | $5,854 | 0.55 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 15 | $21,642 | $5,926 | $6,493 | 0.91 |
| Hypertension without MCCMS-DRG 305, medical | 15 | $20,954 | $4,578 | $6,286 | 0.75 |
Infectious and parasitic diseases270 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 | 208 | $43,477 | $13,368 | $13,043 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 34 | $28,038 | $6,373 | $8,411 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 28 | $96,231 | $34,509 | $28,869 | 5.00 |
Musculoskeletal system and connective tissue236 discharges in 11 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 | 46 | $56,342 | $13,192 | $16,903 | 1.88 |
| Medical back problems without MCCMS-DRG 552, medical | 42 | $19,952 | $5,978 | $5,986 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 27 | $57,928 | $14,091 | $17,378 | 2.07 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 20 | $119,513 | $24,853 | $35,854 | 3.49 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 19 | $113,919 | $43,092 | $34,176 | 6.12 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 19 | $19,186 | $5,402 | $5,756 | 0.90 |
| Medical back problems with MCCMS-DRG 551, medical | 14 | $33,132 | $11,080 | $9,940 | 1.70 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 13 | $108,118 | $19,286 | $32,435 | 2.67 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 13 | $78,199 | $20,618 | $23,460 | 2.95 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 12 | $85,182 | $23,928 | $25,554 | 3.66 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 11 | $47,099 | $16,831 | $14,130 | 2.40 |
Respiratory system219 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 74 | $32,786 | $11,408 | $9,836 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 62 | $37,213 | $8,733 | $11,164 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 33 | $31,692 | $8,425 | $9,508 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 20 | $28,394 | $7,169 | $8,518 | 1.10 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 19 | $31,468 | $9,659 | $9,440 | 1.40 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 11 | $22,315 | $4,700 | $6,695 | 0.82 |
Kidney and urinary tract206 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 52 | $28,072 | $7,758 | $8,422 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 35 | $21,796 | $5,026 | $6,539 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 30 | $40,258 | $10,969 | $12,077 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 29 | $34,736 | $11,412 | $10,421 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 26 | $22,394 | $5,677 | $6,718 | 0.90 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 23 | $24,888 | $6,732 | $7,466 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 11 | $41,077 | $9,787 | $12,323 | 1.35 |
Digestive system146 discharges in 6 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 | 45 | $23,074 | $4,786 | $6,922 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 27 | $30,325 | $6,852 | $9,097 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 21 | $23,688 | $4,958 | $7,106 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 21 | $39,014 | $8,931 | $11,704 | 1.28 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 19 | $50,826 | $13,098 | $15,248 | 1.79 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 13 | $19,877 | $6,317 | $5,963 | 0.94 |
Nervous system94 discharges in 6 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 | $38,019 | $12,490 | $11,406 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 16 | $29,835 | $6,747 | $8,950 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 14 | $23,987 | $4,776 | $7,196 | 0.80 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 12 | $27,319 | $13,754 | $8,196 | 2.39 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 11 | $44,873 | $15,971 | $13,462 | 2.27 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 11 | $24,890 | $12,220 | $7,467 | 1.79 |
Endocrine, nutritional and metabolic57 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 with MCCMS-DRG 640, medical | 24 | $25,997 | $9,623 | $7,799 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 20 | $27,055 | $5,404 | $8,117 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 13 | $17,279 | $4,702 | $5,184 | 0.78 |
Blood and immune system34 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 18 | $20,654 | $6,309 | $6,196 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 16 | $44,898 | $9,558 | $13,469 | 1.40 |
Skin, subcutaneous tissue and breast28 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 28 | $19,280 | $5,452 | $5,784 | 0.88 |
Injuries, poisonings and toxic effects of drugs11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 11 | $27,317 | $10,533 | $8,195 | 1.60 |
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 | 274 | 260 | $10,588 | $1,933 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 190 | 182 | $50,278 | $9,923 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 133 | 131 | $20,671 | $2,069 | $2,208 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 75 | 73 | $35,603 | $4,945 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 66 | 52 | $22,617 | $2,454 | $2,629 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 54 | 51 | $4,990 | $1,149 | $1,220 |
| Level 3 Endovascular ProceduresAPC 5193 | 46 | 40 | $56,551 | $7,632 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 44 | 44 | $31,374 | $4,003 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 42 | 38 | $24,604 | $3,669 | $3,918 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 39 | 38 | $20,603 | $2,452 | $2,636 |
| Level 3 Vascular ProceduresAPC 5183 | 38 | 37 | $20,885 | $2,257 | $2,405 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 27 | 26 | $135,853 | $19,482 | $21,117 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 26 | 26 | $24,148 | $2,298 | $2,373 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 26 | 26 | $65,344 | $14,943 | $15,763 |
| Level 3 Urology and Related ServicesAPC 5373 | 23 | 21 | $16,992 | $1,446 | $1,516 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 20 | 20 | $50,373 | $7,538 | $8,164 |
| Level 4 Endovascular ProceduresAPC 5194 | 18 | 11 | $67,034 | $10,086 | $14,606 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 18 | 18 | $56,064 | $7,879 | $8,569 |
| Level 4 Vascular ProceduresAPC 5184 | 16 | 16 | $32,226 | $3,902 | $3,946 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 15 | 15 | $10,199 | $1,141 | $1,196 |
| Level 3 Airway EndoscopyAPC 5153 | 15 | 14 | $5,389 | $1,205 | $1,264 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 14 | 13 | $16,037 | $1,874 | $2,141 |
| Level 2 Upper GI ProceduresAPC 5302 | 14 | 14 | $9,902 | $1,351 | $1,445 |
| Level 3 Lower GI ProceduresAPC 5313 | 13 | 11 | $17,237 | $1,994 | $2,176 |
| Level 2 Vascular ProceduresAPC 5182 | 12 | 12 | $13,025 | $1,137 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 12 | 12 | $37,978 | $4,059 | $4,338 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 12 | 12 | $223,649 | $25,283 | $29,375 |
| Level 4 Gynecologic ProceduresAPC 5414 | 12 | 12 | $19,796 | $2,217 | $2,389 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 11 | 11 | $15,197 | $2,707 | $2,930 |
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.