Corewell Health Butterworth Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Corewell Health Butterworth, Grand Rapids, MI in 2024, from traditional Medicare claims. Back to the Corewell Health Butterworth profile, with quality ratings, finances and negotiated rates.
6,404
Medicare inpatient discharges
In 177 published DRGs
2.32
Case mix index
IPPS FY 2027
32%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
6,307
Medicare outpatient services
In 50 service groups
Inpatient stays by major diagnostic category
Circulatory system1,549 discharges in 40 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 275 | $29,132 | $9,552 | $9,293 | 1.28 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 119 | $51,756 | $15,660 | $16,510 | 2.16 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 79 | $184,568 | $37,881 | $58,877 | 4.88 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 73 | $105,142 | $24,551 | $33,540 | 3.24 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 57 | $26,558 | $8,934 | $8,472 | 1.20 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 55 | $43,949 | $12,331 | $14,020 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 55 | $16,421 | $4,618 | $5,238 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 54 | $59,643 | $10,886 | $19,026 | 1.82 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 46 | $180,812 | $40,393 | $57,679 | 5.24 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 44 | $35,668 | $7,006 | $11,378 | 1.08 |
| Syncope and collapseMS-DRG 312, medical | 43 | $21,882 | $6,386 | $6,980 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 41 | $76,089 | $20,879 | $24,273 | 2.87 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 40 | $45,898 | $14,071 | $14,642 | 2.09 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 37 | $21,002 | $6,214 | $6,700 | 0.91 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 35 | $118,851 | $35,236 | $37,914 | 5.06 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 32 | $260,587 | $59,024 | $83,127 | 7.71 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 28 | $222,535 | $63,155 | $70,989 | 7.80 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 28 | $158,067 | $36,516 | $50,423 | 5.20 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 26 | $60,947 | $16,796 | $19,442 | 2.28 |
| Other major cardiovascular procedures with CCMS-DRG 271, surgical | 26 | $102,973 | $22,601 | $32,848 | 3.46 |
| Hypertension with MCCMS-DRG 304, medical | 26 | $40,071 | $9,147 | $12,783 | 1.15 |
| Other vascular procedures with CCMS-DRG 253, surgical | 24 | $80,169 | $15,741 | $25,574 | 2.55 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 23 | $127,208 | $23,174 | $40,579 | 4.04 |
| Cardiac valve and other major cardiothoracic procedures with cardiac catheterization witMS-DRG 216, surgical | 22 | $295,690 | $76,311 | $94,325 | 9.71 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 22 | $91,717 | $26,171 | $29,258 | 3.46 |
| Endovascular cardiac valve replacement and supplement procedures with MCCMS-DRG 266, surgical | 22 | $220,849 | $49,020 | $70,451 | 6.25 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 22 | $22,736 | $7,206 | $7,253 | 1.07 |
| Hypertension without MCCMS-DRG 305, medical | 21 | $21,816 | $5,109 | $6,959 | 0.75 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 21 | $21,015 | $6,511 | $6,704 | 0.97 |
| Cardiac defibrillator implant with cardiac catheterization and MCCMS-DRG 275, surgical | 20 | $189,072 | $53,001 | $60,314 | 7.04 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 16 | $88,737 | $23,486 | $28,307 | 3.35 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 16 | $146,830 | $25,662 | $46,839 | 4.16 |
| Cardiac defibrillator implant with MCC or carotid sinus neurostimulatorMS-DRG 276, surgical | 14 | $157,525 | $43,409 | $50,250 | 6.21 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 14 | $11,983 | $2,486 | $3,823 | 0.55 |
| Coronary intravascular lithotripsy with intraluminal device without MCCMS-DRG 324, surgical | 14 | $100,580 | $18,684 | $32,085 | 2.97 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 13 | $36,411 | $11,547 | $11,615 | 1.58 |
| Other heart assist system implantMS-DRG 215, surgical | 12 | $377,765 | $83,328 | $120,507 | 10.21 |
| Other circulatory system o.r. proceduresMS-DRG 264, surgical | 12 | $170,900 | $44,524 | $54,517 | 3.27 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 11 | $47,104 | $11,517 | $15,026 | 1.83 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 11 | $96,990 | $30,764 | $30,940 | 3.90 |
Infectious and parasitic diseases878 discharges in 6 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 | 559 | $48,484 | $13,893 | $15,467 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 119 | $24,220 | $6,950 | $7,726 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 114 | $109,077 | $35,686 | $34,796 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 36 | $43,661 | $14,858 | $13,928 | 2.04 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 30 | $165,033 | $44,854 | $52,646 | 6.96 |
| Postoperative and post-traumatic infections with MCCMS-DRG 862, medical | 20 | $42,918 | $12,906 | $13,691 | 1.84 |
Respiratory system799 discharges in 21 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 187 | $38,774 | $9,067 | $12,369 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 94 | $36,802 | $11,137 | $11,740 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 78 | $26,163 | $9,337 | $8,346 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 55 | $30,431 | $7,351 | $9,707 | 1.10 |
| Major chest procedures with CCMS-DRG 164, surgical | 37 | $84,355 | $17,171 | $26,909 | 2.55 |
| Major chest trauma with CCMS-DRG 184, medical | 37 | $33,108 | $7,256 | $10,561 | 1.05 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 34 | $65,525 | $18,548 | $20,902 | 2.70 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 33 | $22,395 | $6,805 | $7,144 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 30 | $22,649 | $5,734 | $7,225 | 0.82 |
| Other respiratory system diagnoses with MCCMS-DRG 205, medical | 29 | $35,377 | $10,938 | $11,285 | 1.81 |
| Major chest procedures without cc/mccMS-DRG 165, surgical | 23 | $64,535 | $12,914 | $20,587 | 1.88 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 21 | $30,788 | $8,981 | $9,821 | 1.40 |
| Major chest trauma with MCCMS-DRG 183, medical | 20 | $40,470 | $11,088 | $12,910 | 1.57 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 19 | $124,259 | $38,667 | $39,639 | 6.91 |
| Major chest procedures with MCCMS-DRG 163, surgical | 18 | $141,468 | $32,040 | $45,128 | 4.71 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 18 | $17,039 | $5,038 | $5,435 | 0.82 |
| Other respiratory system o.r. procedures with MCCMS-DRG 166, surgical | 17 | $105,542 | $34,425 | $33,668 | 4.06 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 13 | $18,194 | $5,600 | $5,804 | 0.85 |
| Pneumothorax with CCMS-DRG 200, medical | 13 | $42,227 | $7,933 | $13,471 | 1.08 |
| Pneumothorax with MCCMS-DRG 199, medical | 12 | $52,783 | $11,464 | $16,838 | 1.77 |
| Other respiratory system diagnoses without MCCMS-DRG 206, medical | 11 | $23,567 | $5,391 | $7,518 | 0.91 |
Digestive system716 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 107 | $24,037 | $6,916 | $7,668 | 0.98 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 90 | $76,078 | $16,306 | $24,269 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 78 | $20,079 | $5,293 | $6,405 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 62 | $40,335 | $12,340 | $12,867 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 50 | $19,493 | $5,714 | $6,218 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 50 | $29,821 | $8,991 | $9,513 | 1.28 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 44 | $120,980 | $32,518 | $38,593 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 40 | $22,917 | $6,666 | $7,310 | 0.94 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 33 | $39,025 | $11,439 | $12,449 | 1.62 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 24 | $54,863 | $10,387 | $17,501 | 1.67 |
| Stomach, esophageal and duodenal procedures with CCMS-DRG 327, surgical | 21 | $73,382 | $15,244 | $23,409 | 2.50 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 18 | $22,292 | $7,365 | $7,111 | 1.04 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 18 | $15,756 | $2,816 | $5,026 | 0.56 |
| Inflammatory bowel disease with CCMS-DRG 386, medical | 16 | $30,503 | $6,106 | $9,730 | 0.97 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 14 | $24,103 | $10,723 | $7,689 | 1.45 |
| Stomach, esophageal and duodenal procedures with MCCMS-DRG 326, surgical | 13 | $143,943 | $32,329 | $45,918 | 5.08 |
| Peritoneal adhesiolysis with CCMS-DRG 336, surgical | 13 | $56,330 | $15,722 | $17,969 | 2.11 |
| Digestive malignancy with MCCMS-DRG 374, medical | 13 | $57,248 | $15,864 | $18,262 | 2.10 |
| Other digestive system o.r. procedures with MCCMS-DRG 356, surgical | 12 | $81,849 | $28,732 | $26,110 | 4.28 |
Nervous system598 discharges in 23 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 72 | $42,883 | $13,893 | $13,680 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 57 | $28,574 | $6,691 | $9,115 | 1.02 |
| Seizures without MCCMS-DRG 101, medical | 52 | $26,203 | $6,341 | $8,359 | 0.91 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 43 | $122,769 | $30,824 | $39,163 | 4.42 |
| Seizures with MCCMS-DRG 100, medical | 43 | $65,101 | $14,955 | $20,767 | 1.98 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 26 | $29,441 | $7,685 | $9,392 | 1.03 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 25 | $28,264 | $7,584 | $9,016 | 1.06 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 23 | $183,125 | $42,108 | $58,417 | 5.67 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 22 | $28,276 | $9,927 | $9,020 | 1.36 |
| Craniotomy and endovascular intracranial procedures without cc/mccMS-DRG 027, surgical | 21 | $86,195 | $17,841 | $27,496 | 2.43 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 21 | $19,992 | $4,031 | $6,378 | 0.69 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 20 | $35,987 | $9,534 | $11,480 | 1.36 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 20 | $56,138 | $12,331 | $17,908 | 1.79 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis without mcMS-DRG 024, surgical | 19 | $148,714 | $27,864 | $47,440 | 3.79 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 19 | $42,391 | $10,323 | $13,523 | 1.79 |
| Traumatic stupor and coma <1 hour with MCCMS-DRG 085, medical | 17 | $40,396 | $15,837 | $12,886 | 2.27 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 17 | $38,987 | $9,882 | $12,437 | 1.32 |
| Headaches without MCCMS-DRG 103, medical | 17 | $20,871 | $3,884 | $6,658 | 0.84 |
| Nervous system neoplasms with MCCMS-DRG 054, medical | 16 | $31,957 | $9,260 | $10,194 | 1.47 |
| Degenerative nervous system disorders with MCCMS-DRG 056, medical | 14 | $59,476 | $17,261 | $18,973 | 2.39 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 12 | $25,462 | $5,360 | $8,122 | 0.80 |
| Craniotomy and endovascular intracranial procedures with CCMS-DRG 026, surgical | 11 | $96,833 | $20,809 | $30,890 | 2.95 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 11 | $53,097 | $8,480 | $16,938 | 1.14 |
Musculoskeletal system and connective tissue552 discharges in 20 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 | 84 | $50,285 | $15,132 | $16,041 | 2.07 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 57 | $103,331 | $24,808 | $32,963 | 3.66 |
| Medical back problems without MCCMS-DRG 552, medical | 47 | $20,826 | $6,461 | $6,643 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 45 | $49,905 | $14,875 | $15,920 | 2.11 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 32 | $156,448 | $39,198 | $49,907 | 6.12 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 30 | $51,263 | $14,013 | $16,353 | 1.88 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 30 | $46,143 | $14,398 | $14,720 | 2.04 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 29 | $89,908 | $21,807 | $28,681 | 2.96 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 27 | $66,352 | $21,587 | $21,166 | 2.95 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 21 | $56,780 | $17,415 | $18,113 | 2.67 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 19 | $92,354 | $25,438 | $29,461 | 3.49 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 19 | $46,861 | $11,806 | $14,949 | 1.59 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 16 | $145,488 | $32,254 | $46,411 | 4.61 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 16 | $37,492 | $10,848 | $11,960 | 1.49 |
| Medical back problems with MCCMS-DRG 551, medical | 16 | $32,842 | $11,946 | $10,477 | 1.70 |
| Back and neck procedures except spinal fusion with CCMS-DRG 519, surgical | 14 | $66,467 | $14,645 | $21,203 | 1.97 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 14 | $17,004 | $5,659 | $5,424 | 0.79 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 13 | $20,959 | $6,010 | $6,686 | 0.90 |
| Other musculoskeletal system and connective tissue o.r. procedures with MCCMS-DRG 515, surgical | 12 | $47,762 | $23,766 | $15,236 | 3.16 |
| Revision of hip or knee replacement with MCCMS-DRG 466, surgical | 11 | $86,159 | $33,780 | $27,485 | 5.19 |
Kidney and urinary tract432 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 97 | $20,600 | $6,348 | $6,571 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 73 | $41,874 | $11,088 | $13,358 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 70 | $39,142 | $11,551 | $12,486 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 55 | $19,209 | $5,487 | $6,128 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 48 | $25,164 | $8,818 | $8,027 | 1.17 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 30 | $31,241 | $8,962 | $9,966 | 1.35 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 23 | $24,071 | $7,888 | $7,678 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 14 | $64,697 | $18,328 | $20,638 | 2.59 |
| Kidney and ureter procedures for neoplasm with CCMS-DRG 657, surgical | 11 | $59,253 | $10,464 | $18,902 | 1.84 |
| Kidney and ureter procedures for neoplasm without cc/mccMS-DRG 658, surgical | 11 | $56,555 | $11,200 | $18,041 | 1.48 |
Endocrine, nutritional and metabolic254 discharges in 6 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 | 83 | $32,307 | $9,692 | $10,306 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 70 | $22,422 | $5,520 | $7,153 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 42 | $26,800 | $6,299 | $8,549 | 0.90 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 22 | $45,359 | $11,348 | $14,469 | 1.98 |
| Diabetes with MCCMS-DRG 637, medical | 21 | $32,764 | $10,151 | $10,452 | 1.45 |
| Endocrine disorders with CCMS-DRG 644, medical | 16 | $24,914 | $7,391 | $7,948 | 1.06 |
Liver, gallbladder and pancreas228 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 30 | $44,440 | $12,767 | $14,176 | 1.63 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 25 | $44,645 | $11,142 | $14,242 | 1.63 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 25 | $28,598 | $5,315 | $9,123 | 0.86 |
| Disorders of pancreas except malignancy with MCCMS-DRG 438, medical | 24 | $47,580 | $12,457 | $15,178 | 1.67 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 24 | $32,387 | $7,577 | $10,332 | 1.09 |
| Malignancy of hepatobiliary system or pancreas with MCCMS-DRG 435, medical | 18 | $52,363 | $12,556 | $16,704 | 1.76 |
| Pancreas, liver and shunt procedures with CCMS-DRG 406, surgical | 17 | $91,567 | $18,502 | $29,210 | 2.89 |
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 16 | $39,614 | $9,255 | $12,637 | 1.92 |
| Pancreas, liver and shunt procedures without cc/mccMS-DRG 407, surgical | 13 | $77,362 | $16,635 | $24,679 | 2.15 |
| Laparoscopic cholecystectomy without C.D.E. with MCCMS-DRG 417, surgical | 13 | $55,597 | $17,721 | $17,735 | 2.32 |
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 12 | $46,079 | $14,451 | $14,699 | 1.83 |
| Laparoscopic cholecystectomy without C.D.E. without cc/mccMS-DRG 419, surgical | 11 | $41,096 | $8,768 | $13,110 | 1.31 |
Blood and immune system77 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 36 | $22,697 | $6,651 | $7,240 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 27 | $31,158 | $8,672 | $9,940 | 1.40 |
| Coagulation disordersMS-DRG 813, medical | 14 | $37,354 | $11,950 | $11,916 | 1.56 |
Injuries, poisonings and toxic effects of drugs73 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with MCCMS-DRG 919, medical | 23 | $41,135 | $12,370 | $13,122 | 1.82 |
| Complications of treatment with CCMS-DRG 920, medical | 23 | $28,700 | $8,045 | $9,155 | 1.03 |
| Other o.r. procedures for injuries with CCMS-DRG 908, surgical | 16 | $48,854 | $13,285 | $15,584 | 2.00 |
| Other o.r. procedures for injuries with MCCMS-DRG 907, surgical | 11 | $93,773 | $29,372 | $29,914 | 3.72 |
Skin, subcutaneous tissue and breast70 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 54 | $17,123 | $5,444 | $5,462 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 16 | $24,286 | $11,171 | $7,747 | 1.49 |
Other56 discharges in 3 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 | 33 | $118,302 | $28,890 | $37,738 | 4.74 |
| Multiple level spinal fusion except cervical without MCCMS-DRG 448 | 12 | $122,367 | $30,355 | $39,035 | |
| Non-extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 987, surgical | 11 | $94,969 | $24,154 | $30,295 | 3.38 |
Transplants, ECMO and tracheostomy (pre-MDC)55 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical | 25 | $608,285 | $177,197 | $194,043 | 21.32 |
| Heart transplant or implant of heart assist system with MCCMS-DRG 001, surgical | 17 | $919,453 | $223,462 | $293,306 | 27.10 |
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 13 | $269,238 | $90,365 | $85,887 | 14.70 |
Factors influencing health status43 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 17 | $20,215 | $5,989 | $6,448 | 0.80 |
| Signs and symptoms with MCCMS-DRG 947, medical | 13 | $31,704 | $9,860 | $10,114 | 1.25 |
| Other factors influencing health statusMS-DRG 951, medical | 13 | $13,420 | $4,534 | $4,281 | 0.59 |
Ear, nose, mouth and throat13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 13 | $21,335 | $5,012 | $6,806 | 0.74 |
Blood cancers and poorly differentiated neoplasms11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Acute leukemia with MCCMS-DRG 834, medical | 11 | $165,825 | $42,360 | $52,898 | 5.60 |
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 | 849 | 791 | $10,143 | $1,803 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 657 | 551 | $7,003 | $1,277 | $1,445 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 464 | 428 | $5,244 | $1,026 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 376 | 369 | $13,828 | $1,974 | $2,208 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 355 | 333 | $39,526 | $9,559 | $10,772 |
| Level 3 Vascular ProceduresAPC 5183 | 238 | 199 | $9,352 | $1,888 | $2,405 |
| Level 4 Urology and Related ServicesAPC 5374 | 195 | 163 | $13,632 | $2,301 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 174 | 90 | $7,276 | $1,142 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 170 | 169 | $21,731 | $3,851 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 163 | 152 | $19,459 | $3,540 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 160 | 155 | $24,265 | $4,669 | $5,339 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 158 | 139 | $10,439 | $1,858 | $2,141 |
| Level 4 Airway EndoscopyAPC 5154 | 155 | 121 | $11,920 | $2,593 | $2,833 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 147 | 145 | $101,507 | $18,570 | $21,117 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 129 | 114 | $10,836 | $1,992 | $2,373 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 124 | 123 | $42,454 | $6,831 | $8,164 |
| Complex GI ProceduresAPC 5331 | 116 | 74 | $24,748 | $3,480 | $4,263 |
| Level 3 Lower GI ProceduresAPC 5313 | 113 | 107 | $11,159 | $1,855 | $2,176 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 94 | 64 | $10,736 | $1,930 | $2,636 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 91 | 88 | $57,866 | $14,151 | $15,763 |
| Level 3 Endovascular ProceduresAPC 5193 | 88 | 85 | $44,129 | $7,864 | $8,874 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 86 | 77 | $16,967 | $2,658 | $2,930 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 82 | 77 | $5,919 | $1,038 | $1,196 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 82 | 82 | $36,598 | $7,665 | $8,569 |
| Level 2 Intraocular ProceduresAPC 5492 | 81 | 77 | $15,782 | $2,735 | $3,116 |
| Level 4 Vascular ProceduresAPC 5184 | 69 | 51 | $22,128 | $2,793 | $3,946 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 65 | 65 | $28,054 | $4,571 | $4,982 |
| Level 3 Upper GI ProceduresAPC 5303 | 65 | 64 | $17,323 | $2,662 | $2,888 |
| Level 2 Vascular ProceduresAPC 5182 | 60 | 60 | $2,845 | $753 | $1,204 |
| Level 5 Airway EndoscopyAPC 5155 | 59 | 55 | $24,150 | $4,716 | $5,183 |
| Level 2 Endovascular ProceduresAPC 5192 | 55 | 53 | $27,495 | $3,863 | $4,338 |
| Level 4 Gynecologic ProceduresAPC 5414 | 54 | 54 | $13,049 | $1,826 | $2,389 |
| Level 5 ENT ProceduresAPC 5165 | 53 | 53 | $23,834 | $3,983 | $4,436 |
| Level 3 Airway EndoscopyAPC 5153 | 51 | 45 | $7,022 | $1,165 | $1,264 |
| Level 4 Endovascular ProceduresAPC 5194 | 50 | 46 | $58,301 | $12,673 | $14,606 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 47 | 46 | $97,192 | $22,901 | $26,719 |
| Level 1 Nerve ProceduresAPC 5431 | 45 | 42 | $9,859 | $1,086 | $1,407 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 38 | 38 | $97,485 | $26,530 | $29,375 |
| Level 1 Intraocular ProceduresAPC 5491 | 29 | 21 | $11,118 | $1,635 | $1,752 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 27 | 27 | $29,507 | $5,956 | $6,514 |
| Level 5 Gynecologic ProceduresAPC 5415 | 27 | 27 | $21,175 | $3,388 | $3,792 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 27 | 26 | $89,796 | $15,628 | $18,465 |
| Level 6 Urology and Related ServicesAPC 5376 | 20 | 20 | $31,709 | $6,154 | $7,291 |
| Level 2 Urology and Related ServicesAPC 5372 | 19 | 16 | $4,609 | $383 | $502 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 19 | 18 | $12,095 | $1,553 | $1,780 |
| Level 6 Gynecologic ProceduresAPC 5416 | 18 | 18 | $33,163 | $5,301 | $5,836 |
| Level 7 Radiation TherapyAPC 5627 | 18 | 15 | $37,931 | $5,462 | $6,121 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 17 | 17 | $58,826 | $15,486 | $17,052 |
| Implantation Wireless PA Pressure MonitorAPC 5200 | 15 | 15 | $118,236 | $22,293 | $26,955 |
| Level 8 Urology and Related ServicesAPC 5378 | 13 | 12 | $78,445 | $16,088 | $17,428 |
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.