Franciscan Health Michigan City Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Franciscan Health Michigan City, Michigan City, IN in 2024, from traditional Medicare claims. Back to the Franciscan Health Michigan City profile, with quality ratings, finances and negotiated rates.
1,628
Medicare inpatient discharges
In 55 published DRGs
1.67
Case mix index
IPPS FY 2027
12%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
1,995
Medicare outpatient services
In 35 service groups
Inpatient stays by major diagnostic category
Circulatory system407 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 97 | $44,618 | $8,171 | $10,218 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 66 | $66,806 | $10,209 | $15,299 | 1.59 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 32 | $83,760 | $21,688 | $19,181 | 3.24 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 26 | $50,319 | $5,466 | $11,523 | 0.91 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 25 | $108,356 | $10,578 | $24,813 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 24 | $35,324 | $4,442 | $8,089 | 0.74 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 23 | $45,240 | $7,903 | $10,360 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 23 | $156,738 | $17,764 | $35,893 | 2.87 |
| Syncope and collapseMS-DRG 312, medical | 22 | $36,994 | $5,285 | $8,472 | 0.86 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 17 | $63,352 | $6,514 | $14,508 | 1.08 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 17 | $25,907 | $3,047 | $5,933 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 12 | $90,881 | $14,497 | $20,812 | 2.16 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 12 | $31,104 | $6,680 | $7,123 | 1.07 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 11 | $59,552 | $13,624 | $13,638 | 2.09 |
Respiratory system269 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 | 88 | $55,194 | $8,036 | $12,639 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 76 | $62,400 | $10,638 | $14,290 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 46 | $50,449 | $8,117 | $11,553 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 24 | $35,919 | $4,970 | $8,226 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 12 | $64,835 | $9,604 | $14,847 | 1.40 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 12 | $39,442 | $6,402 | $9,032 | 0.99 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $116,723 | $17,144 | $26,730 | 2.70 |
Infectious and parasitic diseases266 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 | 185 | $76,439 | $12,426 | $17,505 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 37 | $38,612 | $6,467 | $8,842 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 28 | $148,230 | $28,541 | $33,945 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 16 | $69,895 | $12,510 | $16,006 | 2.04 |
Kidney and urinary tract192 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 40 | $49,863 | $9,578 | $11,419 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 37 | $39,970 | $5,450 | $9,153 | 0.90 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 37 | $48,645 | $10,105 | $11,140 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 34 | $29,350 | $4,581 | $6,721 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 27 | $39,697 | $7,677 | $9,091 | 1.17 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 17 | $30,083 | $6,490 | $6,889 | 1.02 |
Digestive system146 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 32 | $44,982 | $6,105 | $10,301 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 26 | $38,050 | $4,971 | $8,713 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 23 | $67,936 | $11,078 | $15,557 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 18 | $31,233 | $4,845 | $7,152 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 17 | $121,091 | $13,056 | $27,730 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 15 | $50,924 | $8,698 | $11,662 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 15 | $37,437 | $6,853 | $8,573 | 0.94 |
Endocrine, nutritional and metabolic105 discharges in 4 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 | 38 | $42,817 | $8,514 | $9,805 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 38 | $27,747 | $4,982 | $6,354 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 16 | $36,447 | $5,834 | $8,346 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $42,265 | $9,736 | $9,679 | 1.45 |
Musculoskeletal system and connective tissue88 discharges in 5 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 | 22 | $82,713 | $13,438 | $18,941 | 2.07 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 19 | $92,506 | $11,437 | $21,184 | 1.88 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 17 | $34,834 | $4,945 | $7,977 | 0.90 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 15 | $100,537 | $13,755 | $23,023 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 15 | $35,864 | $5,917 | $8,213 | 0.97 |
Nervous system77 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 | 32 | $48,360 | $5,935 | $11,074 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 22 | $73,631 | $11,056 | $16,861 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 12 | $40,040 | $5,553 | $9,169 | 0.91 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 11 | $43,551 | $8,442 | $9,973 | 1.36 |
Mental diseases and disorders36 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 36 | $51,455 | $7,613 | $11,783 | 1.37 |
Skin, subcutaneous tissue and breast27 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 16 | $25,196 | $5,175 | $5,770 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 11 | $50,005 | $9,816 | $11,451 | 1.49 |
Liver, gallbladder and pancreas15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 15 | $35,281 | $6,404 | $8,079 | 0.86 |
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 | 227 | 220 | $22,828 | $1,927 | $2,090 |
| Level 3 Urology and Related ServicesAPC 5373 | 205 | 174 | $14,657 | $1,362 | $1,516 |
| Level 2 Upper GI ProceduresAPC 5302 | 153 | 131 | $11,283 | $1,314 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 115 | 99 | $20,313 | $2,242 | $2,405 |
| Level 2 Urology and Related ServicesAPC 5372 | 112 | 93 | $6,881 | $441 | $502 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 108 | 102 | $78,600 | $9,991 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 95 | 77 | $21,120 | $2,446 | $2,629 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 80 | 77 | $10,110 | $1,107 | $1,220 |
| Level 5 Urology and Related ServicesAPC 5375 | 75 | 74 | $28,317 | $3,625 | $3,918 |
| Level 1 Endovascular ProceduresAPC 5191 | 73 | 71 | $29,139 | $2,058 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 70 | 67 | $49,674 | $4,028 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 65 | 65 | $42,485 | $5,006 | $5,339 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 55 | 53 | $10,713 | $1,653 | $1,780 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 52 | 49 | $16,223 | $2,013 | $2,141 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 51 | 48 | $108,194 | $19,485 | $21,117 |
| Level 2 Vascular ProceduresAPC 5182 | 47 | 45 | $20,887 | $1,077 | $1,204 |
| Level 2 Endovascular ProceduresAPC 5192 | 42 | 29 | $39,770 | $4,056 | $4,338 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 33 | 33 | $24,384 | $2,159 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 28 | 27 | $12,943 | $1,141 | $1,196 |
| Level 4 Airway EndoscopyAPC 5154 | 28 | 27 | $36,562 | $2,660 | $2,833 |
| Level 4 Vascular ProceduresAPC 5184 | 28 | 26 | $30,551 | $3,780 | $3,946 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 28 | 27 | $26,731 | $2,450 | $2,636 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 27 | 27 | $105,509 | $14,945 | $15,763 |
| Level 3 Endovascular ProceduresAPC 5193 | 27 | 25 | $65,999 | $8,167 | $8,874 |
| Level 4 Gynecologic ProceduresAPC 5414 | 22 | 21 | $21,128 | $2,220 | $2,389 |
| Level 3 Lower GI ProceduresAPC 5313 | 21 | 21 | $16,145 | $2,000 | $2,176 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 20 | 20 | $70,614 | $7,539 | $8,164 |
| Level 1 Nerve ProceduresAPC 5431 | 19 | 19 | $14,861 | $1,285 | $1,407 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 14 | 14 | $130,919 | $27,606 | $29,375 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 14 | 13 | $22,014 | $4,856 | $4,524 |
| Level 5 Airway EndoscopyAPC 5155 | 13 | 13 | $44,191 | $4,861 | $5,183 |
| Level 4 Endovascular ProceduresAPC 5194 | 13 | 13 | $85,826 | $12,893 | $14,606 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 13 | 11 | $64,627 | $17,820 | $18,465 |
| Level 5 ENT ProceduresAPC 5165 | 11 | 11 | $17,600 | $4,145 | $4,436 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 11 | 11 | $100,975 | $15,698 | $17,052 |
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.