Henry Ford Allegiance Health Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Henry Ford Allegiance Health, Jackson, MI in 2024, from traditional Medicare claims. Back to the Henry Ford Allegiance Health profile, with quality ratings, finances and negotiated rates.
2,730
Medicare inpatient discharges
In 83 published DRGs
1.82
Case mix index
IPPS FY 2027
15%
Surgical stays
70%
Stays with complications
In DRGs with a CC or MCC
2,957
Medicare outpatient services
In 40 service groups
Inpatient stays by major diagnostic category
Circulatory system673 discharges in 19 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 199 | $40,812 | $9,618 | $9,591 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 59 | $54,566 | $11,976 | $12,823 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 44 | $75,528 | $12,476 | $17,749 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 39 | $33,504 | $4,895 | $7,874 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 37 | $43,978 | $7,224 | $10,335 | 1.08 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 35 | $94,035 | $24,294 | $22,098 | 3.24 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 34 | $129,747 | $20,901 | $30,491 | 2.87 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 30 | $47,466 | $6,450 | $11,154 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 29 | $64,600 | $8,753 | $15,181 | 1.20 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 25 | $184,358 | $37,943 | $43,324 | 4.88 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 21 | $64,438 | $15,046 | $15,143 | 2.16 |
| Syncope and collapseMS-DRG 312, medical | 21 | $38,768 | $6,516 | $9,111 | 0.86 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 20 | $70,859 | $15,884 | $16,652 | 2.09 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 17 | $26,057 | $3,150 | $6,123 | 0.55 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 13 | $72,817 | $16,095 | $17,112 | 2.28 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 13 | $150,686 | $36,963 | $35,411 | 5.06 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 13 | $33,273 | $7,537 | $7,819 | 1.07 |
| Coronary intravascular lithotripsy with intraluminal device with MCCMS-DRG 323, surgical | 13 | $181,511 | $29,917 | $42,655 | 4.14 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 11 | $144,052 | $29,601 | $33,852 | 3.46 |
Respiratory system521 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 157 | $35,700 | $8,601 | $8,390 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 143 | $36,876 | $9,511 | $8,666 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 88 | $50,120 | $12,218 | $11,778 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 26 | $31,170 | $5,584 | $7,325 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 23 | $54,657 | $9,874 | $12,844 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 17 | $112,778 | $20,399 | $26,503 | 2.70 |
| Major chest trauma with CCMS-DRG 184, medical | 16 | $38,773 | $7,081 | $9,112 | 1.05 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 15 | $27,798 | $6,309 | $6,533 | 0.99 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 13 | $34,892 | $4,737 | $8,200 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 12 | $20,570 | $6,612 | $4,834 | 0.85 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 11 | $50,512 | $12,756 | $11,870 | 1.74 |
Infectious and parasitic diseases353 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 | 268 | $64,120 | $14,643 | $15,068 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 45 | $44,320 | $7,289 | $10,415 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 40 | $140,946 | $36,782 | $33,122 | 5.00 |
Digestive system290 discharges in 10 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 | 63 | $31,359 | $5,316 | $7,369 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 60 | $37,768 | $7,280 | $8,875 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 38 | $61,700 | $13,484 | $14,500 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 27 | $35,736 | $5,475 | $8,398 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 23 | $112,545 | $17,657 | $26,448 | 2.37 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 23 | $36,416 | $9,841 | $8,558 | 1.28 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 16 | $63,971 | $12,751 | $15,033 | 1.62 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 16 | $32,434 | $6,246 | $7,622 | 0.94 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 13 | $151,008 | $32,364 | $35,487 | 4.52 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 11 | $83,449 | $11,516 | $19,611 | 1.67 |
Kidney and urinary tract226 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 60 | $31,200 | $6,311 | $7,332 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 40 | $46,206 | $9,781 | $10,858 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 34 | $43,287 | $8,692 | $10,172 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 34 | $47,519 | $12,301 | $11,167 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 27 | $31,196 | $5,772 | $7,331 | 0.81 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 16 | $51,901 | $9,153 | $12,197 | 1.35 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 15 | $30,297 | $7,791 | $7,120 | 1.02 |
Musculoskeletal system and connective tissue218 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 49 | $40,296 | $6,956 | $9,470 | 0.97 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 34 | $179,736 | $42,320 | $42,238 | 6.12 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 24 | $76,771 | $15,499 | $18,041 | 2.11 |
| Medical back problems with MCCMS-DRG 551, medical | 17 | $48,496 | $13,037 | $11,396 | 1.70 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 16 | $83,257 | $21,276 | $19,565 | 2.95 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 16 | $73,885 | $14,412 | $17,363 | 2.07 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 15 | $149,314 | $35,956 | $35,089 | 4.61 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 13 | $28,565 | $5,169 | $6,713 | 0.79 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 12 | $81,429 | $13,852 | $19,136 | 2.40 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 11 | $100,157 | $17,526 | $23,537 | 2.48 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 11 | $33,591 | $6,386 | $7,894 | 0.90 |
Nervous system186 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 41 | $79,253 | $14,537 | $18,625 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 39 | $42,804 | $7,185 | $10,059 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 16 | $30,347 | $9,512 | $7,132 | 1.36 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 16 | $34,512 | $6,927 | $8,110 | 1.06 |
| Other cerebrovascular disorders with MCCMS-DRG 070, medical | 15 | $62,707 | $13,058 | $14,736 | 1.79 |
| Seizures without MCCMS-DRG 101, medical | 13 | $39,674 | $4,832 | $9,323 | 0.91 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 12 | $34,420 | $7,640 | $8,089 | 1.03 |
| Seizures with MCCMS-DRG 100, medical | 12 | $149,168 | $25,531 | $35,054 | 1.98 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 11 | $29,684 | $5,673 | $6,976 | 0.80 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 11 | $59,491 | $12,261 | $13,980 | 1.79 |
Endocrine, nutritional and metabolic133 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 | 54 | $29,144 | $9,793 | $6,849 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 49 | $29,649 | $5,166 | $6,968 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 17 | $27,117 | $5,852 | $6,373 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $45,256 | $10,771 | $10,635 | 1.45 |
Blood and immune system33 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 | 19 | $34,539 | $5,892 | $8,117 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 14 | $41,809 | $10,585 | $9,825 | 1.40 |
Alcohol and drug use20 discharges in 1 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 | 20 | $33,108 | $6,501 | $7,780 | 0.86 |
Factors influencing health status19 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 | 19 | $23,882 | $5,897 | $5,612 | 0.80 |
Skin, subcutaneous tissue and breast18 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 18 | $31,683 | $6,251 | $7,445 | 0.88 |
Liver, gallbladder and pancreas15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with MCCMS-DRG 441, medical | 15 | $49,422 | $12,669 | $11,614 | 1.83 |
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 | $26,744 | $5,031 | $6,285 | 0.74 |
Injuries, poisonings and toxic effects of drugs12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Complications of treatment with CCMS-DRG 920, medical | 12 | $25,658 | $7,514 | $6,030 | 1.03 |
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 |
|---|---|---|---|---|---|
| Level 2 Urology and Related ServicesAPC 5372 | 419 | 258 | $1,876 | $328 | $502 |
| Comprehensive Observation ServicesAPC 8011 | 405 | 383 | $15,983 | $1,918 | $2,090 |
| Level 4 Urology and Related ServicesAPC 5374 | 158 | 133 | $13,586 | $2,468 | $2,629 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 145 | 136 | $6,964 | $1,103 | $1,220 |
| Level 3 Urology and Related ServicesAPC 5373 | 143 | 128 | $4,969 | $979 | $1,516 |
| Level 1 Endovascular ProceduresAPC 5191 | 140 | 139 | $11,652 | $2,076 | $2,208 |
| Level 2 Upper GI ProceduresAPC 5302 | 123 | 117 | $6,838 | $1,334 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 100 | 93 | $14,769 | $2,264 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 100 | 100 | $29,152 | $4,063 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 90 | 86 | $21,027 | $3,650 | $3,918 |
| Level 1 Nerve ProceduresAPC 5431 | 88 | 73 | $10,566 | $1,372 | $1,407 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 79 | 79 | $12,085 | $2,020 | $2,141 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 77 | 76 | $44,721 | $9,973 | $10,772 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 77 | 75 | $66,214 | $19,522 | $21,117 |
| Level 3 Endovascular ProceduresAPC 5193 | 67 | 62 | $45,234 | $8,062 | $8,874 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 60 | 59 | $27,286 | $5,089 | $5,339 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 58 | 57 | $12,278 | $2,272 | $2,373 |
| Level 2 Vascular ProceduresAPC 5182 | 50 | 37 | $11,590 | $1,135 | $1,204 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 48 | 48 | $25,183 | $6,040 | $6,514 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 46 | 44 | $5,663 | $1,090 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 46 | 43 | $14,338 | $2,408 | $2,636 |
| Level 3 ENT ProceduresAPC 5163 | 39 | 20 | $3,085 | $1,053 | $1,106 |
| Level 3 Airway EndoscopyAPC 5153 | 36 | 28 | $5,980 | $1,193 | $1,264 |
| Level 2 Endovascular ProceduresAPC 5192 | 36 | 36 | $16,988 | $3,949 | $4,338 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 31 | 30 | $13,646 | $2,708 | $2,930 |
| Level 4 Airway EndoscopyAPC 5154 | 31 | 31 | $14,591 | $2,406 | $2,833 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 27 | 26 | $31,814 | $4,468 | $4,982 |
| Level 5 ENT ProceduresAPC 5165 | 25 | 24 | $23,579 | $4,166 | $4,436 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 24 | 24 | $30,707 | $7,558 | $8,569 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 24 | 24 | $48,526 | $7,555 | $8,164 |
| Level 4 Endovascular ProceduresAPC 5194 | 23 | 22 | $69,274 | $13,995 | $14,606 |
| Level 3 Lower GI ProceduresAPC 5313 | 21 | 20 | $12,640 | $2,004 | $2,176 |
| Level 4 Gynecologic ProceduresAPC 5414 | 21 | 20 | $13,757 | $2,054 | $2,389 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 20 | 19 | $72,963 | $14,974 | $15,763 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 17 | 16 | $10,668 | $4,579 | $4,524 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 15 | 15 | $61,313 | $15,729 | $17,052 |
| Level 4 Vascular ProceduresAPC 5184 | 13 | 12 | $21,641 | $3,910 | $3,946 |
| Level 5 Airway EndoscopyAPC 5155 | 12 | 12 | $30,011 | $4,869 | $5,183 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 12 | 12 | $112,911 | $27,658 | $29,375 |
| Level 3 Upper GI ProceduresAPC 5303 | 11 | 11 | $12,844 | $2,725 | $2,888 |
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.