Mclaren Bay Region Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mclaren Bay Region, Bay City, MI in 2024, from traditional Medicare claims. Back to the Mclaren Bay Region profile, with quality ratings, finances and negotiated rates.
1,796
Medicare inpatient discharges
In 65 published DRGs
2.04
Case mix index
IPPS FY 2027
22%
Surgical stays
66%
Stays with complications
In DRGs with a CC or MCC
1,917
Medicare outpatient services
In 29 service groups
Inpatient stays by major diagnostic category
Circulatory system741 discharges in 23 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 114 | $27,612 | $7,545 | $8,118 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 74 | $39,366 | $9,418 | $11,574 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 52 | $66,786 | $9,708 | $19,635 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 50 | $26,353 | $5,848 | $7,748 | 1.08 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 42 | $17,514 | $3,922 | $5,149 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 40 | $23,220 | $4,636 | $6,827 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 40 | $46,540 | $13,285 | $13,683 | 2.16 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 36 | $11,837 | $2,363 | $3,480 | 0.55 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 35 | $179,943 | $31,103 | $52,903 | 4.88 |
| Syncope and collapseMS-DRG 312, medical | 31 | $20,139 | $4,471 | $5,921 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 30 | $34,484 | $6,550 | $10,138 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 28 | $98,957 | $18,006 | $29,093 | 2.87 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 26 | $85,286 | $19,439 | $25,074 | 3.24 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 19 | $74,839 | $11,645 | $22,003 | 2.28 |
| Chest painMS-DRG 313, medical | 18 | $14,182 | $4,080 | $4,170 | 0.72 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 17 | $109,399 | $23,017 | $32,163 | 3.46 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 16 | $120,920 | $29,379 | $35,550 | 5.20 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 14 | $68,049 | $9,269 | $20,006 | 1.83 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 13 | $122,876 | $28,558 | $36,125 | 5.06 |
| Heart failure and shock with CCMS-DRG 292, medical | 12 | $19,748 | $4,913 | $5,806 | 0.86 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 12 | $34,118 | $10,451 | $10,031 | 2.09 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 11 | $65,983 | $21,245 | $19,399 | 3.35 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $15,468 | $3,522 | $4,548 | 0.75 |
Respiratory system224 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 54 | $33,886 | $7,575 | $9,962 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 42 | $26,234 | $6,362 | $7,713 | 1.10 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 39 | $39,994 | $9,674 | $11,758 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 37 | $30,485 | $7,392 | $8,963 | 1.23 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 14 | $31,873 | $7,701 | $9,371 | 1.40 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 14 | $57,380 | $16,521 | $16,870 | 2.70 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 12 | $26,919 | $4,843 | $7,914 | 0.85 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $21,277 | $4,119 | $6,255 | 0.82 |
Infectious and parasitic diseases222 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 | 153 | $48,532 | $11,828 | $14,269 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 35 | $101,410 | $29,881 | $29,815 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 21 | $28,378 | $5,535 | $8,343 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 13 | $152,872 | $40,305 | $44,944 | 6.96 |
Kidney and urinary tract140 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 49 | $34,409 | $8,856 | $10,116 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 36 | $23,151 | $4,893 | $6,806 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 21 | $18,468 | $4,423 | $5,430 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 20 | $22,787 | $6,800 | $6,699 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 14 | $39,206 | $10,045 | $11,527 | 1.65 |
Digestive system125 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 | 38 | $21,103 | $3,897 | $6,204 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 31 | $27,835 | $5,691 | $8,184 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 17 | $40,658 | $10,995 | $11,953 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 15 | $17,804 | $3,840 | $5,234 | 0.80 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 12 | $53,356 | $14,637 | $15,687 | 2.37 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 12 | $22,213 | $5,353 | $6,531 | 0.94 |
Musculoskeletal system and connective tissue97 discharges in 6 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 | 27 | $66,682 | $11,111 | $19,605 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 17 | $55,503 | $12,041 | $16,318 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 14 | $65,774 | $12,687 | $19,337 | 2.11 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 14 | $14,693 | $4,626 | $4,320 | 0.90 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 13 | $78,850 | $22,616 | $23,182 | 3.66 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 12 | $61,217 | $12,477 | $17,998 | 2.04 |
Nervous system91 discharges in 5 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 | 24 | $22,182 | $5,090 | $6,522 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 20 | $40,214 | $11,506 | $11,823 | 2.00 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 20 | $20,178 | $3,957 | $5,932 | 0.80 |
| Carotid artery stent procedures with CCMS-DRG 035, surgical | 14 | $56,437 | $13,263 | $16,592 | 2.30 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 13 | $48,616 | $10,979 | $14,293 | 1.81 |
Endocrine, nutritional and metabolic89 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 | 39 | $28,949 | $7,810 | $8,511 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 22 | $17,146 | $4,180 | $5,041 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $30,550 | $8,242 | $8,982 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 14 | $25,665 | $4,673 | $7,546 | 0.90 |
Skin, subcutaneous tissue and breast26 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 26 | $18,000 | $4,509 | $5,292 | 0.88 |
Blood and immune system15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 15 | $23,718 | $4,431 | $6,973 | 0.90 |
Mental diseases and disorders15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 15 | $20,652 | $9,270 | $6,072 | 1.76 |
Liver, gallbladder and pancreas11 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 | 11 | $25,019 | $4,443 | $7,356 | 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 |
|---|---|---|---|---|---|
| Level 1 Endovascular ProceduresAPC 5191 | 331 | 329 | $9,043 | $2,050 | $2,208 |
| Level 5 Urology and Related ServicesAPC 5375 | 156 | 137 | $14,018 | $3,644 | $3,918 |
| Level 3 Endovascular ProceduresAPC 5193 | 152 | 144 | $39,053 | $7,946 | $8,874 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 114 | 109 | $53,068 | $9,994 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 111 | 71 | $4,168 | $1,151 | $1,220 |
| Comprehensive Observation ServicesAPC 8011 | 100 | 98 | $9,306 | $1,884 | $2,090 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 80 | 80 | $44,719 | $7,656 | $8,569 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 73 | 69 | $22,135 | $4,938 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 71 | 62 | $8,577 | $2,474 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 70 | 68 | $10,742 | $2,289 | $2,373 |
| Level 3 Vascular ProceduresAPC 5183 | 70 | 61 | $8,966 | $2,263 | $2,405 |
| Level 1 Intraocular ProceduresAPC 5491 | 63 | 40 | $4,402 | $1,628 | $1,752 |
| Level 2 Upper GI ProceduresAPC 5302 | 57 | 55 | $3,500 | $1,298 | $1,445 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 52 | 51 | $7,226 | $2,017 | $2,141 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 48 | 48 | $64,988 | $14,943 | $15,763 |
| Level 1 Nerve ProceduresAPC 5431 | 46 | 38 | $4,415 | $1,351 | $1,407 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 44 | 44 | $63,180 | $6,032 | $6,514 |
| Level 3 Urology and Related ServicesAPC 5373 | 37 | 28 | $6,313 | $1,446 | $1,516 |
| Level 4 Endovascular ProceduresAPC 5194 | 35 | 34 | $52,644 | $13,566 | $14,606 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 33 | 32 | $17,379 | $4,097 | $4,358 |
| Level 2 Endovascular ProceduresAPC 5192 | 32 | 30 | $27,326 | $3,804 | $4,338 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 24 | 23 | $162,170 | $26,453 | $29,375 |
| Level 5 ENT ProceduresAPC 5165 | 20 | 20 | $15,705 | $4,158 | $4,436 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 19 | 19 | $4,651 | $1,141 | $1,196 |
| Cochlear Implant ProcedureAPC 5166 | 19 | 19 | $124,211 | $28,167 | $29,489 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 19 | 19 | $31,645 | $7,538 | $8,164 |
| Level 2 Vascular ProceduresAPC 5182 | 16 | 15 | $3,114 | $1,115 | $1,204 |
| Level 3 Airway EndoscopyAPC 5153 | 14 | 14 | $4,561 | $1,197 | $1,264 |
| Level 5 Airway EndoscopyAPC 5155 | 11 | 11 | $17,316 | $4,851 | $5,183 |
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.