Mclaren Lapeer Region Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mclaren Lapeer Region, Lapeer, MI in 2024, from traditional Medicare claims. Back to the Mclaren Lapeer Region profile, with quality ratings, finances and negotiated rates.
821
Medicare inpatient discharges
In 33 published DRGs
1.63
Case mix index
IPPS FY 2027
6%
Surgical stays
78%
Stays with complications
In DRGs with a CC or MCC
522
Medicare outpatient services
In 14 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases204 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 | 167 | $48,817 | $15,625 | $11,814 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 23 | $88,338 | $40,793 | $21,378 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 14 | $25,849 | $7,387 | $6,256 | 1.03 |
Circulatory system189 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 90 | $31,078 | $9,981 | $7,521 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 35 | $36,981 | $12,443 | $8,950 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 20 | $19,319 | $5,206 | $4,675 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 16 | $22,160 | $6,394 | $5,363 | 0.91 |
| Syncope and collapseMS-DRG 312, medical | 16 | $17,976 | $6,077 | $4,350 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 12 | $33,154 | $9,302 | $8,023 | 1.20 |
Respiratory system98 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 41 | $31,981 | $9,850 | $7,739 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 24 | $32,168 | $13,383 | $7,785 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 21 | $28,573 | $9,406 | $6,915 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 12 | $22,954 | $6,899 | $5,555 | 1.10 |
Kidney and urinary tract71 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 19 | $18,294 | $6,884 | $4,427 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 18 | $30,766 | $12,012 | $7,445 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 17 | $22,690 | $8,876 | $5,491 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 17 | $20,008 | $5,763 | $4,842 | 0.81 |
Endocrine, nutritional and metabolic59 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 | 18 | $29,320 | $10,069 | $7,095 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 16 | $30,275 | $11,390 | $7,327 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 13 | $15,819 | $5,540 | $3,828 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 12 | $29,500 | $6,711 | $7,139 | 0.90 |
Digestive system55 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 21 | $41,671 | $14,357 | $10,084 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 19 | $16,257 | $5,385 | $3,934 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 15 | $25,110 | $7,175 | $6,077 | 0.98 |
Blood and immune system40 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Coagulation disordersMS-DRG 813, medical | 27 | $51,999 | $11,963 | $12,584 | 1.56 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 13 | $34,285 | $10,620 | $8,297 | 1.40 |
Musculoskeletal system and connective tissue40 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 15 | $24,071 | $6,418 | $5,825 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 13 | $60,947 | $16,622 | $14,749 | 2.11 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 12 | $64,428 | $16,663 | $15,592 | 2.07 |
Nervous system39 discharges in 2 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 | 28 | $30,453 | $7,553 | $7,370 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 11 | $48,807 | $13,992 | $11,811 | 2.00 |
Skin, subcutaneous tissue and breast15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 15 | $24,479 | $6,940 | $5,924 | 0.88 |
Ear, nose, mouth and throat11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 11 | $23,434 | $5,040 | $5,671 | 0.74 |
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 | 124 | 118 | $20,420 | $1,944 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 71 | 44 | $5,507 | $1,603 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 59 | 57 | $6,775 | $1,146 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 41 | 40 | $14,079 | $2,263 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 37 | 36 | $52,190 | $10,083 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 37 | 35 | $13,631 | $2,336 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 30 | 28 | $20,740 | $3,666 | $3,918 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 25 | 25 | $9,163 | $2,018 | $2,141 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 22 | 22 | $22,829 | $5,080 | $5,339 |
| Level 1 Nerve ProceduresAPC 5431 | 21 | 15 | $10,718 | $1,371 | $1,407 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 19 | 19 | $23,512 | $4,087 | $4,358 |
| Level 3 Airway EndoscopyAPC 5153 | 14 | 14 | $6,054 | $1,205 | $1,264 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 11 | $7,933 | $2,298 | $2,373 | |
| Level 3 Urology and Related ServicesAPC 5373 | 11 | 11 | $9,393 | $1,315 | $1,516 |
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.