Mclaren Macomb Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mclaren Macomb, Mount Clemens, MI in 2024, from traditional Medicare claims. Back to the Mclaren Macomb profile, with quality ratings, finances and negotiated rates.
1,689
Medicare inpatient discharges
In 60 published DRGs
1.90
Case mix index
IPPS FY 2027
13%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
1,838
Medicare outpatient services
In 30 service groups
Inpatient stays by major diagnostic category
Circulatory system423 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 | 105 | $28,257 | $9,180 | $7,262 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 79 | $39,279 | $11,119 | $10,095 | 1.59 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 36 | $108,245 | $24,325 | $27,819 | 3.24 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 24 | $87,382 | $12,137 | $22,457 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 23 | $19,677 | $4,757 | $5,057 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 22 | $21,101 | $5,965 | $5,423 | 0.91 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 22 | $11,820 | $2,934 | $3,038 | 0.55 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 19 | $28,544 | $8,144 | $7,336 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 18 | $34,908 | $6,929 | $8,971 | 1.08 |
| Syncope and collapseMS-DRG 312, medical | 17 | $22,238 | $5,894 | $5,715 | 0.86 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 17 | $109,950 | $19,696 | $28,257 | 2.87 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 16 | $37,052 | $13,812 | $9,522 | 2.09 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 13 | $191,716 | $34,028 | $49,271 | 4.88 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 12 | $98,058 | $25,580 | $25,201 | 3.35 |
Respiratory system267 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 72 | $34,115 | $12,286 | $8,768 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 67 | $27,712 | $9,074 | $7,122 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 42 | $27,309 | $8,711 | $7,018 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 25 | $24,180 | $8,284 | $6,214 | 1.10 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 19 | $55,441 | $20,960 | $14,248 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 17 | $20,249 | $5,474 | $5,204 | 0.82 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 13 | $31,439 | $13,489 | $8,080 | 1.74 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 12 | $28,088 | $10,254 | $7,218 | 1.40 |
Infectious and parasitic diseases262 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 | 194 | $42,432 | $14,082 | $10,905 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 45 | $95,494 | $35,154 | $24,542 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 23 | $21,121 | $7,128 | $5,428 | 1.03 |
Nervous system180 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 32 | $63,917 | $14,195 | $16,427 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 32 | $35,782 | $7,000 | $9,196 | 1.02 |
| Seizures with MCCMS-DRG 100, medical | 26 | $55,820 | $13,960 | $14,346 | 1.98 |
| Seizures without MCCMS-DRG 101, medical | 24 | $26,459 | $6,386 | $6,800 | 0.91 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 16 | $23,679 | $5,412 | $6,085 | 0.80 |
| Traumatic stupor and coma <1 hour with CCMS-DRG 086, medical | 15 | $33,101 | $8,775 | $8,507 | 1.32 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 13 | $138,961 | $34,185 | $35,713 | 4.42 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 11 | $31,359 | $8,363 | $8,059 | 1.36 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 11 | $79,569 | $19,328 | $20,449 | 2.28 |
Kidney and urinary tract147 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 44 | $22,430 | $7,849 | $5,765 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 31 | $18,920 | $6,325 | $4,862 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 30 | $31,628 | $10,879 | $8,128 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 28 | $41,554 | $11,736 | $10,679 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 14 | $20,631 | $5,721 | $5,302 | 0.81 |
Digestive system128 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 | 37 | $19,465 | $5,173 | $5,002 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 23 | $44,079 | $12,935 | $11,328 | 1.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 21 | $22,961 | $5,892 | $5,901 | 0.98 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 19 | $19,837 | $6,359 | $5,098 | 0.94 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 15 | $32,437 | $8,797 | $8,336 | 1.28 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $19,003 | $4,808 | $4,884 | 0.80 |
Musculoskeletal system and connective tissue99 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 | 31 | $77,984 | $14,659 | $20,042 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 22 | $24,260 | $6,205 | $6,235 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 21 | $77,744 | $14,730 | $19,980 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 13 | $96,260 | $21,532 | $24,739 | 2.95 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 12 | $28,096 | $6,315 | $7,221 | 0.90 |
Endocrine, nutritional and metabolic95 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 | 29 | $25,969 | $9,606 | $6,674 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 27 | $20,107 | $5,118 | $5,167 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 21 | $31,413 | $9,913 | $8,073 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 18 | $20,284 | $6,190 | $5,213 | 0.90 |
Mental diseases and disorders35 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 22 | $23,340 | $10,488 | $5,998 | 1.76 |
| PsychosesMS-DRG 885, medical | 13 | $32,009 | $9,475 | $8,226 | 1.37 |
Blood and immune system27 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 | 15 | $21,060 | $6,434 | $5,412 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 12 | $29,647 | $10,334 | $7,619 | 1.40 |
Liver, gallbladder and pancreas13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Disorders of the biliary tract with CCMS-DRG 445, medical | 13 | $27,192 | $8,073 | $6,988 | 1.09 |
Skin, subcutaneous tissue and breast13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 13 | $15,719 | $5,789 | $4,040 | 0.88 |
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 | 730 | 627 | $8,492 | $1,888 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 107 | 99 | $62,205 | $9,756 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 106 | 106 | $20,516 | $2,024 | $2,208 |
| Level 1 Intraocular ProceduresAPC 5491 | 78 | 55 | $9,444 | $1,593 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 69 | 67 | $10,189 | $1,134 | $1,220 |
| Level 1 Nerve ProceduresAPC 5431 | 60 | 54 | $11,424 | $1,332 | $1,407 |
| Level 3 Vascular ProceduresAPC 5183 | 59 | 55 | $20,604 | $2,196 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 53 | 52 | $15,339 | $1,395 | $1,516 |
| Level 3 Endovascular ProceduresAPC 5193 | 51 | 46 | $59,128 | $8,050 | $8,874 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 50 | 50 | $36,237 | $4,920 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 49 | 41 | $14,990 | $2,436 | $2,629 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 39 | 37 | $9,332 | $1,123 | $1,196 |
| Level 4 Vascular ProceduresAPC 5184 | 34 | 32 | $42,636 | $3,740 | $3,946 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 31 | 31 | $31,683 | $4,046 | $4,358 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 30 | 29 | $16,236 | $1,925 | $2,141 |
| Level 5 Urology and Related ServicesAPC 5375 | 29 | 27 | $20,874 | $3,626 | $3,918 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 28 | 28 | $22,887 | $2,190 | $2,373 |
| Level 2 Upper GI ProceduresAPC 5302 | 26 | 20 | $5,299 | $1,278 | $1,445 |
| Level 4 Endovascular ProceduresAPC 5194 | 25 | 23 | $86,829 | $13,782 | $14,606 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 25 | 24 | $19,770 | $2,420 | $2,636 |
| Level 2 Endovascular ProceduresAPC 5192 | 23 | 21 | $29,612 | $4,011 | $4,338 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 20 | 20 | $94,927 | $19,222 | $21,117 |
| Level 4 Gynecologic ProceduresAPC 5414 | 17 | 17 | $15,177 | $2,193 | $2,389 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 16 | 16 | $109,610 | $13,826 | $15,763 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 16 | 16 | $39,945 | $7,753 | $8,569 |
| Level 6 Urology and Related ServicesAPC 5376 | 16 | 16 | $38,097 | $6,481 | $7,291 |
| Level 4 Airway EndoscopyAPC 5154 | 15 | 15 | $15,384 | $2,615 | $2,833 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 13 | 13 | $48,591 | $5,962 | $6,514 |
| Level 2 Vascular ProceduresAPC 5182 | 12 | 12 | $5,219 | $1,124 | $1,204 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 11 | 11 | $50,942 | $7,430 | $8,164 |
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.