Mclaren Northern Michigan Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mclaren Northern Michigan, Petoskey, MI in 2024, from traditional Medicare claims. Back to the Mclaren Northern Michigan profile, with quality ratings, finances and negotiated rates.
1,102
Medicare inpatient discharges
In 39 published DRGs
1.98
Case mix index
IPPS FY 2027
19%
Surgical stays
71%
Stays with complications
In DRGs with a CC or MCC
1,621
Medicare outpatient services
In 35 service groups
Inpatient stays by major diagnostic category
Circulatory system403 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 89 | $24,794 | $9,600 | $8,554 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 55 | $29,305 | $11,784 | $10,110 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 43 | $23,539 | $7,622 | $8,121 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 38 | $48,805 | $13,169 | $16,838 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 30 | $19,488 | $4,596 | $6,723 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 29 | $34,716 | $16,793 | $11,977 | 2.16 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 28 | $64,270 | $20,874 | $22,173 | 2.87 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 24 | $20,524 | $5,929 | $7,081 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 23 | $26,971 | $8,387 | $9,305 | 1.20 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 18 | $68,091 | $24,883 | $23,491 | 3.24 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 15 | $14,092 | $3,106 | $4,862 | 0.55 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 11 | $102,490 | $41,505 | $35,359 | 5.06 |
Infectious and parasitic diseases208 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 | 153 | $37,946 | $15,296 | $13,092 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 28 | $20,375 | $6,843 | $7,030 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 27 | $62,551 | $39,925 | $21,580 | 5.00 |
Respiratory system109 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 42 | $29,366 | $12,575 | $10,131 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 37 | $25,773 | $9,644 | $8,892 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 30 | $25,098 | $8,502 | $8,659 | 1.23 |
Nervous system98 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 | 31 | $20,747 | $6,786 | $7,158 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 26 | $29,563 | $14,724 | $10,199 | 2.00 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 18 | $28,455 | $7,634 | $9,817 | 1.14 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 12 | $74,737 | $35,252 | $25,784 | 4.42 |
| Traumatic stupor and coma <1 hour without cc/mccMS-DRG 087, medical | 11 | $16,775 | $5,722 | $5,787 | 0.89 |
Kidney and urinary tract83 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 22 | $23,918 | $12,284 | $8,252 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 20 | $16,795 | $6,031 | $5,794 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 14 | $32,170 | $11,334 | $11,099 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 14 | $20,159 | $5,499 | $6,955 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 13 | $22,086 | $8,827 | $7,620 | 1.17 |
Musculoskeletal system and connective tissue79 discharges in 4 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 | 25 | $36,359 | $14,987 | $12,544 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 24 | $42,491 | $16,167 | $14,659 | 2.11 |
| Medical back problems without MCCMS-DRG 552, medical | 18 | $28,305 | $6,614 | $9,765 | 0.97 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 12 | $39,017 | $13,954 | $13,461 | 1.88 |
Digestive system75 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 25 | $22,441 | $6,818 | $7,742 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 22 | $42,869 | $13,628 | $14,790 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 17 | $19,237 | $5,145 | $6,637 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 11 | $16,365 | $5,309 | $5,646 | 0.80 |
Endocrine, nutritional and metabolic32 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 18 | $16,223 | $5,128 | $5,597 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 14 | $19,390 | $6,301 | $6,690 | 0.90 |
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 | $21,247 | $6,248 | $7,330 | 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 |
|---|---|---|---|---|---|
| Level 1 Endovascular ProceduresAPC 5191 | 168 | 168 | $6,696 | $2,186 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 125 | 118 | $4,685 | $1,199 | $1,220 |
| Level 1 Intraocular ProceduresAPC 5491 | 121 | 68 | $6,422 | $1,715 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 116 | 111 | $10,647 | $2,012 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 95 | 92 | $32,221 | $10,591 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 77 | 67 | $4,483 | $1,388 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 69 | 63 | $12,732 | $3,816 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 59 | 58 | $19,026 | $5,261 | $5,339 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 57 | 55 | $8,406 | $2,089 | $2,141 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 54 | 54 | $40,209 | $6,346 | $6,514 |
| Level 3 Vascular ProceduresAPC 5183 | 52 | 52 | $8,092 | $2,347 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 51 | 46 | $36,818 | $8,686 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 50 | 50 | $23,078 | $4,230 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 49 | 48 | $8,053 | $2,421 | $2,373 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 44 | 43 | $49,708 | $20,611 | $21,117 |
| Level 4 Urology and Related ServicesAPC 5374 | 44 | 34 | $8,569 | $2,551 | $2,629 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 39 | 34 | $3,706 | $1,160 | $1,196 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 36 | 36 | $45,729 | $8,386 | $8,569 |
| Level 6 Urology and Related ServicesAPC 5376 | 29 | 29 | $25,074 | $6,532 | $7,291 |
| Level 3 Urology and Related ServicesAPC 5373 | 27 | 15 | $6,677 | $1,520 | $1,516 |
| Level 2 Urology and Related ServicesAPC 5372 | 24 | $5,466 | $503 | $502 | |
| Level 2 ICD and Similar ProceduresAPC 5232 | 22 | 22 | $161,100 | $27,839 | $29,375 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 22 | 22 | $14,943 | $2,585 | $2,636 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 21 | 19 | $9,340 | $2,852 | $2,930 |
| Level 3 Lower GI ProceduresAPC 5313 | 20 | 20 | $6,499 | $2,115 | $2,176 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 19 | 19 | $20,440 | $4,879 | $4,982 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 19 | 19 | $50,482 | $15,829 | $15,763 |
| Level 2 Vascular ProceduresAPC 5182 | 17 | 17 | $4,510 | $1,198 | $1,204 |
| Level 3 Airway EndoscopyAPC 5153 | 16 | 15 | $6,478 | $1,230 | $1,264 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 16 | 16 | $35,003 | $7,525 | $8,164 |
| Level 4 Airway EndoscopyAPC 5154 | 13 | 12 | $8,659 | $2,802 | $2,833 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 13 | 13 | $74,902 | $16,623 | $17,052 |
| Level 1 Nerve ProceduresAPC 5431 | 13 | 12 | $5,176 | $1,444 | $1,407 |
| Level 2 Endovascular ProceduresAPC 5192 | 12 | 12 | $18,022 | $4,276 | $4,338 |
| Level 4 Endovascular ProceduresAPC 5194 | 12 | 12 | $58,879 | $14,799 | $14,606 |
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.