Mclaren Oakland Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mclaren Oakland, Pontiac, MI in 2024, from traditional Medicare claims. Back to the Mclaren Oakland profile, with quality ratings, finances and negotiated rates.
297
Medicare inpatient discharges
In 11 published DRGs
1.78
Case mix index
IPPS FY 2027
12%
Surgical stays
87%
Stays with complications
In DRGs with a CC or MCC
530
Medicare outpatient services
In 16 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases167 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 | 130 | $43,403 | $17,610 | $12,544 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 23 | $105,873 | $38,806 | $30,597 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 14 | $125,762 | $50,654 | $36,345 | 6.96 |
Circulatory system51 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 29 | $31,719 | $14,090 | $9,167 | 1.59 |
| Heart failure and shock with MCCMS-DRG 291, medical | 22 | $17,572 | $10,068 | $5,078 | 1.28 |
Respiratory system32 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 18 | $22,435 | $10,772 | $6,484 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 14 | $25,687 | $10,570 | $7,423 | 1.23 |
Musculoskeletal system and connective tissue13 discharges in 1 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 | 13 | $61,310 | $16,592 | $17,719 | 2.07 |
Digestive system12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 12 | $65,830 | $16,159 | $19,025 | 1.79 |
Nervous system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 11 | $17,467 | $12,050 | $5,048 | 1.36 |
Kidney and urinary tract11 discharges in 1 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 | 11 | $36,373 | $13,616 | $10,512 | 1.65 |
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 | 100 | 99 | $12,544 | $1,804 | $2,090 |
| Level 5 Urology and Related ServicesAPC 5375 | 73 | 61 | $19,364 | $3,576 | $3,918 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 54 | 50 | $5,165 | $1,116 | $1,220 |
| Level 4 Urology and Related ServicesAPC 5374 | 42 | 37 | $12,982 | $2,387 | $2,629 |
| Level 2 Upper GI ProceduresAPC 5302 | 36 | 26 | $8,768 | $1,332 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 28 | 27 | $50,123 | $9,589 | $10,772 |
| Level 1 Nerve ProceduresAPC 5431 | 28 | 23 | $6,926 | $1,348 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 23 | 23 | $31,783 | $4,576 | $5,339 |
| Level 3 Urology and Related ServicesAPC 5373 | 23 | 23 | $8,220 | $1,429 | $1,516 |
| Level 1 Endovascular ProceduresAPC 5191 | 22 | 22 | $10,843 | $2,063 | $2,208 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 19 | 19 | $8,711 | $1,994 | $2,141 |
| Level 3 Vascular ProceduresAPC 5183 | 19 | 19 | $12,773 | $2,237 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 18 | 18 | $16,304 | $2,141 | $2,373 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 16 | 16 | $7,474 | $1,046 | $1,196 |
| Level 6 Urology and Related ServicesAPC 5376 | 15 | 15 | $35,431 | $6,481 | $7,291 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 14 | 13 | $69,100 | $14,747 | $15,763 |
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.