Mishawaka Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mishawaka Medical Center, Mishawaka, IN in 2024, from traditional Medicare claims. Back to the Mishawaka Medical Center profile, with quality ratings, finances and negotiated rates.
1,712
Medicare inpatient discharges
In 56 published DRGs
1.84
Case mix index
IPPS FY 2027
20%
Surgical stays
76%
Stays with complications
In DRGs with a CC or MCC
1,763
Medicare outpatient services
In 30 service groups
Inpatient stays by major diagnostic category
Circulatory system349 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 107 | $39,084 | $8,825 | $10,045 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 69 | $44,985 | $10,964 | $11,561 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 27 | $24,152 | $4,863 | $6,207 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 25 | $67,551 | $11,287 | $17,361 | 1.82 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 24 | $114,275 | $23,666 | $29,369 | 3.24 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 22 | $35,806 | $8,732 | $9,202 | 1.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 18 | $33,544 | $6,399 | $8,621 | 0.91 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 17 | $76,946 | $23,937 | $19,775 | 3.35 |
| Syncope and collapseMS-DRG 312, medical | 16 | $24,302 | $6,043 | $6,246 | 0.86 |
| Other vascular procedures with CCMS-DRG 253, surgical | 13 | $86,913 | $11,544 | $22,337 | 2.55 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 11 | $179,017 | $44,479 | $46,007 | 5.06 |
Infectious and parasitic diseases337 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 | 218 | $57,633 | $13,471 | $14,812 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 54 | $32,931 | $6,561 | $8,463 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 53 | $132,729 | $34,155 | $34,111 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 12 | $208,613 | $49,337 | $53,613 | 6.96 |
Kidney and urinary tract251 discharges in 8 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 | 49 | $56,065 | $10,774 | $14,409 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 47 | $28,470 | $5,971 | $7,317 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 42 | $34,935 | $8,489 | $8,978 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 41 | $26,342 | $5,365 | $6,770 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 32 | $44,348 | $10,945 | $11,398 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 15 | $31,321 | $6,711 | $8,049 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 14 | $53,032 | $9,371 | $13,629 | 1.35 |
| Kidney and ureter procedures for non-neoplasm with MCCMS-DRG 659, surgical | 11 | $89,383 | $19,370 | $22,971 | 2.59 |
Respiratory system232 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 | 59 | $32,488 | $8,937 | $8,349 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 52 | $47,018 | $10,506 | $12,084 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 38 | $33,836 | $8,356 | $8,696 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 28 | $33,851 | $8,001 | $8,700 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 17 | $30,133 | $5,246 | $7,744 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 14 | $22,899 | $5,730 | $5,885 | 0.85 |
| Respiratory neoplasms with MCCMS-DRG 180, medical | 13 | $57,932 | $12,842 | $14,889 | 1.74 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 11 | $38,494 | $9,781 | $9,893 | 1.40 |
Digestive system192 discharges in 8 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 | 44 | $26,991 | $4,898 | $6,937 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 43 | $31,374 | $6,710 | $8,063 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 26 | $43,749 | $12,512 | $11,244 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 23 | $73,697 | $15,881 | $18,940 | 2.37 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 18 | $26,947 | $6,485 | $6,925 | 0.94 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 15 | $25,878 | $5,682 | $6,651 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 12 | $113,282 | $31,309 | $29,113 | 4.52 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 11 | $58,289 | $7,991 | $14,980 | 1.28 |
Musculoskeletal system and connective tissue154 discharges in 8 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 | $63,567 | $13,259 | $16,337 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 25 | $79,223 | $13,678 | $20,360 | 2.11 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 24 | $112,218 | $24,080 | $28,840 | 3.49 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 19 | $28,116 | $5,955 | $7,226 | 0.90 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 18 | $78,448 | $13,166 | $20,161 | 1.88 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 17 | $84,920 | $19,412 | $21,824 | 2.95 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 13 | $80,237 | $15,824 | $20,621 | 2.40 |
| Medical back problems without MCCMS-DRG 552, medical | 13 | $29,054 | $6,785 | $7,467 | 0.97 |
Endocrine, nutritional and metabolic102 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 | 38 | $42,711 | $10,658 | $10,977 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 33 | $24,419 | $5,015 | $6,276 | 0.78 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 18 | $65,174 | $13,577 | $16,750 | 1.98 |
| Diabetes with CCMS-DRG 638, medical | 13 | $31,124 | $6,125 | $7,999 | 0.90 |
Nervous system51 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 20 | $53,081 | $12,582 | $13,642 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 20 | $37,225 | $6,709 | $9,567 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 11 | $40,350 | $8,518 | $10,370 | 1.36 |
Skin, subcutaneous tissue and breast30 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 30 | $24,549 | $5,325 | $6,309 | 0.88 |
Liver, gallbladder and pancreas14 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 | 14 | $38,010 | $6,909 | $9,769 | 1.09 |
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 | 342 | 327 | $16,381 | $1,983 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 267 | 254 | $62,894 | $10,263 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 191 | 186 | $8,034 | $1,158 | $1,220 |
| Level 3 Vascular ProceduresAPC 5183 | 110 | 106 | $18,168 | $2,303 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 67 | 41 | $11,287 | $1,449 | $1,516 |
| Level 2 Upper GI ProceduresAPC 5302 | 65 | 49 | $8,682 | $1,335 | $1,445 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 58 | 57 | $11,211 | $2,018 | $2,141 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 58 | 58 | $41,153 | $4,097 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 56 | 55 | $41,286 | $4,975 | $5,339 |
| Level 1 Endovascular ProceduresAPC 5191 | 47 | 47 | $22,837 | $2,158 | $2,208 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 43 | 39 | $18,136 | $2,802 | $2,930 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 41 | 39 | $24,084 | $2,319 | $2,373 |
| Level 4 Vascular ProceduresAPC 5184 | 38 | 34 | $36,364 | $3,830 | $3,946 |
| Level 3 Endovascular ProceduresAPC 5193 | 34 | 33 | $47,182 | $8,511 | $8,874 |
| Level 4 Urology and Related ServicesAPC 5374 | 34 | 25 | $23,737 | $2,563 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 31 | 29 | $36,556 | $3,806 | $3,918 |
| Level 2 Vascular ProceduresAPC 5182 | 30 | 27 | $6,093 | $1,178 | $1,204 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 27 | 26 | $126,806 | $20,239 | $21,117 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 26 | 26 | $77,826 | $14,938 | $15,763 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 25 | 25 | $37,931 | $8,221 | $8,569 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 25 | 18 | $12,553 | $2,542 | $2,636 |
| Level 2 Endovascular ProceduresAPC 5192 | 24 | 19 | $28,701 | $4,205 | $4,338 |
| Level 3 Airway EndoscopyAPC 5153 | 21 | 20 | $10,380 | $1,245 | $1,264 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 20 | 20 | $31,241 | $4,798 | $4,982 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 18 | 18 | $13,613 | $1,117 | $1,196 |
| Level 5 ENT ProceduresAPC 5165 | 16 | 16 | $37,177 | $4,309 | $4,436 |
| Level 4 Airway EndoscopyAPC 5154 | 15 | 15 | $15,602 | $2,572 | $2,833 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 12 | 12 | $66,925 | $7,867 | $8,164 |
| Level 4 Endovascular ProceduresAPC 5194 | 11 | $61,403 | $11,886 | $14,606 | |
| Level 4 Gynecologic ProceduresAPC 5414 | 11 | 11 | $27,101 | $2,300 | $2,389 |
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.