Orthopaedics - Dmc Sinai-Grace Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Orthopaedics - Dmc Sinai-Grace Hospital, Detroit, MI in 2024, from traditional Medicare claims. Back to the Orthopaedics - Dmc Sinai-Grace Hospital profile, with quality ratings, finances and negotiated rates.
1,045
Medicare inpatient discharges
In 43 published DRGs
1.99
Case mix index
IPPS FY 2027
7%
Surgical stays
72%
Stays with complications
In DRGs with a CC or MCC
352
Medicare outpatient services
In 9 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases224 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 | 147 | $96,525 | $16,924 | $14,865 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 47 | $249,269 | $40,527 | $38,388 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 19 | $288,562 | $61,304 | $44,439 | 6.96 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 11 | $50,569 | $8,823 | $7,788 | 1.03 |
Circulatory system180 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 | 62 | $62,301 | $11,054 | $9,594 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 61 | $74,693 | $13,243 | $11,503 | 1.59 |
| Syncope and collapseMS-DRG 312, medical | 20 | $47,780 | $7,731 | $7,358 | 0.86 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 14 | $51,169 | $7,556 | $7,880 | 0.91 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 12 | $72,180 | $18,083 | $11,116 | 2.09 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 11 | $69,724 | $9,266 | $10,738 | 1.07 |
Nervous system127 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 31 | $132,686 | $17,259 | $20,434 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 26 | $42,750 | $6,588 | $6,583 | 0.91 |
| Seizures with MCCMS-DRG 100, medical | 23 | $70,055 | $15,370 | $10,788 | 1.98 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 21 | $80,654 | $8,404 | $12,421 | 1.02 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 14 | $49,330 | $11,185 | $7,597 | 1.36 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 12 | $58,702 | $6,648 | $9,040 | 0.80 |
Respiratory system115 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 38 | $52,678 | $11,132 | $8,112 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 23 | $90,673 | $13,137 | $13,964 | 1.70 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 22 | $146,951 | $24,298 | $22,630 | 2.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 20 | $63,765 | $11,135 | $9,820 | 1.33 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 12 | $44,901 | $7,532 | $6,915 | 0.96 |
Digestive system95 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other digestive system diagnoses with CCMS-DRG 394, medical | 20 | $46,554 | $8,045 | $7,169 | 0.94 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 18 | $71,041 | $15,489 | $10,940 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 17 | $33,817 | $6,766 | $5,208 | 0.79 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 16 | $63,619 | $14,571 | $9,797 | 1.62 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 13 | $67,596 | $10,813 | $10,410 | 1.28 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 11 | $57,927 | $8,389 | $8,921 | 0.98 |
Kidney and urinary tract86 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 31 | $67,430 | $12,731 | $10,384 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 21 | $94,554 | $14,749 | $14,561 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 18 | $58,465 | $9,586 | $9,004 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 16 | $32,674 | $7,294 | $5,032 | 0.90 |
Endocrine, nutritional and metabolic78 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 | $62,668 | $10,971 | $9,651 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 17 | $62,678 | $13,243 | $9,652 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 12 | $41,374 | $6,183 | $6,372 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 11 | $41,166 | $7,115 | $6,340 | 0.90 |
Mental diseases and disorders48 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 | 33 | $59,452 | $14,396 | $9,156 | 1.76 |
| PsychosesMS-DRG 885, medical | 15 | $58,601 | $11,013 | $9,024 | 1.37 |
Injuries, poisonings and toxic effects of drugs20 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 20 | $54,202 | $13,673 | $8,347 | 1.60 |
Transplants, ECMO and tracheostomy (pre-MDC)17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Tracheostomy with MV >96 hours or principal diagnosis except face, mouth and neck withouMS-DRG 004, surgical | 17 | $405,867 | $96,716 | $62,503 | 14.70 |
Musculoskeletal system and connective tissue17 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 17 | $65,402 | $8,139 | $10,072 | 0.97 |
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 | $36,980 | $7,377 | $5,695 | 0.88 |
Other12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 12 | $243,212 | $36,467 | $37,455 | 4.74 |
Blood and immune system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 11 | $53,225 | $12,326 | $8,197 | 1.40 |
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 | 200 | 170 | $20,840 | $1,938 | $2,090 |
| Level 3 Urology and Related ServicesAPC 5373 | 29 | 25 | $28,104 | $1,440 | $1,516 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 23 | 20 | $34,932 | $2,103 | $2,373 |
| Level 4 Gynecologic ProceduresAPC 5414 | 20 | 19 | $33,575 | $2,215 | $2,389 |
| Level 2 Intraocular ProceduresAPC 5492 | 20 | 18 | $25,946 | $2,893 | $3,116 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 18 | 18 | $62,776 | $5,079 | $5,339 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 17 | 17 | $19,165 | $1,153 | $1,220 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 14 | 13 | $25,809 | $1,143 | $1,196 |
| Level 1 Endovascular ProceduresAPC 5191 | 11 | 11 | $33,111 | $2,092 | $2,208 |
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.