Otsego Memorial Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Otsego Memorial Hospital, Gaylord, MI in 2024, from traditional Medicare claims. Back to the Otsego Memorial Hospital profile, with quality ratings, finances and negotiated rates.
193
Medicare inpatient discharges
In 10 published DRGs
1.47
Case mix index
IPPS FY 2027
6%
Surgical stays
80%
Stays with complications
In DRGs with a CC or MCC
706
Medicare outpatient services
In 13 service groups
Inpatient stays by major diagnostic category
Respiratory system54 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 26 | $20,179 | $10,317 | $6,518 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 15 | $21,423 | $13,727 | $6,920 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 13 | $19,035 | $8,424 | $6,148 | 1.10 |
Infectious and parasitic diseases52 discharges in 2 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 | 40 | $30,688 | $16,447 | $9,912 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 12 | $23,961 | $8,086 | $7,739 | 1.03 |
Digestive system43 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 18 | $21,334 | $7,441 | $6,891 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 14 | $16,418 | $5,559 | $5,303 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 11 | $41,707 | $19,275 | $13,471 | 2.37 |
Circulatory system32 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 32 | $16,131 | $10,451 | $5,210 | 1.28 |
Endocrine, nutritional and metabolic12 discharges in 1 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 | 12 | $18,528 | $5,665 | $5,984 | 0.78 |
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 Intraocular ProceduresAPC 5491 | 250 | 143 | $7,142 | $1,711 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 115 | 108 | $12,512 | $1,996 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 71 | 70 | $4,969 | $1,194 | $1,220 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 68 | 68 | $15,094 | $4,093 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 44 | 40 | $27,653 | $10,380 | $10,772 |
| Level 2 Upper GI ProceduresAPC 5302 | 32 | 28 | $5,865 | $1,370 | $1,445 |
| Level 3 Vascular ProceduresAPC 5183 | 23 | 22 | $10,979 | $2,370 | $2,405 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 20 | 20 | $21,333 | $5,318 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 20 | 16 | $15,466 | $2,589 | $2,629 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 19 | 16 | $7,985 | $1,185 | $1,196 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 15 | 15 | $17,884 | $4,848 | $4,982 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 15 | 15 | $21,564 | $7,435 | $8,164 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 14 | 14 | $8,198 | $1,961 | $2,141 |
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.