Promedica Charles And Virginia Hickman Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Promedica Charles And Virginia Hickman Hospital, Adrian, MI in 2024, from traditional Medicare claims. Back to the Promedica Charles And Virginia Hickman Hospital profile, with quality ratings, finances and negotiated rates.
462
Medicare inpatient discharges
In 14 published DRGs
1.59
Case mix index
IPPS FY 2027
4%
Surgical stays
82%
Stays with complications
In DRGs with a CC or MCC
948
Medicare outpatient services
In 17 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases139 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 | 124 | $55,880 | $14,576 | $12,573 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 15 | $33,405 | $6,775 | $7,516 | 1.03 |
Respiratory system124 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 47 | $39,889 | $8,601 | $8,975 | 1.23 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 45 | $45,838 | $9,151 | $10,314 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 32 | $46,305 | $12,094 | $10,419 | 1.70 |
Circulatory system120 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 89 | $32,510 | $9,409 | $7,315 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 18 | $32,325 | $11,789 | $7,273 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 13 | $29,264 | $8,863 | $6,584 | 1.20 |
Kidney and urinary tract39 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with MCCMS-DRG 682, medical | 15 | $39,115 | $11,217 | $8,801 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 12 | $31,499 | $6,659 | $7,087 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 12 | $29,584 | $5,280 | $6,656 | 0.81 |
Musculoskeletal system and connective tissue17 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 | 17 | $73,494 | $15,388 | $16,536 | 2.07 |
Nervous system12 discharges in 1 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 | 12 | $41,569 | $6,948 | $9,353 | 1.02 |
Endocrine, nutritional and metabolic11 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 | 11 | $29,498 | $4,991 | $6,637 | 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 | 301 | 175 | $14,096 | $1,707 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 179 | 168 | $24,001 | $1,948 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 90 | 89 | $72,441 | $10,290 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 48 | 47 | $10,009 | $1,169 | $1,220 |
| Level 1 Nerve ProceduresAPC 5431 | 46 | 42 | $10,438 | $1,423 | $1,407 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 34 | 34 | $41,000 | $4,586 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 32 | 31 | $27,066 | $2,196 | $2,405 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 32 | 32 | $48,124 | $3,986 | $4,358 |
| Level 3 Urology and Related ServicesAPC 5373 | 31 | 28 | $20,086 | $1,359 | $1,516 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 29 | 29 | $25,799 | $2,301 | $2,373 |
| Level 4 Urology and Related ServicesAPC 5374 | 29 | 25 | $29,110 | $2,481 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 28 | 26 | $38,935 | $3,813 | $3,918 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 21 | 20 | $8,737 | $1,184 | $1,196 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 13 | 13 | $66,617 | $15,568 | $15,763 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 12 | 12 | $17,369 | $1,920 | $2,141 |
| Level 2 Intraocular ProceduresAPC 5492 | 12 | $22,576 | $2,996 | $3,116 | |
| Level 3 Intraocular ProceduresAPC 5493 | 11 | $22,362 | $3,852 | $4,004 |
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.