Saint Mary S – Grand Rapids Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Saint Mary S – Grand Rapids Hospital, Grand Rapids, MI in 2024, from traditional Medicare claims. Back to the Saint Mary S – Grand Rapids Hospital profile, with quality ratings, finances and negotiated rates.
1,179
Medicare inpatient discharges
In 45 published DRGs
1.87
Case mix index
IPPS FY 2027
13%
Surgical stays
76%
Stays with complications
In DRGs with a CC or MCC
1,460
Medicare outpatient services
In 36 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases361 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 | 278 | $39,445 | $14,332 | $12,662 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 37 | $116,716 | $34,842 | $37,466 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 33 | $25,646 | $6,366 | $8,232 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 13 | $53,053 | $14,691 | $17,030 | 2.04 |
Circulatory system168 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 | 72 | $33,257 | $9,463 | $10,676 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 33 | $43,118 | $12,292 | $13,841 | 1.59 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 19 | $20,915 | $6,725 | $6,714 | 0.91 |
| Syncope and collapseMS-DRG 312, medical | 17 | $22,505 | $6,436 | $7,224 | 0.86 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 16 | $17,330 | $4,703 | $5,563 | 0.74 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 11 | $64,004 | $15,224 | $20,545 | 2.16 |
Nervous system143 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Seizures without MCCMS-DRG 101, medical | 32 | $20,453 | $5,921 | $6,565 | 0.91 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 26 | $30,622 | $7,212 | $9,830 | 1.02 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 18 | $24,714 | $7,842 | $7,933 | 1.03 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 16 | $69,103 | $14,291 | $22,182 | 2.00 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 14 | $42,233 | $10,534 | $13,557 | 1.36 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 13 | $136,947 | $43,610 | $43,960 | 5.67 |
| Other disorders of nervous system with MCCMS-DRG 091, medical | 13 | $32,448 | $11,561 | $10,416 | 1.79 |
| Seizures with MCCMS-DRG 100, medical | 11 | $35,099 | $11,997 | $11,267 | 1.98 |
Kidney and urinary tract117 discharges in 6 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 | 28 | $40,824 | $12,102 | $13,104 | 1.65 |
| Kidney transplantMS-DRG 652, surgical | 24 | $207,972 | $19,613 | $66,759 | 3.00 |
| Renal failure with CCMS-DRG 683, medical | 21 | $18,159 | $6,421 | $5,829 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 17 | $34,183 | $10,181 | $10,973 | 1.50 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 16 | $59,843 | $10,735 | $19,210 | 1.02 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 11 | $31,003 | $7,400 | $9,952 | 1.17 |
Respiratory system103 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 38 | $34,406 | $9,726 | $11,044 | 1.23 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 28 | $41,473 | $12,556 | $13,313 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 22 | $28,073 | $9,092 | $9,011 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 15 | $20,001 | $8,133 | $6,420 | 1.10 |
Endocrine, nutritional and metabolic85 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 | 36 | $31,312 | $9,699 | $10,051 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 21 | $18,718 | $6,261 | $6,008 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 15 | $33,464 | $8,566 | $10,742 | 1.45 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 13 | $17,419 | $5,870 | $5,591 | 0.78 |
Digestive system78 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 20 | $23,898 | $7,552 | $7,671 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 19 | $25,074 | $4,553 | $8,049 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 13 | $60,673 | $16,718 | $19,476 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 13 | $40,613 | $12,426 | $13,037 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $16,918 | $5,462 | $5,431 | 0.80 |
Musculoskeletal system and connective tissue61 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 22 | $47,979 | $14,096 | $15,401 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 14 | $57,042 | $16,200 | $18,310 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 13 | $21,658 | $6,866 | $6,952 | 0.97 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 12 | $114,811 | $35,884 | $36,854 | 6.12 |
Mental diseases and disorders34 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 | 19 | $49,954 | $12,413 | $16,035 | 1.76 |
| PsychosesMS-DRG 885, medical | 15 | $14,992 | $10,915 | $4,813 | 1.37 |
Skin, subcutaneous tissue and breast16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 16 | $18,924 | $5,537 | $6,074 | 0.88 |
Factors influencing health status13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 13 | $19,970 | $6,071 | $6,410 | 0.80 |
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 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 124 | 118 | $5,586 | $1,081 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 100 | 100 | $15,409 | $2,019 | $2,208 |
| Level 3 Urology and Related ServicesAPC 5373 | 99 | 60 | $10,596 | $1,387 | $1,516 |
| Level 3 Vascular ProceduresAPC 5183 | 98 | 88 | $16,120 | $2,153 | $2,405 |
| Comprehensive Observation ServicesAPC 8011 | 92 | 89 | $7,332 | $1,793 | $2,090 |
| Level 4 Urology and Related ServicesAPC 5374 | 81 | 70 | $18,767 | $2,365 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 74 | 69 | $25,406 | $3,546 | $3,918 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 65 | 63 | $31,721 | $3,707 | $4,358 |
| Level 2 Upper GI ProceduresAPC 5302 | 55 | 50 | $5,578 | $1,292 | $1,445 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 52 | 50 | $44,455 | $9,523 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 47 | 45 | $33,724 | $4,859 | $5,339 |
| Level 4 Vascular ProceduresAPC 5184 | 38 | 34 | $26,795 | $3,613 | $3,946 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 36 | 34 | $18,600 | $2,137 | $2,373 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 35 | 35 | $50,823 | $7,325 | $8,164 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 33 | 33 | $71,317 | $24,566 | $26,719 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 30 | 28 | $16,737 | $1,838 | $2,141 |
| Level 3 Endovascular ProceduresAPC 5193 | 30 | 28 | $40,929 | $7,676 | $8,874 |
| Level 4 Gynecologic ProceduresAPC 5414 | 28 | 27 | $14,030 | $1,958 | $2,389 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 27 | 23 | $18,941 | $2,644 | $2,930 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 26 | 25 | $7,726 | $1,109 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 26 | 25 | $20,604 | $2,252 | $2,636 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 26 | 25 | $48,674 | $16,712 | $18,465 |
| Level 3 Airway EndoscopyAPC 5153 | 25 | 25 | $9,141 | $1,178 | $1,264 |
| Level 5 ENT ProceduresAPC 5165 | 24 | 24 | $34,506 | $3,606 | $4,436 |
| Level 2 Vascular ProceduresAPC 5182 | 24 | 24 | $3,224 | $1,105 | $1,204 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 23 | 22 | $52,997 | $13,303 | $15,763 |
| Level 4 Airway EndoscopyAPC 5154 | 21 | 20 | $20,304 | $2,595 | $2,833 |
| Level 6 Urology and Related ServicesAPC 5376 | 20 | 20 | $40,031 | $6,075 | $7,291 |
| Level 2 Endovascular ProceduresAPC 5192 | 17 | 14 | $21,852 | $3,956 | $4,338 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 14 | 14 | $81,359 | $26,911 | $29,375 |
| Level 1 Nerve ProceduresAPC 5431 | 13 | 12 | $11,809 | $1,223 | $1,407 |
| Level 4 ENT ProceduresAPC 5164 | 12 | 12 | $22,256 | $2,086 | $2,217 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 12 | 12 | $18,007 | $5,405 | $6,514 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 11 | 11 | $32,701 | $3,793 | $4,982 |
| Level 5 Airway EndoscopyAPC 5155 | 11 | 11 | $29,263 | $4,751 | $5,183 |
| Level 5 Gynecologic ProceduresAPC 5415 | 11 | 11 | $30,424 | $3,250 | $3,792 |
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.