St. Joseph Mercy Hospital - Oakland Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for St. Joseph Mercy Hospital - Oakland, Pontiac, MI in 2024, from traditional Medicare claims. Back to the St. Joseph Mercy Hospital - Oakland profile, with quality ratings, finances and negotiated rates.
2,949
Medicare inpatient discharges
In 93 published DRGs
1.88
Case mix index
IPPS FY 2027
19%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
2,348
Medicare outpatient services
In 36 service groups
Inpatient stays by major diagnostic category
Circulatory system722 discharges in 23 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 157 | $33,114 | $9,701 | $8,444 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 91 | $42,479 | $12,160 | $10,832 | 1.59 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 43 | $30,808 | $6,324 | $7,856 | 0.91 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 33 | $133,033 | $38,364 | $33,923 | 4.88 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 32 | $20,444 | $5,119 | $5,213 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 32 | $31,988 | $5,993 | $8,157 | 0.86 |
| Chest painMS-DRG 313, medical | 29 | $25,050 | $4,969 | $6,388 | 0.72 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 29 | $90,027 | $21,518 | $22,957 | 2.87 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 28 | $71,496 | $25,037 | $18,232 | 3.24 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 28 | $65,794 | $13,720 | $16,778 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 27 | $35,480 | $7,149 | $9,047 | 1.08 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 26 | $29,512 | $7,651 | $7,526 | 1.07 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 25 | $16,881 | $3,309 | $4,305 | 0.55 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 22 | $31,018 | $8,482 | $7,910 | 1.20 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 21 | $68,814 | $17,771 | $17,548 | 2.16 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 14 | $133,603 | $26,480 | $34,069 | 4.04 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 13 | $57,349 | $17,327 | $14,624 | 2.28 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 13 | $63,166 | $13,866 | $16,107 | 2.09 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 12 | $152,642 | $35,010 | $38,924 | 5.24 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 12 | $90,571 | $22,509 | $23,096 | 3.18 |
| Peripheral vascular disorders with MCCMS-DRG 299, medical | 12 | $37,170 | $11,503 | $9,478 | 1.58 |
| Hypertension without MCCMS-DRG 305, medical | 12 | $28,750 | $5,277 | $7,331 | 0.75 |
| Other vascular procedures with MCCMS-DRG 252, surgical | 11 | $63,198 | $17,576 | $16,115 | 3.35 |
Infectious and parasitic diseases526 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 | 369 | $52,398 | $14,364 | $13,361 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 80 | $109,191 | $35,785 | $27,844 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 66 | $33,197 | $7,322 | $8,465 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 11 | $184,614 | $53,414 | $47,077 | 6.96 |
Respiratory system345 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 85 | $37,081 | $9,404 | $9,456 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 61 | $43,357 | $12,277 | $11,056 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 42 | $29,320 | $9,152 | $7,477 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 38 | $30,866 | $8,041 | $7,871 | 1.10 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 26 | $23,333 | $6,242 | $5,950 | 0.85 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 19 | $31,376 | $6,967 | $8,001 | 0.99 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 19 | $26,309 | $5,603 | $6,709 | 0.82 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 17 | $21,284 | $6,284 | $5,427 | 0.96 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 15 | $40,414 | $9,949 | $10,306 | 1.40 |
| Major chest procedures with CCMS-DRG 164, surgical | 12 | $76,385 | $17,779 | $19,478 | 2.55 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 11 | $28,199 | $5,124 | $7,191 | 0.82 |
Digestive system296 discharges in 12 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 | 64 | $28,822 | $5,365 | $7,350 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 47 | $32,065 | $6,928 | $8,177 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 33 | $43,246 | $13,628 | $11,028 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 30 | $29,593 | $9,407 | $7,546 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 24 | $64,915 | $16,541 | $16,553 | 2.37 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 17 | $25,134 | $6,618 | $6,409 | 0.94 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 16 | $54,172 | $11,643 | $13,814 | 1.67 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 15 | $22,148 | $4,495 | $5,648 | 0.80 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 14 | $94,037 | $34,887 | $23,979 | 4.52 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 13 | $19,601 | $3,356 | $4,998 | 0.56 |
| Other digestive system diagnoses with MCCMS-DRG 393, medical | 12 | $38,740 | $10,684 | $9,879 | 1.62 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 11 | $25,613 | $7,380 | $6,531 | 1.04 |
Kidney and urinary tract293 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 75 | $24,508 | $5,538 | $6,249 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 68 | $32,680 | $8,651 | $8,333 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 65 | $41,247 | $10,835 | $10,518 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 39 | $34,388 | $10,806 | $8,769 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 30 | $22,132 | $6,435 | $5,644 | 0.90 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 16 | $51,356 | $10,062 | $13,096 | 1.35 |
Musculoskeletal system and connective tissue244 discharges in 12 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 51 | $34,781 | $6,271 | $8,869 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 41 | $82,388 | $15,614 | $21,009 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 25 | $89,112 | $16,387 | $22,723 | 2.11 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 20 | $64,128 | $14,200 | $16,353 | 1.88 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 15 | $106,872 | $18,201 | $27,252 | 2.95 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 15 | $74,100 | $19,264 | $18,895 | 2.48 |
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 14 | $138,845 | $41,587 | $35,405 | 6.12 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 14 | $115,582 | $33,174 | $29,473 | 4.61 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 14 | $67,634 | $17,619 | $17,247 | 2.67 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 13 | $27,526 | $6,102 | $7,019 | 0.90 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 11 | $96,787 | $27,086 | $24,681 | 3.49 |
| Medical back problems with MCCMS-DRG 551, medical | 11 | $35,646 | $10,703 | $9,090 | 1.70 |
Nervous system220 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 48 | $74,281 | $15,007 | $18,942 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 44 | $38,993 | $6,666 | $9,943 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 27 | $31,629 | $5,100 | $8,065 | 0.80 |
| Seizures without MCCMS-DRG 101, medical | 18 | $30,533 | $6,099 | $7,786 | 0.91 |
| Seizures with MCCMS-DRG 100, medical | 17 | $70,603 | $15,224 | $18,004 | 1.98 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 16 | $35,743 | $9,135 | $9,114 | 1.36 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 14 | $44,750 | $10,043 | $11,411 | 1.36 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 13 | $32,421 | $3,997 | $8,267 | 0.69 |
| Craniotomy with major device implant or acute complex CNS principal diagnosis with MCC oMS-DRG 023, surgical | 12 | $152,427 | $44,811 | $38,869 | 5.67 |
| Cranial and peripheral nerve disorders without MCCMS-DRG 074, medical | 11 | $35,323 | $6,652 | $9,007 | 1.03 |
Endocrine, nutritional and metabolic130 discharges in 5 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 | 41 | $20,857 | $5,189 | $5,319 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 40 | $29,471 | $9,874 | $7,515 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 25 | $21,173 | $5,521 | $5,399 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 13 | $46,856 | $10,260 | $11,948 | 1.45 |
| Endocrine disorders with MCCMS-DRG 643, medical | 11 | $48,278 | $10,859 | $12,311 | 1.65 |
Skin, subcutaneous tissue and breast60 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 46 | $23,676 | $5,971 | $6,037 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 14 | $45,242 | $11,177 | $11,537 | 1.49 |
Liver, gallbladder and pancreas45 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 20 | $39,360 | $14,401 | $10,037 | 1.92 |
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 14 | $65,567 | $12,472 | $16,720 | 1.63 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 11 | $31,115 | $6,136 | $7,934 | 0.86 |
Blood and immune system28 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 16 | $37,377 | $6,688 | $9,531 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 12 | $30,500 | $9,852 | $7,777 | 1.40 |
Other17 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 | 17 | $101,609 | $34,896 | $25,910 | 4.74 |
Ear, nose, mouth and throat12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 12 | $26,825 | $4,723 | $6,840 | 0.74 |
Factors influencing health status11 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 | 11 | $24,787 | $5,600 | $6,321 | 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 |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 409 | 373 | $14,877 | $1,883 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 249 | 238 | $49,924 | $10,042 | $10,772 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 192 | 176 | $7,396 | $1,133 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 188 | 188 | $20,288 | $2,062 | $2,208 |
| Level 3 Endovascular ProceduresAPC 5193 | 108 | 103 | $52,557 | $8,112 | $8,874 |
| Level 4 Urology and Related ServicesAPC 5374 | 105 | 84 | $24,490 | $2,474 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 87 | 86 | $37,329 | $4,007 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 82 | 70 | $31,114 | $3,506 | $3,918 |
| Level 3 Urology and Related ServicesAPC 5373 | 80 | 62 | $17,741 | $1,428 | $1,516 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 61 | 60 | $11,634 | $2,017 | $2,141 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 61 | 60 | $38,899 | $4,994 | $5,339 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 60 | 59 | $61,116 | $14,943 | $15,763 |
| Level 3 Vascular ProceduresAPC 5183 | 58 | 58 | $16,605 | $2,263 | $2,405 |
| Level 2 Upper GI ProceduresAPC 5302 | 53 | 47 | $9,056 | $1,356 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 49 | 43 | $25,325 | $2,452 | $2,636 |
| Level 4 Airway EndoscopyAPC 5154 | 41 | 39 | $16,643 | $2,607 | $2,833 |
| Level 4 Gynecologic ProceduresAPC 5414 | 41 | 40 | $22,390 | $2,211 | $2,389 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 38 | 38 | $30,423 | $7,877 | $8,569 |
| Level 4 Endovascular ProceduresAPC 5194 | 36 | 34 | $66,166 | $13,961 | $14,606 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 34 | 33 | $23,863 | $2,707 | $2,930 |
| Level 2 Vascular ProceduresAPC 5182 | 30 | 28 | $5,334 | $1,125 | $1,204 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 29 | 29 | $89,219 | $19,480 | $21,117 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 28 | 28 | $51,940 | $7,268 | $8,164 |
| Level 4 Vascular ProceduresAPC 5184 | 26 | 25 | $21,429 | $3,901 | $3,946 |
| Level 5 ENT ProceduresAPC 5165 | 23 | 22 | $35,370 | $4,095 | $4,436 |
| Level 3 Airway EndoscopyAPC 5153 | 22 | 21 | $11,435 | $1,205 | $1,264 |
| Level 6 Urology and Related ServicesAPC 5376 | 22 | 22 | $43,906 | $6,574 | $7,291 |
| Level 2 Endovascular ProceduresAPC 5192 | 20 | 20 | $35,296 | $4,059 | $4,338 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 17 | 17 | $33,230 | $4,631 | $4,982 |
| Level 1 Nerve ProceduresAPC 5431 | 16 | 12 | $17,568 | $1,359 | $1,407 |
| Level 4 Neurostimulator and Related ProceduresAPC 5464 | 16 | 15 | $49,748 | $17,818 | $18,465 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 15 | 15 | $21,754 | $2,298 | $2,373 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 15 | 15 | $85,606 | $27,603 | $29,375 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 12 | $10,873 | $1,053 | $1,196 |
| Level 5 Airway EndoscopyAPC 5155 | 12 | 11 | $28,266 | $4,488 | $5,183 |
| Level 4 ENT ProceduresAPC 5164 | 12 | 12 | $22,161 | $2,286 | $2,217 |
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.