Dignity Health · Sacramento, CA
3 of 5
CMS star rating
313
Beds
13,719
Inpatient discharges a year
$791.2M
Net patient revenue a year
31
In-network payers
Mercy General Hospital is a 313-bed voluntary non-profit - private hospital in Sacramento, CA, affiliated with Dignity Health. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 299 disclosed rate categories.
The 24 services Mercy General Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$12,571 - $17,075
from 2 insurers · median $14,823
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$12,982 - $25,883
from 2 insurers · median $19,432
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$506 - $4,579
from 4 insurers · median $2,127
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$239 - $10,710
from 4 insurers · median $3,809
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$620 - $15,803
from 4 insurers · median $5,441
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$723 - $15,803
from 3 insurers · median $6,101
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$1,672 - $21,182
from 4 insurers · median $4,767
31 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Digestive procedures
CPT 43239
$575 - $15,803
from 4 insurers · median $4,209
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$275 - $4,579
from 4 insurers · median $1,971
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$12,571 - $17,075
from 2 insurers · median $14,823
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 45378
$931 - $15,803
from 4 insurers · median $5,616
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,491 - $36,745
from 3 insurers · median $7,551
135 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$889 - $20,449
from 4 insurers · median $8,391
224 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
MRI imaging
CPT 70553
$509 - $6,296
from 4 insurers · median $2,459
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$800 - $6,861
from 4 insurers · median $4,378
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$194 - $358
from 2 insurers · median $276
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$49 - $393
from 4 insurers · median $266
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$23,032
negotiated rate
41 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 70450
$220 - $246
from 2 insurers · median $233
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$1,320 - $23,428
from 4 insurers · median $6,005
47 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
MRI imaging
CPT 74183
$509 - $6,296
from 4 insurers · median $2,475
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$35,296 - $141,601
from 3 insurers · median $61,556
Hospital reports cardiac thoracic surgery services to CMS
MRI imaging
CPT 72197
$509 - $6,296
from 4 insurers · median $2,475
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,324 - $36,745
from 3 insurers · median $6,983
29 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 467% | 9 | 10 |
| Insurer B* | 16 | 455% | 11 | 5 |
| Insurer C* | 20 | 342% | 9 | 8 |
| Insurer D* | 20 | 143% | 4 | 15 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Mercy General Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$791.2M net patient revenue
Ownership and leadership
Owned by Commonspirit Health
The employer identification numbers (EINs) health plans and networks list for Mercy General Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 94-2761692Mercy General Hospital | 59Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 54 more | 1356389878 Dignity Health1972541498 Dignity Health1487694857 Dignity Healthand 11 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
4001 'j' Street, Sacramento, CA 95819
(916) 453-4453
How Mercy General Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 8 measures
0 better, 8 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
Better on 2 of 8 measures
2 better, 5 no different, 1 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 3 of 9 measures
0 better, 6 no different, 3 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
79%
Higher than 75% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
1.42
Higher than 97% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
170 min
Higher than 64% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
81%
Higher than 86% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 8 measures | |
| Safety | Better on 2 of 8 measures | |
| Readmissions | Worse on 3 of 9 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 79% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 1.42 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 170 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 81% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Mercy General Hospital's inpatient payments for its readmissions, quality and cost results.
-0.60% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+0.11% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Mercy General Hospital, beside the US median and the average of CA hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Mercy General Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 171 cases | 3.3 | 4.1 | 4.075 | Better than 85% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 3,346 cases | 3.2 | 3.9 | 3.81 | Better than 86% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 · 431 cases | 13.2 | 11.8 | 11.57 | Worse than 88% of US hospitals | |
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 · 142 cases | 1.8 | 2.3 | 2.379 | Better than 82% of US hospitals | |
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 70 cases | 9.2 | 8.5 | 8.235 | Worse than 68% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 348 cases | 12.8 | 11 | 10.29 | Worse than 82% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 242 cases | 16.2 | 15.2 | 14.49 | Worse than 65% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 · 162 cases | 9.3 | 11.6 | 11.57 | Better than 89% of US hospitals | |
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 4,531 cases | 2.85 | 0.51 | 0.4818 | Worse Than the National Rate | Worse than 99% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 · 113 cases | 166 | 173 | 171 | No Different Than the National Rate | Better than 62% of US hospitals |
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 5,509 cases | 0.19 | 0.2 | 0.21 | No Different Than the National Rate | Better than 66% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 6,091 cases | 0.26 | 0.27 | 0.261 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 1,834 cases | 1.86 | 2.29 | 2.308 | No Different Than the National Rate | Better than 92% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 863 cases | 1.42 | 1.63 | 1.668 | No Different Than the National Rate | Better than 87% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 927 cases | 6.67 | 8.88 | 9.555 | No Different Than the National Rate | Better than 88% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 1,995 cases | 2.93 | 3.4 | 3.521 | No Different Than the National Rate | Better than 84% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 914 cases | 2.8 | 5.105 | 5.495 | No Different Than the National Rate | Better than 99% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 331 cases | 1.6 | 1.72 | 1.796 | No Different Than the National Rate | Better than 87% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 1,035 cases | 0.82 | 1.02 | 1.061 | No Different Than the National Rate | Better than 92% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Mercy General Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 · 513 cases | 10.6 | 4.2 | 11.09 | Worse than 61% of US hospitals | |
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 445 cases | 23.5 | 1.25 | 7.901 | Worse than 78% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 229 cases | 36.5 | 3.85 | 16.67 | Worse than 87% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 405 cases | 12.3 | 12.9 | 12.91 | No Different Than the National Rate | Better than 83% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 11.39 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.546 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 516 cases | 1 | 1 | 1.001 | No Different than expected | Worse than 32% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 902 cases | 13.9 | 14.4 | 14.43 | Better than 72% of US hospitals | |
| Rate of readmission for CABG2023-07-01 to 2025-06-30 · 295 cases | 9.4 | 10.9 | 11.19 | Better than 89% of US hospitals | |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 175 cases | 21.4 | 19.8 | 19.94 | Worse than 93% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 642 cases | 22.3 | 21.3 | 21.41 | Worse than 78% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 168 cases | 6.7 | 5.8 | 5.612 | Worse than 90% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 349 cases | 18.2 | 17.2 | 17.7 | Worse than 81% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Mercy General Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.135 | 0.172 | 0.2347 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.028 | 1.504 | 1.834 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 8,652 | 1,370 | 5,722 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 9.39 | 0.9835 | 5.638 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 4 | 0 | 3.347 | No Different than National Benchmark | |
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.426 | 0.484 | 0.5696 | No Different than National Benchmark | Better than 55% of US hospitals |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.168 | 0.138 | 0.2147 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.014 | 1.392 | 1.749 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 8,553 | 1,799 | 5,308 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 10.93 | 1.377 | 6.105 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 5 | 0 | 3.273 | No Different than National Benchmark | |
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | 0.457 | 0.399 | 0.5366 | No Different than National Benchmark | Worse than 56% of US hospitals |
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.009 | 0.2345 | 0.32 | Better than the National Benchmark | |
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.889 | 2.135 | 2.433 | Better than the National Benchmark | |
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 195 | 61 | 112 | Better than the National Benchmark | |
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 5.546 | 1.591 | 2.999 | Better than the National Benchmark | |
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 1 | 2.368 | Better than the National Benchmark | |
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | 0.18 | 0.7155 | 0.8107 | Better than the National Benchmark | Better than 80% of US hospitals |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.587 | 0.211 | 0.2606 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | 6.276 | 3.068 | 3.273 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 151 | 38 | 73.49 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 1.301 | 0.328 | 0.6136 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 3 | 0 | 0.5911 | No Different than National Benchmark | |
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | 2.306 | 0.812 | 0.7863 | No Different than National Benchmark | Worse than 90% of US hospitals |
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.331 | 0.193 | 0.3103 | No Different than National Benchmark | |
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | 2.004 | 1.855 | 2.305 | No Different than National Benchmark | |
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 71,268 | 14,451 | 52,601 | No Different than National Benchmark | |
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 5.531 | 0.567 | 3.111 | No Different than National Benchmark | |
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 5 | 0 | 2.166 | No Different than National Benchmark | |
| MRSA Bacteremia2024-10-01 to 2025-09-30 | 0.904 | 0.597 | 0.7784 | No Different than National Benchmark | Worse than 73% of US hospitals |
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.039 | 0.127 | 0.1925 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 0.298 | 0.747 | 0.9502 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 70,283 | 13,646 | 48,317 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 32.34 | 5.683 | 27.04 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 4 | 2 | 9.99 | Better than the National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.124 | 0.279 | 0.383 | Better than the National Benchmark | Better than 72% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Mercy General Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 477 cases | 70 | 73 | 72.2 | Worse than 62% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 477 cases | 8 | 8 | 8.78 | Better than 47% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 477 cases | 22 | 18 | 19.02 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 477 cases | 87 | 87 | 86.82 | Better than 47% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 477 cases | 4 | 4 | 3.514 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 477 cases | 81 | 80 | 75.76 | Better than 56% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 477 cases | 93 | 91 | 89.84 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 477 cases | 3 | 4 | 5.713 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 477 cases | 4 | 3 | 2.855 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 477 cases | 16 | 16 | 18.53 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 477 cases | 81 | 79 | 75.81 | Better than 59% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 477 cases | 92 | 91 | 89.11 | Better than 63% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 477 cases | 4 | 5 | 7.043 | Better than 62% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 477 cases | 4 | 3 | 2.688 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 477 cases | 15 | 16 | 17.15 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 477 cases | 64 | 61 | 58.95 | Better than 64% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 477 cases | 80 | 77 | 75.75 | Better than 72% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 477 cases | 17 | 19 | 21.56 | Better than 63% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 477 cases | 3 | 3 | 2.449 | Better than 47% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 477 cases | 19 | 19 | 19.48 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 477 cases | 88 | 86 | 84.61 | Better than 68% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 477 cases | 12 | 13 | 15.03 | Better than 58% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 477 cases | 4 | 3 | 3.08 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 477 cases | 88 | 87 | 84.97 | Better than 58% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 477 cases | 14 | 14 | 16.39 | Better than 49% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 477 cases | 86 | 86 | 83.61 | Better than 49% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 477 cases | 76 | 74 | 70.69 | Better than 61% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 477 cases | 6 | 7 | 8.855 | Better than 53% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 477 cases | 18 | 19 | 20.45 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 477 cases | 79 | 77 | 73.94 | Better than 58% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 477 cases | 5 | 6 | 7.637 | Better than 53% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 477 cases | 16 | 17 | 18.43 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 477 cases | 89 | 85 | 81.99 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 477 cases | 2 | 3 | 4.958 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 477 cases | 9 | 11 | 13.06 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 477 cases | 4 | 8 | 10.01 | Better than 82% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 477 cases | 17 | 20 | 22.36 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 477 cases | 79 | 72 | 67.63 | Better than 77% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 477 cases | 92 | 88 | 86.85 | Better than 86% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 477 cases | 4 | 3 | 3.047 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 477 cases | 76 | 74 | 72.06 | Better than 59% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 477 cases | 8 | 9 | 10.94 | Better than 60% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 477 cases | 16 | 16 | 17 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 477 cases | 76 | 75 | 71.11 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 477 cases | 6 | 5 | 7.488 | Worse than 51% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 477 cases | 18 | 20 | 21.4 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 477 cases | 79 | 77 | 72.49 | Better than 63% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 477 cases | 3 | 4 | 6.121 | Better than 64% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 477 cases | 18 | 19 | 21.39 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 477 cases | 89 | 86 | 82.8 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 477 cases | 1 | 3 | 3.779 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 477 cases | 10 | 11 | 13.42 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 477 cases | 51 | 59 | 47.5 | Worse than 77% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 477 cases | 11 | 9 | 17.79 | Worse than 60% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 477 cases | 38 | 31 | 34.71 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 477 cases | 79 | 82 | 74.85 | Worse than 66% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 477 cases | 3 | 3 | 2.203 | Worse than 44% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 477 cases | 3 | 5 | 7.623 | Better than 70% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 477 cases | 79 | 71 | 68.6 | Better than 75% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 477 cases | 92 | 87 | 85.85 | Better than 83% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 477 cases | 18 | 23 | 23.77 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 477 cases | 5 | 4 | 3.431 | The top rating, shared by 24% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 477 cases | 52 | 47 | 45.33 | Better than 72% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 477 cases | 26 | 30 | 32.51 | Better than 69% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 477 cases | 22 | 22 | 22.16 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 477 cases | 4 | 3 | 2.859 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 477 cases | 10 | 12 | 13.94 | Better than 70% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 477 cases | 90 | 88 | 86.06 | Better than 70% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Mercy General Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | high | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.289 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.008 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.1852 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 3,587 cases | 76 | 79 | 69.96 | Worse than 56% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 387 cases | 173 | 154 | 187 | Worse than 63% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 372 cases | 170 | 148 | 182 | Worse than 64% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 12 cases | 246 | 247 | 282 | Better than 50% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 | Not Available | 411 | |||
| Left before being seen2024-01-01 to 2024-12-31 · 45,755 cases | 1 | 1 | 2.162 | Better than 42% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 13 cases | 77 | 74 | 75.06 | Better than 57% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 63 cases | 87 | 97 | 92.55 | Worse than 83% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | 80 | |||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 48.75 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 3,619 cases | 12 | 15 | 13.67 | Better than 69% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 119 cases | 81 | 65 | 68.8 | Better than 86% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 33 cases | 88 | 73 | 76.38 | Better than 82% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 26 cases | 92 | 88 | 86.64 | Better than 61% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 119 cases | 86 | 82 | 82.89 | Better than 65% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 75 cases | 100 | 94 | 93.98 | The best result, shared by 10% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 93.4 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 70.68 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 · 129 cases | 88 | 94 | 89.93 | Worse than 86% of US hospitals | |
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 7,184 cases | 98 | 90 | 86.9 | Better than 84% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 1,762 cases | 99 | 97 | 94.78 | Better than 67% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Mercy General Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 0.4 | 5 | 4.959 | Better than 96% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | Not Available | 8.417 |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Mercy General Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 1 | 0.99 | 1.024 | Worse than 53% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Mercy General Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 20 | 20 | 30.07 | Better than 48% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 5 | 5 | 7.571 | Worse than 48% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 0 | 10 | 16.48 | The worst result, shared by 43% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 0 | 2.5 | 4.567 | The worst result, shared by 43% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 46 | 34 | 28.67 | Better than 69% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 11.5 | 8.75 | 7.519 | Better than 69% of US hospitals | |
| VBP safety domain scoreFY 2026 | 56.67 | 40 | 45.16 | Better than 77% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 14.17 | 10 | 11.79 | Better than 76% of US hospitals | |
| VBP total performance scoreFY 2026 | 30.67 | 29.5 | 30.43 | Better than 54% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 40 | 56.67 | 42 | 35 | 11.67 | 20 |
| VBP clinical outcomes weighted domain score | 10 | 14.17 | 10.5 | 8.75 | 2.917 | 5 |
| VBP efficiency and cost reduction domain score | 30 | Not Available | 20 | 20 | 20 | 0 |
| VBP efficiency and cost reduction weighted domain score | 7.5 | Not Available | 5 | 5 | 5 | 0 |
| VBP person and community engagement domain score | 29 | Not Available | Not Available | 28 | 24 | 46 |
| VBP person and community engagement weighted domain score | 7.25 | Not Available | Not Available | 7 | 6 | 11.5 |
| VBP safety domain score | 48 | Not Available | Not Available | 40 | 60 | 56.67 |
| VBP safety weighted domain score | 12 | Not Available | Not Available | 10 | 15 | 14.17 |
| VBP total performance score | 36.75 | Not Available | Not Available | 30.75 | 28.92 | 30.67 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Mercy General Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 · 469 cases | 1.033 | 0.9995 | 1.015 | Worse than 70% of US hospitals | |
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | 0.9332 | 1 | 1.005 | Better than 77% of US hospitals | |
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 · 90 cases | 0.9974 | 0.9969 | 1.002 | Worse than 50% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 464 cases | 1.066 | 0.9983 | 1.017 | Worse than 85% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 1.284 | 0.9916 | 0.9788 | Worse than 95% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 217 cases | 0.9949 | 0.9955 | 1.026 | Better than 51% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | 0.9189 | 0.8913 | 0.9454 | 0.9807 | 1.022 | 1.033 |
| READM-30-CABG-HRRP | 0.8815 | 0.8183 | 0.9129 | 1.016 | 1.038 | 0.9332 |
| READM-30-COPD-HRRP | 1.014 | 1.051 | 1.075 | 1.089 | 1.015 | 0.9974 |
| READM-30-HF-HRRP | 0.9745 | 0.9715 | 1.019 | 1.046 | 1.064 | 1.066 |
| READM-30-HIP-KNEE-HRRP | 0.9733 | 0.961 | 0.8474 | 0.8933 | 0.9789 | 1.284 |
| READM-30-PN-HRRP | 0.949 | 0.9533 | 1.009 | 1.004 | 1.06 | 0.9949 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Mercy General Hospital | US median | CA average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0.173 | 0.489 | 0.6114 | Better than 81% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.107 | 0.346 | 0.449 | Better than 85% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.392 | 0.559 | 0.679 | Better than 67% of US hospitals | |
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | 0.326 | 0.6405 | 0.7204 | Better than 78% of US hospitals | |
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 1.416 | 0.9628 | 0.9656 | Worse than 97% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | 0.725 | 0.7945 | 0.8116 | Better than 55% of US hospitals | |
| Total HAC scoreFY 2026 | -0.1543 | -0.0453 | 0.02733 | Better than 58% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.3637 | -0.2306 | 0 | -0.6321 | -0.4465 | -0.1543 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2022)
Accreditation
Major
Medical school affiliation
Private (not for profit)
Ownership type
419
Medicare-certified beds
594
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Mercy General Hospital reported to Medicare in its latest cost report, covering Jul 1, 2024 to Jun 30, 2025.
13,719
Inpatient discharges
Medicare 25%, Medicaid 5%
64,969
Inpatient days
63% of available bed days used
1,676
Employees (full-time equivalent)
7
Interns and residents (full-time equivalent)
Source: CMS cost report (HCRIS) (report 841063). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Mercy General Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 16,893 | 2,404 | 45,672 | 64,969 |
| Discharges | 3,439 | 661 | 9,619 | 13,719 |
| Average length of stay | 4.9 days | 3.6 days | 4.7 days | 4.7 days |
| Average daily census | 46.3 | 6.6 | 125.1 | 178.0 |
18,322
Medicare Advantage days
3,737 discharges
14,634
Medicaid managed care days
3,125 discharges
2,542
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 243 | 54,493 | 14,669 | 61% |
| Coronary care unit | 26 | 9,434 | 2,224 | 99% |
| Surgical intensive care unit | 14 | 1 | 0% | |
| Nursery | 1,041 | |||
| Subprovider - irf | 30 | 6,648 | 1,949 | 67% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841063, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Mercy General Hospital treats Medicare patients for most often, in 2024. 2,329 Medicare discharges in 71 published DRGs; 33% surgical; 62% in DRGs with complications (CC or MCC).
| 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 | 212 | $132,488 | $18,743 | $20,933 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 211 | $96,886 | $12,694 | $15,308 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 127 | $204,132 | $32,041 | $32,253 | 3.24 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 96 | $128,037 | $16,029 | $20,230 | 1.59 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 65 | $348,909 | $48,910 | $55,128 | 4.88 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 65 | $150,671 | $17,239 | $23,806 | 1.82 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 54 | $77,091 | $9,120 | $12,180 | 0.98 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 49 | $237,940 | $29,544 | $37,595 | 2.87 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 47 | $917,857 | $93,940 | $145,021 | 7.71 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 45 | $115,960 | $12,123 | $18,322 | 1.33 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 45 | $157,297 | $18,300 | $24,853 | 1.88 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 45 | $91,479 | $15,636 | $14,454 | 1.65 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 41 | $68,315 | $6,966 | $10,794 | 0.74 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 41 | $80,587 | $9,526 | $12,733 | 1.03 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 39 | $240,200 | $31,899 | $37,952 | 3.18 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 36 | $113,120 | $16,122 | $17,873 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 35 | $92,394 | $10,032 | $14,598 | 1.10 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 35 | $84,752 | $8,552 | $13,391 | 0.91 |
| Renal failure with CCMS-DRG 683, medical | 34 | $57,151 | $8,662 | $9,030 | 0.90 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 33 | $67,725 | $6,758 | $10,701 | 0.79 |
See all 71 Medicare inpatient DRGs at Mercy General Hospital
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.
The comprehensive outpatient service groups (APCs) Mercy General Hospital billed Medicare for most in 2024: 3,086 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 3 Electrophysiologic ProceduresAPC 5213 | 743 | 730 | $176,515 | $28,418 | $21,117 |
| Level 1 Endovascular ProceduresAPC 5191 | 312 | 312 | $60,403 | $2,979 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 260 | 245 | $39,777 | $2,752 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 224 | 164 | $14,900 | $2,363 | $1,752 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 135 | 132 | $67,714 | $5,743 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 120 | 117 | $118,003 | $14,761 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 110 | 109 | $85,018 | $7,498 | $5,339 |
| Level 2 Intraocular ProceduresAPC 5492 | 108 | 98 | $21,358 | $4,093 | $3,116 |
| Level 3 Endovascular ProceduresAPC 5193 | 95 | 91 | $99,321 | $12,394 | $8,874 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 62 | 62 | $151,852 | $23,182 | $17,052 |
See all 40 Medicare outpatient services at Mercy General Hospital
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.
ZIP codes with the most Medicare inpatient stays at Mercy General Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 5,416 in 2020 to 6,971 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 95822 | 263 | 4% | 1,217 | $42.2M | 15% | 13% |
| 95823 | 256 | 4% | 1,234 | $44.9M | 10% | 8% |
| 95825 | 243 | 3% | 1,097 | $32.7M | 18% | 19% |
| 95826 | 222 | 3% | 969 | $29.4M | 17% | 20% |
| 95820 | 211 | 3% | 996 | $32.2M | 16% | 20% |
| 95831 | 210 | 3% | 856 | $34.2M | 13% | 14% |
| 95828 | 201 | 3% | 929 | $40.2M | 9% | 9% |
| 95815 | 197 | 3% | 1,291 | $36.9M | 18% | 17% |
| 95624 | 185 | 3% | 906 | $40.3M | 9% | 8% |
| 95816 | 178 | 3% | 884 | $24.2M | 14% | 14% |
| 95834 | 177 | 3% | 974 | $28.1M | 19% | 22% |
| 95691 | 173 | 2% | 802 | $26.4M | 13% | 12% |
| 95821 | 167 | 2% | 873 | $33.5M | 10% | 10% |
| 95833 | 165 | 2% | 778 | $25.6M | 15% | 19% |
| 95835 | 161 | 2% | 814 | $26.4M | 14% | 16% |
| 95838 | 160 | 2% | 811 | $26M | 12% | 17% |
| 95630 | 153 | 2% | 687 | $38.9M | 6% | 6% |
| 95864 | 148 | 2% | 747 | $25.9M | 16% | 23% |
| 95608 | 145 | 2% | 578 | $32.2M | 5% | 7% |
| 95819 | 143 | 2% | 623 | $19.6M | 24% | 27% |
| 95758 | 141 | 2% | 742 | $35.6M | 8% | 9% |
| 95818 | 141 | 2% | 659 | $20.9M | 21% | 20% |
| 95695 | 134 | 2% | 645 | $28.4M | 10% | 6% |
| 95670 | 124 | 2% | 480 | $26.9M | 6% | 8% |
| 95827 | 124 | 2% | 578 | $18.7M | 12% | 10% |
Source: CMS Hospital Service Area file. Shares are of the 6,971 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Mercy General Hospital reported at its latest Medicare certification survey (2019). Counts are people, not full-time equivalents.
21
Operating rooms
3
Endoscopy rooms
3
Cardiac catheterization rooms
30
Rehabilitation unit beds
594
Registered nurses
6
Nurse practitioners
5
Physician assistants
20
Pharmacists
51
Respiratory therapists
29
Physical therapists
7
Occupational therapists
6
Speech pathologists and audiologists
27
Radiology technicians
3
Nuclear medicine technicians
4
Dietitians
11
Social workers
4
Psychologists
764
Other personnel
Source: CMS Provider of Services file.
625 clinicians who bill Medicare list Mercy General Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Ram Lalchandani, M.D.
Hematology & Oncology Physician
NPI 1114993813
See commercial rates for Ram Lalchandani, M.D.Adam Attoun, D.O.
Diagnostic Radiology Physician
NPI 1124048350
See commercial rates for Adam Attoun, D.O.Carlos Medina Mendez, M.D.
Retina Specialist (Ophthalmology) Physician
NPI 1811218316
See commercial rates for Carlos Medina Mendez, M.D.Sarju Patel, M.D. MSC
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
NPI 1730384876
See commercial rates for Sarju Patel, M.D. MSCDavid Telander, M.D., PH.D
Retina Specialist (Ophthalmology) Physician
NPI 1528043023
See commercial rates for David Telander, M.D., PH.DMargaret Chang, M.D.
Retina Specialist (Ophthalmology) Physician
NPI 1477504405
See commercial rates for Margaret Chang, M.D.David Cupp, MD
Retina Specialist (Ophthalmology) Physician
NPI 1497901565
See commercial rates for David Cupp, MDTony Tsai, M.D.
Retina Specialist (Ophthalmology) Physician
NPI 1548294101
See commercial rates for Tony Tsai, M.D.Cameron Pole, M.D.
Ophthalmology Physician
NPI 1386090074
See commercial rates for Cameron Pole, M.D.Ehsan Hadi, MD
Neurology Physician
NPI 1770684326
See commercial rates for Ehsan Hadi, MDRobert Wertz, MD
Diagnostic Radiology Physician
NPI 1669812913
See commercial rates for Robert Wertz, MDJoel Pearlman, M.D., PH.D
Retina Specialist (Ophthalmology) Physician
NPI 1154430460
See commercial rates for Joel Pearlman, M.D., PH.DSamer Shihabi, M.D.
Medical Oncology Physician
NPI 1730110768
See commercial rates for Samer Shihabi, M.D.Meera Ramakrishnan, MD
Retina Specialist (Ophthalmology) Physician
NPI 1659802387
See commercial rates for Meera Ramakrishnan, MDPamela Rosenthal, NP
Family Nurse Practitioner
NPI 1609196625
See commercial rates for Pamela Rosenthal, NPReed Grabow, M.D.
Diagnostic Radiology Physician
NPI 1659391894
See commercial rates for Reed Grabow, M.D.Amjad Rasheed, M.D.
Diagnostic Radiology Physician
NPI 1982624144
See commercial rates for Amjad Rasheed, M.D.Abdul Malik Dredar, MD
Diagnostic Radiology Physician
NPI 1467714782
See commercial rates for Abdul Malik Dredar, MDTimothy Mar, M.D.
Orthopaedic Surgery Physician
NPI 1932199320
See commercial rates for Timothy Mar, M.D.Wesley Hilger, MD
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
NPI 1144205634
See commercial rates for Wesley Hilger, MDCharles Hubeny, MD
Diagnostic Radiology Physician
NPI 1689602294
See commercial rates for Charles Hubeny, MDPaul Cripe, M.D.
Diagnostic Radiology Physician
NPI 1194046680
See commercial rates for Paul Cripe, M.D.Harpreet Dhatt, M.D.
Diagnostic Radiology Physician
NPI 1306164041
See commercial rates for Harpreet Dhatt, M.D.Paul Mishyn, DO
Diagnostic Radiology Physician
NPI 1295239143
See commercial rates for Paul Mishyn, DOSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Mercy General Hospital reported to Medicare for Jul 1, 2024 to Jun 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $4.1B | 515.5% |
| Inpatient | $2.7B | 339.8% |
| Outpatient | $1.4B | 175.7% |
| Contractual allowances and discounts | -$3.3B | -415.5% |
| Net patient revenue | $791.2M | 100.0% |
| Operating expenses | -$759.2M | -96.0% |
| Operating income from patient care | $32M | 4.0% |
| Other income | $52.3M | 6.6% |
| Contributions and donations | $12,545 | 0.0% |
| Investment income | $8.9M | 1.1% |
| Other | $43.4M | 5.5% |
| Net income | $84.3M | 10.7% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $869.6M | 21.3% |
| Medicaid (including managed care) | $690.3M | 16.9% |
| Other payers and self-pay | $2.5B | 61.8% |
| Total charges | $4.1B | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841063, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Mercy General Hospital's latest cost report.
4.0%
Operating margin
Operating income from patient care / net patient revenue
10.0%
Total margin
Net income / net patient revenue plus other income
12.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
43% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$70.33
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
13.9%
Return on assets
Net income for a year / total assets
17.4%
Return on equity
Net income for a year / fund balance
0.15
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
6.66
Current ratio
Current assets / current liabilities
5.08
Quick ratio
Cash, temporary investments and net receivables / current liabilities
21 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
51 days
Days in patient receivables
Net patient receivables / daily net patient revenue
15 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.39
Asset turnover
Total revenue for a year / total assets
6.5 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 841063, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Mercy General Hospital owned and owed at the end of its reporting period (Jun 2025), across all fund types: $606M in total assets and a $484.8M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $41.6M | 6.9% |
| Patient receivables, net | $111.6M | 18.4% |
| Inventory | $19.3M | 3.2% |
| Total current assets | $200.9M | 33.2% |
| Property and equipment, net of depreciation | $263.1M | 43.4% |
| Investments and other assets | $142M | 23.4% |
| Total assets | $606M | 100.0% |
| Current liabilities | $30.2M | 5.0% |
| Long-term debt | $71.8M | 11.8% |
| Total liabilities | $121.2M | 20.0% |
| Fund balance (net assets) | $484.8M | 80.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 841063, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Mercy General Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$10.6M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$11M
Bad debt
Patient bills written off as uncollectible, at charges
$14.3M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$36,602
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$23.4M
Total unreimbursed and uncompensated care
3.1% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 841063, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Mercy General Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Jun 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $622.6M | $631.3M | $616.1M | $691.6M | $778.7M | $791.2M |
| Operating expenses | $595.4M | $624.3M | $632.8M | $679.7M | $736.3M | $759.2M |
| Operating margin | 4.4% | 1.1% | -2.7% | 1.7% | 5.4% | 4.0% |
| Net income | $130.5M | $69M | -$2M | $40M | $60.4M | $84.3M |
| Total assets | $689.1M | $649.9M | $589.7M | $542M | $601.6M | $606M |
| Discharges | 12,641 | 12,386 | 12,520 | 13,362 | 13,574 | 13,719 |
| Inpatient days | 52,325 | 56,150 | 58,366 | 62,886 | 63,241 | 64,969 |
| Medicare Advantage days | 11,519 | 12,652 | 15,369 | 17,462 | 18,088 | 18,322 |
| Beds | 419 | 419 | 313 | 313 | 313 | 313 |
| Employees (FTE) | 1,464 | 1,500 | 1,565 | 1,607 | 1,631 | 1,676 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841063, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Mercy General Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Impl. dev. charged to patients | $74.2M | $541.9M | 0.14 | ||
| Operating room | $23.3M | $62.4M | $772.6M | 0.08 | 32,250 |
| Electrocardiology | $4.6M | $57.1M | $265.3M | 0.22 | 813 |
| Medical supplies charged to patient | $30M | $80.4M | 0.37 | ||
| Drugs charged to patients | $27.9M | $150.9M | 0.19 | ||
| Emergency | $11M | $23.1M | $211M | 0.11 | 6,449 |
| Laboratory | $9.6M | $22M | $269.8M | 0.08 | 7,953 |
| Respiratory therapy | $8.8M | $17.3M | $224.4M | 0.08 | 2,963 |
| Radiology-diagnostic | $5.5M | $15.8M | $98.6M | 0.16 | 12,651 |
| Physical therapy services | $8.1M | $15.2M | $56.2M | 0.27 | 9,185 |
| Asc (non-distinct part) | $3.3M | $10.8M | $81.5M | 0.13 | 10,562 |
| Delivery room & labor room | $10.1M | $15.7M | 0.64 | 15,877 | |
| Clinic | $3.8M | $9.2M | $6.4M | 1.44 | 13,022 |
| Cardiac catheterization | $3.3M | $6.7M | $232.8M | 0.03 | 4,517 |
| Observation beds (non-distinct part | $6.6M | $22.3M | 0.29 | ||
| Rehab center services | $2.2M | $5.9M | $15.7M | 0.38 | 12,886 |
| Blood storing processing & trans. | $5.3M | $16.7M | 0.32 | 380 | |
| Renal dialysis | $4.7M | $14.4M | 0.33 | ||
| Cardiac rehabilitation | $1.7M | $3.5M | $4.3M | 0.82 | 3,432 |
| Non-invasive cardio lab | $1.4M | $2.6M | $49.1M | 0.05 | 750 |
| Radioisotope | $636,943 | $2.5M | $19.1M | 0.13 | 2,996 |
| Ct scan | $1M | $2M | $138.1M | 0.01 | 603 |
| Intravenous therapy | $1.3M | $1.7M | $3.4M | 0.50 | 3,284 |
| Anesthesiology | $1.5M | $94.7M | 0.02 | 601 | |
| Electroencephalography | $588,330 | $1.2M | $4M | 0.29 | 345 |
| Mri | $157,141 | $668,177 | $18.8M | 0.04 | 276 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $69.6M | $147.4M | $458.9M | 0.32 | 84,681 |
| Coronary care unit | $21M | $43.7M | $159M | 0.28 | 11,137 |
| Subprovider - irf | $6.7M | $14.4M | $45.3M | 0.32 | 8,064 |
| Surgical intensive care unit | $233,304 | $4.2M | $243,524 | 17.06 | 14,460 |
| Nursery | $3.5M | $7.1M | 0.50 | 11,172 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $21.8M | $109.8M | 337,479 | $61.08 | 30,702 |
| Employee benefits department | $5.3M | $66.4M | 14,668 | $64.42 | 1,592 |
| Maintenance & repairs | $2.2M | $15.6M | 32,961 | $66.67 | 6,603 |
| Nursing administration | $11.6M | $13.5M | 173,261 | $68.09 | 2,138 |
| Cap rel costs-bldg & fixt | $10.9M | 592,578 | |||
| Cap rel costs-mvble equip | $8.9M | ||||
| Pharmacy | $7.8M | $8.6M | 102,224 | $77.63 | 1,441 |
| Housekeeping | $5M | $6.5M | 150,587 | $33.55 | 2,117 |
| Medical records & library | $5.1M | 4,274 | |||
| Central services & supply | $2.6M | $3.9M | 66,918 | $39.50 | 9,618 |
| Operation of plant | $1.9M | $3.7M | 63,426 | $30.12 | 246,261 |
| Dietary | $3.2M | $2.5M | 58,000 | $33.22 | 7,869 |
| Social service | $1.5M | 22,657 | $64.71 | 90 | |
| I&r services-other prgm costs apprv | $1.7M | $1.3M | 222 | ||
| Cafeteria | $734,544 | 39,083 | $34.37 | 5,871 | |
| Laundry & linen service | $149,247 | $729,431 | 4,424 | $34.34 | |
| I&r services-salary & fringes apprv | $608,330 | ||||
| Pharmacy resident program | $137,670 | $147,732 | 24 |
Source: CMS cost report (HCRIS, Form 2552-10), report 841063, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Mercy General Hospital for an inpatient stay.
2.37
Case mix index
Higher than 92% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
Teaching hospital
Teaching status
0.02 residents per bed
Medicare-funded interns and residents per bed (FY 2027).
38.3%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
3,501
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 2.36 | 2.35 | 2.48 | 2.37 | 2.34 | 2.29 | 2.37 |
| Wage index | 1.624 | 1.638 | 1.631 | 1.604 | 1.524 | 1.450 | 1.461 |
| Readmissions adjustment | -0.25% | -0.01% | -0.04% | -0.04% | -0.17% | -0.46% | -0.60% |
| Value-based purchasing adjustment | +0.59% | +0.36% | +0.36% | -0.73% | +0.92% | +0.59% | +0.11% |
| Medicare inpatient stays | 3,702 | 3,702 | 3,117 | 2,968 | 3,073 | 3,203 | 3,501 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Mercy General Hospital reports to Medicare as owners or with operational control. 2 individuals also hold ownership interests; they are not listed here.
Commonspirit Health
5% or greater indirect ownership interest, 100%, since 2019
Commonspirit Health
Operational/managerial control, 100%, since 2019
Dignity Health
5% or greater direct ownership interest, 100%, since 2007
Dignity Health
Operational/managerial control, since 2007
Sources: CMS Hospital All Owners.
The officers and board members on Mercy General Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 7 of 13 are shown.
340B drug pricing program
Participating since 2005
340B ID DSH050017, registered as a disproportionate share hospital; 4 registered outpatient sites; 4 active contract pharmacies. Authorizing official: Charles Thevnin, Vp/cfo - Sac Market.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Mercy general - rehab unit
CCN 05T017, certified 1986, Medicare prospective payment
Source: Worksheet S-2 Part I of Mercy General Hospital's latest Medicare cost report (HCRIS).
About Mercy General Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercy General Hospital range from $509 to $6,296 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $4,125. The median at nearby comparable hospitals is $2,582. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy General Hospital range from $506 to $4,579 across 4 insurers. Aetna's rate is $506. The median at nearby comparable hospitals is $3,629. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Mercy General Hospital range from $620 to $15,803 across 4 insurers. Aetna's rate is $6,016. The median at nearby comparable hospitals is $3,299. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mercy General Hospital range from $12,571 to $17,075 across 2 insurers. Cigna's rate is $12,571. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercy General Hospital range from $194 to $358 across 2 insurers. Aetna's rate is $194. The median at nearby comparable hospitals is $292. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mercy General Hospital range from $23,032 to $23,032 across 1 insurers. UnitedHealthcare's rate is $23,032. The median at nearby comparable hospitals is $83,793. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mercy General Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
Yes. CMS counts 0.02 Medicare-funded residents per bed at Mercy General Hospital for fiscal year 2027, so it is a teaching hospital.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mercy General Hospital's base inpatient payments by an estimated 0.60% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (212 discharges), heart failure and shock with mcc (211 discharges), percutaneous and other intracardiac procedures without mcc (127 discharges).
Mercy General Hospital's Medicare case mix index is 2.37 for fiscal year 2027, higher than 92% of hospitals paid under the inpatient prospective payment system.
Mercy General Hospital reported 13,719 inpatient discharges and 64,969 inpatient days from Jul 1, 2024 to Jun 30, 2025.
Mercy General Hospital reported 1,676 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.
Mercy General Hospital reported $791.2M in net patient revenue on $4.1B of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of 4.0%, and net income of $84.3M.
Mercy General Hospital reported $23.4M of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025, including $10.6M of charity care at cost.
Mercy General Hospital's Medicare enrollment lists Terika Richardson Mbanu as Chair And President since 2024.
Insurers' price transparency files list Mercy General Hospital under employer identification number 94-2761692 (Mercy General Hospital). 59 health plans and networks list 94-2761692 for it.
Yes. HRSA's 340B database lists Mercy General Hospital (340B ID DSH050017) as a participating disproportionate share hospital since 2005, with 4 active contract pharmacies.
625 clinicians who bill Medicare list Mercy General Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are hospitalist physician (75), diagnostic radiology physician (56), anesthesiology physician (38).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Mercy General Hospital, effective 2022.
In its Medicare enrollment, Mercy General Hospital reports Commonspirit Health as 5% or greater indirect ownership interest (100%).
CMS lists 39 services at Mercy General Hospital, including Acute Renal Dialysis, Anesthesia, Cardiac Catheterization Lab, Cardiac Thoracic Surgery, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Mercy General Hospital came from ZIP codes 95822 (263), 95823 (256), 95825 (243).
Mercy General Hospital has 313 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 419 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Mercy General Hospital is located at 4001 'j' Street, Sacramento, CA 95819. Its main phone number is (916) 453-4453.
Mercy General Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 050017.
The National Provider Identifier (NPI) on file for Mercy General Hospital is 1487694857.
Mercy General Hospital is affiliated with Dignity Health.
Mercy General Hospital lists 31 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
299 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers