Mercy General Hospital Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mercy General Hospital, Sacramento, CA in 2024, from traditional Medicare claims. Back to the Mercy General Hospital profile, with quality ratings, finances and negotiated rates.
2,329
Medicare inpatient discharges
In 71 published DRGs
2.37
Case mix index
IPPS FY 2027
33%
Surgical stays
62%
Stays with complications
In DRGs with a CC or MCC
3,086
Medicare outpatient services
In 40 service groups
Inpatient stays by major diagnostic category
Circulatory system1,182 discharges in 31 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| 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 |
| 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 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 41 | $68,315 | $6,966 | $10,794 | 0.74 |
| Other cardiothoracic procedures without MCCMS-DRG 229, surgical | 39 | $240,200 | $31,899 | $37,952 | 3.18 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 35 | $84,752 | $8,552 | $13,391 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 30 | $109,719 | $10,469 | $17,336 | 1.08 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 28 | $193,712 | $23,877 | $30,606 | 2.16 |
| Coronary bypass with cardiac catheterization or open ablation with MCCMS-DRG 233, surgical | 27 | $871,782 | $87,458 | $137,742 | 7.80 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 27 | $88,889 | $11,822 | $14,044 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 27 | $68,137 | $7,998 | $10,766 | 0.86 |
| Chest painMS-DRG 313, medical | 24 | $58,071 | $6,743 | $9,175 | 0.72 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 23 | $570,637 | $35,191 | $90,161 | 4.04 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 23 | $110,099 | $20,921 | $17,396 | 2.09 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 220, surgical | 21 | $652,400 | $50,584 | $103,079 | 5.24 |
| Other cardiothoracic procedures with MCCMS-DRG 228, surgical | 20 | $290,528 | $52,029 | $45,903 | 5.04 |
| Coronary bypass without cardiac catheterization with MCCMS-DRG 235, surgical | 20 | $702,636 | $59,297 | $111,017 | 5.88 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 20 | $53,930 | $4,548 | $8,521 | 0.55 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 15 | $345,887 | $47,084 | $54,650 | 5.06 |
| Percutaneous and other intracardiac procedures with MCCMS-DRG 273, surgical | 15 | $239,470 | $40,816 | $37,836 | 3.90 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 13 | $223,405 | $33,296 | $35,298 | 3.46 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 13 | $100,953 | $22,123 | $15,951 | 2.28 |
| Acute myocardial infarction, expired with MCCMS-DRG 283, medical | 13 | $127,056 | $21,985 | $20,075 | 1.97 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 13 | $74,858 | $9,224 | $11,828 | 0.97 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 12 | $658,717 | $52,130 | $104,077 | 5.20 |
| Atherosclerosis without MCCMS-DRG 303, medical | 12 | $47,356 | $5,642 | $7,482 | 0.66 |
| Coronary intravascular lithotripsy with intraluminal device without MCCMS-DRG 324, surgical | 11 | $240,196 | $30,638 | $37,951 | 2.97 |
Infectious and parasitic diseases278 discharges in 3 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 | 212 | $132,488 | $18,743 | $20,933 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 41 | $80,587 | $9,526 | $12,733 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 25 | $249,435 | $47,673 | $39,411 | 5.00 |
Respiratory system183 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 45 | $115,960 | $12,123 | $18,322 | 1.33 |
| 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 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 28 | $89,327 | $11,980 | $14,114 | 1.23 |
| Ultrasound accelerated and other thrombolysis with principal diagnosis pulmonary embolisMS-DRG 173, surgical | 16 | $143,313 | $29,687 | $22,644 | 3.08 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 12 | $59,859 | $7,753 | $9,458 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 11 | $183,517 | $24,957 | $28,996 | 2.70 |
Digestive system173 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 54 | $77,091 | $9,120 | $12,180 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 33 | $67,725 | $6,758 | $10,701 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 32 | $104,074 | $17,413 | $16,444 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 19 | $229,704 | $23,888 | $36,293 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 13 | $242,243 | $44,173 | $38,274 | 4.52 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 11 | $137,439 | $16,316 | $21,715 | 1.67 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 11 | $47,548 | $7,179 | $7,513 | 0.80 |
Kidney and urinary tract165 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 | 45 | $91,479 | $15,636 | $14,454 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 34 | $57,151 | $8,662 | $9,030 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 31 | $80,100 | $13,881 | $12,656 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 22 | $75,697 | $10,432 | $11,960 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 19 | $61,902 | $7,292 | $9,781 | 0.81 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 14 | $56,931 | $9,899 | $8,995 | 1.02 |
Nervous system115 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Seizures without MCCMS-DRG 101, medical | 32 | $66,208 | $8,138 | $10,461 | 0.91 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 28 | $128,514 | $19,093 | $20,305 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 26 | $85,986 | $9,443 | $13,586 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 18 | $70,002 | $7,553 | $11,060 | 0.80 |
| Seizures with MCCMS-DRG 100, medical | 11 | $92,002 | $19,063 | $14,536 | 1.98 |
Musculoskeletal system and connective tissue97 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 | 45 | $157,297 | $18,300 | $24,853 | 1.88 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 23 | $334,262 | $46,820 | $52,813 | 4.61 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 17 | $156,549 | $18,335 | $24,735 | 2.11 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 12 | $250,184 | $29,537 | $39,529 | 2.96 |
Endocrine, nutritional and metabolic78 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 | 32 | $91,094 | $13,320 | $14,393 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 20 | $61,110 | $7,511 | $9,655 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $118,357 | $13,804 | $18,700 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 12 | $78,179 | $7,925 | $12,352 | 0.90 |
Blood and immune system26 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 | 14 | $61,858 | $8,807 | $9,774 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 12 | $84,744 | $14,184 | $13,390 | 1.40 |
Skin, subcutaneous tissue and breast21 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 21 | $46,924 | $8,462 | $7,414 | 0.88 |
Transplants, ECMO and tracheostomy (pre-MDC)11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| ECMO or tracheostomy with MV >96 hours or principal diagnosis except face, mouth and necMS-DRG 003, surgical | 11 | $2,891,854 | $373,681 | $456,913 | 21.32 |
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 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 |
| Level 3 Vascular ProceduresAPC 5183 | 60 | 56 | $23,995 | $3,183 | $2,405 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 58 | 58 | $24,873 | $3,122 | $2,373 |
| Level 2 Upper GI ProceduresAPC 5302 | 55 | 51 | $14,127 | $1,943 | $1,445 |
| Level 5 ENT ProceduresAPC 5165 | 48 | 48 | $46,984 | $5,955 | $4,436 |
| Level 3 Urology and Related ServicesAPC 5373 | 48 | 16 | $16,008 | $2,073 | $1,516 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 47 | 46 | $41,113 | $3,437 | $2,636 |
| Level 2 Endovascular ProceduresAPC 5192 | 45 | 40 | $58,106 | $5,808 | $4,338 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 39 | 37 | $134,157 | $22,105 | $15,763 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 37 | 37 | $56,732 | $11,983 | $8,569 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 36 | 34 | $14,391 | $1,649 | $1,220 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 34 | 34 | $186,823 | $40,247 | $29,375 |
| Level 4 Vascular ProceduresAPC 5184 | 32 | 27 | $31,163 | $5,592 | $3,946 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 31 | 31 | $26,648 | $2,884 | $2,141 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 31 | 29 | $69,086 | $6,695 | $4,982 |
| Level 4 Gynecologic ProceduresAPC 5414 | 31 | 31 | $26,082 | $3,181 | $2,389 |
| Level 4 Endovascular ProceduresAPC 5194 | 30 | 29 | $146,337 | $20,694 | $14,606 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 29 | 29 | $101,147 | $11,494 | $8,164 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 28 | 27 | $44,373 | $9,196 | $6,514 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 24 | 24 | $33,181 | $3,875 | $2,930 |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 23 | 23 | $12,477 | $2,378 | $1,780 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 20 | 19 | $17,666 | $1,632 | $1,196 |
| Level 2 Vascular ProceduresAPC 5182 | 20 | 20 | $15,866 | $1,618 | $1,204 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 18 | 18 | $175,254 | $37,891 | $26,719 |
| Level 3 Lower GI ProceduresAPC 5313 | 17 | 17 | $18,690 | $2,879 | $2,176 |
| Level 2 Electrophysiologic ProceduresAPC 5212 | 14 | 14 | $65,653 | $7,887 | $5,682 |
| Level 1 Nerve ProceduresAPC 5431 | 14 | 14 | $31,512 | $1,965 | $1,407 |
| Cochlear Implant ProcedureAPC 5166 | 13 | 13 | $187,300 | $41,055 | $29,489 |
| Level 4 Urology and Related ServicesAPC 5374 | 13 | $33,073 | $3,547 | $2,629 | |
| Complex GI ProceduresAPC 5331 | 11 | 11 | $35,544 | $5,799 | $4,263 |
| Level 5 Urology and Related ServicesAPC 5375 | 11 | $56,615 | $4,308 | $3,918 |
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.