Mercy Hospital Ada Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mercy Hospital Ada, Ada, OK in 2024, from traditional Medicare claims. Back to the Mercy Hospital Ada profile, with quality ratings, finances and negotiated rates.
940
Medicare inpatient discharges
In 27 published DRGs
1.62
Case mix index
IPPS FY 2027
7%
Surgical stays
79%
Stays with complications
In DRGs with a CC or MCC
658
Medicare outpatient services
In 15 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases343 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 | 288 | $41,439 | $12,838 | $13,716 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 41 | $24,104 | $6,588 | $7,978 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 14 | $66,333 | $33,027 | $21,956 | 5.00 |
Respiratory system169 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 70 | $28,301 | $11,281 | $9,368 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 40 | $29,150 | $8,653 | $9,648 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 29 | $26,557 | $8,364 | $8,790 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 17 | $18,319 | $4,811 | $6,064 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 13 | $23,981 | $7,547 | $7,938 | 1.10 |
Kidney and urinary tract153 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 35 | $20,216 | $4,994 | $6,692 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 33 | $19,917 | $5,960 | $6,593 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 33 | $21,378 | $7,637 | $7,076 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 30 | $32,691 | $10,303 | $10,821 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 22 | $36,596 | $11,171 | $12,113 | 1.65 |
Circulatory system116 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 73 | $25,871 | $8,535 | $8,563 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 16 | $67,066 | $10,669 | $22,199 | 1.82 |
| Syncope and collapseMS-DRG 312, medical | 15 | $18,109 | $5,496 | $5,994 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 12 | $29,962 | $9,850 | $9,917 | 1.59 |
Digestive system52 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 19 | $37,460 | $11,522 | $12,399 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 19 | $22,304 | $4,944 | $7,383 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 14 | $26,960 | $5,799 | $8,924 | 0.98 |
Endocrine, nutritional and metabolic49 discharges in 3 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 | 20 | $19,986 | $5,017 | $6,615 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 17 | $20,591 | $8,900 | $6,816 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 12 | $23,378 | $5,640 | $7,738 | 0.90 |
Musculoskeletal system and connective tissue35 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 21 | $40,333 | $13,569 | $13,350 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 14 | $49,990 | $13,616 | $16,547 | 2.11 |
Nervous system12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 12 | $23,871 | $5,919 | $7,901 | 1.02 |
Skin, subcutaneous tissue and breast11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 11 | $20,084 | $5,956 | $6,648 | 0.88 |
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 4 Urology and Related ServicesAPC 5374 | 230 | 175 | $14,860 | $2,538 | $2,629 |
| Comprehensive Observation ServicesAPC 8011 | 110 | 107 | $13,747 | $1,976 | $2,090 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 56 | 54 | $20,880 | $4,242 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 51 | 49 | $5,400 | $1,151 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 47 | 46 | $42,383 | $10,495 | $10,772 |
| Level 3 Vascular ProceduresAPC 5183 | 31 | 31 | $13,367 | $2,343 | $2,405 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 22 | 22 | $10,407 | $2,089 | $2,141 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 17 | 17 | $26,321 | $5,259 | $5,339 |
| Level 2 Upper GI ProceduresAPC 5302 | 16 | 15 | $6,855 | $1,399 | $1,445 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 14 | 14 | $56,263 | $15,527 | $15,763 |
| Level 1 Endovascular ProceduresAPC 5191 | 14 | 14 | $19,971 | $2,007 | $2,208 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 14 | 14 | $17,277 | $2,537 | $2,636 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 13 | 13 | $15,765 | $2,380 | $2,373 |
| Level 2 Vascular ProceduresAPC 5182 | 12 | $13,060 | $1,177 | $1,204 | |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 11 | 11 | $37,585 | $4,794 | $4,982 |
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.