Mercy Hospital Iowa City Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mercy Hospital Iowa City, Iowa City, IA in 2024, from traditional Medicare claims. Back to the Mercy Hospital Iowa City profile, with quality ratings, finances and negotiated rates.
1,004
Medicare inpatient discharges
In 38 published DRGs
1.60
Case mix index
IPPS FY 2027
16%
Surgical stays
67%
Stays with complications
In DRGs with a CC or MCC
1,833
Medicare outpatient services
In 21 service groups
Inpatient stays by major diagnostic category
Circulatory system246 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 97 | $50,305 | $7,384 | $13,633 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 47 | $58,558 | $9,824 | $15,869 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 31 | $80,821 | $10,576 | $21,902 | 1.82 |
| Acute myocardial infarction, discharged alive without cc/mccMS-DRG 282, medical | 17 | $35,262 | $3,643 | $9,556 | 0.72 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 16 | $37,307 | $4,712 | $10,110 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 13 | $46,308 | $5,927 | $12,549 | 1.08 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 13 | $94,890 | $17,411 | $25,715 | 2.87 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 12 | $23,053 | $2,028 | $6,247 | 0.55 |
Infectious and parasitic diseases217 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 | 156 | $65,768 | $12,057 | $17,823 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 43 | $38,383 | $5,673 | $10,402 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 18 | $134,343 | $31,622 | $36,407 | 5.00 |
Respiratory system162 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 56 | $54,708 | $8,030 | $14,826 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 52 | $63,703 | $9,517 | $17,264 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 20 | $50,610 | $6,319 | $13,715 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 19 | $55,177 | $8,509 | $14,953 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 15 | $31,470 | $4,572 | $8,528 | 0.82 |
Musculoskeletal system and connective tissue115 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 33 | $93,339 | $15,372 | $25,295 | 2.67 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 22 | $66,837 | $12,222 | $18,113 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 19 | $72,783 | $12,330 | $19,724 | 2.11 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 14 | $113,371 | $28,463 | $30,724 | 4.61 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 14 | $26,054 | $4,420 | $7,061 | 0.79 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 13 | $103,413 | $19,874 | $28,025 | 3.49 |
Digestive system92 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 25 | $39,848 | $5,354 | $10,799 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 21 | $29,590 | $3,739 | $8,019 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 17 | $37,007 | $4,104 | $10,029 | 0.80 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 17 | $29,885 | $2,180 | $8,099 | 0.56 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 12 | $62,633 | $11,372 | $16,974 | 1.79 |
Kidney and urinary tract71 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 17 | $64,660 | $7,020 | $17,523 | 1.17 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 17 | $29,281 | $4,118 | $7,935 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 13 | $66,820 | $9,379 | $18,108 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 13 | $48,676 | $9,755 | $13,191 | 1.65 |
| Renal failure with CCMS-DRG 683, medical | 11 | $34,529 | $4,496 | $9,357 | 0.90 |
Endocrine, nutritional and metabolic30 discharges in 2 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 | 18 | $30,807 | $4,227 | $8,349 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 12 | $58,540 | $6,917 | $15,864 | 1.32 |
Skin, subcutaneous tissue and breast26 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 26 | $43,524 | $4,545 | $11,795 | 0.88 |
Blood and immune system25 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 | 13 | $33,816 | $4,502 | $9,164 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 12 | $51,574 | $8,061 | $13,976 | 1.40 |
Nervous system20 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 | 20 | $48,666 | $5,489 | $13,188 | 1.02 |
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 5 Musculoskeletal ProceduresAPC 5115 | 683 | 639 | $52,045 | $9,980 | $10,772 |
| Comprehensive Observation ServicesAPC 8011 | 420 | 385 | $27,932 | $1,927 | $2,090 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 97 | 96 | $83,248 | $14,811 | $15,763 |
| Level 2 Urology and Related ServicesAPC 5372 | 79 | 11 | $2,084 | $480 | $502 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 73 | 71 | $38,107 | $3,995 | $4,358 |
| Level 1 Endovascular ProceduresAPC 5191 | 70 | 70 | $22,105 | $2,052 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 53 | 51 | $11,399 | $1,146 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 50 | 50 | $37,144 | $5,087 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 42 | 39 | $27,637 | $3,679 | $3,918 |
| Level 4 Urology and Related ServicesAPC 5374 | 39 | 37 | $23,971 | $2,472 | $2,629 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 36 | 35 | $11,050 | $1,143 | $1,196 |
| Level 3 Endovascular ProceduresAPC 5193 | 31 | 30 | $65,068 | $8,164 | $8,874 |
| Level 2 Vascular ProceduresAPC 5182 | 28 | 25 | $20,381 | $1,098 | $1,204 |
| Level 2 Upper GI ProceduresAPC 5302 | 22 | 18 | $14,655 | $1,359 | $1,445 |
| Level 4 Endovascular ProceduresAPC 5194 | 21 | 13 | $70,535 | $7,993 | $14,606 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 19 | 18 | $24,836 | $2,315 | $2,636 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 16 | 16 | $56,220 | $7,550 | $8,164 |
| Level 3 Urology and Related ServicesAPC 5373 | 16 | 11 | $9,664 | $1,338 | $1,516 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 14 | 12 | $21,168 | $1,973 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 13 | 13 | $18,249 | $1,710 | $2,141 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 11 | 11 | $41,906 | $4,637 | $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.