Mercy Hospital Jefferson Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mercy Hospital Jefferson, Crystal City, MO in 2024, from traditional Medicare claims. Back to the Mercy Hospital Jefferson profile, with quality ratings, finances and negotiated rates.
1,668
Medicare inpatient discharges
In 52 published DRGs
1.59
Case mix index
IPPS FY 2027
9%
Surgical stays
68%
Stays with complications
In DRGs with a CC or MCC
1,053
Medicare outpatient services
In 21 service groups
Inpatient stays by major diagnostic category
Circulatory system336 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 127 | $34,532 | $8,616 | $8,564 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 27 | $55,471 | $9,855 | $13,757 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 25 | $83,571 | $10,736 | $20,726 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 23 | $22,919 | $4,832 | $5,684 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 22 | $85,212 | $16,704 | $21,133 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 20 | $43,123 | $5,819 | $10,695 | 1.08 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 18 | $37,748 | $5,950 | $9,361 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 15 | $55,481 | $13,234 | $13,759 | 2.16 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 13 | $37,008 | $7,792 | $9,178 | 1.20 |
| Syncope and collapseMS-DRG 312, medical | 13 | $23,222 | $5,657 | $5,759 | 0.86 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 11 | $30,535 | $6,559 | $7,573 | 1.07 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $23,003 | $4,537 | $5,705 | 0.75 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 11 | $44,067 | $4,015 | $10,929 | 0.55 |
Infectious and parasitic diseases315 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 | 272 | $50,817 | $12,484 | $12,603 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 29 | $30,289 | $6,633 | $7,512 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 14 | $88,441 | $28,730 | $21,933 | 5.00 |
Respiratory system253 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 | 75 | $37,508 | $8,122 | $9,302 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 58 | $40,169 | $10,824 | $9,962 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 43 | $32,237 | $7,571 | $7,995 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 24 | $26,456 | $5,064 | $6,561 | 0.82 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 23 | $70,157 | $17,422 | $17,399 | 2.70 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 16 | $29,845 | $8,616 | $7,402 | 1.40 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 14 | $22,494 | $5,297 | $5,578 | 0.85 |
Mental diseases and disorders170 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 159 | $18,677 | $8,886 | $4,632 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 11 | $23,692 | $11,155 | $5,876 | 1.76 |
Kidney and urinary tract156 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 50 | $22,409 | $5,593 | $5,557 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 30 | $38,392 | $9,579 | $9,521 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 30 | $22,406 | $5,149 | $5,557 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 27 | $39,606 | $10,319 | $9,822 | 1.65 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 19 | $28,770 | $7,436 | $7,135 | 1.17 |
Digestive system146 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 39 | $24,756 | $5,083 | $6,139 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 34 | $31,391 | $6,471 | $7,785 | 0.98 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 16 | $26,171 | $7,002 | $6,490 | 1.04 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $20,114 | $5,010 | $4,988 | 0.80 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 15 | $38,246 | $11,473 | $9,485 | 1.79 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 13 | $29,434 | $9,752 | $7,300 | 1.45 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 13 | $29,395 | $8,907 | $7,290 | 1.28 |
Endocrine, nutritional and metabolic95 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 without MCCMS-DRG 641, medical | 31 | $20,490 | $5,024 | $5,082 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 27 | $26,969 | $8,504 | $6,688 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 19 | $32,042 | $9,823 | $7,946 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 18 | $27,321 | $5,846 | $6,776 | 0.90 |
Musculoskeletal system and connective tissue82 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 | 25 | $47,969 | $12,146 | $11,896 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 25 | $48,692 | $13,695 | $12,076 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 16 | $51,790 | $17,344 | $12,844 | 2.95 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 16 | $48,638 | $13,403 | $12,062 | 2.07 |
Nervous system48 discharges in 3 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 | $39,027 | $5,896 | $9,679 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 15 | $52,132 | $12,438 | $12,929 | 2.00 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 13 | $22,085 | $8,449 | $5,477 | 1.36 |
Skin, subcutaneous tissue and breast40 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 28 | $24,524 | $5,393 | $6,082 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 12 | $32,673 | $8,936 | $8,103 | 1.49 |
Liver, gallbladder and pancreas16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cirrhosis and alcoholic hepatitis with MCCMS-DRG 432, medical | 16 | $40,139 | $12,907 | $9,954 | 1.92 |
Blood and immune system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders with MCCMS-DRG 811, medical | 11 | $41,094 | $9,780 | $10,191 | 1.40 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
Outpatient services
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 225 | 207 | $17,148 | $1,904 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 123 | 116 | $8,462 | $1,126 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 109 | 109 | $26,678 | $2,027 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 75 | 66 | $12,271 | $2,227 | $2,405 |
| Level 4 Urology and Related ServicesAPC 5374 | 69 | 59 | $13,797 | $2,376 | $2,629 |
| Level 5 Urology and Related ServicesAPC 5375 | 54 | 45 | $18,772 | $3,669 | $3,918 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 51 | 49 | $37,398 | $9,868 | $10,772 |
| Level 3 Urology and Related ServicesAPC 5373 | 44 | 26 | $8,395 | $1,419 | $1,516 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 41 | 41 | $15,082 | $3,892 | $4,358 |
| Level 1 Nerve ProceduresAPC 5431 | 38 | 35 | $7,610 | $1,333 | $1,407 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 35 | 34 | $13,820 | $2,164 | $2,373 |
| Level 2 Upper GI ProceduresAPC 5302 | 30 | 30 | $6,865 | $1,304 | $1,445 |
| Level 3 Endovascular ProceduresAPC 5193 | 28 | 26 | $58,760 | $8,151 | $8,874 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 26 | 26 | $26,038 | $4,683 | $5,339 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 20 | 20 | $11,010 | $2,015 | $2,141 |
| Level 4 Gynecologic ProceduresAPC 5414 | 19 | 19 | $14,200 | $2,217 | $2,389 |
| Level 2 Endovascular ProceduresAPC 5192 | 16 | 15 | $32,269 | $4,053 | $4,338 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 13 | $8,750 | $970 | $1,196 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 13 | 13 | $13,555 | $2,453 | $2,636 |
| Level 3 Lower GI ProceduresAPC 5313 | 12 | 12 | $10,135 | $2,064 | $2,176 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 12 | $20,448 | $4,849 | $4,524 |
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.