Mercy Hospital Joplin Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mercy Hospital Joplin, Joplin, MO in 2024, from traditional Medicare claims. Back to the Mercy Hospital Joplin profile, with quality ratings, finances and negotiated rates.
1,969
Medicare inpatient discharges
In 64 published DRGs
1.88
Case mix index
IPPS FY 2027
15%
Surgical stays
67%
Stays with complications
In DRGs with a CC or MCC
1,760
Medicare outpatient services
In 27 service groups
Inpatient stays by major diagnostic category
Circulatory system439 discharges in 14 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 143 | $32,625 | $8,058 | $7,014 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 51 | $29,751 | $4,749 | $6,396 | 0.74 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 44 | $84,760 | $20,276 | $18,223 | 3.24 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 31 | $40,339 | $7,322 | $8,673 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 25 | $72,643 | $11,244 | $15,618 | 1.82 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 24 | $48,917 | $9,715 | $10,517 | 1.59 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 21 | $19,752 | $3,551 | $4,247 | 0.55 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 17 | $40,095 | $5,304 | $8,620 | 0.91 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 15 | $43,681 | $6,708 | $9,391 | 1.08 |
| Syncope and collapseMS-DRG 312, medical | 15 | $31,988 | $5,634 | $6,877 | 0.86 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 14 | $146,008 | $25,509 | $31,392 | 4.04 |
| Hypertension without MCCMS-DRG 305, medical | 14 | $25,560 | $4,368 | $5,495 | 0.75 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 14 | $111,155 | $18,346 | $23,898 | 2.87 |
| Chest painMS-DRG 313, medical | 11 | $22,299 | $4,314 | $4,794 | 0.72 |
Respiratory system341 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 101 | $39,797 | $8,267 | $8,556 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 58 | $39,291 | $10,306 | $8,448 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 48 | $37,323 | $7,813 | $8,024 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 39 | $67,401 | $17,254 | $14,491 | 2.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 26 | $27,287 | $4,933 | $5,867 | 0.82 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 19 | $29,909 | $6,221 | $6,430 | 0.99 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 14 | $29,071 | $5,236 | $6,250 | 0.82 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 14 | $27,270 | $4,827 | $5,863 | 0.85 |
| Major chest procedures with CCMS-DRG 164, surgical | 11 | $83,113 | $16,466 | $17,869 | 2.55 |
| Respiratory system diagnosis with ventilator support >96 hoursMS-DRG 207, medical | 11 | $168,675 | $41,845 | $36,265 | 6.91 |
Infectious and parasitic diseases328 discharges in 5 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 | 223 | $57,173 | $12,080 | $12,292 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 45 | $35,993 | $6,539 | $7,738 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 31 | $127,021 | $28,227 | $27,310 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 15 | $204,370 | $44,084 | $43,939 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 14 | $53,084 | $12,674 | $11,413 | 2.04 |
Kidney and urinary tract241 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 53 | $25,824 | $4,988 | $5,552 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 47 | $31,016 | $7,323 | $6,669 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 39 | $29,831 | $5,420 | $6,414 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 38 | $34,104 | $9,137 | $7,332 | 1.50 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 36 | $40,254 | $9,992 | $8,655 | 1.65 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 17 | $31,913 | $6,473 | $6,861 | 1.02 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 11 | $44,760 | $8,514 | $9,623 | 1.35 |
Digestive system168 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 60 | $36,789 | $6,061 | $7,910 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 31 | $25,633 | $4,880 | $5,511 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 21 | $47,900 | $11,446 | $10,299 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 17 | $27,445 | $5,220 | $5,901 | 0.80 |
| Major gastrointestinal disorders and peritoneal infections with MCCMS-DRG 371, medical | 14 | $36,371 | $10,840 | $7,820 | 1.75 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 13 | $42,939 | $7,780 | $9,232 | 1.28 |
| Major gastrointestinal disorders and peritoneal infections with CCMS-DRG 372, medical | 12 | $31,359 | $6,892 | $6,742 | 1.04 |
Musculoskeletal system and connective tissue149 discharges in 6 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 | 48 | $59,830 | $12,762 | $12,864 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 34 | $32,386 | $5,813 | $6,963 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 25 | $66,397 | $13,174 | $14,275 | 2.11 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 16 | $33,018 | $5,419 | $7,099 | 0.90 |
| Lower extremity and humerus procedures except hip, foot and femur with CCMS-DRG 493, surgical | 14 | $64,999 | $14,982 | $13,975 | 2.40 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 12 | $91,556 | $17,691 | $19,684 | 2.95 |
Endocrine, nutritional and metabolic104 discharges in 5 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 | 37 | $42,014 | $9,373 | $9,033 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 24 | $28,439 | $4,727 | $6,114 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 16 | $42,678 | $8,567 | $9,176 | 1.45 |
| Diabetes with CCMS-DRG 638, medical | 16 | $26,779 | $5,827 | $5,757 | 0.90 |
| Amputation of lower limb for endocrine, nutritional and metabolic disorders with CCMS-DRG 617, surgical | 11 | $58,074 | $12,183 | $12,486 | 1.98 |
Nervous system99 discharges in 5 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 | 36 | $39,509 | $6,256 | $8,494 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 24 | $60,096 | $12,791 | $12,921 | 2.00 |
| Seizures without MCCMS-DRG 101, medical | 15 | $31,065 | $5,920 | $6,679 | 0.91 |
| Extracranial procedures without cc/mccMS-DRG 039, surgical | 12 | $30,244 | $7,009 | $6,503 | 1.14 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 12 | $35,172 | $8,659 | $7,562 | 1.36 |
Mental diseases and disorders45 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 34 | $18,438 | $9,062 | $3,964 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 11 | $54,019 | $9,712 | $11,614 | 1.76 |
Skin, subcutaneous tissue and breast31 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 31 | $26,262 | $5,527 | $5,646 | 0.88 |
Injuries, poisonings and toxic effects of drugs13 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Poisoning and toxic effects of drugs with MCCMS-DRG 917, medical | 13 | $69,677 | $9,059 | $14,981 | 1.60 |
Factors influencing health status11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Signs and symptoms without MCCMS-DRG 948, medical | 11 | $32,812 | $5,254 | $7,055 | 0.80 |
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 | 369 | 339 | $18,164 | $1,828 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 269 | 241 | $6,518 | $1,271 | $1,445 |
| Level 1 Endovascular ProceduresAPC 5191 | 183 | 180 | $21,630 | $1,921 | $2,208 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 132 | 122 | $6,359 | $1,077 | $1,220 |
| Level 4 Urology and Related ServicesAPC 5374 | 95 | 82 | $13,758 | $2,319 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 78 | 77 | $22,910 | $3,687 | $4,358 |
| Level 5 Urology and Related ServicesAPC 5375 | 75 | 69 | $19,310 | $3,429 | $3,918 |
| Level 3 Vascular ProceduresAPC 5183 | 62 | 61 | $13,162 | $2,104 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 56 | 52 | $13,461 | $1,319 | $1,516 |
| Level 3 Endovascular ProceduresAPC 5193 | 55 | 50 | $48,906 | $7,337 | $8,874 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 51 | 48 | $24,655 | $4,776 | $5,339 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 45 | 45 | $26,186 | $7,343 | $8,569 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 36 | 36 | $14,089 | $2,168 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 34 | 32 | $10,907 | $1,781 | $2,141 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 27 | 27 | $34,578 | $7,021 | $8,164 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 24 | 24 | $23,454 | $5,447 | $6,514 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 23 | 23 | $38,027 | $9,106 | $10,772 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 20 | 19 | $11,727 | $2,452 | $2,930 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 20 | 20 | $28,715 | $4,172 | $4,982 |
| Level 2 Vascular ProceduresAPC 5182 | 16 | 16 | $10,514 | $892 | $1,204 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 16 | 16 | $21,458 | $2,318 | $2,636 |
| Level 4 Endovascular ProceduresAPC 5194 | 15 | 15 | $62,202 | $13,085 | $14,606 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 13 | 13 | $13,045 | $1,077 | $1,196 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 12 | 12 | $73,377 | $25,833 | $29,375 |
| Level 4 Gynecologic ProceduresAPC 5414 | 12 | 12 | $12,131 | $1,946 | $2,389 |
| Level 2 Endovascular ProceduresAPC 5192 | 11 | 11 | $32,694 | $3,829 | $4,338 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 11 | 11 | $84,288 | $24,405 | $26,719 |
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.