Mercy Hospital Of Folsom Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mercy Hospital Of Folsom, Folsom, CA in 2024, from traditional Medicare claims. Back to the Mercy Hospital Of Folsom profile, with quality ratings, finances and negotiated rates.
1,246
Medicare inpatient discharges
In 41 published DRGs
1.53
Case mix index
IPPS FY 2027
7%
Surgical stays
73%
Stays with complications
In DRGs with a CC or MCC
728
Medicare outpatient services
In 10 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases298 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 | 218 | $112,129 | $17,909 | $21,977 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 66 | $63,416 | $8,887 | $12,430 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 14 | $222,899 | $42,089 | $43,688 | 5.00 |
Circulatory system222 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 125 | $88,091 | $11,581 | $17,266 | 1.28 |
| Syncope and collapseMS-DRG 312, medical | 22 | $71,055 | $7,665 | $13,927 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 19 | $86,395 | $13,903 | $16,933 | 1.59 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 18 | $77,223 | $10,419 | $15,136 | 1.20 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 14 | $70,252 | $6,272 | $13,769 | 0.74 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 13 | $47,393 | $4,973 | $9,289 | 0.55 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $65,222 | $6,445 | $12,783 | 0.75 |
Respiratory system177 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 52 | $89,713 | $14,858 | $17,584 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 48 | $87,047 | $11,451 | $17,061 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 30 | $81,056 | $9,810 | $15,887 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 17 | $61,401 | $7,006 | $12,035 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 15 | $68,400 | $11,251 | $13,406 | 1.23 |
| Chronic obstructive pulmonary disease with CCMS-DRG 191, medical | 15 | $69,927 | $7,691 | $13,706 | 0.85 |
Digestive system150 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 43 | $68,682 | $8,575 | $13,462 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 39 | $58,091 | $6,378 | $11,386 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 21 | $102,482 | $15,426 | $20,087 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 16 | $59,140 | $7,064 | $11,592 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 16 | $69,934 | $11,436 | $13,707 | 1.28 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 15 | $76,387 | $8,262 | $14,972 | 0.94 |
Kidney and urinary tract148 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 34 | $60,776 | $7,525 | $11,912 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 31 | $64,962 | $10,085 | $12,732 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 29 | $87,327 | $13,937 | $17,116 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 28 | $56,029 | $7,116 | $10,982 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 26 | $77,233 | $13,430 | $15,138 | 1.50 |
Musculoskeletal system and connective tissue86 discharges in 5 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 | 24 | $163,569 | $17,193 | $32,059 | 1.88 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 20 | $321,147 | $34,544 | $62,945 | 3.66 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 16 | $149,617 | $18,868 | $29,325 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 14 | $73,358 | $7,507 | $14,378 | 0.97 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 12 | $174,129 | $19,289 | $34,129 | 2.11 |
Nervous system59 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 | 28 | $72,969 | $8,555 | $14,302 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 20 | $117,512 | $17,898 | $23,032 | 2.00 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 11 | $65,064 | $5,016 | $12,752 | 0.69 |
Endocrine, nutritional and metabolic57 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 with MCCMS-DRG 640, medical | 27 | $69,246 | $11,976 | $13,572 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 19 | $59,095 | $6,591 | $11,583 | 0.78 |
| Diabetes with MCCMS-DRG 637, medical | 11 | $113,789 | $12,705 | $22,303 | 1.45 |
Skin, subcutaneous tissue and breast25 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 25 | $67,369 | $7,745 | $13,204 | 0.88 |
Alcohol and drug use12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Alcohol, drug abuse or dependence without rehabilitation therapy without MCCMS-DRG 897, medical | 12 | $73,647 | $7,406 | $14,435 | 0.86 |
Injuries, poisonings and toxic effects of drugs12 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 | 12 | $69,442 | $13,043 | $13,611 | 1.60 |
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 | 448 | 426 | $39,291 | $2,747 | $2,090 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 89 | 85 | $112,374 | $14,631 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 50 | 50 | $76,169 | $5,848 | $4,358 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 38 | 36 | $50,434 | $3,294 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 30 | 30 | $83,134 | $7,490 | $5,339 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 21 | 21 | $10,980 | $1,627 | $1,196 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 16 | 16 | $136,794 | $22,105 | $15,763 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 13 | 13 | $63,660 | $6,695 | $4,982 |
| Level 2 Upper GI ProceduresAPC 5302 | 12 | 12 | $30,935 | $1,946 | $1,445 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 11 | 11 | $62,167 | $3,503 | $2,636 |
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.