Mercy Hospital Southeast Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mercy Hospital Southeast, Cape Girardeau, MO in 2024, from traditional Medicare claims. Back to the Mercy Hospital Southeast profile, with quality ratings, finances and negotiated rates.
1,273
Medicare inpatient discharges
In 47 published DRGs
1.92
Case mix index
IPPS FY 2027
22%
Surgical stays
64%
Stays with complications
In DRGs with a CC or MCC
1,852
Medicare outpatient services
In 33 service groups
Inpatient stays by major diagnostic category
Circulatory system304 discharges in 11 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 94 | $30,984 | $8,345 | $9,822 | 1.28 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 42 | $166,355 | $21,010 | $52,735 | 3.24 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 36 | $30,070 | $4,735 | $9,532 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 20 | $79,161 | $10,448 | $25,094 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 19 | $53,626 | $6,243 | $17,000 | 1.08 |
| Syncope and collapseMS-DRG 312, medical | 19 | $25,619 | $5,549 | $8,121 | 0.86 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 18 | $218,102 | $32,164 | $69,138 | 4.88 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 18 | $17,087 | $3,048 | $5,416 | 0.55 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 13 | $237,683 | $31,808 | $75,346 | 5.20 |
| Other circulatory system diagnoses with MCCMS-DRG 314, medical | 13 | $51,395 | $13,494 | $16,292 | 2.09 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 12 | $45,262 | $7,102 | $14,348 | 1.20 |
Infectious and parasitic diseases258 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 | 185 | $45,982 | $12,683 | $14,576 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 25 | $170,333 | $36,929 | $53,996 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 23 | $26,059 | $6,237 | $8,261 | 1.03 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 13 | $172,502 | $41,903 | $54,683 | 6.96 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $58,398 | $13,050 | $18,512 | 2.04 |
Respiratory system218 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 | 58 | $38,069 | $8,522 | $12,068 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 49 | $35,183 | $7,808 | $11,153 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 38 | $25,299 | $5,123 | $8,020 | 0.82 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 37 | $50,120 | $10,840 | $15,888 | 1.70 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 13 | $78,512 | $17,201 | $24,888 | 2.70 |
| Pleural effusion with MCCMS-DRG 186, medical | 12 | $38,288 | $10,595 | $12,137 | 1.55 |
| Pulmonary embolism without MCCMS-DRG 176, medical | 11 | $33,910 | $4,983 | $10,750 | 0.82 |
Kidney and urinary tract133 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 41 | $24,835 | $5,509 | $7,873 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 35 | $22,797 | $4,782 | $7,227 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 28 | $37,453 | $9,528 | $11,872 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 17 | $31,718 | $7,645 | $10,055 | 1.17 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 12 | $45,179 | $8,005 | $14,322 | 1.35 |
Digestive system123 discharges in 6 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 | 33 | $21,364 | $4,688 | $6,772 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 29 | $33,904 | $6,222 | $10,748 | 0.98 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 19 | $80,628 | $10,319 | $25,559 | 1.67 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 18 | $94,655 | $15,302 | $30,005 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 13 | $56,048 | $10,868 | $17,767 | 1.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 11 | $125,606 | $26,585 | $39,817 | 4.52 |
Musculoskeletal system and connective tissue95 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Combined anterior and posterior spinal fusion with CCMS-DRG 454, surgical | 23 | $262,532 | $41,939 | $83,223 | 6.12 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 18 | $233,870 | $31,900 | $74,137 | 4.61 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 16 | $72,808 | $12,654 | $23,080 | 2.07 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 14 | $206,270 | $24,617 | $65,388 | 3.66 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 13 | $85,960 | $19,160 | $27,249 | 2.95 |
| Medical back problems without MCCMS-DRG 552, medical | 11 | $28,267 | $6,444 | $8,961 | 0.97 |
Nervous system72 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 | 32 | $35,210 | $5,970 | $11,162 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 26 | $46,865 | $12,253 | $14,856 | 2.00 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 14 | $29,033 | $3,846 | $9,203 | 0.69 |
Endocrine, nutritional and metabolic46 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 | 27 | $22,634 | $4,848 | $7,175 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 19 | $62,215 | $9,379 | $19,722 | 1.32 |
Skin, subcutaneous tissue and breast12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 12 | $35,261 | $5,299 | $11,178 | 0.88 |
Blood and immune system12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 12 | $29,865 | $5,565 | $9,467 | 0.90 |
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 | 209 | 203 | $18,290 | $1,957 | $2,090 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 138 | 127 | $8,217 | $986 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 138 | 133 | $77,036 | $10,090 | $10,772 |
| Level 4 Urology and Related ServicesAPC 5374 | 123 | 104 | $27,912 | $2,520 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 110 | 96 | $18,039 | $1,471 | $1,516 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 108 | 101 | $45,770 | $5,070 | $5,339 |
| Level 1 Endovascular ProceduresAPC 5191 | 98 | 97 | $32,499 | $2,080 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 92 | 91 | $35,110 | $4,135 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 80 | 78 | $22,313 | $2,293 | $2,405 |
| Level 5 Urology and Related ServicesAPC 5375 | 68 | 61 | $26,798 | $3,772 | $3,918 |
| Level 2 Upper GI ProceduresAPC 5302 | 62 | 55 | $8,028 | $1,400 | $1,445 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 51 | 47 | $11,480 | $1,172 | $1,196 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 50 | 49 | $13,720 | $1,927 | $2,141 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 49 | 48 | $101,963 | $19,632 | $21,117 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 44 | 44 | $68,202 | $7,780 | $8,164 |
| Level 3 Endovascular ProceduresAPC 5193 | 39 | 37 | $63,425 | $8,424 | $8,874 |
| Level 1 Nerve ProceduresAPC 5431 | 39 | 37 | $19,497 | $1,407 | $1,407 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 37 | 37 | $31,607 | $8,130 | $8,569 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 36 | 35 | $100,501 | $13,672 | $15,763 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 36 | 30 | $27,705 | $2,522 | $2,636 |
| Level 2 Endovascular ProceduresAPC 5192 | 31 | 31 | $38,943 | $4,166 | $4,338 |
| Level 4 Airway EndoscopyAPC 5154 | 29 | 29 | $37,134 | $2,636 | $2,833 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 23 | 22 | $41,248 | $4,753 | $4,982 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 21 | 20 | $33,030 | $2,359 | $2,373 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 21 | 21 | $128,260 | $25,423 | $26,719 |
| Level 5 Airway EndoscopyAPC 5155 | 17 | 17 | $54,345 | $4,989 | $5,183 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 17 | 17 | $81,731 | $16,155 | $17,052 |
| Level 2 Vascular ProceduresAPC 5182 | 16 | 16 | $10,135 | $1,167 | $1,204 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 16 | 13 | $116,104 | $28,370 | $29,375 |
| Implantation of Drug Infusion DeviceAPC 5471 | 16 | 16 | $75,343 | $14,651 | $14,829 |
| Level 4 Endovascular ProceduresAPC 5194 | 14 | 14 | $88,045 | $14,378 | $14,606 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 13 | 13 | $23,952 | $2,565 | $2,930 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 11 | $23,843 | $6,191 | $6,514 |
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.