Mercy Hospital Washington Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mercy Hospital Washington, Washington, MO in 2024, from traditional Medicare claims. Back to the Mercy Hospital Washington profile, with quality ratings, finances and negotiated rates.
711
Medicare inpatient discharges
In 27 published DRGs
1.63
Case mix index
IPPS FY 2027
12%
Surgical stays
80%
Stays with complications
In DRGs with a CC or MCC
1,409
Medicare outpatient services
In 28 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases194 discharges in 4 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 | 133 | $49,757 | $12,682 | $12,837 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 33 | $25,893 | $6,947 | $6,680 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 16 | $100,157 | $28,345 | $25,840 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $47,185 | $11,688 | $12,174 | 2.04 |
Respiratory system136 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 67 | $41,121 | $10,513 | $10,609 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 36 | $30,384 | $8,260 | $7,839 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 19 | $31,797 | $8,402 | $8,204 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 14 | $22,023 | $5,593 | $5,682 | 0.82 |
Circulatory system125 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 95 | $28,416 | $8,203 | $7,331 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 19 | $23,557 | $5,205 | $6,078 | 0.74 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 11 | $30,970 | $9,275 | $7,990 | 1.59 |
Kidney and urinary tract77 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 25 | $20,106 | $5,460 | $5,187 | 0.81 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 22 | $26,084 | $7,865 | $6,730 | 1.17 |
| Renal failure with MCCMS-DRG 682, medical | 18 | $30,075 | $9,910 | $7,759 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 12 | $19,543 | $6,512 | $5,042 | 0.90 |
Digestive system65 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 23 | $29,802 | $6,493 | $7,689 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 20 | $22,385 | $4,868 | $5,775 | 0.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 11 | $85,924 | $28,532 | $22,169 | 4.52 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 11 | $42,875 | $9,950 | $11,062 | 1.79 |
Musculoskeletal system and connective tissue45 discharges in 3 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 | 18 | $50,246 | $13,238 | $12,964 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 16 | $50,434 | $13,429 | $13,012 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 11 | $58,230 | $17,574 | $15,023 | 2.95 |
Endocrine, nutritional and metabolic39 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 without MCCMS-DRG 641, medical | 15 | $24,488 | $5,523 | $6,318 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 13 | $32,863 | $8,306 | $8,479 | 1.32 |
| Diabetes with MCCMS-DRG 637, medical | 11 | $42,853 | $10,015 | $11,056 | 1.45 |
Nervous system15 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 | 15 | $34,387 | $6,393 | $8,872 | 1.02 |
Skin, subcutaneous tissue and breast15 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 15 | $20,650 | $5,666 | $5,328 | 0.88 |
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 | 244 | 227 | $17,381 | $1,904 | $2,090 |
| Level 1 Nerve ProceduresAPC 5431 | 151 | 126 | $5,988 | $1,369 | $1,407 |
| Level 1 Intraocular ProceduresAPC 5491 | 115 | 75 | $8,104 | $1,605 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 103 | 95 | $6,985 | $1,123 | $1,220 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 92 | 85 | $35,872 | $9,956 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 76 | 76 | $20,734 | $2,055 | $2,208 |
| Level 3 Vascular ProceduresAPC 5183 | 62 | 61 | $8,792 | $2,257 | $2,405 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 57 | 57 | $23,521 | $4,910 | $5,339 |
| Level 2 Upper GI ProceduresAPC 5302 | 52 | 48 | $6,683 | $1,352 | $1,445 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 41 | 40 | $11,064 | $2,286 | $2,373 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 38 | 37 | $10,514 | $2,011 | $2,141 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 34 | 34 | $14,867 | $3,971 | $4,358 |
| Level 3 Endovascular ProceduresAPC 5193 | 31 | 30 | $46,370 | $7,888 | $8,874 |
| Level 5 Urology and Related ServicesAPC 5375 | 31 | 30 | $19,443 | $3,551 | $3,918 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 29 | 23 | $12,012 | $2,703 | $2,930 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 29 | 29 | $24,863 | $7,865 | $8,569 |
| Level 4 Urology and Related ServicesAPC 5374 | 29 | 25 | $10,716 | $2,472 | $2,629 |
| Level 3 Urology and Related ServicesAPC 5373 | 24 | 24 | $6,868 | $1,444 | $1,516 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 23 | 23 | $46,422 | $14,919 | $15,763 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 22 | 22 | $9,843 | $2,453 | $2,636 |
| Level 2 Neurostimulator and Related ProceduresAPC 5462 | 22 | 15 | $18,853 | $4,849 | $4,524 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 20 | 20 | $21,210 | $6,024 | $6,514 |
| Level 3 Lower GI ProceduresAPC 5313 | 19 | 19 | $10,967 | $2,033 | $2,176 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 17 | 17 | $23,461 | $4,373 | $4,982 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 14 | 14 | $8,193 | $1,140 | $1,196 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 12 | 12 | $77,355 | $27,560 | $29,375 |
| Level 4 Gynecologic ProceduresAPC 5414 | 11 | 11 | $8,776 | $2,217 | $2,389 |
| Level 2 Intraocular ProceduresAPC 5492 | 11 | $11,525 | $2,883 | $3,116 |
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.