Mercy Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mercy Medical Center, Springfield, MA in 2024, from traditional Medicare claims. Back to the Mercy Medical Center profile, with quality ratings, finances and negotiated rates.
1,040
Medicare inpatient discharges
In 42 published DRGs
1.63
Case mix index
IPPS FY 2027
13%
Surgical stays
76%
Stays with complications
In DRGs with a CC or MCC
1,848
Medicare outpatient services
In 27 service groups
Inpatient stays by major diagnostic category
Respiratory system215 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 49 | $22,126 | $9,659 | $12,015 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 41 | $26,056 | $11,983 | $14,148 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 36 | $21,377 | $8,005 | $11,608 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 29 | $20,888 | $9,854 | $11,342 | 1.23 |
| Major chest procedures with CCMS-DRG 164, surgical | 18 | $62,985 | $20,452 | $34,201 | 2.55 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 18 | $13,050 | $5,945 | $7,086 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 13 | $24,472 | $10,159 | $13,288 | 1.40 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 11 | $35,966 | $8,279 | $19,529 | 0.99 |
Circulatory system207 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 107 | $23,982 | $9,942 | $13,022 | 1.28 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 28 | $14,158 | $5,541 | $7,688 | 0.74 |
| Syncope and collapseMS-DRG 312, medical | 23 | $16,123 | $6,266 | $8,755 | 0.86 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 20 | $20,872 | $11,390 | $11,334 | 1.59 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 15 | $14,735 | $6,075 | $8,001 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 14 | $23,886 | $9,472 | $12,970 | 1.20 |
Infectious and parasitic diseases184 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 | 117 | $33,720 | $15,135 | $18,310 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 36 | $20,988 | $7,990 | $11,397 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 18 | $76,399 | $40,352 | $41,485 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 13 | $39,361 | $15,528 | $21,373 | 2.04 |
Digestive system183 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 43 | $17,222 | $7,529 | $9,351 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 28 | $13,248 | $5,870 | $7,194 | 0.79 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 23 | $26,672 | $14,160 | $14,483 | 1.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 19 | $49,614 | $18,848 | $26,940 | 2.37 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 16 | $27,616 | $12,589 | $14,995 | 1.67 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 15 | $78,931 | $34,711 | $42,859 | 4.52 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 15 | $21,823 | $10,260 | $11,850 | 1.28 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 13 | $16,034 | $5,185 | $8,707 | 0.80 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 11 | $15,655 | $6,992 | $8,501 | 0.94 |
Kidney and urinary tract80 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 | 27 | $13,182 | $6,105 | $7,158 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 23 | $17,803 | $6,494 | $9,667 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 16 | $27,698 | $9,132 | $15,040 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 14 | $24,544 | $11,317 | $13,327 | 1.65 |
Endocrine, nutritional and metabolic64 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 | 27 | $20,376 | $5,739 | $11,064 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 14 | $12,413 | $6,985 | $6,740 | 0.90 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 12 | $21,187 | $9,978 | $11,504 | 1.32 |
| O.r. procedures for obesity without cc/mccMS-DRG 621, surgical | 11 | $29,483 | $11,623 | $16,009 | 1.52 |
Skin, subcutaneous tissue and breast30 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 30 | $14,914 | $6,156 | $8,098 | 0.88 |
Musculoskeletal system and connective tissue28 discharges in 2 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 | 17 | $39,185 | $14,900 | $21,277 | 2.07 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 11 | $41,827 | $16,252 | $22,712 | 2.11 |
Blood and immune system25 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Red blood cell disorders without MCCMS-DRG 812, medical | 13 | $17,107 | $7,026 | $9,289 | 0.90 |
| Red blood cell disorders with MCCMS-DRG 811, medical | 12 | $22,068 | $11,214 | $11,983 | 1.40 |
Liver, gallbladder and pancreas13 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 | 13 | $28,475 | $15,652 | $15,462 | 1.92 |
Nervous system11 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 11 | $50,724 | $18,725 | $27,543 | 2.00 |
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 | 394 | 360 | $8,645 | $2,325 | $2,090 |
| Level 2 Upper GI ProceduresAPC 5302 | 180 | 163 | $3,917 | $1,616 | $1,445 |
| Level 5 Urology and Related ServicesAPC 5375 | 142 | 133 | $13,262 | $4,398 | $3,918 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 129 | 123 | $4,735 | $1,369 | $1,220 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 95 | 92 | $18,733 | $6,055 | $5,339 |
| Level 4 Urology and Related ServicesAPC 5374 | 82 | 75 | $8,856 | $2,981 | $2,629 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 75 | 71 | $8,660 | $2,767 | $2,373 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 75 | 74 | $15,483 | $4,871 | $4,358 |
| Level 3 Vascular ProceduresAPC 5183 | 72 | 70 | $8,613 | $2,688 | $2,405 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 67 | 64 | $29,625 | $12,101 | $10,772 |
| Level 3 Urology and Related ServicesAPC 5373 | 65 | 39 | $9,551 | $1,582 | $1,516 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 57 | 53 | $8,578 | $2,366 | $2,141 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 54 | 53 | $59,226 | $22,914 | $21,117 |
| Level 1 Nerve ProceduresAPC 5431 | 42 | 38 | $4,920 | $1,650 | $1,407 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 38 | 37 | $23,517 | $9,160 | $8,164 |
| Level 1 Endovascular ProceduresAPC 5191 | 34 | 33 | $8,319 | $2,516 | $2,208 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 34 | 34 | $8,189 | $2,951 | $2,636 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 33 | 31 | $6,210 | $1,293 | $1,196 |
| Level 4 Airway EndoscopyAPC 5154 | 28 | 27 | $19,555 | $3,204 | $2,833 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 27 | 27 | $21,229 | $9,455 | $8,569 |
| Level 4 Gynecologic ProceduresAPC 5414 | 26 | 26 | $8,050 | $2,675 | $2,389 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 22 | 22 | $15,278 | $5,579 | $4,982 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 20 | 18 | $9,257 | $3,261 | $2,930 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 17 | 17 | $49,512 | $18,334 | $15,763 |
| Level 2 Vascular ProceduresAPC 5182 | 14 | 14 | $2,678 | $1,370 | $1,204 |
| Level 3 Airway EndoscopyAPC 5153 | 13 | 13 | $5,364 | $1,452 | $1,264 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 13 | 13 | $22,341 | $7,475 | $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.