Mercyone Dubuque Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mercyone Dubuque Medical Center, Dubuque, IA in 2024, from traditional Medicare claims. Back to the Mercyone Dubuque Medical Center profile, with quality ratings, finances and negotiated rates.
2,828
Medicare inpatient discharges
In 85 published DRGs
1.63
Case mix index
IPPS FY 2027
18%
Surgical stays
69%
Stays with complications
In DRGs with a CC or MCC
2,494
Medicare outpatient services
In 38 service groups
Inpatient stays by major diagnostic category
Circulatory system596 discharges in 17 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 173 | $32,145 | $7,711 | $8,776 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 97 | $38,432 | $9,795 | $10,492 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 44 | $68,675 | $10,806 | $18,748 | 1.82 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 43 | $106,370 | $32,246 | $29,039 | 4.88 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 38 | $22,073 | $3,716 | $6,026 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 33 | $89,527 | $18,331 | $24,441 | 2.87 |
| Syncope and collapseMS-DRG 312, medical | 29 | $26,229 | $4,952 | $7,161 | 0.86 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 19 | $29,271 | $4,913 | $7,991 | 0.91 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 19 | $27,811 | $7,331 | $7,592 | 1.20 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 15 | $53,679 | $22,232 | $14,654 | 3.46 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 15 | $40,794 | $14,276 | $11,137 | 2.28 |
| Cardiac valve and other major cardiothoracic procedures without cardiac catheterizationMS-DRG 219, surgical | 13 | $295,346 | $57,017 | $80,629 | 7.71 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 13 | $60,440 | $13,978 | $16,500 | 2.16 |
| Aortic and heart assist procedures except pulsation balloon without MCCMS-DRG 269, surgical | 12 | $73,746 | $27,195 | $20,133 | 4.16 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 11 | $232,919 | $33,805 | $63,587 | 5.20 |
| Acute myocardial infarction, expired with MCCMS-DRG 283, medical | 11 | $55,964 | $12,643 | $15,278 | 1.97 |
| Hypertension without MCCMS-DRG 305, medical | 11 | $26,443 | $3,831 | $7,219 | 0.75 |
Infectious and parasitic diseases417 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 | 307 | $44,734 | $11,694 | $12,212 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 60 | $24,440 | $5,843 | $6,672 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 38 | $113,842 | $30,450 | $31,079 | 5.00 |
| Infectious and parasitic diseases with o.r. procedures with CCMS-DRG 854, surgical | 12 | $42,390 | $12,653 | $11,572 | 2.04 |
Respiratory system394 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 111 | $34,495 | $9,864 | $9,417 | 1.70 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 104 | $29,569 | $7,830 | $8,072 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 55 | $34,125 | $7,638 | $9,316 | 1.23 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 37 | $25,739 | $4,369 | $7,027 | 0.82 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 33 | $29,525 | $6,350 | $8,060 | 1.10 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 28 | $27,199 | $5,323 | $7,425 | 0.99 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 26 | $30,834 | $8,090 | $8,418 | 1.40 |
Kidney and urinary tract301 discharges in 7 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 65 | $28,002 | $7,002 | $7,645 | 1.17 |
| Renal failure with CCMS-DRG 683, medical | 59 | $21,353 | $4,923 | $5,829 | 0.90 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 57 | $21,612 | $4,401 | $5,900 | 0.81 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 50 | $32,617 | $10,385 | $8,904 | 1.65 |
| Renal failure with MCCMS-DRG 682, medical | 35 | $41,126 | $9,155 | $11,227 | 1.50 |
| Kidney and ureter procedures for non-neoplasm with CCMS-DRG 660, surgical | 21 | $37,072 | $8,073 | $10,121 | 1.35 |
| Other kidney and urinary tract diagnoses with CCMS-DRG 699, medical | 14 | $23,461 | $6,127 | $6,405 | 1.02 |
Digestive system275 discharges in 10 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 | 52 | $24,653 | $4,223 | $6,730 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 44 | $25,887 | $5,475 | $7,067 | 0.98 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 38 | $21,016 | $4,214 | $5,737 | 0.80 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 35 | $37,307 | $10,013 | $10,185 | 1.79 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 28 | $29,839 | $7,822 | $8,146 | 1.28 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 22 | $75,373 | $14,435 | $20,577 | 2.37 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 20 | $157,911 | $32,859 | $43,110 | 4.52 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 13 | $23,610 | $5,083 | $6,446 | 0.94 |
| Major small and large bowel procedures without cc/mccMS-DRG 331, surgical | 12 | $49,651 | $9,166 | $13,555 | 1.67 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 11 | $41,628 | $9,251 | $11,364 | 1.45 |
Musculoskeletal system and connective tissue268 discharges in 13 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Medical back problems without MCCMS-DRG 552, medical | 43 | $24,241 | $5,526 | $6,618 | 0.97 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 41 | $59,882 | $12,534 | $16,348 | 2.07 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 28 | $19,719 | $4,661 | $5,383 | 0.90 |
| Other musculoskeletal system and connective tissue o.r. procedures with CCMS-DRG 516, surgical | 24 | $52,307 | $12,393 | $14,280 | 2.04 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 23 | $58,024 | $12,794 | $15,840 | 2.11 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 20 | $68,164 | $17,615 | $18,609 | 2.95 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 16 | $84,319 | $23,827 | $23,019 | 3.66 |
| Other musculoskeletal system and connective tissue o.r. procedures without cc/mccMS-DRG 517, surgical | 13 | $48,587 | $8,766 | $13,264 | 1.49 |
| Pathological fractures and musculoskeletal and connective tissue malignancy with CCMS-DRG 543, medical | 13 | $24,588 | $5,996 | $6,713 | 1.09 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 12 | $53,392 | $11,753 | $14,576 | 1.88 |
| Fractures of hip and pelvis without MCCMS-DRG 536, medical | 12 | $18,047 | $4,137 | $4,927 | 0.79 |
| Medical back problems with MCCMS-DRG 551, medical | 12 | $36,897 | $8,973 | $10,073 | 1.70 |
| Other musculoskeletal system and connective tissue o.r. procedures with MCCMS-DRG 515, surgical | 11 | $59,554 | $17,656 | $16,258 | 3.16 |
Nervous system191 discharges in 10 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 | 43 | $33,359 | $5,376 | $9,107 | 1.02 |
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 30 | $41,795 | $12,025 | $11,410 | 2.00 |
| Other disorders of nervous system with CCMS-DRG 092, medical | 20 | $30,269 | $5,897 | $8,263 | 1.03 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 18 | $30,152 | $4,266 | $8,231 | 0.80 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 17 | $29,677 | $8,057 | $8,102 | 1.36 |
| Carotid artery stent procedures without cc/mccMS-DRG 036, surgical | 13 | $24,855 | $11,009 | $6,785 | 1.81 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 13 | $26,676 | $3,357 | $7,283 | 0.69 |
| Other cerebrovascular disorders with CCMS-DRG 071, medical | 13 | $28,285 | $6,481 | $7,722 | 1.06 |
| Seizures with MCCMS-DRG 100, medical | 12 | $30,689 | $12,319 | $8,378 | 1.98 |
| Seizures without MCCMS-DRG 101, medical | 12 | $21,576 | $5,045 | $5,890 | 0.91 |
Mental diseases and disorders134 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 99 | $34,109 | $8,077 | $9,312 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 23 | $40,950 | $10,595 | $11,179 | 1.76 |
| Depressive neurosesMS-DRG 881, medical | 12 | $23,434 | $5,283 | $6,398 | 0.91 |
Endocrine, nutritional and metabolic89 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 with MCCMS-DRG 640, medical | 34 | $28,270 | $7,628 | $7,718 | 1.32 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 26 | $22,380 | $4,187 | $6,110 | 0.78 |
| Diabetes with CCMS-DRG 638, medical | 15 | $16,469 | $5,254 | $4,496 | 0.90 |
| Diabetes with MCCMS-DRG 637, medical | 14 | $33,153 | $9,009 | $9,051 | 1.45 |
Liver, gallbladder and pancreas51 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Laparoscopic cholecystectomy without C.D.E. with CCMS-DRG 418, surgical | 16 | $58,637 | $9,898 | $16,008 | 1.63 |
| Disorders of pancreas except malignancy with CCMS-DRG 439, medical | 12 | $21,868 | $4,795 | $5,970 | 0.86 |
| Disorders of the biliary tract with CCMS-DRG 445, medical | 12 | $36,665 | $6,150 | $10,009 | 1.09 |
| Disorders of the biliary tract with MCCMS-DRG 444, medical | 11 | $55,667 | $10,243 | $15,197 | 1.63 |
Skin, subcutaneous tissue and breast43 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 29 | $19,856 | $4,838 | $5,421 | 0.88 |
| Cellulitis with MCCMS-DRG 602, medical | 14 | $34,460 | $8,937 | $9,407 | 1.49 |
Factors influencing health status22 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 | 22 | $22,587 | $4,451 | $6,166 | 0.80 |
Alcohol and drug use20 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 | 20 | $17,806 | $4,752 | $4,861 | 0.86 |
Ear, nose, mouth and throat14 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| DysequilibriumMS-DRG 149, medical | 14 | $27,944 | $3,631 | $7,629 | 0.74 |
Blood and immune system13 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 | 13 | $19,456 | $5,233 | $5,312 | 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 |
|---|---|---|---|---|---|
| Level 5 Musculoskeletal ProceduresAPC 5115 | 350 | 338 | $40,994 | $10,291 | $10,772 |
| Level 1 Endovascular ProceduresAPC 5191 | 280 | 279 | $18,935 | $2,120 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 190 | 186 | $16,607 | $1,976 | $2,090 |
| Level 5 Urology and Related ServicesAPC 5375 | 154 | 140 | $20,259 | $3,733 | $3,918 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 152 | 145 | $8,770 | $1,161 | $1,220 |
| Level 4 Urology and Related ServicesAPC 5374 | 128 | 98 | $16,140 | $2,531 | $2,629 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 100 | 100 | $30,030 | $4,146 | $4,358 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 87 | 83 | $34,721 | $5,134 | $5,339 |
| Level 3 Vascular ProceduresAPC 5183 | 83 | 81 | $11,702 | $2,315 | $2,405 |
| Level 2 Endovascular ProceduresAPC 5192 | 78 | 72 | $20,969 | $4,150 | $4,338 |
| Level 3 Endovascular ProceduresAPC 5193 | 77 | 75 | $48,082 | $8,389 | $8,874 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 58 | 58 | $35,530 | $4,733 | $4,982 |
| Level 2 Upper GI ProceduresAPC 5302 | 51 | 45 | $10,091 | $1,382 | $1,445 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 50 | 50 | $44,312 | $7,745 | $8,164 |
| Level 4 Airway EndoscopyAPC 5154 | 49 | 45 | $18,734 | $2,720 | $2,833 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 48 | 48 | $20,345 | $8,097 | $8,569 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 46 | 46 | $45,756 | $14,999 | $15,763 |
| Level 3 Urology and Related ServicesAPC 5373 | 43 | 33 | $8,691 | $1,475 | $1,516 |
| Level 4 Endovascular ProceduresAPC 5194 | 42 | 39 | $47,065 | $14,322 | $14,606 |
| Level 5 ENT ProceduresAPC 5165 | 39 | 38 | $28,792 | $4,253 | $4,436 |
| Level 1 Intraocular ProceduresAPC 5491 | 39 | 24 | $8,051 | $1,690 | $1,752 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 38 | 38 | $22,524 | $2,444 | $2,636 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 35 | 35 | $9,322 | $1,165 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 28 | 27 | $17,193 | $2,341 | $2,373 |
| Level 4 Vascular ProceduresAPC 5184 | 28 | 28 | $12,016 | $3,990 | $3,946 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 26 | 24 | $19,447 | $2,765 | $2,930 |
| Level 4 Gynecologic ProceduresAPC 5414 | 24 | 24 | $14,841 | $2,271 | $2,389 |
| Level 6 Urology and Related ServicesAPC 5376 | 23 | 23 | $34,187 | $6,756 | $7,291 |
| Level 3 Upper GI ProceduresAPC 5303 | 20 | 20 | $20,355 | $2,773 | $2,888 |
| Level 6 Gynecologic ProceduresAPC 5416 | 19 | 19 | $27,353 | $5,020 | $5,836 |
| Level 2 Vascular ProceduresAPC 5182 | 18 | 17 | $5,846 | $1,160 | $1,204 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 16 | 16 | $19,969 | $2,064 | $2,141 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 14 | 14 | $12,130 | $6,167 | $6,514 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 13 | 13 | $52,407 | $19,968 | $21,117 |
| Level 5 Gynecologic ProceduresAPC 5415 | 13 | 13 | $22,597 | $3,328 | $3,792 |
| Level 1 Nerve ProceduresAPC 5431 | 13 | 11 | $13,530 | $1,398 | $1,407 |
| Level 3 Lower GI ProceduresAPC 5313 | 11 | $20,030 | $2,040 | $2,176 | |
| Level 3 Extraocular, Repair, and Plastic Eye ProceduresAPC 5503 | 11 | 11 | $12,700 | $1,698 | $1,780 |
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.