Mercyone North Iowa Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mercyone North Iowa Medical Center, Mason City, IA in 2024, from traditional Medicare claims. Back to the Mercyone North Iowa Medical Center profile, with quality ratings, finances and negotiated rates.
2,500
Medicare inpatient discharges
In 75 published DRGs
1.87
Case mix index
IPPS FY 2027
20%
Surgical stays
61%
Stays with complications
In DRGs with a CC or MCC
3,829
Medicare outpatient services
In 39 service groups
Inpatient stays by major diagnostic category
Circulatory system729 discharges in 22 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 159 | $41,400 | $8,635 | $9,770 | 1.28 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 65 | $56,445 | $11,308 | $13,321 | 1.59 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 49 | $29,222 | $4,482 | $6,896 | 0.74 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 40 | $74,166 | $22,735 | $17,503 | 3.24 |
| Endovascular cardiac valve replacement and supplement procedures without MCCMS-DRG 267, surgical | 39 | $133,983 | $34,981 | $31,620 | 4.88 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 38 | $84,672 | $11,740 | $19,983 | 1.82 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 37 | $47,209 | $7,024 | $11,141 | 1.08 |
| Syncope and collapseMS-DRG 312, medical | 34 | $28,447 | $5,488 | $6,714 | 0.86 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 30 | $35,039 | $7,904 | $8,269 | 1.20 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 28 | $43,963 | $5,689 | $10,375 | 0.91 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 28 | $18,338 | $2,794 | $4,328 | 0.55 |
| Coronary bypass with cardiac catheterization or open ablation without MCCMS-DRG 234, surgical | 24 | $317,978 | $38,947 | $75,043 | 5.20 |
| Hypertension without MCCMS-DRG 305, medical | 22 | $24,023 | $4,564 | $5,669 | 0.75 |
| Coronary bypass without cardiac catheterization without MCCMS-DRG 236, surgical | 21 | $286,168 | $33,470 | $67,536 | 4.04 |
| Permanent cardiac pacemaker implant with CCMS-DRG 243, surgical | 19 | $65,311 | $16,047 | $15,413 | 2.28 |
| Peripheral vascular disorders with CCMS-DRG 300, medical | 17 | $51,386 | $6,737 | $12,127 | 1.07 |
| Permanent cardiac pacemaker implant without cc/mccMS-DRG 244, surgical | 16 | $58,827 | $12,192 | $13,883 | 1.83 |
| Permanent cardiac pacemaker implant with MCCMS-DRG 242, surgical | 13 | $118,402 | $24,522 | $27,943 | 3.46 |
| Other major cardiovascular procedures with MCCMS-DRG 270, surgical | 13 | $175,966 | $36,973 | $41,528 | 5.06 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 13 | $172,842 | $24,771 | $40,791 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 12 | $77,786 | $15,320 | $18,357 | 2.16 |
| Other circulatory system diagnoses with CCMS-DRG 315, medical | 12 | $37,874 | $6,144 | $8,938 | 0.97 |
Respiratory system329 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 | 114 | $36,808 | $8,741 | $8,687 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 70 | $54,772 | $11,320 | $12,926 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 40 | $47,431 | $8,306 | $11,194 | 1.23 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 32 | $34,460 | $7,034 | $8,133 | 1.10 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 24 | $24,886 | $5,382 | $5,873 | 0.82 |
| Pulmonary embolism with MCC or acute cor pulmonaleMS-DRG 175, medical | 21 | $45,667 | $9,369 | $10,777 | 1.40 |
| Respiratory infections and inflammations with CCMS-DRG 178, medical | 14 | $38,298 | $6,264 | $9,038 | 0.99 |
| Bronchitis and asthma with cc/mccMS-DRG 202, medical | 14 | $30,388 | $5,608 | $7,172 | 0.96 |
Infectious and parasitic diseases259 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 | 181 | $59,899 | $13,473 | $14,136 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 53 | $35,612 | $6,723 | $8,404 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 25 | $157,378 | $37,899 | $37,141 | 5.00 |
Musculoskeletal system and connective tissue240 discharges in 8 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 | 50 | $71,549 | $13,758 | $16,886 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 44 | $27,731 | $5,666 | $6,544 | 0.97 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 41 | $67,185 | $12,743 | $15,856 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 27 | $77,815 | $14,492 | $18,364 | 2.11 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 25 | $92,755 | $25,852 | $21,890 | 3.66 |
| Hip replacement with principal diagnosis of hip fracture with MCCMS-DRG 521, surgical | 19 | $84,109 | $20,403 | $19,850 | 2.99 |
| Hip and femur procedures except major joint with MCCMS-DRG 480, surgical | 17 | $87,026 | $20,487 | $20,538 | 2.95 |
| Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without MCCMS-DRG 563, medical | 17 | $27,297 | $5,422 | $6,442 | 0.90 |
Digestive system233 discharges in 10 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 47 | $40,656 | $6,239 | $9,595 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 44 | $30,909 | $4,872 | $7,294 | 0.79 |
| Major small and large bowel procedures with CCMS-DRG 330, surgical | 29 | $104,346 | $15,783 | $24,626 | 2.37 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 25 | $51,259 | $11,880 | $12,097 | 1.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 18 | $32,461 | $4,884 | $7,661 | 0.80 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders with MCCMS-DRG 391, medical | 15 | $45,026 | $7,765 | $10,626 | 1.28 |
| Gastrointestinal obstruction with MCCMS-DRG 388, medical | 14 | $44,583 | $9,190 | $10,522 | 1.45 |
| Gastrointestinal obstruction without cc/mccMS-DRG 390, medical | 14 | $24,775 | $2,881 | $5,847 | 0.56 |
| Other digestive system diagnoses with CCMS-DRG 394, medical | 14 | $43,763 | $6,075 | $10,328 | 0.94 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 13 | $162,382 | $33,774 | $38,322 | 4.52 |
Kidney and urinary tract194 discharges in 5 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 49 | $27,448 | $4,886 | $6,478 | 0.81 |
| Renal failure with MCCMS-DRG 682, medical | 43 | $43,822 | $9,756 | $10,342 | 1.50 |
| Renal failure with CCMS-DRG 683, medical | 43 | $30,665 | $5,718 | $7,237 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 32 | $32,465 | $7,830 | $7,662 | 1.17 |
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 27 | $73,287 | $12,033 | $17,296 | 1.65 |
Nervous system191 discharges in 9 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Intracranial hemorrhage or cerebral infarction with MCCMS-DRG 064, medical | 46 | $62,807 | $13,380 | $14,822 | 2.00 |
| Intracranial hemorrhage or cerebral infarction with CC or tpa in 24 hoursMS-DRG 065, medical | 42 | $44,102 | $6,178 | $10,408 | 1.02 |
| Transient ischemia without thrombolyticMS-DRG 069, medical | 24 | $34,756 | $4,809 | $8,203 | 0.80 |
| Seizures without MCCMS-DRG 101, medical | 18 | $31,591 | $5,636 | $7,456 | 0.91 |
| Intracranial hemorrhage or cerebral infarction without cc/mccMS-DRG 066, medical | 14 | $35,097 | $3,826 | $8,283 | 0.69 |
| Craniotomy and endovascular intracranial procedures with MCCMS-DRG 025, surgical | 13 | $121,877 | $31,943 | $28,763 | 4.42 |
| Seizures with MCCMS-DRG 100, medical | 12 | $61,939 | $13,965 | $14,618 | 1.98 |
| Degenerative nervous system disorders without MCCMS-DRG 057, medical | 11 | $40,124 | $9,233 | $9,469 | 1.36 |
| Traumatic stupor and coma >1 hour with MCCMS-DRG 082, medical | 11 | $71,625 | $15,578 | $16,904 | 2.28 |
Mental diseases and disorders143 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 127 | $41,960 | $9,731 | $9,903 | 1.37 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 16 | $32,899 | $11,907 | $7,764 | 1.76 |
Endocrine, nutritional and metabolic87 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 | 40 | $25,654 | $4,816 | $6,054 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 28 | $31,147 | $9,185 | $7,351 | 1.32 |
| Diabetes with CCMS-DRG 638, medical | 19 | $33,270 | $5,452 | $7,852 | 0.90 |
Factors influencing health status26 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 | 26 | $24,976 | $5,060 | $5,894 | 0.80 |
Skin, subcutaneous tissue and breast21 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 21 | $26,993 | $5,781 | $6,370 | 0.88 |
Alcohol and drug use19 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 | 19 | $27,845 | $5,415 | $6,571 | 0.86 |
Other16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Extensive o.r. procedures unrelated to principal diagnosis with MCCMS-DRG 981, surgical | 16 | $200,999 | $36,656 | $47,436 | 4.74 |
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 | $34,530 | $5,305 | $8,149 | 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 2 Urology and Related ServicesAPC 5372 | 511 | 375 | $858 | $525 | $502 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 341 | 318 | $9,785 | $1,241 | $1,220 |
| Level 1 Endovascular ProceduresAPC 5191 | 291 | 290 | $16,402 | $2,251 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 286 | 273 | $15,305 | $2,043 | $2,090 |
| Level 3 Urology and Related ServicesAPC 5373 | 283 | 240 | $7,264 | $1,561 | $1,516 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 193 | 182 | $57,621 | $10,932 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 138 | 135 | $46,022 | $5,464 | $5,339 |
| Level 5 Urology and Related ServicesAPC 5375 | 124 | 117 | $30,204 | $3,963 | $3,918 |
| Level 3 Airway EndoscopyAPC 5153 | 114 | 95 | $6,591 | $1,310 | $1,264 |
| Level 2 Endovascular ProceduresAPC 5192 | 109 | 95 | $22,632 | $4,376 | $4,338 |
| Level 4 Urology and Related ServicesAPC 5374 | 105 | 96 | $24,508 | $2,646 | $2,629 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 98 | 97 | $66,378 | $15,722 | $15,763 |
| Level 3 Vascular ProceduresAPC 5183 | 94 | 88 | $17,958 | $2,435 | $2,405 |
| Level 3 Endovascular ProceduresAPC 5193 | 90 | 83 | $41,939 | $8,918 | $8,874 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 87 | 87 | $55,691 | $4,465 | $4,358 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 76 | 72 | $15,237 | $2,166 | $2,141 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 75 | 74 | $29,376 | $8,703 | $8,569 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 73 | 45 | $19,100 | $2,633 | $2,636 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 72 | 70 | $77,282 | $20,438 | $21,117 |
| Level 5 Neurostimulator and Related ProceduresAPC 5465 | 72 | 72 | $86,263 | $28,374 | $26,719 |
| Level 2 Upper GI ProceduresAPC 5302 | 62 | 53 | $15,049 | $1,469 | $1,445 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 60 | 59 | $75,135 | $8,334 | $8,164 |
| Level 2 Vascular ProceduresAPC 5182 | 55 | 52 | $8,737 | $1,221 | $1,204 |
| Level 4 Airway EndoscopyAPC 5154 | 52 | 50 | $36,553 | $2,892 | $2,833 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 44 | 44 | $32,598 | $2,494 | $2,373 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 38 | 38 | $20,923 | $6,251 | $6,514 |
| Level 4 Endovascular ProceduresAPC 5194 | 35 | 30 | $57,457 | $14,007 | $14,606 |
| Level 2 ICD and Similar ProceduresAPC 5232 | 29 | 29 | $61,134 | $30,158 | $29,375 |
| Level 3 ENT ProceduresAPC 5163 | 27 | 25 | $1,848 | $1,178 | $1,106 |
| Level 4 Gynecologic ProceduresAPC 5414 | 27 | 27 | $28,101 | $2,412 | $2,389 |
| Level 4 Pacemaker and Similar ProceduresAPC 5224 | 26 | 26 | $48,628 | $16,546 | $17,052 |
| Level 1 Nerve ProceduresAPC 5431 | 24 | 22 | $20,440 | $1,491 | $1,407 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 23 | 21 | $38,104 | $2,944 | $2,930 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 23 | 23 | $53,180 | $5,036 | $4,982 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 20 | 20 | $15,243 | $1,107 | $1,196 |
| Level 1 ICD and Similar ProceduresAPC 5231 | 16 | 16 | $42,079 | $21,135 | $21,011 |
| Level 5 Gynecologic ProceduresAPC 5415 | 13 | 13 | $43,875 | $3,688 | $3,792 |
| Level 4 ENT ProceduresAPC 5164 | 12 | 12 | $28,325 | $2,486 | $2,217 |
| Implantation Wireless PA Pressure MonitorAPC 5200 | 11 | 11 | $71,656 | $26,458 | $26,955 |
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.