Mercyone Waterloo Medical Center Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Mercyone Waterloo Medical Center, Waterloo, IA in 2024, from traditional Medicare claims. Back to the Mercyone Waterloo Medical Center profile, with quality ratings, finances and negotiated rates.
718
Medicare inpatient discharges
In 30 published DRGs
1.66
Case mix index
IPPS FY 2027
21%
Surgical stays
58%
Stays with complications
In DRGs with a CC or MCC
1,584
Medicare outpatient services
In 25 service groups
Inpatient stays by major diagnostic category
Circulatory system179 discharges in 8 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 41 | $29,857 | $8,512 | $7,823 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 35 | $79,278 | $11,690 | $20,771 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 21 | $17,179 | $4,520 | $4,501 | 0.74 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 19 | $98,481 | $18,103 | $25,802 | 2.87 |
| Circulatory disorders except AMI, with cardiac catheterization without MCCMS-DRG 287, medical | 17 | $47,559 | $6,941 | $12,461 | 1.08 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 17 | $29,339 | $7,884 | $7,687 | 1.20 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 16 | $27,539 | $9,456 | $7,215 | 1.59 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 13 | $64,435 | $13,339 | $16,882 | 2.16 |
Infectious and parasitic diseases137 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 | 94 | $45,767 | $12,272 | $11,991 | 1.98 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 26 | $27,691 | $6,420 | $7,255 | 1.03 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 17 | $134,472 | $29,132 | $35,232 | 5.00 |
Musculoskeletal system and connective tissue93 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 55 | $78,594 | $12,347 | $20,592 | 1.88 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 22 | $76,286 | $13,147 | $19,987 | 2.07 |
| Medical back problems without MCCMS-DRG 552, medical | 16 | $26,855 | $6,066 | $7,036 | 0.97 |
Respiratory system68 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 24 | $32,882 | $6,990 | $8,615 | 1.10 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 18 | $33,067 | $8,757 | $8,664 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 14 | $37,797 | $10,149 | $9,903 | 1.70 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 12 | $21,145 | $7,948 | $5,540 | 1.23 |
Mental diseases and disorders59 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| PsychosesMS-DRG 885, medical | 59 | $13,783 | $8,979 | $3,611 | 1.37 |
Digestive system57 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 23 | $32,834 | $5,934 | $8,603 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 23 | $25,175 | $5,056 | $6,596 | 0.79 |
| Gastrointestinal obstruction with CCMS-DRG 389, medical | 11 | $18,670 | $4,780 | $4,891 | 0.80 |
Kidney and urinary tract57 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Other kidney and urinary tract diagnoses with MCCMS-DRG 698, medical | 18 | $38,730 | $10,408 | $10,147 | 1.65 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 14 | $28,661 | $5,428 | $7,509 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 13 | $22,107 | $5,864 | $5,792 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 12 | $26,797 | $7,392 | $7,021 | 1.17 |
Alcohol and drug use27 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 | 27 | $22,896 | $5,650 | $5,999 | 0.86 |
Nervous system27 discharges in 2 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 | 16 | $26,284 | $6,119 | $6,886 | 1.02 |
| Traumatic stupor and coma >1 hour with CCMS-DRG 083, medical | 11 | $33,977 | $9,200 | $8,902 | 1.36 |
Endocrine, nutritional and metabolic14 discharges in 1 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 | 14 | $23,332 | $4,918 | $6,113 | 0.78 |
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 1 Endovascular ProceduresAPC 5191 | 196 | 196 | $20,135 | $1,983 | $2,208 |
| Level 2 Urology and Related ServicesAPC 5372 | 137 | 105 | $1,641 | $456 | $502 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 122 | 112 | $14,458 | $1,103 | $1,220 |
| Level 1 Nerve ProceduresAPC 5431 | 114 | 100 | $14,367 | $1,304 | $1,407 |
| Comprehensive Observation ServicesAPC 8011 | 114 | 106 | $12,763 | $1,833 | $2,090 |
| Level 3 Endovascular ProceduresAPC 5193 | 109 | 99 | $70,640 | $7,697 | $8,874 |
| Level 2 Upper GI ProceduresAPC 5302 | 89 | 84 | $14,893 | $1,295 | $1,445 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 83 | 69 | $17,785 | $1,054 | $1,196 |
| Level 1 Intraocular ProceduresAPC 5491 | 75 | 47 | $12,134 | $1,585 | $1,752 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 69 | 68 | $27,676 | $2,206 | $2,373 |
| Level 2 Endovascular ProceduresAPC 5192 | 61 | 57 | $31,645 | $3,894 | $4,338 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 60 | 58 | $64,265 | $4,713 | $5,339 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 56 | 55 | $148,754 | $18,633 | $21,117 |
| Level 3 Vascular ProceduresAPC 5183 | 48 | 44 | $14,648 | $2,171 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 35 | 27 | $13,707 | $1,388 | $1,516 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 32 | 32 | $22,800 | $1,932 | $2,141 |
| Level 1 Abdominal/Peritoneal/Biliary and Related ProceduresAPC 5341 | 32 | 30 | $28,978 | $2,355 | $2,636 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 27 | 27 | $41,422 | $3,787 | $4,358 |
| Level 1 Breast/Lymphatic Surgery and Related ProceduresAPC 5091 | 25 | 24 | $34,364 | $2,598 | $2,930 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 21 | 20 | $55,802 | $4,444 | $4,982 |
| Level 4 Endovascular ProceduresAPC 5194 | 20 | 18 | $100,719 | $13,340 | $14,606 |
| Level 4 Gynecologic ProceduresAPC 5414 | 17 | 16 | $32,435 | $2,131 | $2,389 |
| Level 2 Vascular ProceduresAPC 5182 | 16 | 16 | $7,583 | $1,092 | $1,204 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 14 | 14 | $32,260 | $5,790 | $6,514 |
| Level 3 Airway EndoscopyAPC 5153 | 12 | $7,260 | $1,157 | $1,264 |
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.