Merit Health Madison Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Merit Health Madison, Canton, MS in 2024, from traditional Medicare claims. Back to the Merit Health Madison profile, with quality ratings, finances and negotiated rates.
71
Medicare inpatient discharges
In 4 published DRGs
1.32
Case mix index
IPPS FY 2027
0%
Surgical stays
85%
Stays with complications
In DRGs with a CC or MCC
236
Medicare outpatient services
In 11 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases28 discharges in 1 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 | 28 | $93,403 | $13,928 | $61,086 | 1.98 |
Respiratory system27 discharges in 2 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 16 | $98,806 | $10,391 | $64,619 | 1.33 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 11 | $94,391 | $8,178 | $61,732 | 1.23 |
Circulatory system16 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 16 | $70,979 | $8,927 | $46,420 | 1.28 |
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 | 44 | 44 | $37,470 | $1,817 | $2,090 |
| Level 3 Vascular ProceduresAPC 5183 | 35 | 32 | $57,533 | $1,936 | $2,405 |
| Level 4 Urology and Related ServicesAPC 5374 | 23 | 20 | $51,762 | $2,224 | $2,629 |
| Level 4 Vascular ProceduresAPC 5184 | 22 | 21 | $103,873 | $3,648 | $3,946 |
| Level 3 Urology and Related ServicesAPC 5373 | 19 | 19 | $39,726 | $1,279 | $1,516 |
| Level 5 Urology and Related ServicesAPC 5375 | 19 | 19 | $73,302 | $3,451 | $3,918 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 16 | 16 | $136,352 | $9,374 | $10,772 |
| Level 3 Lower GI ProceduresAPC 5313 | 15 | 13 | $45,660 | $1,868 | $2,176 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 15 | 15 | $81,362 | $3,672 | $4,358 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 14 | 14 | $44,077 | $1,081 | $1,220 |
| Level 2 Breast/Lymphatic Surgery and Related ProceduresAPC 5092 | 14 | 14 | $111,400 | $4,349 | $4,982 |
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.