Merit Health River Oaks Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Merit Health River Oaks, Flowood, MS in 2024, from traditional Medicare claims. Back to the Merit Health River Oaks profile, with quality ratings, finances and negotiated rates.
726
Medicare inpatient discharges
In 29 published DRGs
2.17
Case mix index
IPPS FY 2027
54%
Surgical stays
53%
Stays with complications
In DRGs with a CC or MCC
1,314
Medicare outpatient services
In 21 service groups
Inpatient stays by major diagnostic category
Musculoskeletal system and connective tissue300 discharges in 11 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 | 106 | $246,386 | $10,854 | $21,189 | 1.88 |
| Hip replacement with principal diagnosis of hip fracture without MCCMS-DRG 522, surgical | 30 | $228,725 | $12,528 | $19,670 | 2.11 |
| Revision of hip or knee replacement without cc/mccMS-DRG 468, surgical | 29 | $324,231 | $15,444 | $27,884 | 2.67 |
| Combined anterior and posterior spinal fusion without cc/mccMS-DRG 455, surgical | 24 | $385,717 | $26,591 | $33,172 | 4.61 |
| Hip and femur procedures except major joint with CCMS-DRG 481, surgical | 21 | $225,558 | $12,386 | $19,398 | 2.07 |
| Revision of hip or knee replacement with CCMS-DRG 467, surgical | 20 | $359,219 | $17,257 | $30,893 | 3.49 |
| Spinal fusion except cervical without MCCMS-DRG 460, surgical | 17 | $286,728 | $15,719 | $24,659 | 3.66 |
| Cervical spinal fusion with CCMS-DRG 472, surgical | 16 | $273,727 | $17,862 | $23,540 | 2.96 |
| Cervical spinal fusion without cc/mccMS-DRG 473, surgical | 13 | $251,929 | $11,105 | $21,666 | 2.46 |
| Hip and femur procedures except major joint without cc/mccMS-DRG 482, surgical | 13 | $142,849 | $8,994 | $12,285 | 1.59 |
| Major joint or limb reattachment procedures of upper extremitiesMS-DRG 483, surgical | 11 | $271,786 | $15,038 | $23,374 | 2.48 |
Circulatory system133 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 33 | $288,290 | $17,516 | $24,793 | 2.87 |
| Acute myocardial infarction, discharged alive with MCCMS-DRG 280, medical | 23 | $110,186 | $7,773 | $9,476 | 1.59 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 23 | $202,056 | $10,774 | $17,377 | 1.82 |
| Percutaneous and other intracardiac procedures without MCCMS-DRG 274, surgical | 21 | $288,176 | $19,558 | $24,783 | 3.24 |
| Heart failure and shock with MCCMS-DRG 291, medical | 20 | $100,435 | $7,462 | $8,637 | 1.28 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 13 | $99,805 | $4,813 | $8,583 | 0.91 |
Infectious and parasitic diseases131 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 | 97 | $161,107 | $10,893 | $13,855 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 18 | $539,953 | $36,467 | $46,436 | 5.00 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 16 | $95,012 | $6,158 | $8,171 | 1.03 |
Digestive system59 discharges in 3 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 | 25 | $82,249 | $4,525 | $7,073 | 0.79 |
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 23 | $88,921 | $5,208 | $7,647 | 0.98 |
| Gastrointestinal hemorrhage with MCCMS-DRG 377, medical | 11 | $139,609 | $11,224 | $12,006 | 1.79 |
Respiratory system58 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 27 | $118,686 | $7,393 | $10,207 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 18 | $155,324 | $9,022 | $13,358 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 13 | $82,524 | $4,720 | $7,097 | 0.82 |
Kidney and urinary tract45 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Renal failure with CCMS-DRG 683, medical | 18 | $90,251 | $4,131 | $7,762 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 15 | $121,463 | $9,327 | $10,446 | 1.50 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 12 | $64,261 | $4,418 | $5,526 | 0.81 |
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 Upper GI ProceduresAPC 5302 | 213 | 206 | $28,711 | $1,249 | $1,445 |
| Level 6 Musculoskeletal ProceduresAPC 5116 | 186 | 185 | $271,930 | $13,879 | $15,763 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 159 | 155 | $212,181 | $9,372 | $10,772 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 145 | 145 | $141,959 | $4,703 | $5,339 |
| Level 2 Laparoscopy and Related ServicesAPC 5362 | 130 | 130 | $197,948 | $6,939 | $8,164 |
| Level 3 Electrophysiologic ProceduresAPC 5213 | 82 | 81 | $229,865 | $17,980 | $21,117 |
| Level 4 Endovascular ProceduresAPC 5194 | 41 | 32 | $176,214 | $12,385 | $14,606 |
| Comprehensive Observation ServicesAPC 8011 | 39 | 39 | $43,892 | $1,779 | $2,090 |
| Level 1 Endovascular ProceduresAPC 5191 | 38 | 38 | $44,396 | $1,956 | $2,208 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 36 | 35 | $114,421 | $3,742 | $4,358 |
| Level 3 Upper GI ProceduresAPC 5303 | 32 | 32 | $61,731 | $2,460 | $2,888 |
| Level 4 Urology and Related ServicesAPC 5374 | 32 | 28 | $70,452 | $2,170 | $2,629 |
| Level 3 Vascular ProceduresAPC 5183 | 31 | 31 | $60,919 | $2,120 | $2,405 |
| Complex GI ProceduresAPC 5331 | 31 | 29 | $78,117 | $3,794 | $4,263 |
| Level 3 Endovascular ProceduresAPC 5193 | 22 | 21 | $103,576 | $7,556 | $8,874 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 20 | 19 | $80,682 | $1,881 | $2,373 |
| Level 4 Vascular ProceduresAPC 5184 | 18 | 18 | $112,218 | $3,462 | $3,946 |
| Level 5 Gynecologic ProceduresAPC 5415 | 16 | 16 | $128,189 | $3,318 | $3,792 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 15 | 15 | $121,239 | $6,817 | $8,569 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 14 | 14 | $75,042 | $5,667 | $6,514 |
| Level 3 Lower GI ProceduresAPC 5313 | 14 | 13 | $41,404 | $1,915 | $2,176 |
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.