Merit Health River Region Medicare inpatient and outpatient services
Every DRG and outpatient service group CMS publishes for Merit Health River Region, Vicksburg, MS in 2024, from traditional Medicare claims. Back to the Merit Health River Region profile, with quality ratings, finances and negotiated rates.
729
Medicare inpatient discharges
In 29 published DRGs
1.89
Case mix index
IPPS FY 2027
13%
Surgical stays
74%
Stays with complications
In DRGs with a CC or MCC
641
Medicare outpatient services
In 20 service groups
Inpatient stays by major diagnostic category
Infectious and parasitic diseases193 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 | 138 | $174,630 | $12,840 | $16,765 | 1.98 |
| Infectious and parasitic diseases with o.r. procedures with MCCMS-DRG 853, surgical | 28 | $326,906 | $33,029 | $31,383 | 5.00 |
| Septicemia or severe sepsis with MV >96 hoursMS-DRG 870, medical | 14 | $416,253 | $46,122 | $39,960 | 6.96 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 13 | $95,229 | $6,342 | $9,142 | 1.03 |
Circulatory system168 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 | 48 | $108,766 | $7,505 | $10,442 | 1.28 |
| Percutaneous cardiovascular procedures with intraluminal device without MCCMS-DRG 322, surgical | 30 | $240,766 | $10,444 | $23,114 | 1.82 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 29 | $72,918 | $3,995 | $7,000 | 0.74 |
| Acute myocardial infarction, discharged alive with CCMS-DRG 281, medical | 16 | $107,178 | $5,313 | $10,289 | 0.91 |
| Cardiac arrhythmia and conduction disorders without cc/mccMS-DRG 310, medical | 12 | $62,311 | $3,181 | $5,982 | 0.55 |
| Circulatory disorders except AMI, with cardiac catheterization with MCCMS-DRG 286, medical | 11 | $138,550 | $14,066 | $13,301 | 2.16 |
| Cardiac arrhythmia and conduction disorders with MCCMS-DRG 308, medical | 11 | $116,293 | $7,644 | $11,164 | 1.20 |
| Percutaneous cardiovascular procedures with intraluminal device with MCC or 4+ arteries/MS-DRG 321, surgical | 11 | $308,067 | $18,516 | $29,574 | 2.87 |
Respiratory system132 discharges in 6 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 35 | $130,491 | $7,691 | $12,527 | 1.33 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 28 | $124,700 | $10,711 | $11,971 | 1.70 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 22 | $101,685 | $5,110 | $9,762 | 0.82 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 17 | $122,295 | $7,931 | $11,740 | 1.23 |
| Respiratory system diagnosis with ventilator support <=96 hoursMS-DRG 208, medical | 16 | $261,105 | $18,076 | $25,066 | 2.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 14 | $131,790 | $7,037 | $12,652 | 1.10 |
Kidney and urinary tract125 discharges in 4 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 37 | $73,938 | $4,925 | $7,098 | 0.81 |
| Renal failure with CCMS-DRG 683, medical | 30 | $75,863 | $5,786 | $7,283 | 0.90 |
| Renal failure with MCCMS-DRG 682, medical | 29 | $123,832 | $8,980 | $11,888 | 1.50 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 29 | $81,005 | $7,240 | $7,777 | 1.17 |
Digestive system62 discharges in 3 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Gastrointestinal hemorrhage with CCMS-DRG 378, medical | 28 | $98,745 | $5,800 | $9,480 | 0.98 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 23 | $69,089 | $4,551 | $6,633 | 0.79 |
| Major small and large bowel procedures with MCCMS-DRG 329, surgical | 11 | $437,248 | $32,528 | $41,976 | 4.52 |
Endocrine, nutritional and metabolic25 discharges in 2 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 | $58,566 | $4,724 | $5,622 | 0.78 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with MCCMS-DRG 640, medical | 11 | $69,933 | $8,559 | $6,714 | 1.32 |
Musculoskeletal system and connective tissue12 discharges in 1 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 | 12 | $136,406 | $13,232 | $13,095 | 2.07 |
Skin, subcutaneous tissue and breast12 discharges in 1 DRGs
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Cellulitis without MCCMS-DRG 603, medical | 12 | $99,287 | $5,308 | $9,532 | 0.88 |
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 | 86 | 86 | $44,044 | $2,013 | $2,208 |
| Level 4 Urology and Related ServicesAPC 5374 | 78 | 50 | $62,030 | $2,478 | $2,629 |
| Comprehensive Observation ServicesAPC 8011 | 70 | 65 | $34,248 | $1,890 | $2,090 |
| Level 2 Vascular ProceduresAPC 5182 | 49 | 46 | $10,760 | $1,111 | $1,204 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 40 | 39 | $20,710 | $1,123 | $1,220 |
| Level 3 Endovascular ProceduresAPC 5193 | 39 | 37 | $126,853 | $8,171 | $8,874 |
| Level 3 Vascular ProceduresAPC 5183 | 38 | 37 | $36,367 | $2,201 | $2,405 |
| Level 3 Urology and Related ServicesAPC 5373 | 32 | 30 | $30,101 | $1,399 | $1,516 |
| Level 3 Pacemaker and Similar ProceduresAPC 5223 | 25 | 25 | $188,309 | $7,571 | $8,569 |
| Level 5 Urology and Related ServicesAPC 5375 | 25 | 25 | $54,217 | $3,383 | $3,918 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 19 | 19 | $74,821 | $4,817 | $5,339 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 17 | 17 | $28,369 | $999 | $1,196 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 17 | 17 | $45,071 | $2,300 | $2,373 |
| Level 2 Endovascular ProceduresAPC 5192 | 17 | 15 | $66,578 | $4,062 | $4,338 |
| Level 2 Pacemaker and Similar ProceduresAPC 5222 | 17 | 17 | $113,821 | $6,038 | $6,514 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 17 | 17 | $69,264 | $4,101 | $4,358 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 16 | 16 | $132,800 | $10,093 | $10,772 |
| Level 4 Endovascular ProceduresAPC 5194 | 15 | 15 | $156,260 | $13,978 | $14,606 |
| Level 3 Excision/ Biopsy/ Incision and DrainageAPC 5073 | 12 | 12 | $32,414 | $2,019 | $2,141 |
| Level 4 Vascular ProceduresAPC 5184 | 12 | 12 | $133,174 | $3,580 | $3,946 |
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.