Minnesota / Mercy Hospital

CMS certification 240115 · Coon Rapids, MN · 2 entries in CMS's price-transparency list

Mercy Hospital: charges and Medicare payments

Mercy Hospital reported 4,609 Medicare inpatient stays across 125 DRGs in 2024. Across them it charged 4.38 times what it was paid — among the higher ratios in Minnesota, number 6 of 43 hospitals with at least 100 stays (state median 2.98×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 559 stays at an average charge of $61,917, 31% below the national average. It also billed 2,920 outpatient services, charging 6.37 times what Medicare paid.

1234
  1. 1Medicare inpatient stays 4,609
  2. 2Charge ÷ paid, inpatient 4.38×
  3. 3Rank in MN (highest ratio = 1) 6 of 43
  4. 4CMS price-transparency actions 2
DRG 871$61,917DRG 291$44,773DRG 872$33,717DRG 885$92,925DRG 193$42,399DRG 552$33,847DRG 177$45,945DRG 698$45,146DRG 853$135,719DRG 378$35,650
Average charge per stay at Mercy Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 125 DRGs that can be compared with the national average, Mercy Hospital charged more than the national average in 6 (5%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC559$61,917-31%$15,080
291 Heart Failure and Shock with MCC302$44,773-21%$10,014
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC136$33,717-31%$8,144
885 Psychoses127$92,925+111%$15,040
193 Simple Pneumonia and Pleurisy with MCC100$42,399-29%$10,899
552 Medical Back Problems without MCC94$33,847-31%$7,620
177 Respiratory Infections and Inflammations with MCC91$45,945-35%$12,327
698 Other Kidney and Urinary Tract Diagnoses with MCC86$45,146-39%$12,234
853 Infectious and Parasitic Diseases with O.R. Procedures with...85$135,719-41%$37,295
378 Gastrointestinal Hemorrhage with CC75$35,650-27%$7,865
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...75$26,303-35%$6,376
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...72$35,468-36%$7,802
322 Percutaneous Cardiovascular Procedures with Intraluminal...69$111,090-3%$15,533
280 Acute Myocardial Infarction, Discharged Alive with MCC67$54,250-28%$13,519
481 Hip and Femur Procedures except Major Joint with CC65$77,231-23%$16,189
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...65$38,022-37%$10,298
683 Renal Failure with CC60$31,439-23%$6,991
312 Syncope and Collapse59$29,426-35%$6,843
189 Pulmonary Edema and Respiratory Failure56$40,171-30%$9,780
522 Hip Replacement with Principal Diagnosis of Hip Fracture...50$69,418-32%$16,610
389 Gastrointestinal Obstruction with CC49$27,739-29%$6,678
682 Renal Failure with MCC49$47,100-29%$11,101
470 Major Hip and Knee Joint Replacement or Reattachment of...48$53,703-42%$14,745
690 Kidney and Urinary Tract Infections without MCC46$27,092-28%$6,129
308 Cardiac Arrhythmia and Conduction Disorders with MCC45$50,645-11%$9,848
603 Cellulitis without MCC45$24,758-34%$7,206
194 Simple Pneumonia and Pleurisy with CC43$24,400-36%$6,282
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...43$34,459-7%$7,022
377 Gastrointestinal Hemorrhage with MCC42$52,674-38%$13,576
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...40$28,239-24%$6,303
699 Other Kidney and Urinary Tract Diagnoses with CC40$34,253-28%$7,723
267 Endovascular Cardiac Valve Replacement and Supplement...39$166,693-25%$35,800
064 Intracranial Hemorrhage or Cerebral Infarction with MCC37$70,570-29%$14,783
309 Cardiac Arrhythmia and Conduction Disorders with CC37$26,929-25%$5,935
321 Percutaneous Cardiovascular Procedures with Intraluminal...37$157,151-4%$28,623
812 Red Blood Cell Disorders without MCC37$30,861-30%$7,392
274 Percutaneous and Other Intracardiac Procedures without MCC36$112,590-28%$23,978
689 Kidney and Urinary Tract Infections with MCC34$33,768-34%$8,519
854 Infectious and Parasitic Diseases with O.R. Procedures with...33$59,223-40%$15,659
314 Other Circulatory System Diagnoses with MCC32$68,039-28%$17,537
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...32$36,632-40%$9,812
057 Degenerative Nervous System Disorders without MCC31$68,273+21%$12,662
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...31$25,820-39%$6,867
811 Red Blood Cell Disorders with MCC30$41,877-39%$11,118
243 Permanent Cardiac Pacemaker Implant with CC29$112,766+2%$20,075
286 Circulatory Disorders except AMI, with Cardiac...28$86,644-23%$17,168
493 Lower Extremity and Humerus Procedures except Hip, Foot and...27$74,622-37%$18,193
948 Signs and Symptoms without MCC26$33,875-11%$6,189
178 Respiratory Infections and Inflammations with CC25$32,835-28%$7,848
190 Chronic Obstructive Pulmonary Disease with MCC25$29,452-42%$8,483
281 Acute Myocardial Infarction, Discharged Alive with CC25$32,252-36%$7,371
543 Pathological Fractures and Musculoskeletal and Connective...25$29,949-39%$8,002
638 Diabetes with CC24$27,982-33%$7,475
660 Kidney and Ureter Procedures for Non-Neoplasm with CC24$39,891-41%$10,822
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...24$183,075-15%$38,991
253 Other Vascular Procedures with CC23$95,512-28%$19,159
644 Endocrine Disorders with CC23$35,182-27%$8,435
070 Other Cerebrovascular Disorders with MCC22$60,622-20%$12,921
208 Respiratory System Diagnosis with Ventilator Support <=96...22$105,370-22%$20,488
287 Circulatory Disorders except AMI, with Cardiac...22$45,104-29%$8,431

Showing the 60 most frequent of 125 DRGs.

Outpatient services

Against the Minnesota average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Hospital charged $61,917 on average, 4% more than the Minnesota average of $59,297, and was paid $15,080 against a state average of $17,952. For Heart Failure and Shock with MCC (DRG 291), Mercy Hospital charged $44,773 on average, 11% more than the Minnesota average of $40,341, and was paid $10,014 against a state average of $11,754. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Mercy Hospital charged $33,717 on average, 7% more than the Minnesota average of $31,619, and was paid $8,144 against a state average of $9,449. For Psychoses (DRG 885), Mercy Hospital charged $92,925 on average, 44% more than the Minnesota average of $64,706, and was paid $15,040 against a state average of $15,086. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,702 was 13% above the state average of $14,738. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,224 was 13% above the state average of $7,303. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $8,253 was 7% above the state average of $7,743. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $40,122 was 2% above the state average of $39,247.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Mercy Hospital in Coon Rapids, MN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.