Colorado / Mercy Hospital
CMS certification 060013 · Durango, CO
Mercy Hospital: charges and Medicare payments
Mercy Hospital reported 669 Medicare inpatient stays across 29 DRGs in 2024. Across them it charged 4.02 times what it was paid — among the lower ratios in Colorado, number 32 of 37 hospitals with at least 100 stays (state median 6.33×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 108 stays at an average charge of $61,797, 32% below the national average. It also billed 1,471 outpatient services, charging 8.45 times what Medicare paid.
- 1Medicare inpatient stays 669
- 2Charge ÷ paid, inpatient 4.02×
- 3Rank in CO (highest ratio = 1) 32 of 37
- 4CMS price-transparency actions 0
Inpatient stays
For the 29 DRGs that can be compared with the national average, Mercy Hospital charged more than the national average in 6 (21%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 108 | $61,797 | -32% | $19,455 |
| 291 Heart Failure and Shock with MCC | 90 | $47,166 | -16% | $12,577 |
| 177 Respiratory Infections and Inflammations with MCC | 32 | $48,069 | -32% | $16,186 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 31 | $92,358 | -19% | $20,581 |
| 193 Simple Pneumonia and Pleurisy with MCC | 28 | $44,262 | -26% | $12,805 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 23 | $62,647 | -17% | $15,465 |
| 378 Gastrointestinal Hemorrhage with CC | 21 | $31,815 | -34% | $9,548 |
| 454 Combined Anterior and Posterior Spinal Fusion with CC | 20 | $367,559 | +31% | $64,399 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 20 | $40,799 | -17% | $10,045 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $49,021 | -19% | $12,752 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $47,577 | -17% | $11,973 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 18 | $29,113 | -19% | $7,205 |
| 481 Hip and Femur Procedures except Major Joint with CC | 18 | $89,362 | -11% | $19,997 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 18 | $56,171 | -24% | $16,258 |
| 683 Renal Failure with CC | 17 | $43,029 | +6% | $8,702 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 16 | $44,442 | -22% | $11,654 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 16 | $281,042 | +38% | $54,300 |
| 472 Cervical Spinal Fusion with CC | 15 | $184,724 | +29% | $28,454 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $49,403 | +33% | $9,408 |
| 682 Renal Failure with MCC | 15 | $50,681 | -23% | $14,509 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $151,050 | -34% | $57,290 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 14 | $46,706 | -28% | $14,694 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 13 | $111,808 | +9% | $20,283 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $45,544 | -18% | $9,876 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $46,528 | -46% | $17,244 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $36,347 | -4% | $7,808 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 11 | $107,255 | -34% | $31,015 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $141,317 | -34% | $43,318 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $42,007 | -18% | $11,322 |
Outpatient services
Against the Colorado average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Hospital charged $61,797 on average, 45% less than the Colorado average of $113,091, and was paid $19,455 against a state average of $16,848. For Heart Failure and Shock with MCC (DRG 291), Mercy Hospital charged $47,166 on average, 34% less than the Colorado average of $71,240, and was paid $12,577 against a state average of $11,134. For Respiratory Infections and Inflammations with MCC (DRG 177), Mercy Hospital charged $48,069 on average, 44% less than the Colorado average of $86,428, and was paid $16,186 against a state average of $13,957. For Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC (DRG 322), Mercy Hospital charged $92,358 on average, 34% less than the Colorado average of $139,715, and was paid $20,581 against a state average of $16,567. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $90,109 was 1% above the state average of $89,547. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $27,375 was 20% below the state average of $34,074. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $15,984 was 51% below the state average of $32,669. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $15,705 was 13% above the state average of $13,898.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.