Missouri / Mercy Hospital Jefferson
CMS certification 260023 · Festus, MO · 3 entries in CMS's price-transparency list
Mercy Hospital Jefferson: charges and Medicare payments
Mercy Hospital Jefferson reported 1,668 Medicare inpatient stays across 52 DRGs in 2024. Across them it charged 3.49 times what it was paid — mid-range in Missouri, number 39 of 59 hospitals with at least 100 stays (state median 3.85×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 272 stays at an average charge of $50,817, 44% below the national average. It also billed 1,053 outpatient services, charging 6.55 times what Medicare paid.
- 1Medicare inpatient stays 1,668
- 2Charge ÷ paid, inpatient 3.49×
- 3Rank in MO (highest ratio = 1) 39 of 59
- 4CMS price-transparency actions 3
Inpatient stays
For the 52 DRGs that can be compared with the national average, Mercy Hospital Jefferson charged more than the national average in 1 (2%). 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 | 272 | $50,817 | -44% | $13,747 |
| 885 Psychoses | 159 | $18,677 | -58% | $10,187 |
| 291 Heart Failure and Shock with MCC | 127 | $34,532 | -39% | $9,480 |
| 193 Simple Pneumonia and Pleurisy with MCC | 75 | $37,508 | -37% | $10,018 |
| 177 Respiratory Infections and Inflammations with MCC | 58 | $40,169 | -43% | $11,844 |
| 683 Renal Failure with CC | 50 | $22,409 | -45% | $6,939 |
| 189 Pulmonary Edema and Respiratory Failure | 43 | $32,237 | -44% | $9,383 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 39 | $24,756 | -38% | $6,254 |
| 378 Gastrointestinal Hemorrhage with CC | 34 | $31,391 | -35% | $7,575 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $20,490 | -45% | $6,235 |
| 682 Renal Failure with MCC | 30 | $38,392 | -42% | $11,234 |
| 690 Kidney and Urinary Tract Infections without MCC | 30 | $22,406 | -41% | $6,400 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 29 | $30,289 | -38% | $7,786 |
| 603 Cellulitis without MCC | 28 | $24,524 | -34% | $6,922 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 27 | $55,471 | -27% | $11,064 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $26,969 | -55% | $9,758 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 27 | $39,606 | -46% | $11,407 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $83,571 | -27% | $13,505 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 25 | $47,969 | -49% | $13,582 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 25 | $48,692 | -52% | $15,000 |
| 194 Simple Pneumonia and Pleurisy with CC | 24 | $26,456 | -31% | $6,424 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 23 | $70,157 | -48% | $18,342 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 23 | $22,919 | -37% | $5,967 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $85,212 | -48% | $19,797 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 20 | $39,027 | -30% | $7,701 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 20 | $43,123 | -33% | $8,893 |
| 637 Diabetes with MCC | 19 | $32,042 | -52% | $10,682 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $28,770 | -44% | $8,553 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 18 | $37,748 | -25% | $6,947 |
| 638 Diabetes with CC | 18 | $27,321 | -34% | $6,934 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 16 | $29,845 | -54% | $10,946 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 16 | $26,170 | -45% | $7,816 |
| 389 Gastrointestinal Obstruction with CC | 16 | $20,114 | -48% | $6,466 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 16 | $40,139 | -58% | $13,722 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 16 | $51,790 | -63% | $18,874 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $48,638 | -52% | $14,525 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 15 | $52,132 | -48% | $13,962 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 15 | $55,481 | -51% | $17,145 |
| 377 Gastrointestinal Hemorrhage with MCC | 15 | $38,246 | -55% | $12,507 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 14 | $22,494 | -43% | $6,612 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $88,441 | -61% | $29,663 |
| 057 Degenerative Nervous System Disorders without MCC | 13 | $22,085 | -61% | $9,705 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $37,008 | -35% | $9,048 |
| 312 Syncope and Collapse | 13 | $23,222 | -49% | $6,786 |
| 388 Gastrointestinal Obstruction with MCC | 13 | $29,434 | -57% | $10,757 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $29,395 | -52% | $9,535 |
| 602 Cellulitis with MCC | 12 | $32,673 | -46% | $10,296 |
| 300 Peripheral Vascular Disorders with CC | 11 | $30,535 | -38% | $7,894 |
| 305 Hypertension without MCC | 11 | $23,003 | -43% | $6,021 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 11 | $44,067 | +53% | $5,499 |
| 811 Red Blood Cell Disorders with MCC | 11 | $41,094 | -40% | $10,374 |
| 884 Organic Disturbances and Intellectual Disability | 11 | $23,692 | -62% | $12,045 |
Outpatient services
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Hospital Jefferson charged $50,817 on average, 30% less than the Missouri average of $72,886, and was paid $13,747 against a state average of $15,808. For Psychoses (DRG 885), Mercy Hospital Jefferson charged $18,677 on average, 39% less than the Missouri average of $30,825, and was paid $10,187 against a state average of $12,977. For Heart Failure and Shock with MCC (DRG 291), Mercy Hospital Jefferson charged $34,532 on average, 26% less than the Missouri average of $46,468, and was paid $9,480 against a state average of $10,539. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mercy Hospital Jefferson charged $37,508 on average, 22% less than the Missouri average of $47,966, and was paid $10,018 against a state average of $10,821. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,148 was 17% below the state average of $20,571. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,462 was 14% below the state average of $9,865. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $26,678 was 12% above the state average of $23,828. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $12,271 was 29% below the state average of $17,355.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mercy Hospital Jefferson in Festus, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-11-18 (CMS case 2944)
- Warning Notice — 2025-09-29 (CMS case 6024)
- Closure Notice — 2025-11-06 (CMS case 6024)
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.