Missouri / Mercy Hospital Joplin
CMS certification 260001 · Joplin, MO · 1 entry in CMS's price-transparency list
Mercy Hospital Joplin: charges and Medicare payments
Mercy Hospital Joplin reported 1,969 Medicare inpatient stays across 64 DRGs in 2024. Across them it charged 4.17 times what it was paid — mid-range in Missouri, number 26 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: 223 stays at an average charge of $57,173, 37% below the national average. It also billed 1,760 outpatient services, charging 6.29 times what Medicare paid.
- 1Medicare inpatient stays 1,969
- 2Charge ÷ paid, inpatient 4.17×
- 3Rank in MO (highest ratio = 1) 26 of 59
- 4CMS price-transparency actions 1
Inpatient stays
For the 64 DRGs that can be compared with the national average, Mercy Hospital Joplin charged more than the national average in 0 (0%). 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 | 223 | $57,173 | -37% | $13,568 |
| 291 Heart Failure and Shock with MCC | 143 | $32,625 | -42% | $9,277 |
| 193 Simple Pneumonia and Pleurisy with MCC | 101 | $39,797 | -33% | $9,579 |
| 378 Gastrointestinal Hemorrhage with CC | 60 | $36,789 | -24% | $7,482 |
| 177 Respiratory Infections and Inflammations with MCC | 58 | $39,291 | -44% | $11,344 |
| 690 Kidney and Urinary Tract Infections without MCC | 53 | $25,824 | -32% | $6,368 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 51 | $29,751 | -18% | $6,016 |
| 189 Pulmonary Edema and Respiratory Failure | 48 | $37,323 | -35% | $9,134 |
| 481 Hip and Femur Procedures except Major Joint with CC | 48 | $59,830 | -41% | $14,351 |
| 689 Kidney and Urinary Tract Infections with MCC | 47 | $31,016 | -40% | $8,516 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 45 | $35,993 | -27% | $7,679 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 44 | $84,760 | -46% | $21,883 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 39 | $67,401 | -50% | $18,371 |
| 683 Renal Failure with CC | 39 | $29,831 | -27% | $6,903 |
| 682 Renal Failure with MCC | 38 | $34,104 | -48% | $10,747 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 37 | $42,014 | -30% | $10,187 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 36 | $39,509 | -29% | $7,563 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 36 | $40,254 | -45% | $10,857 |
| 552 Medical Back Problems without MCC | 34 | $32,386 | -34% | $7,299 |
| 885 Psychoses | 34 | $18,438 | -58% | $10,078 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 31 | $40,339 | -29% | $9,175 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 31 | $25,633 | -36% | $6,223 |
| 603 Cellulitis without MCC | 31 | $26,262 | -30% | $6,914 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 31 | $127,021 | -45% | $29,549 |
| 194 Simple Pneumonia and Pleurisy with CC | 26 | $27,287 | -29% | $6,487 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $72,643 | -37% | $12,898 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 25 | $66,397 | -35% | $14,791 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 24 | $60,096 | -40% | $14,009 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 24 | $48,917 | -35% | $11,190 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $28,439 | -23% | $6,123 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 21 | $19,752 | -31% | $4,745 |
| 377 Gastrointestinal Hemorrhage with MCC | 21 | $47,900 | -44% | $12,578 |
| 178 Respiratory Infections and Inflammations with CC | 19 | $29,909 | -34% | $7,380 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 17 | $40,095 | -21% | $7,206 |
| 389 Gastrointestinal Obstruction with CC | 17 | $27,445 | -29% | $6,329 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 17 | $31,913 | -33% | $7,451 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 16 | $33,018 | -23% | $6,845 |
| 637 Diabetes with MCC | 16 | $42,678 | -36% | $10,742 |
| 638 Diabetes with CC | 16 | $26,779 | -36% | $6,978 |
| 101 Seizures without MCC | 15 | $31,065 | -36% | $7,036 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 15 | $43,681 | -32% | $8,147 |
| 312 Syncope and Collapse | 15 | $31,988 | -30% | $6,761 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 15 | $204,370 | -37% | $45,632 |
| 176 Pulmonary Embolism without MCC | 14 | $29,071 | -30% | $6,597 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 14 | $27,270 | -31% | $6,664 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 14 | $146,008 | -31% | $27,117 |
| 305 Hypertension without MCC | 14 | $25,560 | -36% | $6,021 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $111,155 | -32% | $19,836 |
| 371 Major Gastrointestinal Disorders and Peritoneal Infections... | 14 | $36,371 | -54% | $11,586 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 14 | $64,999 | -45% | $16,459 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 14 | $53,084 | -46% | $14,256 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $42,939 | -30% | $9,708 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 13 | $69,677 | -7% | $11,420 |
| 039 Extracranial Procedures without CC/MCC | 12 | $30,244 | -53% | $8,520 |
| 057 Degenerative Nervous System Disorders without MCC | 12 | $35,172 | -38% | $9,930 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 12 | $31,358 | -34% | $7,749 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 12 | $91,556 | -34% | $19,011 |
| 164 Major Chest Procedures with CC | 11 | $83,113 | -35% | $17,250 |
| 207 Respiratory System Diagnosis with Ventilator Support >96... | 11 | $168,675 | -42% | $43,140 |
| 313 Chest Pain | 11 | $22,299 | -44% | $5,816 |
Showing the 60 most frequent of 64 DRGs.
Outpatient services
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Hospital Joplin charged $57,173 on average, 22% less than the Missouri average of $72,886, and was paid $13,568 against a state average of $15,808. For Heart Failure and Shock with MCC (DRG 291), Mercy Hospital Joplin charged $32,625 on average, 30% less than the Missouri average of $46,468, and was paid $9,277 against a state average of $10,539. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mercy Hospital Joplin charged $39,797 on average, 17% less than the Missouri average of $47,966, and was paid $9,579 against a state average of $10,821. For Gastrointestinal Hemorrhage with CC (DRG 378), Mercy Hospital Joplin charged $36,789 on average, 4% less than the Missouri average of $38,405, and was paid $7,482 against a state average of $8,210. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,164 was 12% below the state average of $20,571. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $6,518 was 33% below the state average of $9,712. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $21,630 was 9% below the state average of $23,828. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,359 was 36% below the state average of $9,865.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mercy Hospital Joplin in Joplin, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-16 (CMS case 3880)
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.