Missouri / Mercy Hospital Lebanon
CMS certification 260059 · Lebanon, MO · 1 entry in CMS's price-transparency list
Mercy Hospital Lebanon: charges and Medicare payments
Mercy Hospital Lebanon reported 129 Medicare inpatient stays across 7 DRGs in 2024. Across them it charged 1.62 times what it was paid — among the lower ratios in Missouri, number 57 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: 33 stays at an average charge of $29,454, 67% below the national average. It also billed 619 outpatient services, charging 3.63 times what Medicare paid.
- 1Medicare inpatient stays 129
- 2Charge ÷ paid, inpatient 1.62×
- 3Rank in MO (highest ratio = 1) 57 of 59
- 4CMS price-transparency actions 1
Inpatient stays
For the 7 DRGs that can be compared with the national average, Mercy Hospital Lebanon 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 | 33 | $29,454 | -67% | $19,851 |
| 291 Heart Failure and Shock with MCC | 29 | $24,379 | -57% | $13,667 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $24,898 | -49% | $11,751 |
| 193 Simple Pneumonia and Pleurisy with MCC | 14 | $21,175 | -65% | $14,157 |
| 690 Kidney and Urinary Tract Infections without MCC | 14 | $19,050 | -50% | $10,143 |
| 177 Respiratory Infections and Inflammations with MCC | 12 | $24,579 | -65% | $16,676 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $19,627 | -66% | $14,088 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 413 | $4,800 | $2,073 |
| Level 1 Nerve Procedures | 86 | $6,326 | $1,683 |
| Comprehensive Observation Services | 54 | $14,914 | $2,465 |
| Level 1 Laparoscopy and Related Services | 20 | $11,652 | $5,196 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 19 | $7,605 | $2,559 |
| Level 2 Upper GI Procedures | 15 | $6,730 | $1,713 |
| Level 3 Musculoskeletal Procedures | 12 | $6,161 | $2,915 |
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Hospital Lebanon charged $29,454 on average, 60% less than the Missouri average of $72,886, and was paid $19,851 against a state average of $15,808. For Heart Failure and Shock with MCC (DRG 291), Mercy Hospital Lebanon charged $24,379 on average, 48% less than the Missouri average of $46,468, and was paid $13,667 against a state average of $10,539. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Mercy Hospital Lebanon charged $24,898 on average, 37% less than the Missouri average of $39,285, and was paid $11,751 against a state average of $8,750. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mercy Hospital Lebanon charged $21,175 on average, 56% less than the Missouri average of $47,966, and was paid $14,157 against a state average of $10,821. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $4,800 was 55% below the state average of $10,642. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $6,326 was 40% below the state average of $10,541. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,914 was 27% below the state average of $20,571. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $11,652 was 63% below the state average of $31,180.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mercy Hospital Lebanon in Lebanon, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-24 (CMS case 3878)
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.