Missouri / Mercy Hospital Springfield
CMS certification 260065 · Springfield, MO · 3 entries in CMS's price-transparency list
Mercy Hospital Springfield: charges and Medicare payments
Mercy Hospital Springfield reported 4,684 Medicare inpatient stays across 134 DRGs in 2024. Across them it charged 4.2 times what it was paid — mid-range in Missouri, number 24 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: 527 stays at an average charge of $64,224, 29% below the national average. It also billed 7,715 outpatient services, charging 5.77 times what Medicare paid.
- 1Medicare inpatient stays 4,684
- 2Charge ÷ paid, inpatient 4.2×
- 3Rank in MO (highest ratio = 1) 24 of 59
- 4CMS price-transparency actions 3
Inpatient stays
For the 134 DRGs that can be compared with the national average, Mercy Hospital Springfield 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 | 527 | $64,224 | -29% | $14,180 |
| 291 Heart Failure and Shock with MCC | 251 | $35,863 | -36% | $9,744 |
| 193 Simple Pneumonia and Pleurisy with MCC | 147 | $42,815 | -28% | $10,178 |
| 177 Respiratory Infections and Inflammations with MCC | 129 | $49,145 | -30% | $12,117 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 111 | $147,333 | -36% | $34,575 |
| 378 Gastrointestinal Hemorrhage with CC | 104 | $33,725 | -31% | $7,785 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 100 | $37,213 | -24% | $8,152 |
| 690 Kidney and Urinary Tract Infections without MCC | 83 | $28,265 | -25% | $6,646 |
| 481 Hip and Femur Procedures except Major Joint with CC | 77 | $60,366 | -40% | $14,319 |
| 689 Kidney and Urinary Tract Infections with MCC | 76 | $39,147 | -24% | $9,354 |
| 189 Pulmonary Edema and Respiratory Failure | 75 | $37,153 | -35% | $9,400 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 73 | $35,033 | -37% | $7,953 |
| 683 Renal Failure with CC | 71 | $30,096 | -26% | $7,240 |
| 603 Cellulitis without MCC | 65 | $25,225 | -32% | $7,178 |
| 682 Renal Failure with MCC | 61 | $40,482 | -39% | $10,972 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 60 | $23,404 | -35% | $6,300 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 56 | $80,969 | -29% | $13,253 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 54 | $26,123 | -35% | $6,727 |
| 194 Simple Pneumonia and Pleurisy with CC | 53 | $30,131 | -21% | $6,744 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 51 | $44,965 | -30% | $8,374 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 48 | $26,805 | -28% | $6,525 |
| 377 Gastrointestinal Hemorrhage with MCC | 47 | $53,002 | -38% | $12,914 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 45 | $61,204 | -40% | $14,818 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 44 | $119,744 | -46% | $32,359 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 43 | $66,620 | -33% | $14,809 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 42 | $38,291 | -48% | $11,986 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 41 | $46,623 | -50% | $13,532 |
| 885 Psychoses | 41 | $33,835 | -23% | $10,172 |
| 329 Major Small and Large Bowel Procedures with MCC | 40 | $113,990 | -47% | $31,701 |
| 330 Major Small and Large Bowel Procedures with CC | 40 | $63,273 | -47% | $16,444 |
| 371 Major Gastrointestinal Disorders and Peritoneal Infections... | 39 | $63,644 | -19% | $15,334 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 38 | $35,303 | -38% | $9,548 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 37 | $77,562 | -43% | $18,760 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 37 | $87,673 | -44% | $22,019 |
| 069 Transient Ischemia without Thrombolytic | 36 | $28,434 | -44% | $6,622 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 36 | $44,143 | -49% | $12,165 |
| 312 Syncope and Collapse | 35 | $29,852 | -34% | $7,079 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 35 | $31,437 | -34% | $7,976 |
| 305 Hypertension without MCC | 34 | $25,847 | -36% | $6,329 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 34 | $45,269 | -25% | $9,802 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 32 | $43,749 | -33% | $10,272 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 32 | $56,016 | -26% | $11,737 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 31 | $58,191 | -41% | $14,650 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 30 | $108,516 | -34% | $20,383 |
| 100 Seizures with MCC | 28 | $69,220 | -27% | $15,335 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 28 | $18,574 | -35% | $5,154 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $40,572 | -34% | $9,691 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 27 | $214,805 | -20% | $35,037 |
| 314 Other Circulatory System Diagnoses with MCC | 27 | $63,997 | -33% | $14,863 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 27 | $49,292 | -37% | $11,623 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 26 | $64,621 | -42% | $15,630 |
| 389 Gastrointestinal Obstruction with CC | 26 | $23,936 | -39% | $6,605 |
| 460 Spinal Fusion except Cervical without MCC | 26 | $75,711 | -56% | $26,360 |
| 178 Respiratory Infections and Inflammations with CC | 25 | $30,806 | -32% | $7,859 |
| 637 Diabetes with MCC | 25 | $43,363 | -35% | $10,796 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 24 | $137,534 | -41% | $31,042 |
| 101 Seizures without MCC | 24 | $22,650 | -54% | $7,370 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 24 | $39,887 | -21% | $7,358 |
| 313 Chest Pain | 24 | $25,167 | -37% | $6,569 |
| 552 Medical Back Problems without MCC | 23 | $29,828 | -39% | $7,705 |
Showing the 60 most frequent of 134 DRGs.
Outpatient services
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Hospital Springfield charged $64,224 on average, 12% less than the Missouri average of $72,886, and was paid $14,180 against a state average of $15,808. For Heart Failure and Shock with MCC (DRG 291), Mercy Hospital Springfield charged $35,863 on average, 23% less than the Missouri average of $46,468, and was paid $9,744 against a state average of $10,539. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mercy Hospital Springfield charged $42,815 on average, 11% less than the Missouri average of $47,966, and was paid $10,178 against a state average of $10,821. For Respiratory Infections and Inflammations with MCC (DRG 177), Mercy Hospital Springfield charged $49,145 on average, 16% less than the Missouri average of $58,162, and was paid $12,117 against a state average of $13,151. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $13,376 was 26% above the state average of $10,642. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $7,904 was 25% below the state average of $10,541. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $37,335 was 29% below the state average of $52,262. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,409 was 25% below the state average of $9,865.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mercy Hospital Springfield in Springfield, MO, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-02-13 (CMS case 777)
- Warning Notice — 2025-08-22 (CMS case 6043)
- Closure Notice — 2025-11-06 (CMS case 6043)
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.