Missouri / Mercy Hospital Washington
CMS certification 260052 · Washington, MO · 1 entry in CMS's price-transparency list
Mercy Hospital Washington: charges and Medicare payments
Mercy Hospital Washington reported 711 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 3.26 times what it was paid — among the lower ratios in Missouri, number 44 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: 133 stays at an average charge of $49,757, 45% below the national average. It also billed 1,409 outpatient services, charging 4.81 times what Medicare paid.
- 1Medicare inpatient stays 711
- 2Charge ÷ paid, inpatient 3.26×
- 3Rank in MO (highest ratio = 1) 44 of 59
- 4CMS price-transparency actions 1
Inpatient stays
For the 27 DRGs that can be compared with the national average, Mercy Hospital Washington 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 | 133 | $49,757 | -45% | $14,016 |
| 291 Heart Failure and Shock with MCC | 95 | $28,416 | -50% | $9,783 |
| 177 Respiratory Infections and Inflammations with MCC | 67 | $41,121 | -42% | $12,676 |
| 193 Simple Pneumonia and Pleurisy with MCC | 36 | $30,384 | -49% | $10,250 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 33 | $25,893 | -47% | $8,358 |
| 690 Kidney and Urinary Tract Infections without MCC | 25 | $20,106 | -47% | $6,879 |
| 378 Gastrointestinal Hemorrhage with CC | 23 | $29,802 | -39% | $8,054 |
| 689 Kidney and Urinary Tract Infections with MCC | 22 | $26,084 | -49% | $8,977 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $22,385 | -44% | $6,928 |
| 189 Pulmonary Edema and Respiratory Failure | 19 | $31,797 | -45% | $9,691 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 19 | $23,557 | -35% | $6,408 |
| 481 Hip and Femur Procedures except Major Joint with CC | 18 | $50,246 | -50% | $14,780 |
| 682 Renal Failure with MCC | 18 | $30,075 | -54% | $11,155 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 16 | $50,434 | -51% | $14,857 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 16 | $100,157 | -56% | $29,261 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $34,387 | -38% | $8,692 |
| 603 Cellulitis without MCC | 15 | $20,650 | -45% | $7,080 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $24,488 | -34% | $6,638 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $22,023 | -43% | $6,992 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $32,863 | -45% | $9,436 |
| 683 Renal Failure with CC | 12 | $19,543 | -52% | $7,464 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $47,184 | -52% | $14,121 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 11 | $30,970 | -59% | $12,349 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $85,924 | -60% | $29,710 |
| 377 Gastrointestinal Hemorrhage with MCC | 11 | $42,875 | -50% | $12,340 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 11 | $58,230 | -58% | $19,206 |
| 637 Diabetes with MCC | 11 | $42,853 | -36% | $11,053 |
Outpatient services
Against the Missouri average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Hospital Washington charged $49,757 on average, 32% less than the Missouri average of $72,886, and was paid $14,016 against a state average of $15,808. For Heart Failure and Shock with MCC (DRG 291), Mercy Hospital Washington charged $28,416 on average, 39% less than the Missouri average of $46,468, and was paid $9,783 against a state average of $10,539. For Respiratory Infections and Inflammations with MCC (DRG 177), Mercy Hospital Washington charged $41,121 on average, 29% less than the Missouri average of $58,162, and was paid $12,676 against a state average of $13,151. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mercy Hospital Washington charged $30,384 on average, 37% less than the Missouri average of $47,966, and was paid $10,250 against a state average of $10,821. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,381 was 16% below the state average of $20,571. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $5,988 was 43% below the state average of $10,541. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $8,104 was 24% below the state average of $10,642. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,985 was 29% below the state average of $9,865.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mercy Hospital Washington in Washington, 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 3881)
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.