Oregon / Mercy Medical Center

CMS certification 380027 · Roseburg, OR

Mercy Medical Center: charges and Medicare payments

Mercy Medical Center reported 919 Medicare inpatient stays across 30 DRGs in 2024. Across them it charged 3.13 times what it was paid — mid-range in Oregon, number 13 of 26 hospitals with at least 100 stays (state median 3.05×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 196 stays at an average charge of $58,106, 36% below the national average. It also billed 1,776 outpatient services, charging 5.24 times what Medicare paid.

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  1. 1Medicare inpatient stays 919
  2. 2Charge ÷ paid, inpatient 3.13×
  3. 3Rank in OR (highest ratio = 1) 13 of 26
  4. 4CMS price-transparency actions 0
DRG 871$58,106DRG 291$37,387DRG 189$38,297DRG 280$43,214DRG 872$31,948DRG 177$44,167DRG 193$36,382DRG 683$29,320DRG 682$42,560DRG 698$39,440
Average charge per stay at Mercy Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 30 DRGs that can be compared with the national average, Mercy Medical Center charged more than the national average in 1 (3%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC196$58,106-36%$19,648
291 Heart Failure and Shock with MCC79$37,387-34%$12,868
189 Pulmonary Edema and Respiratory Failure56$38,297-33%$12,332
280 Acute Myocardial Infarction, Discharged Alive with MCC43$43,214-43%$15,313
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC42$31,948-35%$9,543
177 Respiratory Infections and Inflammations with MCC39$44,167-37%$16,098
193 Simple Pneumonia and Pleurisy with MCC31$36,382-39%$12,815
683 Renal Failure with CC31$29,320-28%$8,690
682 Renal Failure with MCC30$42,560-35%$15,751
698 Other Kidney and Urinary Tract Diagnoses with MCC29$39,440-46%$15,420
481 Hip and Femur Procedures except Major Joint with CC28$60,858-40%$20,620
309 Cardiac Arrhythmia and Conduction Disorders with CC25$24,723-32%$7,166
522 Hip Replacement with Principal Diagnosis of Hip Fracture...22$73,653-28%$20,331
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...21$40,352-28%$9,868
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC19$32,514-25%$6,970
378 Gastrointestinal Hemorrhage with CC19$42,542-12%$9,554
064 Intracranial Hemorrhage or Cerebral Infarction with MCC18$50,230-50%$19,175
308 Cardiac Arrhythmia and Conduction Disorders with MCC18$35,099-38%$11,581
853 Infectious and Parasitic Diseases with O.R. Procedures with...18$144,301-37%$54,034
322 Percutaneous Cardiovascular Procedures with Intraluminal...17$69,610-39%$17,415
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...17$28,373-29%$7,267
690 Kidney and Urinary Tract Infections without MCC17$33,377-12%$7,864
281 Acute Myocardial Infarction, Discharged Alive with CC15$53,964+7%$9,155
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...15$27,950-25%$7,535
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...14$38,764-36%$11,899
091 Other Disorders of Nervous System with MCC13$61,645-26%$17,532
482 Hip and Femur Procedures except Major Joint without CC/MCC13$56,849-27%$15,270
480 Hip and Femur Procedures except Major Joint with MCC12$90,840-35%$28,339
377 Gastrointestinal Hemorrhage with MCC11$76,199-11%$14,255
854 Infectious and Parasitic Diseases with O.R. Procedures with...11$62,270-37%$19,516

Outpatient services

Against the Oregon average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Medical Center charged $58,106 on average, 2% less than the Oregon average of $59,560, and was paid $19,648 against a state average of $19,972. For Heart Failure and Shock with MCC (DRG 291), Mercy Medical Center charged $37,387 on average, 8% less than the Oregon average of $40,542, and was paid $12,868 against a state average of $12,978. For Pulmonary Edema and Respiratory Failure (DRG 189), Mercy Medical Center charged $38,297 on average, 10% less than the Oregon average of $42,760, and was paid $12,332 against a state average of $12,368. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Mercy Medical Center charged $43,214 on average, 8% less than the Oregon average of $46,884, and was paid $15,313 against a state average of $15,969. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,793 was 15% below the state average of $9,194. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,701 was 4% above the state average of $16,975. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $57,460 was 10% above the state average of $52,209. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $6,819 was 23% below the state average of $8,897.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.