Massachusetts / Mercy Medical Ctr
CMS certification 220066 · Springfield, MA
Mercy Medical Ctr: charges and Medicare payments
Mercy Medical Ctr reported 1,040 Medicare inpatient stays across 42 DRGs in 2024. Across them it charged 2.1 times what it was paid — mid-range in Massachusetts, number 21 of 52 hospitals with at least 100 stays (state median 2×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 117 stays at an average charge of $33,720, 63% below the national average. It also billed 1,848 outpatient services, charging 3.01 times what Medicare paid.
- 1Medicare inpatient stays 1,040
- 2Charge ÷ paid, inpatient 2.1×
- 3Rank in MA (highest ratio = 1) 21 of 52
- 4CMS price-transparency actions 0
Inpatient stays
For the 42 DRGs that can be compared with the national average, Mercy Medical Ctr 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 | 117 | $33,720 | -63% | $16,508 |
| 291 Heart Failure and Shock with MCC | 107 | $23,982 | -57% | $11,078 |
| 193 Simple Pneumonia and Pleurisy with MCC | 49 | $22,126 | -63% | $11,038 |
| 378 Gastrointestinal Hemorrhage with CC | 43 | $17,222 | -65% | $8,668 |
| 177 Respiratory Infections and Inflammations with MCC | 41 | $26,056 | -63% | $13,255 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 36 | $21,377 | -58% | $9,815 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 36 | $20,988 | -57% | $9,033 |
| 603 Cellulitis without MCC | 30 | $14,914 | -60% | $7,734 |
| 189 Pulmonary Edema and Respiratory Failure | 29 | $20,888 | -64% | $10,922 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 28 | $14,158 | -61% | $6,706 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $13,248 | -67% | $7,036 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 27 | $20,376 | -45% | $7,172 |
| 690 Kidney and Urinary Tract Infections without MCC | 27 | $13,182 | -65% | $7,254 |
| 312 Syncope and Collapse | 23 | $16,123 | -65% | $8,167 |
| 377 Gastrointestinal Hemorrhage with MCC | 23 | $26,672 | -69% | $15,153 |
| 683 Renal Failure with CC | 23 | $17,803 | -56% | $8,148 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 20 | $20,872 | -72% | $12,369 |
| 330 Major Small and Large Bowel Procedures with CC | 19 | $49,614 | -58% | $20,221 |
| 164 Major Chest Procedures with CC | 18 | $62,985 | -51% | $21,994 |
| 194 Simple Pneumonia and Pleurisy with CC | 18 | $13,050 | -66% | $7,393 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 18 | $76,399 | -67% | $41,622 |
| 481 Hip and Femur Procedures except Major Joint with CC | 17 | $39,185 | -61% | $16,244 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 16 | $27,616 | -68% | $14,119 |
| 689 Kidney and Urinary Tract Infections with MCC | 16 | $27,698 | -46% | $10,458 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 15 | $14,735 | -71% | $7,214 |
| 329 Major Small and Large Bowel Procedures with MCC | 15 | $78,931 | -63% | $36,259 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $21,823 | -64% | $11,239 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $23,886 | -58% | $10,521 |
| 638 Diabetes with CC | 14 | $12,413 | -70% | $8,063 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $24,544 | -67% | $12,482 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $24,472 | -62% | $12,329 |
| 389 Gastrointestinal Obstruction with CC | 13 | $16,034 | -59% | $7,336 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 13 | $28,475 | -70% | $16,656 |
| 812 Red Blood Cell Disorders without MCC | 13 | $17,107 | -61% | $8,156 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $39,361 | -60% | $17,035 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $21,187 | -65% | $11,066 |
| 811 Red Blood Cell Disorders with MCC | 12 | $22,068 | -68% | $12,302 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 11 | $50,724 | -49% | $21,840 |
| 178 Respiratory Infections and Inflammations with CC | 11 | $35,966 | -21% | $11,914 |
| 394 Other Digestive System Diagnoses with CC | 11 | $15,655 | -67% | $9,463 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $41,827 | -59% | $17,587 |
| 621 O.R. Procedures for Obesity without CC/MCC | 11 | $29,483 | -61% | $13,107 |
Outpatient services
Against the Massachusetts average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Medical Ctr charged $33,720 on average, 25% less than the Massachusetts average of $45,229, and was paid $16,508 against a state average of $19,536. For Heart Failure and Shock with MCC (DRG 291), Mercy Medical Ctr charged $23,982 on average, 21% less than the Massachusetts average of $30,373, and was paid $11,078 against a state average of $12,996. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mercy Medical Ctr charged $22,126 on average, 21% less than the Massachusetts average of $28,077, and was paid $11,038 against a state average of $12,627. For Gastrointestinal Hemorrhage with CC (DRG 378), Mercy Medical Ctr charged $17,222 on average, 33% less than the Massachusetts average of $25,897, and was paid $8,668 against a state average of $10,063. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $8,645 was 38% below the state average of $14,010. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $3,917 was 53% below the state average of $8,334. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $13,262 was 31% below the state average of $19,105. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $4,735 was 28% below the state average of $6,596.
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.