Iowa / Mercyone Clinton Medical Center
CMS certification 160080 · Clinton, IA · 3 entries in CMS's price-transparency list
Mercyone Clinton Medical Center: charges and Medicare payments
Mercyone Clinton Medical Center reported 521 Medicare inpatient stays across 21 DRGs in 2024. Across them it charged 3.31 times what it was paid — mid-range in Iowa, number 15 of 27 hospitals with at least 100 stays (state median 3.32×, national 4.15×). Its most frequent stay was DRG 177, Respiratory Infections and Inflammations with MCC: 70 stays at an average charge of $46,520, 34% below the national average. It also billed 672 outpatient services, charging 9.31 times what Medicare paid.
- 1Medicare inpatient stays 521
- 2Charge ÷ paid, inpatient 3.31×
- 3Rank in IA (highest ratio = 1) 15 of 27
- 4CMS price-transparency actions 3
Inpatient stays
For the 21 DRGs that can be compared with the national average, Mercyone Clinton Medical Center 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 |
|---|---|---|---|---|
| 177 Respiratory Infections and Inflammations with MCC | 70 | $46,520 | -34% | $14,275 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 67 | $54,661 | -39% | $16,891 |
| 193 Simple Pneumonia and Pleurisy with MCC | 53 | $39,384 | -34% | $11,608 |
| 291 Heart Failure and Shock with MCC | 42 | $33,015 | -41% | $11,189 |
| 189 Pulmonary Edema and Respiratory Failure | 32 | $42,783 | -26% | $10,549 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 31 | $37,373 | -51% | $13,502 |
| 689 Kidney and Urinary Tract Infections with MCC | 23 | $31,648 | -38% | $10,000 |
| 194 Simple Pneumonia and Pleurisy with CC | 21 | $31,398 | -18% | $7,024 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $35,196 | -28% | $8,364 |
| 885 Psychoses | 18 | $19,834 | -55% | $11,550 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 17 | $30,746 | -39% | $9,502 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 17 | $30,833 | -37% | $9,613 |
| 682 Renal Failure with MCC | 16 | $39,569 | -40% | $12,753 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $18,683 | -50% | $6,663 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 14 | $50,485 | -31% | $14,204 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $31,204 | -44% | $8,613 |
| 178 Respiratory Infections and Inflammations with CC | 12 | $26,736 | -41% | $8,482 |
| 069 Transient Ischemia without Thrombolytic | 11 | $37,436 | -26% | $6,848 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $29,746 | -18% | $6,314 |
| 377 Gastrointestinal Hemorrhage with MCC | 11 | $55,436 | -35% | $15,346 |
| 683 Renal Failure with CC | 11 | $27,806 | -32% | $7,673 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Urology and Related Services | 132 | $12,553 | $626 |
| Level 1 Intraocular Procedures | 102 | $10,872 | $2,068 |
| Comprehensive Observation Services | 79 | $17,618 | $2,445 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 50 | $9,893 | $1,485 |
| Level 1 Endovascular Procedures | 48 | $17,732 | $2,990 |
| Level 3 Vascular Procedures | 43 | $22,398 | $2,920 |
| Level 3 Urology and Related Services | 32 | $17,646 | $1,866 |
| Level 5 Urology and Related Services | 29 | $30,589 | $4,740 |
| Level 4 Urology and Related Services | 25 | $28,575 | $3,194 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 23 | $22,180 | $2,603 |
| Level 2 Endovascular Procedures | 19 | $21,962 | $5,237 |
| Level 2 Upper GI Procedures | 19 | $9,802 | $1,743 |
| Level 2 Vascular Procedures | 16 | $12,479 | $1,468 |
| Level 2 Musculoskeletal Procedures | 14 | $5,186 | $1,473 |
| Level 4 Vascular Procedures | 14 | $16,737 | $5,035 |
| Level 1 Nerve Procedures | 14 | $22,374 | $1,769 |
| Level 1 Laparoscopy and Related Services | 13 | $36,607 | $5,286 |
Against the Iowa average
For Respiratory Infections and Inflammations with MCC (DRG 177), Mercyone Clinton Medical Center charged $46,520 on average, 10% more than the Iowa average of $42,217, and was paid $14,275 against a state average of $12,510. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercyone Clinton Medical Center charged $54,661 on average, 9% more than the Iowa average of $49,919, and was paid $16,891 against a state average of $14,771. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mercyone Clinton Medical Center charged $39,384 on average, 17% more than the Iowa average of $33,652, and was paid $11,608 against a state average of $10,047. For Heart Failure and Shock with MCC (DRG 291), Mercyone Clinton Medical Center charged $33,015 on average, 5% less than the Iowa average of $34,817, and was paid $11,189 against a state average of $9,846. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $12,553 was 116% above the state average of $5,820. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,872 was 15% above the state average of $9,485. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,618 was 1% above the state average of $17,461. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,893 was 23% above the state average of $8,055.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mercyone Clinton Medical Center in Clinton, IA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2023-07-24 (CMS case 1702)
- Warning Notice — 2025-04-16 (CMS case 3829)
- Closure Notice — 2025-07-18 (CMS case 3829)
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.