Mercyone Genesis: charges and Medicare payments

Mercyone Genesis reported 3,386 Medicare inpatient stays across 90 DRGs in 2024. Across them it charged 3.52 times what it was paid — mid-range in Iowa, number 12 of 27 hospitals with at least 100 stays (state median 3.32×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 278 stays at an average charge of $42,070, 53% below the national average. It also billed 3,199 outpatient services, charging 5.4 times what Medicare paid.

1Medicare inpatient stays 3,386
2Charge ÷ paid, inpatient 3.52×
3Rank in IA (highest ratio = 1) 12 of 27
4CMS price-transparency actions 0

Average charge per stay at Mercyone Genesis, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 90 DRGs that can be compared with the national average, Mercyone Genesis 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	278	$42,070	-53%	$13,505
291 Heart Failure and Shock with MCC	237	$31,265	-45%	$9,019
470 Major Hip and Knee Joint Replacement or Reattachment of...	134	$45,206	-51%	$13,249
177 Respiratory Infections and Inflammations with MCC	132	$32,015	-55%	$11,193
193 Simple Pneumonia and Pleurisy with MCC	107	$23,402	-61%	$9,344
378 Gastrointestinal Hemorrhage with CC	93	$19,140	-61%	$7,075
267 Endovascular Cardiac Valve Replacement and Supplement...	90	$163,068	-26%	$33,370
321 Percutaneous Cardiovascular Procedures with Intraluminal...	84	$103,248	-37%	$20,480
322 Percutaneous Cardiovascular Procedures with Intraluminal...	78	$69,951	-39%	$12,729
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	73	$21,730	-56%	$7,341
885 Psychoses	71	$12,745	-71%	$9,684
481 Hip and Femur Procedures except Major Joint with CC	69	$41,060	-59%	$13,828
280 Acute Myocardial Infarction, Discharged Alive with MCC	65	$39,254	-48%	$10,939
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	61	$23,619	-58%	$7,185
377 Gastrointestinal Hemorrhage with MCC	56	$35,699	-58%	$12,505
698 Other Kidney and Urinary Tract Diagnoses with MCC	54	$29,533	-60%	$11,190
194 Simple Pneumonia and Pleurisy with CC	53	$17,933	-53%	$5,961
266 Endovascular Cardiac Valve Replacement and Supplement...	48	$181,591	-36%	$43,854
853 Infectious and Parasitic Diseases with O.R. Procedures with...	48	$93,574	-59%	$31,036
189 Pulmonary Edema and Respiratory Failure	46	$27,224	-53%	$8,874
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	45	$16,647	-55%	$5,756
682 Renal Failure with MCC	44	$34,014	-48%	$10,415
689 Kidney and Urinary Tract Infections with MCC	44	$24,650	-52%	$8,022
190 Chronic Obstructive Pulmonary Disease with MCC	43	$22,446	-56%	$7,925
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	43	$18,196	-55%	$5,748
683 Renal Failure with CC	39	$21,555	-47%	$6,319
690 Kidney and Urinary Tract Infections without MCC	38	$17,229	-54%	$5,680
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	37	$35,374	-65%	$12,842
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	35	$34,074	-43%	$10,228
281 Acute Myocardial Infarction, Discharged Alive with CC	33	$26,600	-47%	$6,676
312 Syncope and Collapse	31	$21,154	-54%	$6,297
480 Hip and Femur Procedures except Major Joint with MCC	31	$53,047	-62%	$18,314
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	31	$45,894	-55%	$15,284
603 Cellulitis without MCC	31	$15,300	-59%	$6,454
286 Circulatory Disorders except AMI, with Cardiac...	29	$56,987	-49%	$15,522
287 Circulatory Disorders except AMI, with Cardiac...	29	$34,048	-47%	$7,923
389 Gastrointestinal Obstruction with CC	29	$17,406	-55%	$5,818
372 Major Gastrointestinal Disorders and Peritoneal Infections...	28	$18,281	-61%	$7,127
394 Other Digestive System Diagnoses with CC	28	$16,684	-65%	$6,920
467 Revision of Hip or Knee Replacement with CC	28	$97,788	-38%	$24,463
331 Major Small and Large Bowel Procedures without CC/MCC	27	$44,387	-48%	$11,721
468 Revision of Hip or Knee Replacement without CC/MCC	27	$99,346	-20%	$18,858
330 Major Small and Large Bowel Procedures with CC	26	$47,679	-60%	$16,565
178 Respiratory Infections and Inflammations with CC	25	$16,289	-64%	$6,635
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	23	$40,911	-37%	$9,996
460 Spinal Fusion except Cervical without MCC	23	$126,505	-26%	$26,024
552 Medical Back Problems without MCC	23	$21,063	-57%	$6,963
069 Transient Ischemia without Thrombolytic	21	$20,958	-58%	$5,824
811 Red Blood Cell Disorders with MCC	21	$23,307	-66%	$9,931
309 Cardiac Arrhythmia and Conduction Disorders with CC	20	$14,011	-61%	$5,529
329 Major Small and Large Bowel Procedures with MCC	20	$80,375	-63%	$25,623
308 Cardiac Arrhythmia and Conduction Disorders with MCC	19	$32,094	-43%	$8,183
536 Fractures of Hip and Pelvis without MCC	19	$15,227	-60%	$5,730
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	19	$116,651	-46%	$32,022
388 Gastrointestinal Obstruction with MCC	18	$39,463	-42%	$11,282
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	18	$23,888	-61%	$9,074
445 Disorders of The Biliary Tract with CC	18	$25,266	-57%	$7,451
039 Extracranial Procedures without CC/MCC	16	$36,181	-43%	$8,250
390 Gastrointestinal Obstruction without CC/MCC	16	$12,185	-56%	$4,206
393 Other Digestive System Diagnoses with MCC	16	$29,604	-61%	$11,436

Showing the 60 most frequent of 90 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Endovascular Procedures	339	$19,184	$2,779
Level 2 Excision/ Biopsy/ Incision and Drainage	331	$4,935	$1,369
Comprehensive Observation Services	331	$12,865	$2,320
Level 5 Musculoskeletal Procedures	285	$41,045	$11,085
Level 3 Endovascular Procedures	171	$49,249	$9,361
Level 1 Laparoscopy and Related Services	158	$19,800	$4,812
Level 3 Vascular Procedures	140	$10,664	$2,717
Level 4 Endovascular Procedures	121	$96,723	$14,732
Level 2 Endovascular Procedures	102	$24,739	$4,929
Level 4 Musculoskeletal Procedures	94	$24,060	$6,169
Level 2 Laparoscopy and Related Services	91	$28,042	$8,794
Level 1 Intraocular Procedures	90	$4,859	$2,010
Level 3 Excision/ Biopsy/ Incision and Drainage	86	$8,115	$2,395
Level 6 Musculoskeletal Procedures	84	$53,586	$15,866
Level 1 Nerve Procedures	83	$6,278	$1,412
Level 5 Urology and Related Services	71	$15,873	$4,412
Level 2 Upper GI Procedures	60	$6,133	$1,641
Level 1 Breast/Lymphatic Surgery and Related Procedures	54	$11,204	$3,287
Level 2 Breast/Lymphatic Surgery and Related Procedures	51	$19,502	$5,491
Level 4 Gynecologic Procedures	48	$9,306	$2,696
Level 3 Urology and Related Services	46	$6,207	$1,734
Level 3 Musculoskeletal Procedures	43	$10,322	$2,701
Level 2 Vascular Procedures	41	$11,695	$1,381
Level 4 Urology and Related Services	40	$10,365	$3,006
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	37	$13,299	$2,944

Against the Iowa average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercyone Genesis charged $42,070 on average, 16% less than the Iowa average of $49,919, and was paid $13,505 against a state average of $14,771. For Heart Failure and Shock with MCC (DRG 291), Mercyone Genesis charged $31,265 on average, 10% less than the Iowa average of $34,817, and was paid $9,019 against a state average of $9,846. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Mercyone Genesis charged $45,206 on average, 22% less than the Iowa average of $57,857, and was paid $13,249 against a state average of $13,856. For Respiratory Infections and Inflammations with MCC (DRG 177), Mercyone Genesis charged $32,015 on average, 24% less than the Iowa average of $42,217, and was paid $11,193 against a state average of $12,510. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,184 was 3% below the state average of $19,798. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $4,935 was 39% below the state average of $8,055. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,865 was 26% below the state average of $17,461. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $41,045 was 17% below the state average of $49,177.

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.