Mercy Hospital Springfield
Mercy Hospital Springfield, a nonprofit facility in Springfield, MO, charges an average of 4.9x the Medicare reimbursement rate across 129 analyzed procedures.
Springfield, MO 65804 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
C
Average
Avg markup vs Medicare
4.89x
Charge / Medicare rate
Max markup
7.87x
Worst procedure
Procedures analyzed
129
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| MAJOR CHEST PROCEDURES WITH CC | 164 | $129,127 | $64,564 | — | 7.9x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $81,620 | $40,810 | — | 7.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $39,086 | $19,543 | — | 7.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $30,161 | $15,081 | — | 7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $80,402 | $40,201 | — | 7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $45,895 | $22,947 | — | 6.8x |
| DIABETES WITH MCC | 637 | $60,501 | $30,251 | — | 6.7x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $35,263 | $17,632 | — | 6.7x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $202,008 | $101,004 | — | 6.4x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $63,637 | $31,819 | — | 6.4x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $29,159 | $14,579 | — | 6.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $19,434 | $9,717 | — | 6.2x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $34,244 | $17,122 | — | 6.2x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $67,536 | $33,768 | — | 6.1x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $30,311 | $15,156 | — | 6x |
| SEIZURES WITHOUT MCC | 101 | $33,353 | $16,677 | — | 6x |
| SYNCOPE AND COLLAPSE | 312 | $30,914 | $15,457 | — | 6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $35,365 | $17,682 | — | 5.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $27,250 | $13,625 | — | 5.8x |
| HEADACHES WITHOUT MCC | 103 | $31,383 | $15,692 | — | 5.8x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $24,858 | $12,429 | — | 5.7x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $27,468 | $13,734 | — | 5.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $106,213 | $53,107 | — | 5.6x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $89,161 | $44,581 | — | 5.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $34,594 | $17,297 | — | 5.6x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $88,260 | $44,130 | — | 5.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $24,854 | $12,427 | — | 5.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $27,527 | $13,763 | — | 5.5x |
| HYPERTENSION WITHOUT MCC | 305 | $25,295 | $12,647 | — | 5.5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $32,558 | $16,279 | — | 5.5x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $35,099 | $17,549 | — | 5.4x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $32,781 | $16,391 | — | 5.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $32,815 | $16,407 | — | 5.4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $47,364 | $23,682 | — | 5.4x |
| DYSEQUILIBRIUM | 149 | $26,168 | $13,084 | — | 5.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $28,688 | $14,344 | — | 5.4x |
| RENAL FAILURE WITHOUT CC/MCC | 684 | $18,956 | $9,478 | — | 5.3x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $87,437 | $43,718 | — | 5.3x |
| CHEST PAIN | 313 | $23,778 | $11,889 | — | 5.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $38,945 | $19,472 | — | 5.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $25,502 | $12,751 | — | 5.2x |
| SEIZURES WITH MCC | 100 | $62,333 | $31,167 | — | 5.2x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $40,138 | $20,069 | — | 5.2x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $49,783 | $24,891 | — | 5.1x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $73,166 | $36,583 | — | 5.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $58,582 | $29,291 | — | 5.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $38,329 | $19,164 | — | 5.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $45,747 | $22,874 | — | 5.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $41,522 | $20,761 | — | 5.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $60,247 | $30,124 | — | 5.1x |
Showing 50 of 129 procedures
How MERCY HOSPITAL SPRINGFIELD compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use