Mercy Medical Center
Mercy Medical Center in Merced, CA charges 8.4x the Medicare reimbursement rate across 55 analyzed procedures, with 53% classified as statistical outliers.
Merced, CA 95340 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
F
Very high
Avg markup vs Medicare
8.41x
Charge / Medicare rate
Max markup
13.72x
Worst procedure
Procedures analyzed
55
With pricing data
Outlier procedures
52.7%
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 |
|---|---|---|---|---|---|
| HYPERTENSION WITHOUT MCC | 305 | $84,030 | $42,015 | — | 13.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $83,452 | $41,726 | — | 13.4x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $87,201 | $43,600 | — | 13.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $111,067 | $55,534 | — | 12.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $280,155 | $140,077 | — | 11.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $74,588 | $37,294 | — | 11.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $72,699 | $36,350 | — | 10.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $69,274 | $34,637 | — | 10.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $81,143 | $40,571 | — | 9.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $109,445 | $54,723 | — | 9.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $135,481 | $67,740 | — | 9.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $64,574 | $32,287 | — | 9.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $85,121 | $42,560 | — | 9.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $73,429 | $36,714 | — | 9.4x |
| RENAL FAILURE WITH CC | 683 | $71,976 | $35,988 | — | 9.1x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $105,206 | $52,603 | — | 9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $87,446 | $43,723 | — | 9x |
| DIABETES WITH CC | 638 | $69,261 | $34,631 | — | 9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $80,186 | $40,093 | — | 8.9x |
| SEIZURES WITHOUT MCC | 101 | $69,630 | $34,815 | — | 8.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $78,934 | $39,467 | — | 8.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $86,449 | $43,224 | — | 8.7x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $137,721 | $68,861 | — | 8.6x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $74,300 | $37,150 | — | 8.4x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $67,493 | $33,747 | — | 8.3x |
| CELLULITIS WITHOUT MCC | 603 | $63,196 | $31,598 | — | 8.2x |
| SEIZURES WITH MCC | 100 | $147,721 | $73,861 | — | 8.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $94,611 | $47,306 | — | 8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $56,954 | $28,477 | — | 7.9x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $97,607 | $48,803 | — | 7.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $146,504 | $73,252 | — | 7.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $113,384 | $56,692 | — | 7.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $83,422 | $41,711 | — | 7.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $91,437 | $45,718 | — | 7.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $136,555 | $68,278 | — | 7.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $90,120 | $45,060 | — | 7.5x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $127,187 | $63,593 | — | 7.5x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $125,108 | $62,554 | — | 7.4x |
| RENAL FAILURE WITH MCC | 682 | $93,416 | $46,708 | — | 7.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $358,291 | $179,146 | — | 7.3x |
| DIABETES WITH MCC | 637 | $94,784 | $47,392 | — | 7.3x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | 441 | $127,645 | $63,823 | — | 7.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $139,323 | $69,662 | — | 7.1x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $140,304 | $70,152 | — | 7.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $127,902 | $63,951 | — | 6.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $109,121 | $54,560 | — | 6.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $131,175 | $65,588 | — | 6.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $106,347 | $53,173 | — | 6.5x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $183,522 | $91,761 | — | 6.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $313,210 | $156,605 | — | 6.3x |
Showing 50 of 55 procedures
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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