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MERCY MEDICAL CTR

SPRINGFIELD, MA 01104 · Acute Care Hospitals

45 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

45

With CMS pricing data

Avg Charge-to-Medicare Ratio

2.3x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Private

Above 90th Percentile

0%

Compared to MA hospitals

Understanding Your Costs

When you receive a bill from MERCY MEDICAL CTR, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, MERCY MEDICAL CTR lists chargemaster rates that average 2.3x the corresponding Medicare reimbursement amount across 45 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in MA has a chargemaster-to-Medicare ratio of 2.3x, with ratios across the state ranging from 1.2x to 5.6x. At 2.3x, this facility’s average ratio is above the state median. 54 hospitals in MA report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at MERCY MEDICAL CTR is SYNCOPE AND COLLAPSE (DRG 312). The listed chargemaster rate is $27,167, while Medicare reimburses $7,941 for the same procedure — a ratio of 3.4x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

MERCY MEDICAL CTR is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 2/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
SYNCOPE AND COLLAPSE312$27,167$7,9413.4x
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MAJOR CHEST PROCEDURES WITH CC164$64,214$19,3843.3x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$19,307$7,0582.7x
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PULMONARY EDEMA AND RESPIRATORY FAILURE189$26,422$9,7322.7x
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SIMPLE PNEUMONIA AND PLEURISY WITH CC194$16,410$6,0742.7x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$51,629$19,1592.7x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$25,042$9,4132.7x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$19,297$7,3362.6x
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CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$22,190$8,4252.6x
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HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$41,385$16,0552.6x
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GASTROINTESTINAL HEMORRHAGE WITH MCC377$34,200$13,4142.5x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$14,088$5,5482.5x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$28,365$11,2992.5x
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PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$23,374$9,4512.5x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$15,598$6,3902.4x
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RENAL FAILURE WITH MCC682$28,024$11,5492.4x
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$31,332$12,9132.4x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$25,012$10,2912.4x
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KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$14,271$5,8782.4x
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MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$36,309$15,0902.4x
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MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$13,844$5,7832.4x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$37,426$15,7772.4x
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PULMONARY EMBOLISM WITHOUT MCC176$12,616$5,3622.4x
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HEART FAILURE AND SHOCK WITH MCC291$24,719$10,6522.3x
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CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC432$33,764$14,6542.3x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$12,201$5,3562.3x
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SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$22,370$9,8732.3x
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ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC897$14,484$6,6412.2x
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RENAL FAILURE WITH CC683$14,516$6,7762.1x
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SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$33,460$15,8242.1x
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OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$24,312$12,1182.0x
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RED BLOOD CELL DISORDERS WITHOUT MCC812$13,287$6,6082.0x
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GASTROINTESTINAL HEMORRHAGE WITH CC378$14,729$7,3532.0x
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KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$21,921$10,9452.0x
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GASTROINTESTINAL OBSTRUCTION WITH CC389$11,945$5,9722.0x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$74,889$37,6032.0x
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INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$75,170$38,1862.0x
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KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$18,051$9,1462.0x
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RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$14,475$7,4731.9x
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CELLULITIS WITHOUT MCC603$12,177$6,4031.9x
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RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$30,468$16,0271.9x
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RESPIRATORY NEOPLASMS WITH MCC180$26,968$14,2061.9x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$24,725$13,1121.9x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$17,789$10,0001.8x
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CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC433$14,184$8,9771.6xCompare your bill

Showing 45 of 45 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across MA hospitals

1.2x
Median: 2.3x
5.6x
2.3x

54 hospitals in MA report pricing data to CMS. This facility's average ratio of 2.3x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

Compare Your Bill

Upload your bill and our system compares every line item against CMS reimbursement data. Free, takes 60 seconds.

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Request an Itemized Bill

Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About MERCY MEDICAL CTR

How much does MERCY MEDICAL CTR charge compared to Medicare?

According to CMS IPPS data, MERCY MEDICAL CTR's listed chargemaster rates average 2.3x the Medicare reimbursement amount across 45 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at MERCY MEDICAL CTR?

The procedure with the highest chargemaster-to-Medicare ratio at MERCY MEDICAL CTR is SYNCOPE AND COLLAPSE (DRG 312), with a listed charge of $27,167 compared to Medicare reimbursement of $7,941 — a ratio of 3.4x. Source: CMS IPPS Provider Summary.

Is MERCY MEDICAL CTR expensive compared to other MA hospitals?

MERCY MEDICAL CTR's average chargemaster-to-Medicare ratio is 2.3x. Ratios vary significantly across MA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for MERCY MEDICAL CTR come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from MERCY MEDICAL CTR is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does MERCY MEDICAL CTR in SPRINGFIELD, MA accept Medicare?

MERCY MEDICAL CTR is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact MERCY MEDICAL CTR directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.