22/100
#2,116 nationally
Mercy Medical Center
333 Mercy Avenue, Merced, CA 95340 · (209) 564-5000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Mercy Medical Center billed $6.65 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 6.6x
- volume-weighted across all its priced work
- Procedures priced
- 71
- inpatient and outpatient combined
- Rank in CA
- #154
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 16% of U.S. hospitals.
Better than 48% of U.S. hospitals.
Better than 10% of U.S. hospitals.
Better than 16% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
431 | $137,386 | $21,962 | +111% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
308 | $50,745 | $3,348 | +161% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
194 | $96,824 | $14,318 | +123% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
150 | $53,276 | $15,956 | -15% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
100 | $6,066 | $1,965 | -40% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
99 | $31,049 | $3,955 | +23% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
86 | $63,551 | $7,094 | +81% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
79 | $97,644 | $12,446 | +149% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
74 | $34,140 | $8,696 | -14% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
72 | $126,040 | $18,511 | +129% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Irregular Heartbeat (severe)
MS-DRG 308 · Inpatient stay |
$126,974 | $13,656 | +168% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$50,745 | $3,348 | +161% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$79,272 | $8,645 | +159% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$78,543 | $9,286 | +151% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$97,644 | $12,446 | +149% |
|
Stroke (uncomplicated)
MS-DRG 066 · Inpatient stay |
$89,150 | $7,958 | +149% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$21,192 | $1,969 | +147% |
|
Pneumonia (with complications)
MS-DRG 194 · Inpatient stay |
$77,747 | $9,366 | +145% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$6,066 | $1,965 | -40% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$11,231 | $3,414 | -36% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$66,791 | $22,347 | -20% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$53,276 | $15,956 | -15% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$34,140 | $8,696 | -14% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$69,599 | $13,503 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$31,049 | $3,955 | +23% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$34,102 | $6,184 | +24% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.