Ohio / Adena Regional Medical Center
CMS certification 360159 · Chillicothe, OH · 4 entries in CMS's price-transparency list
Adena Regional Medical Center: charges and Medicare payments
Adena Regional Medical Center reported 1,725 Medicare inpatient stays across 54 DRGs in 2024. Across them it charged 4.58 times what it was paid — among the higher ratios in Ohio, number 32 of 104 hospitals with at least 100 stays (state median 4.01×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 314 stays at an average charge of $67,861, 25% below the national average. It also billed 2,089 outpatient services, charging 9.51 times what Medicare paid.
- 1Medicare inpatient stays 1,725
- 2Charge ÷ paid, inpatient 4.58×
- 3Rank in OH (highest ratio = 1) 32 of 104
- 4CMS price-transparency actions 4
Inpatient stays
For the 54 DRGs that can be compared with the national average, Adena Regional Medical Center charged more than the national average in 5 (9%). 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 | 314 | $67,861 | -25% | $15,283 |
| 291 Heart Failure and Shock with MCC | 100 | $47,166 | -16% | $10,444 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 87 | $51,361 | -32% | $12,535 |
| 193 Simple Pneumonia and Pleurisy with MCC | 67 | $46,422 | -22% | $10,558 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 63 | $169,608 | -26% | $40,044 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 55 | $35,913 | -27% | $8,165 |
| 885 Psychoses | 49 | $25,941 | -41% | $11,253 |
| 682 Renal Failure with MCC | 46 | $50,035 | -24% | $11,782 |
| 683 Renal Failure with CC | 45 | $30,383 | -25% | $7,424 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 43 | $37,391 | -26% | $7,538 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 41 | $29,984 | -25% | $6,820 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 38 | $139,790 | +22% | $15,497 |
| 378 Gastrointestinal Hemorrhage with CC | 37 | $37,151 | -23% | $7,955 |
| 689 Kidney and Urinary Tract Infections with MCC | 37 | $38,881 | -24% | $9,777 |
| 177 Respiratory Infections and Inflammations with MCC | 33 | $44,279 | -37% | $12,586 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 32 | $39,728 | -21% | $8,663 |
| 312 Syncope and Collapse | 26 | $33,261 | -27% | $7,073 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 25 | $153,196 | -6% | $21,217 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 25 | $25,004 | -33% | $6,406 |
| 690 Kidney and Urinary Tract Infections without MCC | 25 | $29,832 | -21% | $6,980 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 25 | $45,664 | -38% | $12,582 |
| 069 Transient Ischemia without Thrombolytic | 23 | $27,816 | -45% | $6,584 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 23 | $114,381 | +12% | $16,488 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $28,257 | -22% | $6,154 |
| 377 Gastrointestinal Hemorrhage with MCC | 21 | $64,704 | -24% | $14,545 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $38,410 | -33% | $9,747 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 20 | $58,546 | +3% | $9,704 |
| 481 Hip and Femur Procedures except Major Joint with CC | 20 | $108,065 | +7% | $18,085 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $38,483 | -36% | $10,316 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 18 | $51,121 | -49% | $14,642 |
| 194 Simple Pneumonia and Pleurisy with CC | 18 | $26,526 | -31% | $7,434 |
| 603 Cellulitis without MCC | 18 | $33,495 | -10% | $7,176 |
| 638 Diabetes with CC | 18 | $36,942 | -11% | $7,134 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 17 | $54,510 | -16% | $10,947 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 16 | $60,132 | -6% | $8,763 |
| 552 Medical Back Problems without MCC | 16 | $24,451 | -50% | $7,766 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $49,985 | -18% | $10,633 |
| 811 Red Blood Cell Disorders with MCC | 15 | $40,595 | -40% | $10,725 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 14 | $29,492 | -32% | $7,262 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 14 | $122,585 | +32% | $14,753 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 13 | $30,044 | -46% | $9,078 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 13 | $53,644 | -21% | $10,716 |
| 813 Coagulation Disorders | 13 | $56,041 | -30% | $11,813 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 12 | $24,992 | -41% | $6,046 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 12 | $107,060 | -21% | $20,957 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 12 | $27,336 | -42% | $8,211 |
| 812 Red Blood Cell Disorders without MCC | 12 | $32,488 | -27% | $7,334 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 12 | $19,601 | -47% | $6,919 |
| 313 Chest Pain | 11 | $23,539 | -41% | $5,863 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $167,379 | -22% | $41,037 |
| 389 Gastrointestinal Obstruction with CC | 11 | $21,089 | -46% | $6,437 |
| 393 Other Digestive System Diagnoses with MCC | 11 | $52,174 | -32% | $12,866 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 11 | $60,182 | -37% | $15,370 |
| 637 Diabetes with MCC | 11 | $45,732 | -31% | $10,400 |
Outpatient services
Against the Ohio average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adena Regional Medical Center charged $67,861 on average, 6% more than the Ohio average of $64,290, and was paid $15,283 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Adena Regional Medical Center charged $47,166 on average, 10% more than the Ohio average of $42,986, and was paid $10,444 against a state average of $10,652. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Adena Regional Medical Center charged $51,361 on average, 10% less than the Ohio average of $57,170, and was paid $12,535 against a state average of $13,024. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Adena Regional Medical Center charged $46,422 on average, 12% more than the Ohio average of $41,598, and was paid $10,558 against a state average of $10,716. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,289 was 25% below the state average of $3,065. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,630 was 20% below the state average of $17,044. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $10,181 was 0% below the state average of $10,162. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $7,529 was 33% below the state average of $11,228.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adena Regional Medical Center in Chillicothe, OH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-10-02 (CMS case 1126)
- Closure Notice — 2024-03-12 (CMS case 1126)
- Met Requirements — 2025-07-09 (CMS case 5631)
- Met Requirements — 2026-04-07 (CMS case 7386)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
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.