Ohio / Ashtabula County Medical Center
CMS certification 360125 · Ashtabula, OH · 3 entries in CMS's price-transparency list
Ashtabula County Medical Center: charges and Medicare payments
Ashtabula County Medical Center reported 812 Medicare inpatient stays across 31 DRGs in 2024. Across them it charged 2.68 times what it was paid — among the lower ratios in Ohio, number 84 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: 111 stays at an average charge of $41,051, 55% below the national average. It also billed 806 outpatient services, charging 6.28 times what Medicare paid.
- 1Medicare inpatient stays 812
- 2Charge ÷ paid, inpatient 2.68×
- 3Rank in OH (highest ratio = 1) 84 of 104
- 4CMS price-transparency actions 3
Inpatient stays
For the 31 DRGs that can be compared with the national average, Ashtabula County Medical Center charged more than the national average in 0 (0%). 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 | 111 | $41,051 | -55% | $15,354 |
| 291 Heart Failure and Shock with MCC | 90 | $22,222 | -61% | $10,117 |
| 193 Simple Pneumonia and Pleurisy with MCC | 46 | $29,137 | -51% | $10,367 |
| 177 Respiratory Infections and Inflammations with MCC | 41 | $27,347 | -61% | $13,091 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 32 | $51,450 | -45% | $14,762 |
| 690 Kidney and Urinary Tract Infections without MCC | 30 | $16,525 | -56% | $6,352 |
| 603 Cellulitis without MCC | 29 | $21,026 | -44% | $7,038 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 28 | $22,442 | -56% | $8,701 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 26 | $34,326 | -55% | $12,508 |
| 683 Renal Failure with CC | 26 | $17,269 | -58% | $7,059 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $21,162 | -57% | $8,081 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 24 | $18,900 | -48% | $5,936 |
| 682 Renal Failure with MCC | 24 | $25,598 | -61% | $11,822 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $28,559 | -44% | $9,168 |
| 885 Psychoses | 24 | $18,560 | -58% | $10,715 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $17,037 | -54% | $6,138 |
| 194 Simple Pneumonia and Pleurisy with CC | 19 | $19,182 | -50% | $6,466 |
| 312 Syncope and Collapse | 18 | $22,500 | -51% | $6,836 |
| 378 Gastrointestinal Hemorrhage with CC | 17 | $28,045 | -42% | $7,756 |
| 189 Pulmonary Edema and Respiratory Failure | 15 | $38,184 | -34% | $9,715 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 15 | $15,454 | -46% | $4,727 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $17,155 | -57% | $6,482 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 15 | $38,342 | -48% | $13,002 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $20,812 | -65% | $10,292 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 13 | $36,339 | -64% | $15,401 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $31,663 | -43% | $7,960 |
| 389 Gastrointestinal Obstruction with CC | 12 | $22,395 | -42% | $6,341 |
| 948 Signs and Symptoms without MCC | 12 | $15,738 | -59% | $6,278 |
| 069 Transient Ischemia without Thrombolytic | 11 | $25,938 | -49% | $6,278 |
| 377 Gastrointestinal Hemorrhage with MCC | 11 | $36,222 | -58% | $13,844 |
| 881 Depressive Neuroses | 11 | $15,817 | -50% | $7,074 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 305 | $9,271 | $2,102 |
| Comprehensive Observation Services | 128 | $14,866 | $2,495 |
| Level 2 Urology and Related Services | 48 | $3,818 | $623 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 45 | $10,769 | $2,498 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 38 | $7,837 | $1,478 |
| Level 1 Endovascular Procedures | 35 | $18,667 | $2,974 |
| Level 1 Nerve Procedures | 34 | $6,913 | $1,760 |
| Level 3 Urology and Related Services | 31 | $9,222 | $1,856 |
| Level 2 Upper GI Procedures | 30 | $9,596 | $1,734 |
| Level 3 Vascular Procedures | 23 | $13,940 | $2,779 |
| Level 3 Airway Endoscopy | 17 | $6,130 | $1,547 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 16 | $22,658 | $2,996 |
| Level 3 Musculoskeletal Procedures | 15 | $12,437 | $2,950 |
| Level 1 Laparoscopy and Related Services | 15 | $22,004 | $5,258 |
| Level 4 Urology and Related Services | 14 | $13,415 | $3,177 |
| Level 2 Vascular Procedures | 12 | $5,663 | $1,460 |
Against the Ohio average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ashtabula County Medical Center charged $41,051 on average, 36% less than the Ohio average of $64,290, and was paid $15,354 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Ashtabula County Medical Center charged $22,222 on average, 48% less than the Ohio average of $42,986, and was paid $10,117 against a state average of $10,652. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Ashtabula County Medical Center charged $29,137 on average, 30% less than the Ohio average of $41,598, and was paid $10,367 against a state average of $10,716. For Respiratory Infections and Inflammations with MCC (DRG 177), Ashtabula County Medical Center charged $27,347 on average, 46% less than the Ohio average of $50,577, and was paid $13,091 against a state average of $13,102. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $9,271 was 13% below the state average of $10,597. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,866 was 13% below the state average of $17,044. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,818 was 25% above the state average of $3,065. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $10,769 was 38% below the state average of $17,292.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Ashtabula County Medical Center in Ashtabula, OH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-07-30 (CMS case 6005)
- Closure Notice — 2025-11-12 (CMS case 6005)
- Warning Notice — 2026-07-01 (CMS case 8158)
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.