Atrium Medical Center: charges and Medicare payments

Atrium Medical Center reported 1,331 Medicare inpatient stays across 49 DRGs in 2024. Across them it charged 4.57 times what it was paid — among the higher ratios in Ohio, number 34 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: 120 stays at an average charge of $65,274, 28% below the national average. It also billed 1,396 outpatient services, charging 8 times what Medicare paid.

1Medicare inpatient stays 1,331
2Charge ÷ paid, inpatient 4.57×
3Rank in OH (highest ratio = 1) 34 of 104
4CMS price-transparency actions 0

Average charge per stay at Atrium Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 49 DRGs that can be compared with the national average, Atrium Medical Center charged more than the national average in 1 (2%). 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	120	$65,274	-28%	$14,355
291 Heart Failure and Shock with MCC	96	$47,934	-15%	$9,980
177 Respiratory Infections and Inflammations with MCC	65	$49,234	-30%	$10,999
193 Simple Pneumonia and Pleurisy with MCC	58	$41,605	-30%	$10,434
274 Percutaneous and Other Intracardiac Procedures without MCC	52	$66,343	-58%	$22,572
689 Kidney and Urinary Tract Infections with MCC	47	$30,811	-40%	$8,001
885 Psychoses	43	$25,215	-43%	$9,750
683 Renal Failure with CC	40	$34,847	-14%	$6,473
189 Pulmonary Edema and Respiratory Failure	36	$49,616	-14%	$8,503
481 Hip and Femur Procedures except Major Joint with CC	35	$80,362	-20%	$13,509
312 Syncope and Collapse	34	$27,126	-40%	$6,221
698 Other Kidney and Urinary Tract Diagnoses with MCC	33	$45,262	-38%	$10,794
682 Renal Failure with MCC	32	$56,666	-14%	$10,343
690 Kidney and Urinary Tract Infections without MCC	32	$27,720	-27%	$6,033
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	29	$26,376	-29%	$5,883
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	28	$28,977	-28%	$6,200
194 Simple Pneumonia and Pleurisy with CC	27	$37,773	-2%	$5,946
322 Percutaneous Cardiovascular Procedures with Intraluminal...	26	$99,894	-13%	$12,460
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	24	$49,228	-18%	$9,888
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	23	$40,140	-28%	$7,038
853 Infectious and Parasitic Diseases with O.R. Procedures with...	23	$121,503	-47%	$37,804
308 Cardiac Arrhythmia and Conduction Disorders with MCC	22	$47,638	-16%	$9,743
287 Circulatory Disorders except AMI, with Cardiac...	21	$55,453	-13%	$7,619
884 Organic Disturbances and Intellectual Disability	20	$30,943	-50%	$10,128
378 Gastrointestinal Hemorrhage with CC	19	$36,169	-26%	$8,132
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	19	$51,883	-23%	$12,482
377 Gastrointestinal Hemorrhage with MCC	18	$67,912	-20%	$12,135
178 Respiratory Infections and Inflammations with CC	17	$30,309	-33%	$7,291
208 Respiratory System Diagnosis with Ventilator Support <=96...	17	$92,439	-32%	$19,362
309 Cardiac Arrhythmia and Conduction Disorders with CC	17	$43,292	+20%	$5,399
280 Acute Myocardial Infarction, Discharged Alive with MCC	16	$43,869	-42%	$12,612
286 Circulatory Disorders except AMI, with Cardiac...	16	$64,033	-43%	$14,988
305 Hypertension without MCC	16	$30,897	-23%	$5,496
321 Percutaneous Cardiovascular Procedures with Intraluminal...	16	$128,246	-22%	$21,506
552 Medical Back Problems without MCC	16	$31,340	-36%	$6,749
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	15	$53,826	-46%	$15,483
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	15	$89,860	-12%	$14,055
069 Transient Ischemia without Thrombolytic	14	$29,541	-41%	$5,807
480 Hip and Femur Procedures except Major Joint with MCC	14	$117,436	-15%	$19,361
056 Degenerative Nervous System Disorders with MCC	13	$44,065	-54%	$16,451
057 Degenerative Nervous System Disorders without MCC	13	$31,255	-45%	$11,088
313 Chest Pain	13	$25,745	-36%	$6,226
191 Chronic Obstructive Pulmonary Disease with CC	12	$36,609	-8%	$6,127
314 Other Circulatory System Diagnoses with MCC	12	$59,562	-37%	$14,333
393 Other Digestive System Diagnoses with MCC	12	$48,336	-37%	$11,202
637 Diabetes with MCC	12	$55,661	-16%	$9,653
281 Acute Myocardial Infarction, Discharged Alive with CC	11	$40,433	-20%	$6,871
811 Red Blood Cell Disorders with MCC	11	$63,058	-7%	$9,748
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	11	$81,432	-31%	$14,205

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	268	$19,560	$2,326
Level 2 Excision/ Biopsy/ Incision and Drainage	126	$12,057	$1,380
Level 5 Musculoskeletal Procedures	105	$80,416	$11,073
Level 3 Urology and Related Services	80	$14,536	$1,768
Level 1 Endovascular Procedures	71	$20,277	$2,800
Level 4 Musculoskeletal Procedures	66	$44,943	$6,130
Level 3 Vascular Procedures	61	$15,774	$2,729
Level 2 Urology and Related Services	60	$11,323	$592
Level 1 Nerve Procedures	46	$8,950	$1,647
Level 1 Laparoscopy and Related Services	44	$61,181	$5,009
Level 3 Musculoskeletal Procedures	43	$22,764	$2,703
Level 3 Electrophysiologic Procedures	43	$84,468	$20,136
Level 4 Airway Endoscopy	42	$27,413	$3,250
Level 2 Laparoscopy and Related Services	33	$96,994	$8,930
Level 3 Excision/ Biopsy/ Incision and Drainage	32	$21,939	$2,345
Level 5 Urology and Related Services	32	$27,270	$4,491
Level 3 Airway Endoscopy	30	$14,188	$1,433
Level 4 Urology and Related Services	29	$21,840	$3,026
Level 3 Endovascular Procedures	22	$56,229	$9,172
Level 3 Pacemaker and Similar Procedures	21	$36,960	$9,267
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	20	$24,184	$2,884
Level 2 Musculoskeletal Procedures	18	$10,928	$1,395
Level 2 ICD and Similar Procedures	17	$96,947	$28,472
Level 6 Musculoskeletal Procedures	14	$74,077	$16,148
Level 2 Vascular Procedures	14	$6,976	$1,392

Against the Ohio average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Atrium Medical Center charged $65,274 on average, 2% more than the Ohio average of $64,290, and was paid $14,355 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Atrium Medical Center charged $47,934 on average, 12% more than the Ohio average of $42,986, and was paid $9,980 against a state average of $10,652. For Respiratory Infections and Inflammations with MCC (DRG 177), Atrium Medical Center charged $49,234 on average, 3% less than the Ohio average of $50,577, and was paid $10,999 against a state average of $13,102. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Atrium Medical Center charged $41,605 on average, 0% less than the Ohio average of $41,598, and was paid $10,434 against a state average of $10,716. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $19,560 was 15% above the state average of $17,044. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,057 was 19% above the state average of $10,162. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $80,416 was 38% above the state average of $58,420. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $14,536 was 29% above the state average of $11,228.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.