Ohio / Berger Hospital
CMS certification 360170 · Circleville, OH
Berger Hospital: charges and Medicare payments
Berger Hospital reported 304 Medicare inpatient stays across 11 DRGs in 2024. Across them it charged 1.88 times what it was paid — among the lower ratios in Ohio, number 99 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: 102 stays at an average charge of $29,572, 67% below the national average. It also billed 411 outpatient services, charging 6.98 times what Medicare paid.
- 1Medicare inpatient stays 304
- 2Charge ÷ paid, inpatient 1.88×
- 3Rank in OH (highest ratio = 1) 99 of 104
- 4CMS price-transparency actions 0
Inpatient stays
For the 11 DRGs that can be compared with the national average, Berger Hospital 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 | 102 | $29,572 | -67% | $15,808 |
| 291 Heart Failure and Shock with MCC | 52 | $19,369 | -66% | $10,521 |
| 193 Simple Pneumonia and Pleurisy with MCC | 29 | $22,785 | -62% | $12,092 |
| 177 Respiratory Infections and Inflammations with MCC | 18 | $24,762 | -65% | $12,909 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $16,102 | -72% | $10,457 |
| 682 Renal Failure with MCC | 17 | $19,823 | -70% | $10,899 |
| 683 Renal Failure with CC | 16 | $17,936 | -56% | $9,062 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 16 | $18,277 | -63% | $9,605 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $13,914 | -61% | $6,801 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $24,400 | -56% | $8,522 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $15,956 | -69% | $9,589 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Nerve Procedures | 67 | $8,818 | $1,727 |
| Level 5 Musculoskeletal Procedures | 58 | $68,621 | $11,579 |
| Comprehensive Observation Services | 58 | $11,775 | $2,372 |
| Level 3 Musculoskeletal Procedures | 33 | $20,225 | $2,825 |
| Level 4 Urology and Related Services | 31 | $14,967 | $3,117 |
| Level 1 Laparoscopy and Related Services | 27 | $28,453 | $5,007 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 26 | $10,492 | $1,338 |
| Level 4 Musculoskeletal Procedures | 20 | $34,906 | $6,143 |
| Level 3 Urology and Related Services | 20 | $14,371 | $1,821 |
| Level 5 Urology and Related Services | 18 | $22,353 | $4,627 |
| Level 2 Musculoskeletal Procedures | 15 | $11,949 | $1,361 |
| Level 2 Neurostimulator and Related Procedures | 15 | $14,989 | $2,964 |
| Level 6 Musculoskeletal Procedures | 12 | $82,767 | $16,630 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 11 | $31,946 | $3,094 |
Against the Ohio average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Berger Hospital charged $29,572 on average, 54% less than the Ohio average of $64,290, and was paid $15,808 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Berger Hospital charged $19,369 on average, 55% less than the Ohio average of $42,986, and was paid $10,521 against a state average of $10,652. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Berger Hospital charged $22,785 on average, 45% less than the Ohio average of $41,598, and was paid $12,092 against a state average of $10,716. For Respiratory Infections and Inflammations with MCC (DRG 177), Berger Hospital charged $24,762 on average, 51% less than the Ohio average of $50,577, and was paid $12,909 against a state average of $13,102. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $8,818 was 17% below the state average of $10,568. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $68,621 was 17% above the state average of $58,420. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,775 was 31% below the state average of $17,044. For Level 3 Musculoskeletal Procedures (outpatient APC 5113), its average charge of $20,225 was 1% below the state average of $20,370.
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.