Ohio / Bethesda North

CMS certification 360179 · Cincinnati, OH · 3 entries in CMS's price-transparency list

Bethesda North: charges and Medicare payments

Bethesda North reported 4,925 Medicare inpatient stays across 133 DRGs in 2024. Across them it charged 3.04 times what it was paid — among the lower ratios in Ohio, number 77 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: 420 stays at an average charge of $41,957, 54% below the national average. It also billed 4,027 outpatient services, charging 5.1 times what Medicare paid.

1Medicare inpatient stays 4,925
2Charge ÷ paid, inpatient 3.04×
3Rank in OH (highest ratio = 1) 77 of 104
4CMS price-transparency actions 3

Average charge per stay at Bethesda North, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 133 DRGs that can be compared with the national average, Bethesda North 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	420	$41,957	-54%	$14,996
291 Heart Failure and Shock with MCC	280	$34,975	-38%	$10,486
274 Percutaneous and Other Intracardiac Procedures without MCC	186	$80,263	-49%	$23,666
189 Pulmonary Edema and Respiratory Failure	130	$25,898	-55%	$10,122
193 Simple Pneumonia and Pleurisy with MCC	121	$26,304	-56%	$9,656
177 Respiratory Infections and Inflammations with MCC	109	$29,443	-58%	$12,129
689 Kidney and Urinary Tract Infections with MCC	98	$19,912	-61%	$8,942
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	94	$21,770	-56%	$8,496
378 Gastrointestinal Hemorrhage with CC	92	$24,996	-49%	$8,031
682 Renal Failure with MCC	92	$32,138	-51%	$11,029
853 Infectious and Parasitic Diseases with O.R. Procedures with...	84	$105,308	-54%	$38,854
683 Renal Failure with CC	82	$19,616	-52%	$6,927
322 Percutaneous Cardiovascular Procedures with Intraluminal...	80	$67,227	-41%	$15,451
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	80	$17,315	-57%	$6,481
481 Hip and Femur Procedures except Major Joint with CC	79	$57,902	-43%	$14,435
280 Acute Myocardial Infarction, Discharged Alive with MCC	75	$55,570	-27%	$12,907
690 Kidney and Urinary Tract Infections without MCC	74	$17,742	-53%	$6,811
286 Circulatory Disorders except AMI, with Cardiac...	65	$68,168	-39%	$17,466
552 Medical Back Problems without MCC	63	$14,819	-70%	$7,631
377 Gastrointestinal Hemorrhage with MCC	56	$45,421	-47%	$14,973
235 Coronary Bypass without Cardiac Catheterization with MCC	55	$102,603	-65%	$44,069
233 Coronary Bypass with Cardiac Catheterization or Open...	53	$152,865	-60%	$54,137
309 Cardiac Arrhythmia and Conduction Disorders with CC	53	$20,476	-43%	$6,221
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	53	$34,880	-42%	$9,843
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	51	$24,361	-56%	$7,473
312 Syncope and Collapse	48	$22,745	-50%	$6,788
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	46	$16,486	-56%	$6,468
698 Other Kidney and Urinary Tract Diagnoses with MCC	46	$28,328	-61%	$12,664
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	45	$40,728	-59%	$14,529
321 Percutaneous Cardiovascular Procedures with Intraluminal...	45	$94,621	-42%	$21,014
470 Major Hip and Knee Joint Replacement or Reattachment of...	43	$54,380	-42%	$14,604
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	42	$38,339	-41%	$10,393
267 Endovascular Cardiac Valve Replacement and Supplement...	42	$127,979	-42%	$34,329
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	42	$51,739	-49%	$14,964
603 Cellulitis without MCC	42	$15,312	-59%	$7,014
287 Circulatory Disorders except AMI, with Cardiac...	40	$38,523	-40%	$8,286
811 Red Blood Cell Disorders with MCC	39	$41,118	-40%	$12,186
308 Cardiac Arrhythmia and Conduction Disorders with MCC	36	$25,749	-55%	$8,966
389 Gastrointestinal Obstruction with CC	36	$14,921	-62%	$6,222
467 Revision of Hip or Knee Replacement with CC	36	$78,088	-51%	$25,491
480 Hip and Femur Procedures except Major Joint with MCC	36	$71,355	-49%	$20,374
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	34	$173,624	-56%	$69,530
071 Other Cerebrovascular Disorders with CC	33	$25,219	-50%	$8,050
948 Signs and Symptoms without MCC	33	$20,462	-46%	$6,286
208 Respiratory System Diagnosis with Ventilator Support <=96...	32	$88,117	-35%	$22,186
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC	31	$103,136	-49%	$41,267
281 Acute Myocardial Infarction, Discharged Alive with CC	30	$35,113	-30%	$7,428
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	29	$27,815	-54%	$9,678
454 Combined Anterior and Posterior Spinal Fusion with CC	29	$115,245	-59%	$43,065
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	29	$16,881	-60%	$6,658
854 Infectious and Parasitic Diseases with O.R. Procedures with...	28	$48,247	-51%	$15,151
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	27	$18,963	-34%	$4,965
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	27	$62,029	-48%	$17,979
812 Red Blood Cell Disorders without MCC	27	$22,937	-48%	$7,015
100 Seizures with MCC	25	$43,849	-54%	$16,047
551 Medical Back Problems with MCC	25	$29,267	-63%	$12,167
163 Major Chest Procedures with MCC	24	$74,950	-64%	$35,864
194 Simple Pneumonia and Pleurisy with CC	24	$19,968	-48%	$6,453
870 Septicemia or Severe Sepsis with MV >96 Hours	24	$155,723	-52%	$53,022
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	24	$104,561	-52%	$31,833

Showing the 60 most frequent of 133 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	386	$12,729	$2,317
Level 2 Excision/ Biopsy/ Incision and Drainage	337	$6,428	$1,398
Level 3 Upper GI Procedures	302	$1,481	$353
Level 1 Endovascular Procedures	250	$19,565	$2,822
Level 5 Musculoskeletal Procedures	214	$40,587	$11,432
Level 1 Laparoscopy and Related Services	182	$20,899	$4,908
Level 2 Upper GI Procedures	171	$7,790	$1,639
Level 3 Electrophysiologic Procedures	169	$89,805	$20,501
Level 3 Endovascular Procedures	159	$42,311	$9,421
Level 1 Nerve Procedures	154	$7,444	$1,644
Level 3 Vascular Procedures	143	$10,725	$2,772
Level 4 Musculoskeletal Procedures	118	$25,127	$6,138
Level 3 Excision/ Biopsy/ Incision and Drainage	109	$11,168	$2,471
Level 2 Endovascular Procedures	109	$26,207	$4,898
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	71	$17,269	$3,009
Level 3 Musculoskeletal Procedures	67	$14,992	$2,773
Level 2 Laparoscopy and Related Services	67	$34,070	$8,418
Level 4 Airway Endoscopy	64	$20,760	$3,257
Level 4 Endovascular Procedures	59	$56,482	$14,704
Level 2 Breast/Lymphatic Surgery and Related Procedures	53	$23,044	$5,671
Level 2 Musculoskeletal Procedures	53	$7,131	$1,380
Level 2 Vascular Procedures	53	$4,936	$1,380
Level 3 Pacemaker and Similar Procedures	53	$34,585	$9,112
Level 4 Gynecologic Procedures	50	$13,621	$2,719
Level 4 Urology and Related Services	49	$16,697	$3,032

Against the Ohio average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Bethesda North charged $41,957 on average, 35% less than the Ohio average of $64,290, and was paid $14,996 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Bethesda North charged $34,975 on average, 19% less than the Ohio average of $42,986, and was paid $10,486 against a state average of $10,652. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Bethesda North charged $80,263 on average, 26% less than the Ohio average of $108,965, and was paid $23,666 against a state average of $25,887. For Pulmonary Edema and Respiratory Failure (DRG 189), Bethesda North charged $25,898 on average, 41% less than the Ohio average of $44,002, and was paid $10,122 against a state average of $10,477. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,729 was 25% below the state average of $17,044. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,428 was 37% below the state average of $10,162. For Level 3 Upper GI Procedures (outpatient APC 5303), its average charge of $1,481 was 90% below the state average of $15,121. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,565 was 16% below the state average of $23,255.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Bethesda North in Cincinnati, OH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2025-05-16 (CMS case 4576)
Closure Notice — 2025-07-16 (CMS case 4576)
Met Requirements — 2026-07-31 (CMS case 8447)

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.