Cleveland Clinic Avon Hospital: charges and Medicare payments

Cleveland Clinic Avon Hospital reported 1,995 Medicare inpatient stays across 56 DRGs in 2024. Across them it charged 4.13 times what it was paid — mid-range in Ohio, number 46 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: 290 stays at an average charge of $56,259, 38% below the national average. It also billed 2,342 outpatient services, charging 6.63 times what Medicare paid.

1Medicare inpatient stays 1,995
2Charge ÷ paid, inpatient 4.13×
3Rank in OH (highest ratio = 1) 46 of 104
4CMS price-transparency actions 1

Average charge per stay at Cleveland Clinic Avon Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 56 DRGs that can be compared with the national average, Cleveland Clinic Avon 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	290	$56,259	-38%	$13,090
291 Heart Failure and Shock with MCC	217	$32,414	-43%	$8,500
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	107	$30,943	-37%	$7,098
177 Respiratory Infections and Inflammations with MCC	89	$39,191	-44%	$10,228
193 Simple Pneumonia and Pleurisy with MCC	86	$33,093	-45%	$8,586
690 Kidney and Urinary Tract Infections without MCC	73	$19,789	-48%	$5,120
378 Gastrointestinal Hemorrhage with CC	49	$33,066	-32%	$6,422
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	47	$21,690	-46%	$5,653
190 Chronic Obstructive Pulmonary Disease with MCC	46	$35,542	-30%	$7,691
683 Renal Failure with CC	41	$24,369	-40%	$6,150
698 Other Kidney and Urinary Tract Diagnoses with MCC	41	$40,164	-45%	$10,848
603 Cellulitis without MCC	40	$26,943	-28%	$5,932
309 Cardiac Arrhythmia and Conduction Disorders with CC	37	$29,384	-19%	$4,845
682 Renal Failure with MCC	37	$34,998	-47%	$9,215
853 Infectious and Parasitic Diseases with O.R. Procedures with...	35	$114,944	-50%	$32,712
308 Cardiac Arrhythmia and Conduction Disorders with MCC	31	$37,279	-34%	$8,125
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	31	$28,696	-52%	$8,804
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	31	$20,998	-43%	$5,017
689 Kidney and Urinary Tract Infections with MCC	30	$28,124	-45%	$7,051
189 Pulmonary Edema and Respiratory Failure	27	$40,739	-29%	$8,262
312 Syncope and Collapse	26	$25,129	-45%	$5,536
552 Medical Back Problems without MCC	26	$22,892	-53%	$6,193
194 Simple Pneumonia and Pleurisy with CC	25	$26,326	-31%	$5,502
389 Gastrointestinal Obstruction with CC	25	$23,335	-40%	$5,140
481 Hip and Femur Procedures except Major Joint with CC	25	$68,195	-32%	$13,826
699 Other Kidney and Urinary Tract Diagnoses with CC	25	$22,890	-52%	$7,347
638 Diabetes with CC	23	$26,448	-37%	$6,069
377 Gastrointestinal Hemorrhage with MCC	22	$50,781	-41%	$11,473
811 Red Blood Cell Disorders with MCC	20	$54,281	-20%	$9,003
394 Other Digestive System Diagnoses with CC	19	$25,695	-45%	$5,931
812 Red Blood Cell Disorders without MCC	19	$27,100	-39%	$5,808
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	18	$29,032	-48%	$6,194
202 Bronchitis and Asthma with CC/MCC	18	$32,999	-28%	$6,742
388 Gastrointestinal Obstruction with MCC	18	$36,859	-46%	$8,939
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	18	$26,670	-56%	$8,189
178 Respiratory Infections and Inflammations with CC	17	$25,815	-43%	$6,060
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	17	$22,358	-22%	$4,074
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	16	$41,063	-59%	$11,034
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	16	$34,530	-47%	$8,050
393 Other Digestive System Diagnoses with MCC	16	$44,687	-42%	$10,754
280 Acute Myocardial Infarction, Discharged Alive with MCC	15	$41,606	-45%	$9,367
854 Infectious and Parasitic Diseases with O.R. Procedures with...	15	$56,046	-43%	$19,596
300 Peripheral Vascular Disorders with CC	14	$24,325	-51%	$6,736
439 Disorders of Pancreas except Malignancy with CC	14	$29,150	-33%	$6,017
444 Disorders of The Biliary Tract with MCC	14	$34,224	-59%	$9,612
176 Pulmonary Embolism without MCC	13	$26,422	-36%	$5,007
281 Acute Myocardial Infarction, Discharged Alive with CC	12	$21,904	-57%	$5,987
314 Other Circulatory System Diagnoses with MCC	12	$46,058	-51%	$16,797
315 Other Circulatory System Diagnoses with CC	12	$35,788	-25%	$6,740
330 Major Small and Large Bowel Procedures with CC	12	$92,909	-22%	$15,917
371 Major Gastrointestinal Disorders and Peritoneal Infections...	12	$28,810	-63%	$9,885
813 Coagulation Disorders	12	$55,991	-30%	$9,656
299 Peripheral Vascular Disorders with MCC	11	$33,229	-56%	$9,620
418 Laparoscopic Cholecystectomy without C.D.E. with CC	11	$54,985	-41%	$10,825
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	11	$22,071	-48%	$5,452
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	11	$21,434	-68%	$9,382

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	897	$15,415	$2,311
Level 5 Musculoskeletal Procedures	210	$47,996	$11,131
Level 3 Urology and Related Services	115	$9,877	$1,736
Level 2 Excision/ Biopsy/ Incision and Drainage	112	$9,993	$1,374
Level 5 Urology and Related Services	104	$18,769	$4,288
Level 1 Endovascular Procedures	93	$19,052	$2,786
Level 3 Vascular Procedures	92	$19,361	$2,674
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	91	$15,056	$2,902
Level 4 Urology and Related Services	82	$15,256	$2,889
Level 2 Upper GI Procedures	69	$8,195	$1,606
Level 1 Laparoscopy and Related Services	67	$16,682	$4,901
Level 1 Nerve Procedures	52	$9,694	$1,648
Level 2 Musculoskeletal Procedures	41	$9,759	$1,355
Level 6 Urology and Related Services	39	$34,227	$7,707
Level 1 Breast/Lymphatic Surgery and Related Procedures	32	$17,482	$3,254
Level 4 Musculoskeletal Procedures	30	$39,477	$6,107
Level 3 Musculoskeletal Procedures	29	$17,946	$2,763
Level 2 Breast/Lymphatic Surgery and Related Procedures	26	$36,498	$5,567
Level 6 Musculoskeletal Procedures	24	$60,985	$15,877
Level 3 Excision/ Biopsy/ Incision and Drainage	22	$19,320	$2,426
Level 3 Extraocular, Repair, and Plastic Eye Procedures	22	$9,626	$1,995
Level 2 Vascular Procedures	21	$11,122	$1,367
Level 3 Lower GI Procedures	17	$10,162	$2,397
Level 4 Vascular Procedures	15	$34,918	$4,691
Level 5 Gynecologic Procedures	15	$22,083	$4,246

Against the Ohio average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cleveland Clinic Avon Hospital charged $56,259 on average, 12% less than the Ohio average of $64,290, and was paid $13,090 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Cleveland Clinic Avon Hospital charged $32,414 on average, 25% less than the Ohio average of $42,986, and was paid $8,500 against a state average of $10,652. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Cleveland Clinic Avon Hospital charged $30,943 on average, 9% less than the Ohio average of $34,039, and was paid $7,098 against a state average of $8,621. For Respiratory Infections and Inflammations with MCC (DRG 177), Cleveland Clinic Avon Hospital charged $39,191 on average, 23% less than the Ohio average of $50,577, and was paid $10,228 against a state average of $13,102. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,415 was 10% below the state average of $17,044. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $47,996 was 18% below the state average of $58,420. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $9,877 was 12% below the state average of $11,228. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,993 was 2% below the state average of $10,162.

Price-transparency record

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

Met Requirements — 2025-04-11 (CMS case 3758)

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.