Ohio / Cleveland Clinic

CMS certification 360180 · Cleveland, OH · 4 entries in CMS's price-transparency list

Cleveland Clinic: charges and Medicare payments

Cleveland Clinic reported 10,806 Medicare inpatient stays across 247 DRGs in 2024. Across them it charged 3.85 times what it was paid — mid-range in Ohio, number 59 of 104 hospitals with at least 100 stays (state median 4.01×, national 4.15×). Its most frequent stay was DRG 219, Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization: 405 stays at an average charge of $289,834, 27% below the national average. It also billed 24,950 outpatient services, charging 6.64 times what Medicare paid.

1Medicare inpatient stays 10,806
2Charge ÷ paid, inpatient 3.85×
3Rank in OH (highest ratio = 1) 59 of 104
4CMS price-transparency actions 4

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

Inpatient stays

For the 247 DRGs that can be compared with the national average, Cleveland Clinic charged more than the national average in 67 (27%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	405	$289,834	-27%	$85,389
291 Heart Failure and Shock with MCC	347	$78,374	+39%	$17,561
266 Endovascular Cardiac Valve Replacement and Supplement...	286	$178,036	-38%	$55,275
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	278	$98,315	+9%	$23,015
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	245	$196,750	-29%	$56,000
330 Major Small and Large Bowel Procedures with CC	202	$86,571	-27%	$25,916
216 Cardiac Valve and Other Major Cardiothoracic Procedures with...	180	$372,233	-24%	$101,634
286 Circulatory Disorders except AMI, with Cardiac...	175	$131,574	+17%	$30,651
274 Percutaneous and Other Intracardiac Procedures without MCC	140	$116,132	-26%	$29,419
470 Major Hip and Knee Joint Replacement or Reattachment of...	136	$73,325	-21%	$19,467
101 Seizures without MCC	134	$38,537	-21%	$10,099
003 ECMO or Tracheostomy with MV >96 Hours or Principal...	133	$1,084,238	+3%	$253,048
329 Major Small and Large Bowel Procedures with MCC	131	$187,256	-13%	$57,572
309 Cardiac Arrhythmia and Conduction Disorders with CC	130	$32,550	-10%	$8,877
314 Other Circulatory System Diagnoses with MCC	116	$96,969	+2%	$25,241
267 Endovascular Cardiac Valve Replacement and Supplement...	112	$148,977	-33%	$42,604
025 Craniotomy and Endovascular Intracranial Procedures with MCC	110	$139,277	-40%	$43,825
460 Spinal Fusion except Cervical without MCC	108	$103,878	-39%	$35,560
177 Respiratory Infections and Inflammations with MCC	104	$74,422	+5%	$17,437
027 Craniotomy and Endovascular Intracranial Procedures without...	97	$83,867	-40%	$23,664
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	97	$97,404	-2%	$21,970
217 Cardiac Valve and Other Major Cardiothoracic Procedures with...	97	$232,408	-30%	$60,676
467 Revision of Hip or Knee Replacement with CC	88	$120,499	-24%	$33,966
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	87	$34,396	-14%	$9,549
236 Coronary Bypass without Cardiac Catheterization without MCC	86	$183,508	-13%	$46,534
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	86	$47,037	-30%	$13,294
378 Gastrointestinal Hemorrhage with CC	84	$44,798	-8%	$11,072
164 Major Chest Procedures with CC	82	$87,267	-31%	$25,074
683 Renal Failure with CC	81	$30,784	-24%	$10,219
853 Infectious and Parasitic Diseases with O.R. Procedures with...	80	$290,691	+27%	$79,819
235 Coronary Bypass without Cardiac Catheterization with MCC	78	$253,426	-13%	$66,450
690 Kidney and Urinary Tract Infections without MCC	77	$29,527	-22%	$9,409
308 Cardiac Arrhythmia and Conduction Disorders with MCC	76	$69,508	+23%	$14,992
354 Hernia Procedures except Inguinal and Femoral with CC	73	$77,356	-13%	$19,118
212 Concomitant Aortic and Mitral Valve Procedures	72	$469,154	-17%	$132,035
682 Renal Failure with MCC	71	$63,063	-4%	$18,304
326 Stomach, Esophageal and Duodenal Procedures with MCC	70	$237,310	-1%	$62,079
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	68	$46,848	+26%	$10,084
315 Other Circulatory System Diagnoses with CC	67	$58,958	+23%	$12,829
394 Other Digestive System Diagnoses with CC	67	$42,111	-11%	$10,666
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	66	$64,914	+16%	$11,906
189 Pulmonary Edema and Respiratory Failure	65	$73,531	+28%	$16,135
331 Major Small and Large Bowel Procedures without CC/MCC	62	$60,653	-29%	$17,663
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	61	$77,955	+28%	$18,204
287 Circulatory Disorders except AMI, with Cardiac...	60	$66,572	+4%	$12,140
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	60	$25,260	-12%	$7,070
698 Other Kidney and Urinary Tract Diagnoses with MCC	60	$69,615	-5%	$19,316
322 Percutaneous Cardiovascular Procedures with Intraluminal...	59	$95,441	-17%	$18,779
393 Other Digestive System Diagnoses with MCC	59	$74,839	-3%	$20,924
603 Cellulitis without MCC	58	$32,032	-14%	$10,356
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	57	$69,812	+16%	$15,595
652 Kidney Transplant	57	$180,753	-46%	$38,109
321 Percutaneous Cardiovascular Procedures with Intraluminal...	56	$156,900	-4%	$36,225
280 Acute Myocardial Infarction, Discharged Alive with MCC	55	$103,041	+36%	$20,603
377 Gastrointestinal Hemorrhage with MCC	55	$95,849	+12%	$21,008
327 Stomach, Esophageal and Duodenal Procedures with CC	54	$116,026	-8%	$27,386
657 Kidney and Ureter Procedures for Neoplasm with CC	53	$90,686	-9%	$19,667
699 Other Kidney and Urinary Tract Diagnoses with CC	53	$41,633	-12%	$11,971
057 Degenerative Nervous System Disorders without MCC	52	$38,034	-33%	$13,766
193 Simple Pneumonia and Pleurisy with MCC	52	$54,862	-8%	$14,734

Showing the 60 most frequent of 247 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Urology and Related Services	4,918	$2,553	$522
Level 1 Intraocular Procedures	3,336	$7,596	$1,973
Level 3 Urology and Related Services	2,462	$8,468	$1,634
Level 1 Endovascular Procedures	1,271	$19,109	$2,752
Level 2 Excision/ Biopsy/ Incision and Drainage	1,123	$9,331	$1,352
Level 2 Upper GI Procedures	1,059	$8,281	$1,507
Level 3 Excision/ Biopsy/ Incision and Drainage	703	$14,022	$2,402
Level 2 Intraocular Procedures	644	$17,300	$3,437
Level 4 Airway Endoscopy	588	$21,324	$3,168
Level 3 Electrophysiologic Procedures	561	$121,614	$20,125
Level 4 Urology and Related Services	502	$14,600	$2,942
Level 3 Vascular Procedures	448	$20,697	$2,663
Level 1 Nerve Procedures	442	$8,104	$1,602
Comprehensive Observation Services	429	$15,976	$2,287
Level 3 Airway Endoscopy	378	$7,168	$1,384
Level 5 Urology and Related Services	336	$25,731	$4,375
Level 3 Endovascular Procedures	300	$75,150	$9,309
Level 3 Extraocular, Repair, and Plastic Eye Procedures	299	$9,475	$1,984
Level 4 Musculoskeletal Procedures	257	$31,193	$6,013
Level 5 Musculoskeletal Procedures	255	$49,154	$10,998
Level 3 ENT Procedures	251	$4,189	$1,296
Level 1 Laparoscopy and Related Services	246	$30,684	$4,878
Level 2 Laparoscopy and Related Services	245	$58,268	$8,582
Level 5 Airway Endoscopy	232	$39,746	$5,702
Level 7 Radiation Therapy	215	$63,275	$6,599

Against the Ohio average

For Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization (DRG 219), Cleveland Clinic charged $289,834 on average, 3% less than the Ohio average of $298,823, and was paid $85,389 against a state average of $79,016. For Heart Failure and Shock with MCC (DRG 291), Cleveland Clinic charged $78,374 on average, 82% more than the Ohio average of $42,986, and was paid $17,561 against a state average of $10,652. For Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC (DRG 266), Cleveland Clinic charged $178,036 on average, 14% less than the Ohio average of $207,672, and was paid $55,275 against a state average of $52,821. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Cleveland Clinic charged $98,315 on average, 53% more than the Ohio average of $64,290, and was paid $23,015 against a state average of $15,664. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,553 was 17% below the state average of $3,065. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,596 was 28% below the state average of $10,597. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $8,468 was 25% below the state average of $11,228. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $19,109 was 18% below the state average of $23,255.

Price-transparency record

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

Warning Notice — 2023-03-23 (CMS case 277)
Closure Notice — 2023-07-24 (CMS case 277)
Met Requirements — 2025-03-12 (CMS case 3259)
Met Requirements — 2026-04-14 (CMS case 7465)

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.