Ohio / Clinton Memorial Hospital
CMS certification 360175 · Wilmington, OH
Clinton Memorial Hospital: charges and Medicare payments
Clinton Memorial Hospital reported 82 Medicare inpatient stays across 5 DRGs in 2024. Across them it charged 2.3 times what it was paid. Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 21 stays at an average charge of $28,171, 69% below the national average. It also billed 466 outpatient services, charging 6.01 times what Medicare paid.
- 1Medicare inpatient stays 82
- 2Charge ÷ paid, inpatient 2.3×
- 3Rank in OH (highest ratio = 1) –
- 4CMS price-transparency actions 0
Inpatient stays
For the 5 DRGs that can be compared with the national average, Clinton Memorial 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 | 21 | $28,171 | -69% | $16,356 |
| 189 Pulmonary Edema and Respiratory Failure | 20 | $25,732 | -55% | $11,013 |
| 193 Simple Pneumonia and Pleurisy with MCC | 16 | $35,907 | -40% | $11,360 |
| 690 Kidney and Urinary Tract Infections without MCC | 13 | $17,297 | -54% | $7,028 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 12 | $23,504 | -54% | $9,515 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 128 | $13,769 | $2,315 |
| Level 4 Urology and Related Services | 61 | $17,692 | $2,967 |
| Level 3 Urology and Related Services | 41 | $13,129 | $1,700 |
| Level 2 Upper GI Procedures | 28 | $6,710 | $1,619 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 27 | $7,190 | $1,380 |
| Level 5 Musculoskeletal Procedures | 26 | $50,074 | $10,819 |
| Level 1 Laparoscopy and Related Services | 25 | $26,801 | $4,597 |
| Level 5 Urology and Related Services | 23 | $18,855 | $4,403 |
| Level 6 Urology and Related Services | 19 | $23,380 | $7,839 |
| Level 1 Nerve Procedures | 19 | $9,542 | $1,643 |
| Level 3 Vascular Procedures | 17 | $13,030 | $2,585 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 14 | $17,927 | $2,418 |
| Level 2 Musculoskeletal Procedures | 13 | $7,533 | $1,368 |
| Level 3 Musculoskeletal Procedures | 13 | $14,424 | $2,754 |
| Level 4 Neurostimulator and Related Procedures | 12 | $52,478 | $18,571 |
Against the Ohio average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Clinton Memorial Hospital charged $28,171 on average, 56% less than the Ohio average of $64,290, and was paid $16,356 against a state average of $15,664. For Pulmonary Edema and Respiratory Failure (DRG 189), Clinton Memorial Hospital charged $25,732 on average, 42% less than the Ohio average of $44,002, and was paid $11,013 against a state average of $10,477. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Clinton Memorial Hospital charged $35,907 on average, 14% less than the Ohio average of $41,598, and was paid $11,360 against a state average of $10,716. For Kidney and Urinary Tract Infections without MCC (DRG 690), Clinton Memorial Hospital charged $17,297 on average, 32% less than the Ohio average of $25,492, and was paid $7,028 against a state average of $6,811. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,769 was 19% below the state average of $17,044. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $17,692 was 6% below the state average of $18,813. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $13,129 was 17% above the state average of $11,228. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $6,710 was 35% below the state average of $10,363.
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.