Ohio / Fairfield Medical Center

CMS certification 360072 · Lancaster, OH · 3 entries in CMS's price-transparency list

Fairfield Medical Center: charges and Medicare payments

Fairfield Medical Center reported 1,559 Medicare inpatient stays across 51 DRGs in 2024. Across them it charged 3.08 times what it was paid — among the lower ratios in Ohio, number 75 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: 240 stays at an average charge of $39,143, 57% below the national average. It also billed 2,014 outpatient services, charging 5.92 times what Medicare paid.

1Medicare inpatient stays 1,559
2Charge ÷ paid, inpatient 3.08×
3Rank in OH (highest ratio = 1) 75 of 104
4CMS price-transparency actions 3

Average charge per stay at Fairfield Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 51 DRGs that can be compared with the national average, Fairfield Medical Center 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	240	$39,143	-57%	$14,305
291 Heart Failure and Shock with MCC	124	$27,531	-51%	$9,792
177 Respiratory Infections and Inflammations with MCC	68	$34,250	-51%	$11,813
189 Pulmonary Edema and Respiratory Failure	63	$27,833	-52%	$9,646
193 Simple Pneumonia and Pleurisy with MCC	63	$26,160	-56%	$10,107
690 Kidney and Urinary Tract Infections without MCC	42	$20,582	-46%	$6,574
853 Infectious and Parasitic Diseases with O.R. Procedures with...	41	$130,296	-43%	$37,115
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	41	$24,219	-51%	$8,190
286 Circulatory Disorders except AMI, with Cardiac...	36	$53,389	-52%	$15,730
682 Renal Failure with MCC	36	$29,986	-55%	$11,312
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	33	$17,261	-57%	$6,297
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	33	$23,804	-61%	$10,024
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	33	$19,958	-46%	$6,495
683 Renal Failure with CC	32	$21,760	-47%	$7,048
698 Other Kidney and Urinary Tract Diagnoses with MCC	30	$35,259	-52%	$12,065
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	29	$15,989	-44%	$4,752
378 Gastrointestinal Hemorrhage with CC	29	$23,760	-51%	$7,932
689 Kidney and Urinary Tract Infections with MCC	29	$24,282	-53%	$8,993
308 Cardiac Arrhythmia and Conduction Disorders with MCC	28	$27,926	-51%	$9,159
309 Cardiac Arrhythmia and Conduction Disorders with CC	28	$22,114	-39%	$6,053
322 Percutaneous Cardiovascular Procedures with Intraluminal...	25	$64,705	-44%	$15,372
287 Circulatory Disorders except AMI, with Cardiac...	24	$27,513	-57%	$8,924
470 Major Hip and Knee Joint Replacement or Reattachment of...	23	$56,531	-39%	$13,560
377 Gastrointestinal Hemorrhage with MCC	22	$44,049	-48%	$13,033
305 Hypertension without MCC	21	$17,949	-55%	$6,103
603 Cellulitis without MCC	20	$17,686	-53%	$7,080
194 Simple Pneumonia and Pleurisy with CC	19	$18,263	-52%	$6,153
699 Other Kidney and Urinary Tract Diagnoses with CC	19	$18,171	-62%	$7,950
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	18	$25,165	-55%	$7,727
190 Chronic Obstructive Pulmonary Disease with MCC	18	$25,217	-50%	$8,812
243 Permanent Cardiac Pacemaker Implant with CC	18	$68,598	-38%	$17,976
242 Permanent Cardiac Pacemaker Implant with MCC	17	$89,205	-44%	$25,237
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	17	$24,989	-59%	$9,851
812 Red Blood Cell Disorders without MCC	17	$21,993	-50%	$7,193
312 Syncope and Collapse	16	$22,262	-51%	$6,883
481 Hip and Femur Procedures except Major Joint with CC	15	$55,169	-45%	$15,353
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	14	$24,651	-75%	$13,549
178 Respiratory Infections and Inflammations with CC	14	$19,973	-56%	$8,835
208 Respiratory System Diagnosis with Ventilator Support <=96...	14	$61,601	-55%	$18,919
274 Percutaneous and Other Intracardiac Procedures without MCC	14	$63,046	-60%	$23,327
304 Hypertension with MCC	14	$20,879	-63%	$8,990
321 Percutaneous Cardiovascular Procedures with Intraluminal...	14	$87,271	-47%	$24,128
638 Diabetes with CC	14	$25,366	-39%	$6,904
236 Coronary Bypass without Cardiac Catheterization without MCC	13	$159,966	-24%	$39,907
327 Stomach, Esophageal and Duodenal Procedures with CC	13	$76,940	-39%	$18,299
480 Hip and Femur Procedures except Major Joint with MCC	12	$77,755	-44%	$19,538
811 Red Blood Cell Disorders with MCC	12	$32,031	-53%	$10,874
388 Gastrointestinal Obstruction with MCC	11	$25,856	-62%	$11,107
394 Other Digestive System Diagnoses with CC	11	$23,024	-51%	$7,539
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	11	$54,050	-47%	$15,534
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	11	$32,394	-52%	$10,021

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	268	$11,516	$2,397
Level 1 Intraocular Procedures	179	$10,026	$2,073
Level 2 Urology and Related Services	162	$7,245	$605
Level 1 Endovascular Procedures	157	$12,819	$2,879
Level 3 Vascular Procedures	92	$15,569	$2,815
Level 2 Endovascular Procedures	83	$19,874	$5,013
Level 3 Urology and Related Services	82	$10,648	$1,793
Level 2 Excision/ Biopsy/ Incision and Drainage	76	$7,918	$1,450
Level 1 Laparoscopy and Related Services	75	$35,665	$5,050
Level 1 Nerve Procedures	72	$12,667	$1,688
Level 3 Endovascular Procedures	56	$46,428	$9,684
Level 3 Electrophysiologic Procedures	53	$98,471	$21,185
Level 3 Airway Endoscopy	52	$7,537	$1,485
Level 2 Upper GI Procedures	50	$6,336	$1,615
Level 3 Pacemaker and Similar Procedures	49	$41,875	$9,543
Level 5 Musculoskeletal Procedures	48	$48,314	$11,543
Level 5 Urology and Related Services	41	$27,473	$4,627
Level 2 Vascular Procedures	39	$6,352	$1,396
Level 3 Excision/ Biopsy/ Incision and Drainage	34	$13,584	$2,541
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	33	$31,499	$3,094
Level 2 Pacemaker and Similar Procedures	32	$20,431	$7,597
Level 4 Urology and Related Services	30	$20,639	$3,035
Level 4 Endovascular Procedures	28	$54,307	$15,649
Level 5 Airway Endoscopy	25	$39,525	$6,120
Level 4 Musculoskeletal Procedures	21	$30,266	$6,398

Against the Ohio average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Fairfield Medical Center charged $39,143 on average, 39% less than the Ohio average of $64,290, and was paid $14,305 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Fairfield Medical Center charged $27,531 on average, 36% less than the Ohio average of $42,986, and was paid $9,792 against a state average of $10,652. For Respiratory Infections and Inflammations with MCC (DRG 177), Fairfield Medical Center charged $34,250 on average, 32% less than the Ohio average of $50,577, and was paid $11,813 against a state average of $13,102. For Pulmonary Edema and Respiratory Failure (DRG 189), Fairfield Medical Center charged $27,833 on average, 37% less than the Ohio average of $44,002, and was paid $9,646 against a state average of $10,477. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,516 was 32% below the state average of $17,044. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,026 was 5% below the state average of $10,597. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $7,245 was 136% above the state average of $3,065. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $12,819 was 45% below the state average of $23,255.

Price-transparency record

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

Warning Notice — 2024-10-01 (CMS case 2752)
CAP Request — 2025-01-13 (CMS case 2752)
Closure Notice — 2025-01-22 (CMS case 2752)

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.