Ohio / Fairview Hospital

CMS certification 360077 · Cleveland, OH · 3 entries in CMS's price-transparency list

Fairview Hospital: charges and Medicare payments

Fairview Hospital reported 3,289 Medicare inpatient stays across 102 DRGs in 2024. Across them it charged 4.34 times what it was paid — mid-range in Ohio, number 38 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: 295 stays at an average charge of $64,911, 28% below the national average. It also billed 4,458 outpatient services, charging 6.85 times what Medicare paid.

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  1. 1Medicare inpatient stays 3,289
  2. 2Charge ÷ paid, inpatient 4.34×
  3. 3Rank in OH (highest ratio = 1) 38 of 104
  4. 4CMS price-transparency actions 3
DRG 871$64,911DRG 291$43,539DRG 193$43,966DRG 177$55,380DRG 330$75,452DRG 189$55,564DRG 392$23,951DRG 190$49,053DRG 552$25,230DRG 690$25,028
Average charge per stay at Fairview Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 102 DRGs that can be compared with the national average, Fairview Hospital charged more than the national average in 2 (2%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC295$64,911-28%$14,642
291 Heart Failure and Shock with MCC286$43,539-23%$9,834
193 Simple Pneumonia and Pleurisy with MCC112$43,966-26%$10,034
177 Respiratory Infections and Inflammations with MCC101$55,380-22%$12,546
330 Major Small and Large Bowel Procedures with CC75$75,452-37%$18,238
189 Pulmonary Edema and Respiratory Failure72$55,564-3%$9,790
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...63$23,951-40%$6,441
190 Chronic Obstructive Pulmonary Disease with MCC61$49,053-3%$10,832
552 Medical Back Problems without MCC56$25,230-48%$7,067
690 Kidney and Urinary Tract Infections without MCC53$25,028-34%$6,413
280 Acute Myocardial Infarction, Discharged Alive with MCC52$55,579-27%$11,459
329 Major Small and Large Bowel Procedures with MCC52$109,414-49%$30,605
309 Cardiac Arrhythmia and Conduction Disorders with CC48$22,684-37%$5,711
377 Gastrointestinal Hemorrhage with MCC48$63,723-25%$13,543
689 Kidney and Urinary Tract Infections with MCC48$41,280-20%$8,846
603 Cellulitis without MCC46$24,293-35%$7,081
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC42$18,968-34%$5,005
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC42$31,355-36%$7,719
308 Cardiac Arrhythmia and Conduction Disorders with MCC41$36,695-35%$9,428
378 Gastrointestinal Hemorrhage with CC41$35,573-27%$7,502
481 Hip and Femur Procedures except Major Joint with CC39$73,139-27%$15,179
698 Other Kidney and Urinary Tract Diagnoses with MCC39$50,362-31%$11,510
853 Infectious and Parasitic Diseases with O.R. Procedures with...39$119,302-48%$37,659
322 Percutaneous Cardiovascular Procedures with Intraluminal...38$88,575-23%$14,832
683 Renal Failure with CC38$29,664-27%$7,115
194 Simple Pneumonia and Pleurisy with CC36$26,580-31%$6,380
331 Major Small and Large Bowel Procedures without CC/MCC36$57,428-33%$13,427
064 Intracranial Hemorrhage or Cerebral Infarction with MCC35$60,680-39%$14,120
312 Syncope and Collapse34$31,455-31%$6,875
314 Other Circulatory System Diagnoses with MCC34$107,106+13%$16,052
321 Percutaneous Cardiovascular Procedures with Intraluminal...34$117,840-28%$23,743
682 Renal Failure with MCC32$35,448-46%$10,632
281 Acute Myocardial Infarction, Discharged Alive with CC31$36,567-28%$7,590
286 Circulatory Disorders except AMI, with Cardiac...31$71,930-36%$16,235
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...31$24,193-35%$6,086
287 Circulatory Disorders except AMI, with Cardiac...30$37,336-42%$8,808
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...30$32,950-45%$9,708
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale29$46,546-29%$10,138
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...28$29,934-46%$7,542
274 Percutaneous and Other Intracardiac Procedures without MCC26$97,610-38%$24,068
057 Degenerative Nervous System Disorders without MCC25$33,376-41%$9,482
243 Permanent Cardiac Pacemaker Implant with CC25$66,527-40%$17,452
184 Major Chest Trauma with CC23$39,834-28%$8,787
208 Respiratory System Diagnosis with Ventilator Support <=96...23$88,744-35%$19,810
178 Respiratory Infections and Inflammations with CC21$30,421-33%$7,267
183 Major Chest Trauma with MCC21$49,409-34%$11,911
638 Diabetes with CC21$26,268-37%$8,596
270 Other Major Cardiovascular Procedures with MCC20$161,839-38%$34,433
271 Other Major Cardiovascular Procedures with CC20$156,283-10%$22,499
393 Other Digestive System Diagnoses with MCC20$59,273-23%$12,547
394 Other Digestive System Diagnoses with CC20$37,642-20%$8,139
480 Hip and Femur Procedures except Major Joint with MCC20$108,579-22%$20,628
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...19$41,243-32%$9,662
602 Cellulitis with MCC19$43,187-28%$10,568
812 Red Blood Cell Disorders without MCC19$30,786-31%$7,410
083 Traumatic Stupor and Coma >1 Hour with CC18$36,252-51%$10,694
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...18$28,281-34%$6,973
660 Kidney and Ureter Procedures for Non-Neoplasm with CC18$31,865-53%$10,008
699 Other Kidney and Urinary Tract Diagnoses with CC18$33,566-29%$7,832
870 Septicemia or Severe Sepsis with MV >96 Hours18$216,564-33%$44,572

Showing the 60 most frequent of 102 DRGs.

Outpatient services

Against the Ohio average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Fairview Hospital charged $64,911 on average, 1% more than the Ohio average of $64,290, and was paid $14,642 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Fairview Hospital charged $43,539 on average, 1% more than the Ohio average of $42,986, and was paid $9,834 against a state average of $10,652. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Fairview Hospital charged $43,966 on average, 6% more than the Ohio average of $41,598, and was paid $10,034 against a state average of $10,716. For Respiratory Infections and Inflammations with MCC (DRG 177), Fairview Hospital charged $55,380 on average, 9% more than the Ohio average of $50,577, and was paid $12,546 against a state average of $13,102. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,358 was 4% below the state average of $17,044. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,815 was 36% below the state average of $10,597. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,381 was 22% below the state average of $3,065. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $8,822 was 21% below the state average of $11,228.

Price-transparency record

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

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.