Ohio / Firelands Regional Medical Center
CMS certification 360025 · Sandusky, OH · 2 entries in CMS's price-transparency list
Firelands Regional Medical Center: charges and Medicare payments
Firelands Regional Medical Center reported 1,574 Medicare inpatient stays across 58 DRGs in 2024. Across them it charged 2.67 times what it was paid — among the lower ratios in Ohio, number 85 of 104 hospitals with at least 100 stays (state median 4.01×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 143 stays at an average charge of $21,056, 63% below the national average. It also billed 1,586 outpatient services, charging 5.37 times what Medicare paid.
- 1Medicare inpatient stays 1,574
- 2Charge ÷ paid, inpatient 2.67×
- 3Rank in OH (highest ratio = 1) 85 of 104
- 4CMS price-transparency actions 2
Inpatient stays
For the 58 DRGs that can be compared with the national average, Firelands Regional 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 143 | $21,056 | -63% | $9,405 |
| 690 Kidney and Urinary Tract Infections without MCC | 104 | $15,243 | -60% | $6,090 |
| 885 Psychoses | 94 | $12,747 | -71% | $10,104 |
| 683 Renal Failure with CC | 63 | $21,679 | -47% | $6,868 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 55 | $42,454 | -53% | $13,736 |
| 193 Simple Pneumonia and Pleurisy with MCC | 49 | $28,000 | -53% | $10,554 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 45 | $10,345 | -64% | $4,461 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 42 | $14,814 | -60% | $6,037 |
| 881 Depressive Neuroses | 38 | $9,077 | -72% | $7,105 |
| 194 Simple Pneumonia and Pleurisy with CC | 37 | $16,891 | -56% | $6,036 |
| 603 Cellulitis without MCC | 36 | $18,495 | -50% | $6,958 |
| 689 Kidney and Urinary Tract Infections with MCC | 34 | $19,801 | -61% | $8,710 |
| 178 Respiratory Infections and Inflammations with CC | 32 | $22,474 | -50% | $7,344 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 32 | $14,849 | -59% | $5,792 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 28 | $22,103 | -60% | $7,266 |
| 177 Respiratory Infections and Inflammations with MCC | 27 | $38,943 | -45% | $11,825 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 27 | $19,851 | -61% | $8,031 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $14,209 | -65% | $6,187 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 26 | $53,633 | -53% | $12,778 |
| 552 Medical Back Problems without MCC | 25 | $21,497 | -56% | $7,089 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 25 | $18,846 | -60% | $7,619 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 22 | $22,436 | -60% | $8,975 |
| 312 Syncope and Collapse | 22 | $15,372 | -66% | $6,784 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 22 | $24,496 | -50% | $7,854 |
| 189 Pulmonary Edema and Respiratory Failure | 21 | $19,917 | -65% | $8,999 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 20 | $14,546 | -63% | $6,306 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 20 | $34,720 | -54% | $11,005 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 20 | $82,864 | -11% | $14,092 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 19 | $69,669 | -57% | $19,797 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 19 | $48,259 | -53% | $14,262 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $21,094 | -57% | $7,485 |
| 390 Gastrointestinal Obstruction without CC/MCC | 18 | $12,789 | -54% | $4,481 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 18 | $20,921 | -72% | $10,362 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 17 | $31,223 | -72% | $14,998 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 17 | $24,961 | -61% | $8,208 |
| 638 Diabetes with CC | 17 | $16,871 | -60% | $6,932 |
| 682 Renal Failure with MCC | 17 | $29,927 | -55% | $9,561 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 16 | $27,886 | -45% | $7,418 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $49,045 | -51% | $14,192 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $17,429 | -71% | $8,906 |
| 948 Signs and Symptoms without MCC | 16 | $22,780 | -40% | $6,460 |
| 195 Simple Pneumonia and Pleurisy without CC/MCC | 15 | $13,331 | -56% | $4,944 |
| 207 Respiratory System Diagnosis with Ventilator Support >96... | 14 | $112,164 | -62% | $44,342 |
| 305 Hypertension without MCC | 14 | $16,844 | -58% | $5,923 |
| 314 Other Circulatory System Diagnoses with MCC | 14 | $27,387 | -71% | $14,569 |
| 684 Renal Failure without CC/MCC | 14 | $13,651 | -54% | $4,685 |
| 811 Red Blood Cell Disorders with MCC | 14 | $25,911 | -62% | $9,978 |
| 313 Chest Pain | 13 | $11,757 | -71% | $5,454 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $28,222 | -67% | $12,587 |
| 101 Seizures without MCC | 12 | $22,919 | -53% | $6,997 |
| 292 Heart Failure and Shock with CC | 12 | $17,388 | -55% | $6,542 |
| 389 Gastrointestinal Obstruction with CC | 12 | $16,842 | -57% | $6,238 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 12 | $37,778 | -52% | $10,431 |
| 057 Degenerative Nervous System Disorders without MCC | 11 | $14,862 | -74% | $10,515 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 11 | $48,483 | -51% | $14,500 |
| 176 Pulmonary Embolism without MCC | 11 | $15,655 | -62% | $6,045 |
| 252 Other Vascular Procedures with MCC | 11 | $72,770 | -57% | $28,760 |
| 812 Red Blood Cell Disorders without MCC | 11 | $20,900 | -53% | $7,389 |
Outpatient services
Against the Ohio average
For Heart Failure and Shock with MCC (DRG 291), Firelands Regional Medical Center charged $21,056 on average, 51% less than the Ohio average of $42,986, and was paid $9,405 against a state average of $10,652. For Kidney and Urinary Tract Infections without MCC (DRG 690), Firelands Regional Medical Center charged $15,243 on average, 40% less than the Ohio average of $25,492, and was paid $6,090 against a state average of $6,811. For Psychoses (DRG 885), Firelands Regional Medical Center charged $12,747 on average, 58% less than the Ohio average of $30,516, and was paid $10,104 against a state average of $11,244. For Renal Failure with CC (DRG 683), Firelands Regional Medical Center charged $21,679 on average, 25% less than the Ohio average of $28,967, and was paid $6,868 against a state average of $7,599. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,546 was 44% below the state average of $17,044. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,641 was 5% below the state average of $10,162. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $12,690 was 32% below the state average of $18,730. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $7,108 was 31% below the state average of $10,363.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Firelands Regional Medical Center in Sandusky, OH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2026-04-16 (CMS case 7494)
- Closure Notice — 2026-07-21 (CMS case 7494)
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.