Ohio / Genesis Hospital

CMS certification 360039 · Zanesville, OH · 3 entries in CMS's price-transparency list

Genesis Hospital: charges and Medicare payments

Genesis Hospital reported 2,400 Medicare inpatient stays across 68 DRGs in 2024. Across them it charged 2.91 times what it was paid — among the lower ratios in Ohio, number 80 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: 371 stays at an average charge of $45,687, 49% below the national average. It also billed 3,579 outpatient services, charging 5.87 times what Medicare paid.

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  1. 1Medicare inpatient stays 2,400
  2. 2Charge ÷ paid, inpatient 2.91×
  3. 3Rank in OH (highest ratio = 1) 80 of 104
  4. 4CMS price-transparency actions 3
DRG 871$45,687DRG 291$29,610DRG 274$78,613DRG 885$25,580DRG 193$30,919DRG 280$36,621DRG 872$27,920DRG 267$117,478DRG 853$118,688DRG 177$31,824
Average charge per stay at Genesis Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 68 DRGs that can be compared with the national average, Genesis Hospital charged more than the national average in 0 (0%). 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 MCC371$45,687-49%$17,197
291 Heart Failure and Shock with MCC182$29,610-47%$10,977
274 Percutaneous and Other Intracardiac Procedures without MCC111$78,613-50%$27,435
885 Psychoses91$25,580-42%$11,381
193 Simple Pneumonia and Pleurisy with MCC84$30,919-48%$11,309
280 Acute Myocardial Infarction, Discharged Alive with MCC70$36,621-52%$13,332
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC69$27,920-43%$8,913
267 Endovascular Cardiac Valve Replacement and Supplement...64$117,478-47%$40,215
853 Infectious and Parasitic Diseases with O.R. Procedures with...59$118,688-48%$44,688
177 Respiratory Infections and Inflammations with MCC51$31,824-55%$14,061
682 Renal Failure with MCC49$27,265-59%$12,726
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...41$31,210-48%$11,312
689 Kidney and Urinary Tract Infections with MCC41$26,755-48%$9,723
698 Other Kidney and Urinary Tract Diagnoses with MCC39$33,437-54%$14,571
189 Pulmonary Edema and Respiratory Failure38$28,126-51%$10,193
322 Percutaneous Cardiovascular Procedures with Intraluminal...36$91,483-20%$17,466
281 Acute Myocardial Infarction, Discharged Alive with CC35$31,630-37%$8,231
377 Gastrointestinal Hemorrhage with MCC34$61,685-28%$15,447
683 Renal Failure with CC34$19,597-52%$7,518
321 Percutaneous Cardiovascular Procedures with Intraluminal...33$101,866-38%$24,747
378 Gastrointestinal Hemorrhage with CC32$38,071-22%$8,185
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...30$26,358-53%$8,461
273 Percutaneous and Other Intracardiac Procedures with MCC30$143,806-33%$38,792
690 Kidney and Urinary Tract Infections without MCC30$20,122-47%$6,682
481 Hip and Femur Procedures except Major Joint with CC27$54,765-46%$17,237
190 Chronic Obstructive Pulmonary Disease with MCC26$22,862-55%$9,912
064 Intracranial Hemorrhage or Cerebral Infarction with MCC25$31,623-68%$16,706
309 Cardiac Arrhythmia and Conduction Disorders with CC25$19,116-47%$6,206
091 Other Disorders of Nervous System with MCC24$37,590-55%$14,891
699 Other Kidney and Urinary Tract Diagnoses with CC23$21,325-55%$8,921
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale22$38,267-41%$11,642
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...21$115,790-46%$41,636
036 Carotid Artery Stent Procedures without CC/MCC20$44,467-50%$16,491
287 Circulatory Disorders except AMI, with Cardiac...20$36,939-42%$10,499
552 Medical Back Problems without MCC20$26,350-46%$8,020
243 Permanent Cardiac Pacemaker Implant with CC19$95,565-14%$21,815
308 Cardiac Arrhythmia and Conduction Disorders with MCC19$31,956-44%$10,393
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...19$24,567-39%$6,639
603 Cellulitis without MCC19$17,303-54%$7,898
070 Other Cerebrovascular Disorders with MCC18$32,920-57%$14,675
242 Permanent Cardiac Pacemaker Implant with MCC18$141,748-12%$32,277
253 Other Vascular Procedures with CC18$46,845-64%$22,780
286 Circulatory Disorders except AMI, with Cardiac...18$57,029-49%$18,021
269 Aortic and Heart Assist Procedures except Pulsation Balloon...17$109,447-43%$35,334
329 Major Small and Large Bowel Procedures with MCC17$124,763-42%$38,759
389 Gastrointestinal Obstruction with CC17$17,724-54%$7,324
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...17$18,649-50%$7,169
813 Coagulation Disorders17$33,838-58%$12,962
884 Organic Disturbances and Intellectual Disability17$26,264-58%$14,385
638 Diabetes with CC16$17,878-57%$7,820
194 Simple Pneumonia and Pleurisy with CC15$22,916-40%$6,836
330 Major Small and Large Bowel Procedures with CC15$74,936-37%$20,057
394 Other Digestive System Diagnoses with CC15$26,538-44%$8,528
432 Cirrhosis and Alcoholic Hepatitis with MCC15$31,288-67%$15,907
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC14$12,064-58%$5,128
271 Other Major Cardiovascular Procedures with CC13$91,308-47%$28,727
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...13$34,654-43%$10,646
480 Hip and Femur Procedures except Major Joint with MCC13$59,042-57%$24,390
637 Diabetes with MCC13$35,256-47%$12,129
312 Syncope and Collapse12$25,114-45%$7,291

Showing the 60 most frequent of 68 DRGs.

Outpatient services

Against the Ohio average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Genesis Hospital charged $45,687 on average, 29% less than the Ohio average of $64,290, and was paid $17,197 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Genesis Hospital charged $29,610 on average, 31% less than the Ohio average of $42,986, and was paid $10,977 against a state average of $10,652. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Genesis Hospital charged $78,613 on average, 28% less than the Ohio average of $108,965, and was paid $27,435 against a state average of $25,887. For Psychoses (DRG 885), Genesis Hospital charged $25,580 on average, 16% less than the Ohio average of $30,516, and was paid $11,381 against a state average of $11,244. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,761 was 19% below the state average of $17,044. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,267 was 21% below the state average of $23,255. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,664 was 5% below the state average of $10,162. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $9,486 was 8% below the state average of $10,363.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Genesis Hospital in Zanesville, 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.