Ohio / Hillcrest Hospital
CMS certification 360230 · Mayfield Heights, OH · 1 entry in CMS's price-transparency list
Hillcrest Hospital: charges and Medicare payments
Hillcrest Hospital reported 5,226 Medicare inpatient stays across 135 DRGs in 2024. Across them it charged 4.74 times what it was paid — among the higher ratios in Ohio, number 25 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: 398 stays at an average charge of $64,977, 28% below the national average. It also billed 5,423 outpatient services, charging 6.31 times what Medicare paid.
- 1Medicare inpatient stays 5,226
- 2Charge ÷ paid, inpatient 4.74×
- 3Rank in OH (highest ratio = 1) 25 of 104
- 4CMS price-transparency actions 1
Inpatient stays
For the 135 DRGs that can be compared with the national average, Hillcrest Hospital charged more than the national average in 2 (1%). 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 | 398 | $64,977 | -28% | $14,183 |
| 291 Heart Failure and Shock with MCC | 347 | $47,661 | -15% | $9,389 |
| 177 Respiratory Infections and Inflammations with MCC | 184 | $50,475 | -28% | $11,777 |
| 690 Kidney and Urinary Tract Infections without MCC | 152 | $24,951 | -34% | $5,683 |
| 193 Simple Pneumonia and Pleurisy with MCC | 149 | $46,935 | -21% | $8,986 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 116 | $50,266 | -32% | $11,071 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 104 | $33,780 | -31% | $7,438 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 101 | $25,701 | -36% | $5,632 |
| 378 Gastrointestinal Hemorrhage with CC | 99 | $42,387 | -13% | $7,420 |
| 603 Cellulitis without MCC | 88 | $23,169 | -38% | $6,167 |
| 683 Renal Failure with CC | 86 | $29,049 | -29% | $6,347 |
| 689 Kidney and Urinary Tract Infections with MCC | 83 | $38,265 | -25% | $8,245 |
| 481 Hip and Femur Procedures except Major Joint with CC | 79 | $79,094 | -21% | $13,681 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 75 | $28,894 | -20% | $5,365 |
| 552 Medical Back Problems without MCC | 69 | $27,709 | -43% | $6,514 |
| 312 Syncope and Collapse | 67 | $31,476 | -31% | $6,112 |
| 189 Pulmonary Edema and Respiratory Failure | 66 | $47,241 | -18% | $10,128 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 64 | $28,384 | -40% | $7,172 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 61 | $25,462 | -31% | $5,663 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 59 | $46,069 | -9% | $7,899 |
| 178 Respiratory Infections and Inflammations with CC | 58 | $35,208 | -22% | $6,975 |
| 682 Renal Failure with MCC | 58 | $35,854 | -46% | $10,156 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 57 | $145,277 | -37% | $34,550 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 56 | $60,410 | -35% | $12,677 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 56 | $67,072 | -34% | $15,018 |
| 194 Simple Pneumonia and Pleurisy with CC | 54 | $30,092 | -22% | $5,842 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 50 | $35,249 | -37% | $7,173 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 46 | $94,258 | -18% | $13,912 |
| 377 Gastrointestinal Hemorrhage with MCC | 44 | $70,837 | -17% | $12,052 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 44 | $29,889 | -30% | $5,935 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 43 | $47,465 | -16% | $9,115 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 42 | $63,322 | -16% | $11,475 |
| 330 Major Small and Large Bowel Procedures with CC | 42 | $80,944 | -32% | $16,318 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 42 | $40,801 | -33% | $8,816 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 41 | $125,232 | -23% | $22,919 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 40 | $93,051 | -17% | $14,678 |
| 393 Other Digestive System Diagnoses with MCC | 40 | $53,195 | -31% | $12,090 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 40 | $40,883 | -32% | $8,658 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 39 | $49,635 | -24% | $9,444 |
| 389 Gastrointestinal Obstruction with CC | 38 | $29,195 | -25% | $5,768 |
| 314 Other Circulatory System Diagnoses with MCC | 35 | $73,061 | -23% | $14,185 |
| 638 Diabetes with CC | 35 | $32,023 | -23% | $6,447 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 33 | $46,298 | -8% | $6,563 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 33 | $27,014 | -6% | $4,584 |
| 394 Other Digestive System Diagnoses with CC | 33 | $37,354 | -21% | $6,957 |
| 057 Degenerative Nervous System Disorders without MCC | 30 | $37,739 | -33% | $9,439 |
| 812 Red Blood Cell Disorders without MCC | 30 | $36,902 | -17% | $6,326 |
| 300 Peripheral Vascular Disorders with CC | 29 | $33,094 | -33% | $7,414 |
| 305 Hypertension without MCC | 29 | $24,419 | -39% | $5,312 |
| 329 Major Small and Large Bowel Procedures with MCC | 29 | $112,126 | -48% | $32,235 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 27 | $42,393 | -14% | $12,167 |
| 069 Transient Ischemia without Thrombolytic | 26 | $32,265 | -36% | $5,641 |
| 202 Bronchitis and Asthma with CC/MCC | 26 | $45,524 | -1% | $6,934 |
| 375 Digestive Malignancy with CC | 26 | $38,234 | -37% | $8,016 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 26 | $111,561 | -20% | $18,902 |
| 038 Extracranial Procedures with CC | 25 | $66,716 | -24% | $13,588 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 25 | $77,428 | -22% | $15,739 |
| 163 Major Chest Procedures with MCC | 25 | $135,856 | -35% | $33,560 |
| 164 Major Chest Procedures with CC | 25 | $103,628 | -19% | $21,283 |
| 445 Disorders of The Biliary Tract with CC | 25 | $37,094 | -36% | $7,610 |
Showing the 60 most frequent of 135 DRGs.
Outpatient services
Against the Ohio average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Hillcrest Hospital charged $64,977 on average, 1% more than the Ohio average of $64,290, and was paid $14,183 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Hillcrest Hospital charged $47,661 on average, 11% more than the Ohio average of $42,986, and was paid $9,389 against a state average of $10,652. For Respiratory Infections and Inflammations with MCC (DRG 177), Hillcrest Hospital charged $50,475 on average, 0% less than the Ohio average of $50,577, and was paid $11,777 against a state average of $13,102. For Kidney and Urinary Tract Infections without MCC (DRG 690), Hillcrest Hospital charged $24,951 on average, 2% less than the Ohio average of $25,492, and was paid $5,683 against a state average of $6,811. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,278 was 1% above the state average of $17,044. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,844 was 26% below the state average of $10,597. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $45,768 was 22% below the state average of $58,420. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,807 was 16% above the state average of $10,162.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Hillcrest Hospital in Mayfield Heights, OH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-07-29 (CMS case 6004)
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.