Ohio / Holzer Medical Center
CMS certification 360054 · Gallipolis, OH · 2 entries in CMS's price-transparency list
Holzer Medical Center: charges and Medicare payments
Holzer Medical Center reported 544 Medicare inpatient stays across 23 DRGs in 2024. Across them it charged 3.62 times what it was paid — mid-range in Ohio, number 65 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: 96 stays at an average charge of $42,361, 53% below the national average. It also billed 1,279 outpatient services, charging 6.28 times what Medicare paid.
- 1Medicare inpatient stays 544
- 2Charge ÷ paid, inpatient 3.62×
- 3Rank in OH (highest ratio = 1) 65 of 104
- 4CMS price-transparency actions 2
Inpatient stays
For the 23 DRGs that can be compared with the national average, Holzer 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 | 96 | $42,361 | -53% | $13,270 |
| 291 Heart Failure and Shock with MCC | 62 | $28,538 | -49% | $8,949 |
| 193 Simple Pneumonia and Pleurisy with MCC | 39 | $34,564 | -42% | $9,466 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 28 | $36,105 | -52% | $10,655 |
| 690 Kidney and Urinary Tract Infections without MCC | 27 | $22,666 | -40% | $6,006 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 24 | $68,834 | -40% | $13,566 |
| 683 Renal Failure with CC | 23 | $21,581 | -47% | $6,659 |
| 177 Respiratory Infections and Inflammations with MCC | 22 | $30,991 | -56% | $10,695 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 22 | $97,500 | -40% | $20,025 |
| 194 Simple Pneumonia and Pleurisy with CC | 21 | $21,255 | -45% | $5,953 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 18 | $26,424 | -48% | $6,682 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 17 | $25,959 | -59% | $7,775 |
| 689 Kidney and Urinary Tract Infections with MCC | 16 | $34,976 | -32% | $8,416 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $27,431 | -46% | $7,478 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 15 | $20,316 | -44% | $6,386 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $25,118 | -49% | $7,740 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 13 | $21,408 | -62% | $6,300 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $32,878 | -43% | $8,189 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $25,404 | -55% | $9,856 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $55,825 | -45% | $14,588 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $20,768 | -44% | $5,853 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 11 | $26,664 | -39% | $5,532 |
| 312 Syncope and Collapse | 11 | $27,462 | -40% | $6,605 |
Outpatient services
Against the Ohio average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Holzer Medical Center charged $42,361 on average, 34% less than the Ohio average of $64,290, and was paid $13,270 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Holzer Medical Center charged $28,538 on average, 34% less than the Ohio average of $42,986, and was paid $8,949 against a state average of $10,652. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Holzer Medical Center charged $34,564 on average, 17% less than the Ohio average of $41,598, and was paid $9,466 against a state average of $10,716. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Holzer Medical Center charged $36,105 on average, 37% less than the Ohio average of $57,170, and was paid $10,655 against a state average of $13,024. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,048 was 29% below the state average of $17,044. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $8,008 was 24% below the state average of $10,597. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,247 was 39% below the state average of $10,162. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $10,546 was 0% below the state average of $10,568.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Holzer Medical Center in Gallipolis, OH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-09-17 (CMS case 6655)
- Closure Notice — 2025-09-26 (CMS case 6655)
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.