Ohio / Lima Memorial Health System
CMS certification 360009 · Lima, OH
Lima Memorial Health System: charges and Medicare payments
Lima Memorial Health System reported 1,123 Medicare inpatient stays across 48 DRGs in 2024. Across them it charged 3.77 times what it was paid — mid-range in Ohio, number 61 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: 80 stays at an average charge of $30,499, 46% below the national average. It also billed 2,138 outpatient services, charging 7.45 times what Medicare paid.
- 1Medicare inpatient stays 1,123
- 2Charge ÷ paid, inpatient 3.77×
- 3Rank in OH (highest ratio = 1) 61 of 104
- 4CMS price-transparency actions 0
Inpatient stays
For the 48 DRGs that can be compared with the national average, Lima Memorial Health System charged more than the national average in 1 (2%). 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 | 80 | $30,499 | -46% | $9,569 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 66 | $51,055 | -43% | $14,892 |
| 690 Kidney and Urinary Tract Infections without MCC | 49 | $20,084 | -47% | $6,254 |
| 193 Simple Pneumonia and Pleurisy with MCC | 48 | $28,738 | -52% | $9,956 |
| 177 Respiratory Infections and Inflammations with MCC | 40 | $35,538 | -50% | $12,463 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 39 | $60,011 | -48% | $14,895 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 32 | $24,875 | -51% | $8,304 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 32 | $38,686 | -39% | $8,079 |
| 378 Gastrointestinal Hemorrhage with CC | 31 | $30,106 | -38% | $7,297 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $24,183 | -35% | $5,823 |
| 689 Kidney and Urinary Tract Infections with MCC | 30 | $24,974 | -51% | $8,583 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 28 | $44,973 | -41% | $11,776 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 28 | $79,505 | -51% | $22,940 |
| 377 Gastrointestinal Hemorrhage with MCC | 28 | $49,522 | -42% | $13,248 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $27,748 | -54% | $9,668 |
| 682 Renal Failure with MCC | 24 | $41,403 | -37% | $10,878 |
| 683 Renal Failure with CC | 24 | $19,161 | -53% | $6,667 |
| 070 Other Cerebrovascular Disorders with MCC | 23 | $35,251 | -54% | $12,705 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 23 | $98,380 | -37% | $23,393 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 23 | $25,504 | -29% | $5,617 |
| 312 Syncope and Collapse | 22 | $25,930 | -43% | $6,501 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 22 | $24,496 | -39% | $5,920 |
| 189 Pulmonary Edema and Respiratory Failure | 21 | $26,501 | -54% | $9,196 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 20 | $31,771 | -43% | $7,572 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 18 | $247,685 | -8% | $49,167 |
| 603 Cellulitis without MCC | 18 | $24,723 | -34% | $6,596 |
| 552 Medical Back Problems without MCC | 17 | $26,462 | -46% | $7,182 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $117,663 | -49% | $35,159 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $42,896 | -57% | $14,106 |
| 194 Simple Pneumonia and Pleurisy with CC | 16 | $30,514 | -20% | $6,709 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 16 | $35,188 | -52% | $12,004 |
| 039 Extracranial Procedures without CC/MCC | 15 | $53,353 | -16% | $8,448 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 14 | $38,666 | -41% | $10,322 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 14 | $62,395 | -44% | $16,702 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 14 | $41,930 | -63% | $16,086 |
| 305 Hypertension without MCC | 14 | $18,564 | -54% | $5,648 |
| 811 Red Blood Cell Disorders with MCC | 14 | $33,436 | -51% | $10,415 |
| 812 Red Blood Cell Disorders without MCC | 14 | $29,171 | -34% | $6,846 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $25,249 | -55% | $8,956 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 13 | $17,986 | -62% | $7,419 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 13 | $114,098 | -47% | $35,619 |
| 069 Transient Ischemia without Thrombolytic | 12 | $23,539 | -53% | $6,039 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 12 | $234,705 | +11% | $33,177 |
| 178 Respiratory Infections and Inflammations with CC | 11 | $33,737 | -26% | $8,266 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 11 | $94,047 | -41% | $24,987 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 11 | $153,618 | -31% | $35,261 |
| 314 Other Circulatory System Diagnoses with MCC | 11 | $67,405 | -29% | $15,695 |
| 460 Spinal Fusion except Cervical without MCC | 11 | $142,018 | -17% | $26,369 |
Outpatient services
Against the Ohio average
For Heart Failure and Shock with MCC (DRG 291), Lima Memorial Health System charged $30,499 on average, 29% less than the Ohio average of $42,986, and was paid $9,569 against a state average of $10,652. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Lima Memorial Health System charged $51,055 on average, 21% less than the Ohio average of $64,290, and was paid $14,892 against a state average of $15,664. For Kidney and Urinary Tract Infections without MCC (DRG 690), Lima Memorial Health System charged $20,084 on average, 21% less than the Ohio average of $25,492, and was paid $6,254 against a state average of $6,811. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Lima Memorial Health System charged $28,738 on average, 31% less than the Ohio average of $41,598, and was paid $9,956 against a state average of $10,716. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $20,585 was 11% below the state average of $23,255. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,573 was 9% below the state average of $17,044. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $7,254 was 61% below the state average of $18,730. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $47,031 was 22% below the state average of $60,047.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.