Ohio / Mercy Health-Anderson Hospital

CMS certification 360001 · Cincinnati, OH · 3 entries in CMS's price-transparency list

Mercy Health-Anderson Hospital: charges and Medicare payments

Mercy Health-Anderson Hospital reported 1,759 Medicare inpatient stays across 60 DRGs in 2024. Across them it charged 5.01 times what it was paid — among the higher ratios in Ohio, number 12 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: 240 stays at an average charge of $63,228, 30% below the national average. It also billed 943 outpatient services, charging 9.22 times what Medicare paid.

1Medicare inpatient stays 1,759
2Charge ÷ paid, inpatient 5.01×
3Rank in OH (highest ratio = 1) 12 of 104
4CMS price-transparency actions 3

Average charge per stay at Mercy Health-Anderson Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 60 DRGs that can be compared with the national average, Mercy Health-Anderson Hospital charged more than the national average in 3 (5%). 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	240	$63,228	-30%	$13,040
291 Heart Failure and Shock with MCC	95	$47,499	-16%	$8,733
177 Respiratory Infections and Inflammations with MCC	55	$53,216	-25%	$10,966
309 Cardiac Arrhythmia and Conduction Disorders with CC	52	$27,650	-23%	$5,357
378 Gastrointestinal Hemorrhage with CC	52	$46,245	-5%	$7,483
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	47	$35,758	-27%	$7,596
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	45	$30,559	-24%	$5,744
287 Circulatory Disorders except AMI, with Cardiac...	42	$50,751	-21%	$8,775
690 Kidney and Urinary Tract Infections without MCC	39	$26,062	-31%	$5,886
322 Percutaneous Cardiovascular Procedures with Intraluminal...	38	$88,975	-22%	$14,369
193 Simple Pneumonia and Pleurisy with MCC	37	$38,985	-35%	$9,233
481 Hip and Femur Procedures except Major Joint with CC	37	$87,168	-13%	$13,946
853 Infectious and Parasitic Diseases with O.R. Procedures with...	35	$140,510	-39%	$35,160
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	34	$30,161	-19%	$5,689
683 Renal Failure with CC	34	$29,707	-27%	$6,790
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	32	$33,854	-39%	$6,968
312 Syncope and Collapse	31	$31,144	-32%	$6,396
689 Kidney and Urinary Tract Infections with MCC	29	$40,272	-22%	$8,184
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	28	$46,741	-22%	$10,129
682 Renal Failure with MCC	27	$47,542	-28%	$10,170
057 Degenerative Nervous System Disorders without MCC	26	$33,343	-41%	$9,291
280 Acute Myocardial Infarction, Discharged Alive with MCC	26	$56,841	-25%	$12,774
286 Circulatory Disorders except AMI, with Cardiac...	26	$69,303	-38%	$16,657
884 Organic Disturbances and Intellectual Disability	26	$29,845	-52%	$10,386
189 Pulmonary Edema and Respiratory Failure	25	$49,174	-15%	$8,877
313 Chest Pain	25	$27,435	-31%	$5,341
321 Percutaneous Cardiovascular Procedures with Intraluminal...	24	$110,941	-32%	$19,633
377 Gastrointestinal Hemorrhage with MCC	24	$94,403	+11%	$12,629
698 Other Kidney and Urinary Tract Diagnoses with MCC	24	$42,859	-42%	$11,440
243 Permanent Cardiac Pacemaker Implant with CC	23	$81,817	-26%	$19,846
069 Transient Ischemia without Thrombolytic	22	$29,315	-42%	$5,845
190 Chronic Obstructive Pulmonary Disease with MCC	22	$49,200	-3%	$7,393
638 Diabetes with CC	22	$29,086	-30%	$6,892
308 Cardiac Arrhythmia and Conduction Disorders with MCC	21	$48,346	-15%	$8,881
178 Respiratory Infections and Inflammations with CC	20	$29,743	-34%	$7,142
191 Chronic Obstructive Pulmonary Disease with CC	20	$34,430	-13%	$6,248
274 Percutaneous and Other Intracardiac Procedures without MCC	20	$138,540	-12%	$24,900
305 Hypertension without MCC	20	$36,397	-9%	$5,594
149 Dysequilibrium	19	$25,986	-41%	$5,514
552 Medical Back Problems without MCC	19	$27,090	-45%	$6,904
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	17	$61,534	-38%	$12,396
281 Acute Myocardial Infarction, Discharged Alive with CC	17	$47,286	-6%	$6,628
066 Intracranial Hemorrhage or Cerebral Infarction without...	16	$25,471	-40%	$5,650
194 Simple Pneumonia and Pleurisy with CC	16	$30,523	-20%	$6,050
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	16	$58,636	-13%	$10,071
699 Other Kidney and Urinary Tract Diagnoses with CC	16	$33,443	-30%	$7,819
303 Atherosclerosis without MCC	15	$29,598	-16%	$4,967
480 Hip and Femur Procedures except Major Joint with MCC	15	$140,372	+1%	$22,295
393 Other Digestive System Diagnoses with MCC	14	$49,416	-36%	$12,355
394 Other Digestive System Diagnoses with CC	14	$36,840	-22%	$6,808
101 Seizures without MCC	13	$30,108	-38%	$6,952
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	13	$77,798	-24%	$14,480
603 Cellulitis without MCC	13	$19,696	-47%	$6,420
314 Other Circulatory System Diagnoses with MCC	12	$76,520	-19%	$15,350
389 Gastrointestinal Obstruction with CC	12	$42,470	+9%	$5,938
543 Pathological Fractures and Musculoskeletal and Connective...	12	$28,958	-41%	$7,444
812 Red Blood Cell Disorders without MCC	12	$37,212	-16%	$6,520
242 Permanent Cardiac Pacemaker Implant with MCC	11	$113,784	-29%	$23,269
273 Percutaneous and Other Intracardiac Procedures with MCC	11	$170,152	-21%	$27,165
554 Bone Diseases and Arthropathies without MCC	11	$20,651	-46%	$6,085

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	195	$16,798	$2,361
Level 1 Endovascular Procedures	83	$23,410	$2,814
Level 5 Musculoskeletal Procedures	65	$71,402	$10,603
Level 4 Musculoskeletal Procedures	52	$49,508	$5,971
Level 1 Laparoscopy and Related Services	46	$45,724	$4,844
Level 3 Vascular Procedures	42	$20,870	$2,772
Level 2 Excision/ Biopsy/ Incision and Drainage	38	$17,811	$1,385
Level 2 Upper GI Procedures	30	$16,661	$1,611
Level 1 Nerve Procedures	29	$14,496	$1,679
Level 2 Musculoskeletal Procedures	28	$12,728	$1,398
Level 2 Endovascular Procedures	27	$37,114	$4,971
Level 1 Breast/Lymphatic Surgery and Related Procedures	24	$31,556	$3,205
Level 3 Urology and Related Services	24	$19,979	$1,771
Level 6 Urology and Related Services	24	$61,826	$7,782
Level 5 Urology and Related Services	23	$32,732	$4,500
Level 3 Musculoskeletal Procedures	22	$28,370	$2,611
Level 3 Airway Endoscopy	22	$11,308	$1,476
Level 4 Urology and Related Services	22	$28,147	$2,922
Level 4 Airway Endoscopy	19	$25,162	$3,257
Level 3 Endovascular Procedures	19	$76,016	$9,561
Level 3 Electrophysiologic Procedures	19	$130,547	$19,605
Level 2 Pacemaker and Similar Procedures	16	$32,423	$7,388
Level 8 Urology and Related Services	15	$115,576	$16,446
Level 6 Musculoskeletal Procedures	13	$80,847	$15,055
Level 2 Vascular Procedures	12	$10,119	$1,393

Against the Ohio average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Health-Anderson Hospital charged $63,228 on average, 2% less than the Ohio average of $64,290, and was paid $13,040 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Mercy Health-Anderson Hospital charged $47,499 on average, 10% more than the Ohio average of $42,986, and was paid $8,733 against a state average of $10,652. For Respiratory Infections and Inflammations with MCC (DRG 177), Mercy Health-Anderson Hospital charged $53,216 on average, 5% more than the Ohio average of $50,577, and was paid $10,966 against a state average of $13,102. For Cardiac Arrhythmia and Conduction Disorders with CC (DRG 309), Mercy Health-Anderson Hospital charged $27,650 on average, 3% more than the Ohio average of $26,959, and was paid $5,357 against a state average of $6,533. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,798 was 1% below the state average of $17,044. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,410 was 1% above the state average of $23,255. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $71,402 was 22% above the state average of $58,420. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $49,508 was 22% above the state average of $40,587.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Mercy Health-Anderson Hospital in Cincinnati, OH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Met Requirements — 2023-07-31 (CMS case 1099)
Warning Notice — 2025-04-25 (CMS case 4043)
Closure Notice — 2025-07-30 (CMS case 4043)

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.