Ohio / Mercy Health - Clermont Hospital
CMS certification 360236 · Batavia, OH
Mercy Health - Clermont Hospital: charges and Medicare payments
Mercy Health - Clermont Hospital reported 816 Medicare inpatient stays across 31 DRGs in 2024. Across them it charged 4.32 times what it was paid — mid-range in Ohio, number 39 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: 132 stays at an average charge of $52,949, 41% below the national average. It also billed 884 outpatient services, charging 9.83 times what Medicare paid.
- 1Medicare inpatient stays 816
- 2Charge ÷ paid, inpatient 4.32×
- 3Rank in OH (highest ratio = 1) 39 of 104
- 4CMS price-transparency actions 0
Inpatient stays
For the 31 DRGs that can be compared with the national average, Mercy Health - Clermont Hospital 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 | 132 | $52,949 | -41% | $13,156 |
| 177 Respiratory Infections and Inflammations with MCC | 65 | $54,517 | -23% | $11,002 |
| 291 Heart Failure and Shock with MCC | 59 | $50,360 | -11% | $9,201 |
| 885 Psychoses | 52 | $18,871 | -57% | $9,874 |
| 189 Pulmonary Edema and Respiratory Failure | 35 | $51,204 | -11% | $9,158 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 30 | $43,135 | -15% | $8,455 |
| 378 Gastrointestinal Hemorrhage with CC | 28 | $39,812 | -18% | $7,258 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 28 | $35,655 | -27% | $7,504 |
| 193 Simple Pneumonia and Pleurisy with MCC | 27 | $36,545 | -39% | $9,007 |
| 178 Respiratory Infections and Inflammations with CC | 25 | $38,240 | -16% | $7,264 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 22 | $30,231 | -24% | $6,392 |
| 690 Kidney and Urinary Tract Infections without MCC | 21 | $25,232 | -33% | $6,225 |
| 603 Cellulitis without MCC | 20 | $23,013 | -38% | $7,010 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $33,839 | -9% | $5,937 |
| 689 Kidney and Urinary Tract Infections with MCC | 19 | $31,915 | -38% | $8,560 |
| 683 Renal Failure with CC | 18 | $36,755 | -10% | $6,700 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 18 | $44,596 | -39% | $11,526 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $26,224 | -32% | $6,147 |
| 312 Syncope and Collapse | 17 | $30,229 | -34% | $6,519 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 17 | $27,827 | -31% | $5,926 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 17 | $114,322 | -50% | $28,605 |
| 884 Organic Disturbances and Intellectual Disability | 17 | $24,315 | -61% | $10,501 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 14 | $34,485 | -38% | $7,830 |
| 202 Bronchitis and Asthma with CC/MCC | 13 | $31,214 | -32% | $7,157 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $28,464 | -21% | $5,534 |
| 638 Diabetes with CC | 13 | $23,201 | -44% | $6,311 |
| 682 Renal Failure with MCC | 13 | $38,337 | -42% | $10,218 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $68,789 | -19% | $11,410 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $39,299 | -35% | $9,167 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 11 | $49,724 | -26% | $12,094 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 11 | $22,842 | -52% | $7,422 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Excision/ Biopsy/ Incision and Drainage | 153 | $9,715 | $977 |
| Level 1 Intraocular Procedures | 112 | $16,747 | $1,940 |
| Level 3 Urology and Related Services | 89 | $12,618 | $1,741 |
| Comprehensive Observation Services | 77 | $17,017 | $2,312 |
| Level 2 Upper GI Procedures | 73 | $15,516 | $1,637 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 50 | $12,260 | $1,315 |
| Level 5 Urology and Related Services | 46 | $26,820 | $4,500 |
| Level 3 Musculoskeletal Procedures | 44 | $25,795 | $2,713 |
| Level 1 Laparoscopy and Related Services | 38 | $31,127 | $4,809 |
| Level 3 Vascular Procedures | 33 | $17,032 | $2,772 |
| Level 4 Urology and Related Services | 31 | $18,430 | $3,032 |
| Level 4 Musculoskeletal Procedures | 25 | $61,278 | $6,023 |
| Level 5 Musculoskeletal Procedures | 20 | $82,064 | $11,432 |
| Level 4 Airway Endoscopy | 20 | $39,313 | $3,257 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 19 | $19,323 | $2,883 |
| Level 6 Urology and Related Services | 15 | $45,191 | $8,011 |
| Level 1 Nerve Procedures | 15 | $12,784 | $1,679 |
| Level 3 Airway Endoscopy | 12 | $12,188 | $1,476 |
| Level 2 Vascular Procedures | 12 | $9,876 | $1,114 |
Against the Ohio average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Health - Clermont Hospital charged $52,949 on average, 18% less than the Ohio average of $64,290, and was paid $13,156 against a state average of $15,664. For Respiratory Infections and Inflammations with MCC (DRG 177), Mercy Health - Clermont Hospital charged $54,517 on average, 8% more than the Ohio average of $50,577, and was paid $11,002 against a state average of $13,102. For Heart Failure and Shock with MCC (DRG 291), Mercy Health - Clermont Hospital charged $50,360 on average, 17% more than the Ohio average of $42,986, and was paid $9,201 against a state average of $10,652. For Psychoses (DRG 885), Mercy Health - Clermont Hospital charged $18,871 on average, 38% less than the Ohio average of $30,516, and was paid $9,874 against a state average of $11,244. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,715 was 4% below the state average of $10,162. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $16,747 was 58% above the state average of $10,597. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $12,618 was 12% above the state average of $11,228. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,017 was 0% below the state average of $17,044.
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.