Ohio / Mercy Health - Defiance Hospital
CMS certification 360270 · Defiance, OH
Mercy Health - Defiance Hospital: charges and Medicare payments
Mercy Health - Defiance Hospital reported 162 Medicare inpatient stays across 9 DRGs in 2024. Across them it charged 3.07 times what it was paid — among the lower ratios in Ohio, number 76 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: 30 stays at an average charge of $17,324, 69% below the national average. It also billed 371 outpatient services, charging 7.2 times what Medicare paid.
- 1Medicare inpatient stays 162
- 2Charge ÷ paid, inpatient 3.07×
- 3Rank in OH (highest ratio = 1) 76 of 104
- 4CMS price-transparency actions 0
Inpatient stays
For the 9 DRGs that can be compared with the national average, Mercy Health - Defiance Hospital charged more than the national average in 1 (11%). 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 | 30 | $17,324 | -69% | $10,346 |
| 193 Simple Pneumonia and Pleurisy with MCC | 29 | $26,312 | -56% | $10,037 |
| 194 Simple Pneumonia and Pleurisy with CC | 22 | $20,046 | -48% | $6,611 |
| 690 Kidney and Urinary Tract Infections without MCC | 18 | $17,944 | -53% | $6,587 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 14 | $14,170 | -61% | $5,989 |
| 683 Renal Failure with CC | 13 | $16,845 | -59% | $7,425 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 12 | $22,721 | -43% | $6,400 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $16,434 | -71% | $8,745 |
| 330 Major Small and Large Bowel Procedures with CC | 12 | $134,727 | +13% | $21,142 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 2 Urology and Related Services | 94 | $1,772 | $611 |
| Comprehensive Observation Services | 60 | $10,957 | $2,446 |
| Level 1 Laparoscopy and Related Services | 42 | $53,580 | $5,059 |
| Level 3 Urology and Related Services | 28 | $12,919 | $1,820 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 27 | $6,751 | $1,299 |
| Level 5 Musculoskeletal Procedures | 22 | $50,405 | $11,747 |
| Level 3 Vascular Procedures | 18 | $15,661 | $2,849 |
| Level 4 Musculoskeletal Procedures | 17 | $34,225 | $6,393 |
| Level 5 Urology and Related Services | 17 | $18,359 | $4,624 |
| Level 1 Nerve Procedures | 17 | $8,312 | $1,645 |
| Level 3 Musculoskeletal Procedures | 15 | $16,051 | $2,893 |
| Level 4 Urology and Related Services | 14 | $15,341 | $3,115 |
Against the Ohio average
For Heart Failure and Shock with MCC (DRG 291), Mercy Health - Defiance Hospital charged $17,324 on average, 60% less than the Ohio average of $42,986, and was paid $10,346 against a state average of $10,652. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mercy Health - Defiance Hospital charged $26,312 on average, 37% less than the Ohio average of $41,598, and was paid $10,037 against a state average of $10,716. For Simple Pneumonia and Pleurisy with CC (DRG 194), Mercy Health - Defiance Hospital charged $20,046 on average, 29% less than the Ohio average of $28,423, and was paid $6,611 against a state average of $6,948. For Kidney and Urinary Tract Infections without MCC (DRG 690), Mercy Health - Defiance Hospital charged $17,944 on average, 30% less than the Ohio average of $25,492, and was paid $6,587 against a state average of $6,811. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,772 was 42% below the state average of $3,065. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,957 was 36% below the state average of $17,044. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $53,580 was 44% above the state average of $37,246. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $12,919 was 15% above the state average of $11,228.
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.