Mercy Health - Fairfield Hospital: charges and Medicare payments

Mercy Health - Fairfield Hospital reported 1,641 Medicare inpatient stays across 61 DRGs in 2024. Across them it charged 5.25 times what it was paid — among the higher ratios in Ohio, number 9 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: 188 stays at an average charge of $65,034, 28% below the national average. It also billed 1,581 outpatient services, charging 8.26 times what Medicare paid.

1Medicare inpatient stays 1,641
2Charge ÷ paid, inpatient 5.25×
3Rank in OH (highest ratio = 1) 9 of 104
4CMS price-transparency actions 0

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

Inpatient stays

For the 61 DRGs that can be compared with the national average, Mercy Health - Fairfield Hospital charged more than the national average in 2 (3%). 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	188	$65,034	-28%	$13,328
291 Heart Failure and Shock with MCC	124	$41,274	-27%	$9,029
274 Percutaneous and Other Intracardiac Procedures without MCC	62	$152,152	-3%	$23,480
177 Respiratory Infections and Inflammations with MCC	48	$46,255	-34%	$11,013
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	47	$35,644	-27%	$7,636
690 Kidney and Urinary Tract Infections without MCC	45	$29,254	-23%	$5,851
683 Renal Failure with CC	43	$33,941	-17%	$7,413
322 Percutaneous Cardiovascular Procedures with Intraluminal...	42	$87,419	-24%	$14,235
287 Circulatory Disorders except AMI, with Cardiac...	39	$47,552	-26%	$8,415
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	35	$38,746	-4%	$6,097
309 Cardiac Arrhythmia and Conduction Disorders with CC	34	$27,650	-23%	$5,513
689 Kidney and Urinary Tract Infections with MCC	32	$33,803	-34%	$7,997
378 Gastrointestinal Hemorrhage with CC	31	$55,307	+14%	$7,071
312 Syncope and Collapse	29	$32,948	-28%	$6,199
286 Circulatory Disorders except AMI, with Cardiac...	28	$80,092	-29%	$15,070
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	28	$24,860	-33%	$5,649
682 Renal Failure with MCC	27	$36,638	-44%	$10,250
698 Other Kidney and Urinary Tract Diagnoses with MCC	27	$65,862	-10%	$11,846
190 Chronic Obstructive Pulmonary Disease with MCC	26	$49,627	-2%	$7,704
812 Red Blood Cell Disorders without MCC	25	$38,033	-14%	$6,633
193 Simple Pneumonia and Pleurisy with MCC	24	$40,986	-31%	$9,479
638 Diabetes with CC	24	$30,625	-27%	$7,848
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	24	$47,061	-22%	$9,372
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	23	$36,266	-35%	$7,495
321 Percutaneous Cardiovascular Procedures with Intraluminal...	22	$105,746	-35%	$18,997
853 Infectious and Parasitic Diseases with O.R. Procedures with...	22	$220,574	-4%	$34,288
189 Pulmonary Edema and Respiratory Failure	21	$43,038	-25%	$9,030
313 Chest Pain	21	$25,991	-35%	$5,244
552 Medical Back Problems without MCC	21	$34,188	-30%	$6,530
266 Endovascular Cardiac Valve Replacement and Supplement...	19	$235,543	-17%	$50,235
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	19	$50,818	-17%	$9,605
884 Organic Disturbances and Intellectual Disability	19	$34,668	-44%	$10,502
267 Endovascular Cardiac Valve Replacement and Supplement...	18	$214,913	-3%	$36,806
280 Acute Myocardial Infarction, Discharged Alive with MCC	18	$51,633	-32%	$10,538
393 Other Digestive System Diagnoses with MCC	18	$60,746	-21%	$10,815
191 Chronic Obstructive Pulmonary Disease with CC	17	$35,548	-10%	$6,077
194 Simple Pneumonia and Pleurisy with CC	17	$32,281	-16%	$5,934
305 Hypertension without MCC	17	$34,902	-13%	$5,461
308 Cardiac Arrhythmia and Conduction Disorders with MCC	17	$34,523	-39%	$8,345
603 Cellulitis without MCC	17	$35,291	-5%	$6,965
699 Other Kidney and Urinary Tract Diagnoses with CC	17	$34,038	-28%	$7,202
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	16	$60,686	-10%	$9,326
057 Degenerative Nervous System Disorders without MCC	15	$28,723	-49%	$8,806
292 Heart Failure and Shock with CC	15	$35,828	-8%	$6,625
418 Laparoscopic Cholecystectomy without C.D.E. with CC	15	$94,396	+1%	$12,109
481 Hip and Femur Procedures except Major Joint with CC	15	$83,049	-18%	$13,738
637 Diabetes with MCC	15	$56,476	-15%	$10,877
069 Transient Ischemia without Thrombolytic	14	$31,354	-38%	$6,878
178 Respiratory Infections and Inflammations with CC	14	$25,583	-44%	$6,969
281 Acute Myocardial Infarction, Discharged Alive with CC	14	$33,376	-34%	$6,439
377 Gastrointestinal Hemorrhage with MCC	14	$74,927	-12%	$12,024
543 Pathological Fractures and Musculoskeletal and Connective...	14	$28,853	-41%	$6,882
101 Seizures without MCC	13	$31,179	-36%	$6,494
330 Major Small and Large Bowel Procedures with CC	13	$114,967	-3%	$17,169
176 Pulmonary Embolism without MCC	12	$35,949	-13%	$5,906
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	12	$75,297	-26%	$13,689
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	11	$54,302	-46%	$11,409
273 Percutaneous and Other Intracardiac Procedures with MCC	11	$157,325	-27%	$33,326
300 Peripheral Vascular Disorders with CC	11	$32,673	-34%	$6,833
394 Other Digestive System Diagnoses with CC	11	$38,535	-18%	$6,718

Showing the 60 most frequent of 61 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	218	$16,939	$2,363
Level 1 Endovascular Procedures	129	$20,366	$2,720
Level 2 Upper GI Procedures	124	$15,134	$1,603
Level 2 Excision/ Biopsy/ Incision and Drainage	118	$13,352	$1,401
Level 3 Electrophysiologic Procedures	114	$143,994	$20,256
Level 5 Musculoskeletal Procedures	97	$71,482	$11,029
Level 1 Laparoscopy and Related Services	69	$41,801	$4,844
Level 3 Vascular Procedures	62	$22,992	$2,659
Level 4 Musculoskeletal Procedures	52	$50,094	$6,222
Level 3 Endovascular Procedures	48	$62,130	$9,233
Level 1 Nerve Procedures	45	$9,583	$1,679
Level 4 Endovascular Procedures	44	$68,419	$12,107
Level 2 Endovascular Procedures	43	$29,132	$4,416
Level 3 Musculoskeletal Procedures	40	$25,595	$2,759
Level 3 Urology and Related Services	35	$13,671	$1,771
Level 3 Pacemaker and Similar Procedures	34	$48,276	$9,281
Level 3 Excision/ Biopsy/ Incision and Drainage	31	$21,428	$2,471
Level 2 Laparoscopy and Related Services	28	$68,591	$8,788
Level 2 Musculoskeletal Procedures	26	$14,398	$1,398
Level 4 Airway Endoscopy	24	$27,667	$3,257
Level 4 Vascular Procedures	24	$41,270	$4,779
Level 5 Urology and Related Services	24	$37,844	$4,500
Level 2 ICD and Similar Procedures	19	$148,646	$28,527
Level 5 Neurostimulator and Related Procedures	18	$130,548	$21,314
Level 2 Pacemaker and Similar Procedures	17	$32,987	$7,388

Against the Ohio average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Health - Fairfield Hospital charged $65,034 on average, 1% more than the Ohio average of $64,290, and was paid $13,328 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Mercy Health - Fairfield Hospital charged $41,274 on average, 4% less than the Ohio average of $42,986, and was paid $9,029 against a state average of $10,652. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Mercy Health - Fairfield Hospital charged $152,152 on average, 40% more than the Ohio average of $108,965, and was paid $23,480 against a state average of $25,887. For Respiratory Infections and Inflammations with MCC (DRG 177), Mercy Health - Fairfield Hospital charged $46,255 on average, 9% less than the Ohio average of $50,577, and was paid $11,013 against a state average of $13,102. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,939 was 1% below the state average of $17,044. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $20,366 was 12% below the state average of $23,255. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $15,134 was 46% above the state average of $10,363. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,352 was 31% above the state average of $10,162.

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.