Mercy Health-Lorain Hospital: charges and Medicare payments

Mercy Health-Lorain Hospital reported 862 Medicare inpatient stays across 36 DRGs in 2024. Across them it charged 5.01 times what it was paid — among the higher ratios in Ohio, number 13 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: 116 stays at an average charge of $63,961, 29% below the national average. It also billed 814 outpatient services, charging 7.83 times what Medicare paid.

1Medicare inpatient stays 862
2Charge ÷ paid, inpatient 5.01×
3Rank in OH (highest ratio = 1) 13 of 104
4CMS price-transparency actions 0

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

Inpatient stays

For the 36 DRGs that can be compared with the national average, Mercy Health-Lorain Hospital charged more than the national average in 1 (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	116	$63,961	-29%	$12,873
291 Heart Failure and Shock with MCC	91	$41,001	-27%	$9,077
378 Gastrointestinal Hemorrhage with CC	33	$41,423	-15%	$7,038
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	28	$39,101	-20%	$7,629
309 Cardiac Arrhythmia and Conduction Disorders with CC	26	$28,058	-22%	$5,857
481 Hip and Femur Procedures except Major Joint with CC	26	$81,765	-19%	$14,056
853 Infectious and Parasitic Diseases with O.R. Procedures with...	26	$137,076	-40%	$33,010
190 Chronic Obstructive Pulmonary Disease with MCC	25	$44,894	-11%	$8,587
308 Cardiac Arrhythmia and Conduction Disorders with MCC	23	$32,650	-42%	$8,342
189 Pulmonary Edema and Respiratory Failure	22	$52,927	-8%	$9,568
193 Simple Pneumonia and Pleurisy with MCC	22	$44,002	-26%	$9,123
683 Renal Failure with CC	22	$29,544	-27%	$6,986
322 Percutaneous Cardiovascular Procedures with Intraluminal...	21	$80,959	-29%	$14,740
689 Kidney and Urinary Tract Infections with MCC	21	$32,560	-37%	$8,292
698 Other Kidney and Urinary Tract Diagnoses with MCC	21	$46,674	-36%	$11,093
884 Organic Disturbances and Intellectual Disability	21	$28,967	-54%	$9,797
287 Circulatory Disorders except AMI, with Cardiac...	20	$53,406	-16%	$7,784
321 Percutaneous Cardiovascular Procedures with Intraluminal...	20	$106,760	-35%	$23,601
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	20	$60,471	0%	$9,349
286 Circulatory Disorders except AMI, with Cardiac...	19	$76,205	-32%	$14,145
690 Kidney and Urinary Tract Infections without MCC	19	$26,599	-30%	$6,312
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	18	$46,677	-16%	$7,394
177 Respiratory Infections and Inflammations with MCC	18	$45,775	-35%	$12,043
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	18	$86,426	-16%	$14,573
280 Acute Myocardial Infarction, Discharged Alive with MCC	16	$70,855	-7%	$11,201
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	16	$29,473	-27%	$6,104
101 Seizures without MCC	15	$33,737	-31%	$7,190
312 Syncope and Collapse	15	$35,453	-22%	$6,451
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	15	$30,148	-19%	$5,842
682 Renal Failure with MCC	15	$62,073	-6%	$10,550
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	14	$68,687	-31%	$11,994
057 Degenerative Nervous System Disorders without MCC	13	$32,637	-42%	$9,233
377 Gastrointestinal Hemorrhage with MCC	13	$69,354	-19%	$12,555
208 Respiratory System Diagnosis with Ventilator Support <=96...	12	$146,551	+8%	$18,284
202 Bronchitis and Asthma with CC/MCC	11	$36,745	-20%	$7,161
638 Diabetes with CC	11	$31,825	-24%	$6,550

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	122	$17,721	$2,306
Level 1 Nerve Procedures	96	$6,401	$1,648
Level 1 Endovascular Procedures	71	$29,794	$2,758
Level 2 Excision/ Biopsy/ Incision and Drainage	52	$11,583	$1,342
Level 5 Musculoskeletal Procedures	48	$58,916	$11,022
Level 4 Musculoskeletal Procedures	41	$35,717	$5,989
Level 2 Upper GI Procedures	39	$12,479	$1,558
Level 3 Endovascular Procedures	36	$52,981	$9,386
Level 3 Vascular Procedures	35	$22,352	$2,659
Level 1 Laparoscopy and Related Services	31	$36,095	$4,805
Level 3 Musculoskeletal Procedures	26	$17,481	$2,679
Level 4 Airway Endoscopy	20	$20,947	$2,942
Level 2 Endovascular Procedures	20	$31,250	$4,879
Level 2 Vascular Procedures	18	$8,982	$1,367
Level 2 Breast/Lymphatic Surgery and Related Procedures	17	$37,895	$5,567
Level 2 Musculoskeletal Procedures	16	$12,659	$1,306
Level 5 Airway Endoscopy	16	$29,411	$5,843
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	16	$26,288	$2,953
Level 6 Musculoskeletal Procedures	15	$64,496	$15,877
Level 3 Airway Endoscopy	15	$15,706	$1,308
Level 3 Lower GI Procedures	15	$11,512	$2,396
Level 3 Excision/ Biopsy/ Incision and Drainage	14	$17,612	$2,426
Level 2 Laparoscopy and Related Services	13	$47,731	$8,784
Level 4 Endovascular Procedures	11	$87,485	$14,941
Level 4 Urology and Related Services	11	$12,072	$2,976

Against the Ohio average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Health-Lorain Hospital charged $63,961 on average, 1% less than the Ohio average of $64,290, and was paid $12,873 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Mercy Health-Lorain Hospital charged $41,001 on average, 5% less than the Ohio average of $42,986, and was paid $9,077 against a state average of $10,652. For Gastrointestinal Hemorrhage with CC (DRG 378), Mercy Health-Lorain Hospital charged $41,423 on average, 7% more than the Ohio average of $38,702, and was paid $7,038 against a state average of $8,264. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Mercy Health-Lorain Hospital charged $39,101 on average, 15% more than the Ohio average of $34,039, and was paid $7,629 against a state average of $8,621. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,721 was 4% above the state average of $17,044. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $6,401 was 39% below the state average of $10,568. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $29,794 was 28% above the state average of $23,255. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,583 was 14% 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.