Ohio / Mercy Health-St Rita's Medical Center
CMS certification 360066 · Lima, OH · 3 entries in CMS's price-transparency list
Mercy Health-St Rita's Medical Center: charges and Medicare payments
Mercy Health-St Rita's Medical Center reported 3,133 Medicare inpatient stays across 93 DRGs in 2024. Across them it charged 5.55 times what it was paid — among the higher ratios in Ohio, number 8 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: 289 stays at an average charge of $81,685, 10% below the national average. It also billed 3,069 outpatient services, charging 10.94 times what Medicare paid.
- 1Medicare inpatient stays 3,133
- 2Charge ÷ paid, inpatient 5.55×
- 3Rank in OH (highest ratio = 1) 8 of 104
- 4CMS price-transparency actions 3
Inpatient stays
For the 93 DRGs that can be compared with the national average, Mercy Health-St Rita's Medical Center charged more than the national average in 27 (29%). 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 | 289 | $81,685 | -10% | $15,834 |
| 291 Heart Failure and Shock with MCC | 218 | $53,782 | -5% | $10,743 |
| 193 Simple Pneumonia and Pleurisy with MCC | 86 | $47,947 | -20% | $10,645 |
| 177 Respiratory Infections and Inflammations with MCC | 83 | $58,518 | -17% | $13,261 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 83 | $37,336 | +3% | $6,243 |
| 683 Renal Failure with CC | 69 | $35,830 | -12% | $7,483 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 67 | $38,382 | -4% | $7,265 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 63 | $62,653 | -15% | $12,741 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 62 | $149,411 | -5% | $24,143 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 61 | $55,095 | -14% | $8,893 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 58 | $205,469 | -10% | $42,953 |
| 885 Psychoses | 57 | $25,345 | -42% | $10,938 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 54 | $54,552 | -4% | $9,713 |
| 682 Renal Failure with MCC | 54 | $70,998 | +8% | $12,766 |
| 378 Gastrointestinal Hemorrhage with CC | 53 | $38,057 | -22% | $7,808 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 51 | $102,401 | -11% | $13,715 |
| 689 Kidney and Urinary Tract Infections with MCC | 49 | $44,151 | -14% | $8,713 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 47 | $209,265 | -5% | $37,384 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 47 | $36,217 | -2% | $6,412 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 47 | $46,506 | -5% | $8,134 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 44 | $52,589 | -13% | $10,280 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 43 | $157,816 | -4% | $22,857 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 43 | $35,019 | -26% | $7,966 |
| 690 Kidney and Urinary Tract Infections without MCC | 42 | $34,891 | -8% | $6,565 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 39 | $43,723 | -14% | $8,664 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 38 | $45,362 | -19% | $9,061 |
| 389 Gastrointestinal Obstruction with CC | 38 | $32,264 | -17% | $6,612 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 37 | $88,784 | -21% | $18,100 |
| 057 Degenerative Nervous System Disorders without MCC | 35 | $43,289 | -24% | $10,383 |
| 189 Pulmonary Edema and Respiratory Failure | 35 | $48,640 | -16% | $9,723 |
| 552 Medical Back Problems without MCC | 35 | $45,206 | -7% | $9,237 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 34 | $68,836 | +2% | $13,329 |
| 312 Syncope and Collapse | 33 | $37,695 | -17% | $6,815 |
| 481 Hip and Femur Procedures except Major Joint with CC | 33 | $116,323 | +15% | $15,922 |
| 377 Gastrointestinal Hemorrhage with MCC | 31 | $63,045 | -26% | $13,133 |
| 394 Other Digestive System Diagnoses with CC | 29 | $42,850 | -9% | $8,908 |
| 884 Organic Disturbances and Intellectual Disability | 29 | $44,417 | -29% | $11,393 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 27 | $87,531 | -12% | $15,371 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 27 | $160,826 | +16% | $25,602 |
| 812 Red Blood Cell Disorders without MCC | 27 | $48,908 | +10% | $7,716 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 26 | $102,653 | -24% | $21,265 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 26 | $71,384 | -6% | $12,496 |
| 194 Simple Pneumonia and Pleurisy with CC | 25 | $30,923 | -19% | $7,970 |
| 305 Hypertension without MCC | 24 | $35,023 | -13% | $6,462 |
| 313 Chest Pain | 24 | $30,870 | -23% | $5,765 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 23 | $299,938 | -7% | $45,690 |
| 178 Respiratory Infections and Inflammations with CC | 22 | $41,583 | -8% | $7,792 |
| 329 Major Small and Large Bowel Procedures with MCC | 21 | $202,418 | -6% | $36,654 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 21 | $74,225 | -24% | $16,858 |
| 163 Major Chest Procedures with MCC | 18 | $156,802 | -26% | $36,234 |
| 330 Major Small and Large Bowel Procedures with CC | 18 | $151,897 | +28% | $20,547 |
| 460 Spinal Fusion except Cervical without MCC | 18 | $232,422 | +36% | $28,409 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 18 | $54,870 | +12% | $8,771 |
| 603 Cellulitis without MCC | 18 | $52,442 | +41% | $8,468 |
| 659 Kidney and Ureter Procedures for Non-Neoplasm with MCC | 18 | $105,108 | -12% | $19,633 |
| 811 Red Blood Cell Disorders with MCC | 18 | $49,900 | -27% | $11,621 |
| 919 Complications of Treatment with MCC | 18 | $97,629 | +10% | $15,800 |
| 092 Other Disorders of Nervous System with CC | 17 | $42,651 | -17% | $7,868 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 17 | $115,130 | +4% | $18,954 |
| 304 Hypertension with MCC | 17 | $47,388 | -17% | $9,209 |
Showing the 60 most frequent of 93 DRGs.
Outpatient services
Against the Ohio average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Health-St Rita's Medical Center charged $81,685 on average, 27% more than the Ohio average of $64,290, and was paid $15,834 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Mercy Health-St Rita's Medical Center charged $53,782 on average, 25% more than the Ohio average of $42,986, and was paid $10,743 against a state average of $10,652. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mercy Health-St Rita's Medical Center charged $47,947 on average, 15% more than the Ohio average of $41,598, and was paid $10,645 against a state average of $10,716. For Respiratory Infections and Inflammations with MCC (DRG 177), Mercy Health-St Rita's Medical Center charged $58,518 on average, 16% more than the Ohio average of $50,577, and was paid $13,261 against a state average of $13,102. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,176 was 30% above the state average of $17,044. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $23,291 was 0% below the state average of $23,255. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,132 was 2% above the state average of $3,065. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $15,379 was 51% above the state average of $10,162.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mercy Health-St Rita's Medical Center in Lima, OH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-08-20 (CMS case 2537)
- Closure Notice — 2024-11-26 (CMS case 2537)
- Met Requirements — 2026-02-26 (CMS case 7131)
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.