Ohio / Mercy Health St Vincent Medical Center
CMS certification 360112 · Toledo, OH
Mercy Health St Vincent Medical Center: charges and Medicare payments
Mercy Health St Vincent Medical Center reported 5,310 Medicare inpatient stays across 151 DRGs in 2024. Across them it charged 6.89 times what it was paid — among the higher ratios in Ohio, number 1 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: 446 stays at an average charge of $122,147, 35% above the national average. It also billed 4,506 outpatient services, charging 11.82 times what Medicare paid.
- 1Medicare inpatient stays 5,310
- 2Charge ÷ paid, inpatient 6.89×
- 3Rank in OH (highest ratio = 1) 1 of 104
- 4CMS price-transparency actions 0
Inpatient stays
For the 151 DRGs that can be compared with the national average, Mercy Health St Vincent Medical Center charged more than the national average in 135 (89%). 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 | 446 | $122,147 | +35% | $18,317 |
| 291 Heart Failure and Shock with MCC | 288 | $67,300 | +19% | $11,974 |
| 177 Respiratory Infections and Inflammations with MCC | 128 | $86,147 | +22% | $15,227 |
| 193 Simple Pneumonia and Pleurisy with MCC | 115 | $67,110 | +12% | $11,888 |
| 683 Renal Failure with CC | 108 | $54,433 | +34% | $8,745 |
| 690 Kidney and Urinary Tract Infections without MCC | 102 | $39,749 | +5% | $8,160 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 98 | $330,113 | +44% | $44,108 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 94 | $116,707 | +54% | $16,260 |
| 378 Gastrointestinal Hemorrhage with CC | 90 | $67,023 | +38% | $9,397 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 89 | $87,528 | +19% | $15,734 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 88 | $44,440 | +23% | $7,816 |
| 689 Kidney and Urinary Tract Infections with MCC | 88 | $63,638 | +24% | $12,291 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 87 | $42,914 | +7% | $8,152 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 80 | $52,256 | +41% | $7,888 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 76 | $63,829 | +30% | $10,747 |
| 377 Gastrointestinal Hemorrhage with MCC | 73 | $120,875 | +42% | $16,074 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 73 | $77,761 | +29% | $12,883 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 72 | $64,021 | +27% | $10,864 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 70 | $238,738 | +46% | $25,310 |
| 682 Renal Failure with MCC | 70 | $80,548 | +22% | $13,639 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 65 | $81,828 | +47% | $10,857 |
| 603 Cellulitis without MCC | 60 | $35,006 | -6% | $9,168 |
| 194 Simple Pneumonia and Pleurisy with CC | 59 | $42,852 | +12% | $8,053 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 58 | $165,501 | +44% | $15,463 |
| 189 Pulmonary Edema and Respiratory Failure | 55 | $92,698 | +61% | $12,226 |
| 552 Medical Back Problems without MCC | 54 | $52,470 | +7% | $9,113 |
| 638 Diabetes with CC | 53 | $53,389 | +28% | $9,150 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 51 | $62,273 | +10% | $11,487 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 51 | $51,094 | +8% | $10,156 |
| 481 Hip and Femur Procedures except Major Joint with CC | 50 | $163,670 | +62% | $17,976 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 49 | $150,324 | +51% | $18,334 |
| 637 Diabetes with MCC | 49 | $79,359 | +19% | $12,980 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 48 | $68,077 | +35% | $8,860 |
| 312 Syncope and Collapse | 48 | $54,102 | +19% | $8,830 |
| 394 Other Digestive System Diagnoses with CC | 46 | $58,808 | +25% | $10,889 |
| 101 Seizures without MCC | 42 | $56,922 | +17% | $9,400 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 37 | $399,552 | +24% | $54,220 |
| 305 Hypertension without MCC | 36 | $45,198 | +13% | $7,557 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 36 | $91,809 | +23% | $14,128 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 35 | $66,395 | +4% | $10,513 |
| 057 Degenerative Nervous System Disorders without MCC | 31 | $68,122 | +20% | $12,966 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 31 | $126,791 | +13% | $19,035 |
| 516 Other Musculoskeletal System and Connective Tissue O.R.... | 31 | $112,553 | +11% | $17,900 |
| 303 Atherosclerosis without MCC | 30 | $45,289 | +28% | $6,539 |
| 314 Other Circulatory System Diagnoses with MCC | 30 | $88,847 | -6% | $18,950 |
| 329 Major Small and Large Bowel Procedures with MCC | 30 | $283,378 | +32% | $39,008 |
| 330 Major Small and Large Bowel Procedures with CC | 30 | $167,767 | +41% | $23,571 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 29 | $174,754 | +29% | $23,534 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 28 | $84,998 | +30% | $14,730 |
| 812 Red Blood Cell Disorders without MCC | 28 | $59,217 | +33% | $9,622 |
| 389 Gastrointestinal Obstruction with CC | 27 | $46,490 | +19% | $8,224 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $66,003 | +8% | $11,984 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 27 | $84,845 | +26% | $12,771 |
| 100 Seizures with MCC | 26 | $157,870 | +67% | $16,372 |
| 313 Chest Pain | 26 | $58,831 | +47% | $8,586 |
| 885 Psychoses | 26 | $47,174 | +7% | $13,265 |
| 178 Respiratory Infections and Inflammations with CC | 25 | $50,442 | +11% | $9,357 |
| 393 Other Digestive System Diagnoses with MCC | 25 | $98,139 | +28% | $14,669 |
| 884 Organic Disturbances and Intellectual Disability | 25 | $63,311 | +1% | $14,991 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 24 | $55,262 | +31% | $7,127 |
Showing the 60 most frequent of 151 DRGs.
Outpatient services
Against the Ohio average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Health St Vincent Medical Center charged $122,147 on average, 90% more than the Ohio average of $64,290, and was paid $18,317 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Mercy Health St Vincent Medical Center charged $67,300 on average, 57% more than the Ohio average of $42,986, and was paid $11,974 against a state average of $10,652. For Respiratory Infections and Inflammations with MCC (DRG 177), Mercy Health St Vincent Medical Center charged $86,147 on average, 70% more than the Ohio average of $50,577, and was paid $15,227 against a state average of $13,102. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mercy Health St Vincent Medical Center charged $67,110 on average, 61% more than the Ohio average of $41,598, and was paid $11,888 against a state average of $10,716. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,208 was 24% above the state average of $17,044. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $19,629 was 75% above the state average of $11,228. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $100,174 was 71% above the state average of $58,420. For Level 4 Musculoskeletal Procedures (outpatient APC 5114), its average charge of $63,706 was 57% above the state average of $40,587.
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.