Ohio / Mercy Health - West Hospital

CMS certification 360234 · Cincinnati, OH · 1 entry in CMS's price-transparency list

Mercy Health - West Hospital: charges and Medicare payments

Mercy Health - West Hospital reported 1,725 Medicare inpatient stays across 59 DRGs in 2024. Across them it charged 4.89 times what it was paid — among the higher ratios in Ohio, number 19 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: 259 stays at an average charge of $65,327, 28% below the national average. It also billed 1,756 outpatient services, charging 8.48 times what Medicare paid.

1Medicare inpatient stays 1,725
2Charge ÷ paid, inpatient 4.89×
3Rank in OH (highest ratio = 1) 19 of 104
4CMS price-transparency actions 1

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

Inpatient stays

For the 59 DRGs that can be compared with the national average, Mercy Health - West Hospital charged more than the national average in 0 (0%). 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	259	$65,327	-28%	$13,874
291 Heart Failure and Shock with MCC	106	$41,228	-27%	$9,060
177 Respiratory Infections and Inflammations with MCC	67	$55,942	-21%	$10,997
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	65	$37,273	-24%	$7,546
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	55	$27,455	-32%	$5,905
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	49	$29,495	-20%	$5,686
690 Kidney and Urinary Tract Infections without MCC	44	$29,654	-22%	$5,854
193 Simple Pneumonia and Pleurisy with MCC	41	$35,340	-41%	$9,146
683 Renal Failure with CC	40	$33,561	-18%	$6,414
378 Gastrointestinal Hemorrhage with CC	39	$46,492	-4%	$7,095
309 Cardiac Arrhythmia and Conduction Disorders with CC	38	$29,744	-18%	$5,489
698 Other Kidney and Urinary Tract Diagnoses with MCC	37	$42,353	-42%	$10,727
689 Kidney and Urinary Tract Infections with MCC	36	$35,419	-31%	$8,139
682 Renal Failure with MCC	35	$42,161	-36%	$9,962
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	32	$34,349	-38%	$6,931
603 Cellulitis without MCC	32	$26,917	-28%	$6,747
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	32	$43,377	-28%	$8,634
853 Infectious and Parasitic Diseases with O.R. Procedures with...	32	$193,262	-16%	$32,074
190 Chronic Obstructive Pulmonary Disease with MCC	30	$36,092	-29%	$8,165
312 Syncope and Collapse	28	$30,350	-33%	$6,315
481 Hip and Femur Procedures except Major Joint with CC	27	$82,554	-18%	$14,853
884 Organic Disturbances and Intellectual Disability	27	$29,541	-53%	$9,426
286 Circulatory Disorders except AMI, with Cardiac...	26	$105,162	-6%	$16,352
189 Pulmonary Edema and Respiratory Failure	24	$50,781	-12%	$9,071
178 Respiratory Infections and Inflammations with CC	23	$27,390	-40%	$6,992
194 Simple Pneumonia and Pleurisy with CC	22	$36,113	-6%	$6,381
280 Acute Myocardial Infarction, Discharged Alive with MCC	22	$53,142	-30%	$10,474
322 Percutaneous Cardiovascular Procedures with Intraluminal...	21	$82,388	-28%	$14,205
552 Medical Back Problems without MCC	21	$32,425	-34%	$6,680
638 Diabetes with CC	21	$37,514	-10%	$7,677
057 Degenerative Nervous System Disorders without MCC	18	$27,834	-51%	$9,726
281 Acute Myocardial Infarction, Discharged Alive with CC	18	$39,525	-22%	$6,330
812 Red Blood Cell Disorders without MCC	18	$31,731	-29%	$6,666
480 Hip and Femur Procedures except Major Joint with MCC	17	$97,877	-29%	$18,353
377 Gastrointestinal Hemorrhage with MCC	16	$79,304	-7%	$12,112
202 Bronchitis and Asthma with CC/MCC	15	$33,879	-27%	$7,459
305 Hypertension without MCC	15	$32,550	-19%	$5,537
308 Cardiac Arrhythmia and Conduction Disorders with MCC	15	$40,546	-28%	$8,572
699 Other Kidney and Urinary Tract Diagnoses with CC	15	$25,444	-46%	$7,160
191 Chronic Obstructive Pulmonary Disease with CC	14	$27,581	-30%	$6,135
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	14	$72,436	-29%	$14,228
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	13	$45,267	-55%	$12,471
069 Transient Ischemia without Thrombolytic	13	$27,452	-46%	$5,974
321 Percutaneous Cardiovascular Procedures with Intraluminal...	13	$109,167	-33%	$19,426
393 Other Digestive System Diagnoses with MCC	13	$65,898	-14%	$12,949
543 Pathological Fractures and Musculoskeletal and Connective...	13	$27,261	-44%	$6,767
637 Diabetes with MCC	13	$52,464	-21%	$9,767
811 Red Blood Cell Disorders with MCC	13	$53,074	-22%	$9,762
056 Degenerative Nervous System Disorders with MCC	12	$48,499	-49%	$16,084
101 Seizures without MCC	12	$32,767	-33%	$6,705
208 Respiratory System Diagnosis with Ventilator Support <=96...	12	$102,271	-25%	$18,200
287 Circulatory Disorders except AMI, with Cardiac...	12	$44,397	-31%	$7,582
394 Other Digestive System Diagnoses with CC	12	$30,113	-36%	$6,820
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	12	$24,366	-43%	$6,043
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	12	$29,964	-56%	$9,452
149 Dysequilibrium	11	$28,630	-36%	$5,502
329 Major Small and Large Bowel Procedures with MCC	11	$121,382	-44%	$30,559
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	11	$42,371	-31%	$9,792
917 Poisoning and Toxic Effects of Drugs with MCC	11	$51,958	-31%	$10,606

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Intraocular Procedures	574	$13,261	$2,007
Comprehensive Observation Services	180	$15,826	$2,331
Level 2 Upper GI Procedures	113	$17,199	$1,631
Level 5 Musculoskeletal Procedures	98	$67,409	$11,132
Level 2 Excision/ Biopsy/ Incision and Drainage	80	$12,890	$1,398
Level 3 Vascular Procedures	66	$20,645	$2,772
Level 4 Musculoskeletal Procedures	62	$42,746	$6,222
Level 1 Endovascular Procedures	51	$22,474	$2,798
Level 2 Intraocular Procedures	46	$16,617	$3,536
Level 1 Laparoscopy and Related Services	44	$38,582	$5,018
Level 3 Endovascular Procedures	40	$62,843	$9,561
Level 4 Urology and Related Services	37	$21,159	$2,966
Level 3 Urology and Related Services	36	$14,382	$1,771
Level 3 Musculoskeletal Procedures	30	$26,089	$2,815
Level 1 Nerve Procedures	29	$15,006	$1,633
Level 3 Excision/ Biopsy/ Incision and Drainage	28	$22,377	$2,471
Level 5 Urology and Related Services	26	$31,953	$4,500
Level 3 Electrophysiologic Procedures	24	$132,653	$20,603
Level 2 Vascular Procedures	22	$8,958	$1,393
Level 1 Breast/Lymphatic Surgery and Related Procedures	18	$24,543	$3,315
Level 2 Musculoskeletal Procedures	18	$13,375	$1,398
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	17	$29,551	$3,009
Level 2 Endovascular Procedures	16	$37,292	$4,971
Level 5 Airway Endoscopy	15	$51,846	$5,952
Level 5 Gynecologic Procedures	15	$33,792	$4,326

Against the Ohio average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mercy Health - West Hospital charged $65,327 on average, 2% more than the Ohio average of $64,290, and was paid $13,874 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Mercy Health - West Hospital charged $41,228 on average, 4% less than the Ohio average of $42,986, and was paid $9,060 against a state average of $10,652. For Respiratory Infections and Inflammations with MCC (DRG 177), Mercy Health - West Hospital charged $55,942 on average, 11% more than the Ohio average of $50,577, and was paid $10,997 against a state average of $13,102. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Mercy Health - West Hospital charged $37,273 on average, 10% more than the Ohio average of $34,039, and was paid $7,546 against a state average of $8,621. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $13,261 was 25% above the state average of $10,597. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,826 was 7% below the state average of $17,044. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $17,199 was 66% above the state average of $10,363. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $67,409 was 15% above the state average of $58,420.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Mercy Health - West Hospital in Cincinnati, OH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Met Requirements — 2025-04-02 (CMS case 3511)

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.