Metrohealth System: charges and Medicare payments

Metrohealth System reported 1,588 Medicare inpatient stays across 62 DRGs in 2024. Across them it charged 3.61 times what it was paid — mid-range in Ohio, number 66 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: 187 stays at an average charge of $67,212, 26% below the national average. It also billed 2,764 outpatient services, charging 15.41 times what Medicare paid.

1Medicare inpatient stays 1,588
2Charge ÷ paid, inpatient 3.61×
3Rank in OH (highest ratio = 1) 66 of 104
4CMS price-transparency actions 0

Average charge per stay at Metrohealth System, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 62 DRGs that can be compared with the national average, Metrohealth System charged more than the national average in 1 (2%). 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	187	$67,212	-26%	$17,974
291 Heart Failure and Shock with MCC	111	$52,551	-7%	$11,272
280 Acute Myocardial Infarction, Discharged Alive with MCC	79	$55,685	-27%	$13,811
177 Respiratory Infections and Inflammations with MCC	61	$50,005	-29%	$13,595
189 Pulmonary Edema and Respiratory Failure	52	$48,246	-16%	$11,772
193 Simple Pneumonia and Pleurisy with MCC	52	$39,467	-34%	$12,087
698 Other Kidney and Urinary Tract Diagnoses with MCC	44	$38,077	-48%	$15,346
481 Hip and Femur Procedures except Major Joint with CC	37	$74,388	-26%	$20,794
853 Infectious and Parasitic Diseases with O.R. Procedures with...	37	$148,269	-35%	$40,304
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	35	$56,817	-43%	$18,978
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	34	$44,224	-27%	$13,147
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	30	$36,943	-34%	$10,159
190 Chronic Obstructive Pulmonary Disease with MCC	30	$41,079	-19%	$11,348
377 Gastrointestinal Hemorrhage with MCC	30	$73,728	-14%	$17,598
309 Cardiac Arrhythmia and Conduction Disorders with CC	29	$21,523	-40%	$6,421
378 Gastrointestinal Hemorrhage with CC	26	$38,876	-20%	$8,784
689 Kidney and Urinary Tract Infections with MCC	26	$33,944	-34%	$11,549
480 Hip and Femur Procedures except Major Joint with MCC	25	$102,901	-26%	$23,044
683 Renal Failure with CC	25	$35,482	-13%	$10,615
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	24	$43,081	-12%	$10,910
552 Medical Back Problems without MCC	22	$39,967	-18%	$11,241
690 Kidney and Urinary Tract Infections without MCC	22	$28,458	-25%	$9,126
603 Cellulitis without MCC	21	$30,372	-19%	$9,068
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	19	$52,676	-19%	$14,785
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	19	$28,330	-29%	$9,440
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	19	$74,791	-27%	$20,195
274 Percutaneous and Other Intracardiac Procedures without MCC	18	$75,960	-52%	$16,975
281 Acute Myocardial Infarction, Discharged Alive with CC	18	$37,932	-25%	$9,635
638 Diabetes with CC	18	$25,662	-38%	$9,904
330 Major Small and Large Bowel Procedures with CC	17	$72,037	-39%	$18,876
682 Renal Failure with MCC	17	$34,832	-47%	$12,687
870 Septicemia or Severe Sepsis with MV >96 Hours	17	$171,488	-47%	$56,950
025 Craniotomy and Endovascular Intracranial Procedures with MCC	16	$171,085	-26%	$44,344
312 Syncope and Collapse	16	$34,516	-24%	$8,798
472 Cervical Spinal Fusion with CC	16	$58,975	-59%	$20,004
551 Medical Back Problems with MCC	16	$62,614	-20%	$19,456
314 Other Circulatory System Diagnoses with MCC	15	$62,760	-34%	$17,589
811 Red Blood Cell Disorders with MCC	15	$45,011	-34%	$14,516
308 Cardiac Arrhythmia and Conduction Disorders with MCC	14	$48,360	-15%	$11,339
329 Major Small and Large Bowel Procedures with MCC	14	$121,481	-43%	$34,264
389 Gastrointestinal Obstruction with CC	14	$27,276	-30%	$8,022
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	14	$57,123	-6%	$12,738
812 Red Blood Cell Disorders without MCC	14	$36,479	-18%	$8,932
056 Degenerative Nervous System Disorders with MCC	13	$35,034	-64%	$17,982
194 Simple Pneumonia and Pleurisy with CC	13	$30,238	-21%	$5,669
394 Other Digestive System Diagnoses with CC	13	$30,842	-34%	$9,725
470 Major Hip and Knee Joint Replacement or Reattachment of...	13	$41,646	-55%	$12,770
699 Other Kidney and Urinary Tract Diagnoses with CC	13	$31,332	-34%	$8,076
101 Seizures without MCC	12	$22,572	-54%	$9,442
393 Other Digestive System Diagnoses with MCC	12	$53,299	-31%	$12,348
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	12	$95,859	-19%	$23,847
602 Cellulitis with MCC	12	$52,611	-13%	$15,960
057 Degenerative Nervous System Disorders without MCC	11	$34,511	-39%	$14,736
082 Traumatic Stupor and Coma >1 Hour with MCC	11	$76,826	-33%	$26,701
085 Traumatic Stupor and Coma <1 Hour with MCC	11	$99,220	-9%	$27,353
086 Traumatic Stupor and Coma <1 Hour with CC	11	$38,298	-44%	$16,049
100 Seizures with MCC	11	$85,812	-9%	$18,201
178 Respiratory Infections and Inflammations with CC	11	$34,801	-23%	$10,098
374 Digestive Malignancy with MCC	11	$48,560	-52%	$20,146
432 Cirrhosis and Alcoholic Hepatitis with MCC	11	$51,032	-47%	$18,052

Showing the 60 most frequent of 62 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	351	$18,030	$1,481
Level 2 Urology and Related Services	275	$3,266	$259
Level 1 Intraocular Procedures	243	$8,381	$848
Level 2 Excision/ Biopsy/ Incision and Drainage	206	$8,086	$705
Level 5 Musculoskeletal Procedures	129	$39,739	$4,762
Level 3 Urology and Related Services	111	$8,036	$940
Level 1 Nerve Procedures	105	$9,997	$809
Level 4 ENT Procedures	94	$15,414	$2,257
Level 4 Musculoskeletal Procedures	71	$29,323	$4,188
Level 3 Musculoskeletal Procedures	69	$12,784	$1,908
Level 3 Electrophysiologic Procedures	67	$117,373	$6,889
Level 1 Laparoscopy and Related Services	65	$27,848	$2,570
Level 2 Musculoskeletal Procedures	63	$8,797	$841
Level 2 Upper GI Procedures	63	$8,485	$1,046
Level 3 Excision/ Biopsy/ Incision and Drainage	60	$16,962	$1,588
Level 1 Endovascular Procedures	57	$20,389	$1,208
Level 3 Vascular Procedures	51	$19,889	$1,705
Level 4 Urology and Related Services	48	$13,925	$1,395
Level 3 Lower GI Procedures	38	$10,030	$1,035
Level 3 Airway Endoscopy	36	$7,438	$606
Level 4 Gynecologic Procedures	36	$10,884	$1,369
Level 3 Extraocular, Repair, and Plastic Eye Procedures	36	$8,209	$983
Level 5 Urology and Related Services	35	$24,263	$3,109
Level 2 Neurostimulator and Related Procedures	33	$28,778	$2,455
Level 4 Vascular Procedures	32	$51,760	$2,704

Against the Ohio average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Metrohealth System charged $67,212 on average, 5% more than the Ohio average of $64,290, and was paid $17,974 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Metrohealth System charged $52,551 on average, 22% more than the Ohio average of $42,986, and was paid $11,272 against a state average of $10,652. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Metrohealth System charged $55,685 on average, 3% less than the Ohio average of $57,170, and was paid $13,811 against a state average of $13,024. For Respiratory Infections and Inflammations with MCC (DRG 177), Metrohealth System charged $50,005 on average, 1% less than the Ohio average of $50,577, and was paid $13,595 against a state average of $13,102. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,030 was 6% above the state average of $17,044. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,266 was 7% above the state average of $3,065. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $8,381 was 21% below the state average of $10,597. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,086 was 20% below 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.