Ohio / Miami Valley Hospital
CMS certification 360051 · Dayton, OH · 5 entries in CMS's price-transparency list
Miami Valley Hospital: charges and Medicare payments
Miami Valley Hospital reported 7,738 Medicare inpatient stays across 192 DRGs in 2024. Across them it charged 4.98 times what it was paid — among the higher ratios in Ohio, number 16 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: 577 stays at an average charge of $81,203, 10% below the national average. It also billed 6,827 outpatient services, charging 8.16 times what Medicare paid.
- 1Medicare inpatient stays 7,738
- 2Charge ÷ paid, inpatient 4.98×
- 3Rank in OH (highest ratio = 1) 16 of 104
- 4CMS price-transparency actions 5
Inpatient stays
For the 192 DRGs that can be compared with the national average, Miami Valley Hospital charged more than the national average in 30 (16%). 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 | 577 | $81,203 | -10% | $16,172 |
| 291 Heart Failure and Shock with MCC | 368 | $51,156 | -9% | $10,509 |
| 177 Respiratory Infections and Inflammations with MCC | 146 | $55,793 | -21% | $13,158 |
| 193 Simple Pneumonia and Pleurisy with MCC | 137 | $46,750 | -22% | $10,480 |
| 683 Renal Failure with CC | 136 | $32,959 | -19% | $7,657 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 133 | $29,352 | -27% | $6,834 |
| 481 Hip and Femur Procedures except Major Joint with CC | 119 | $99,626 | -1% | $16,051 |
| 690 Kidney and Urinary Tract Infections without MCC | 115 | $31,691 | -16% | $6,815 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 114 | $98,050 | -2% | $15,929 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 111 | $253,985 | +11% | $42,339 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 110 | $52,794 | -7% | $9,936 |
| 189 Pulmonary Edema and Respiratory Failure | 108 | $59,019 | +3% | $10,836 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 108 | $72,864 | -54% | $25,201 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 104 | $44,030 | -21% | $8,353 |
| 682 Renal Failure with MCC | 103 | $59,286 | -10% | $11,761 |
| 312 Syncope and Collapse | 100 | $33,978 | -25% | $7,294 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 98 | $70,578 | -4% | $13,376 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 97 | $48,062 | -20% | $10,811 |
| 689 Kidney and Urinary Tract Infections with MCC | 94 | $44,326 | -14% | $9,263 |
| 884 Organic Disturbances and Intellectual Disability | 91 | $43,534 | -30% | $12,694 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 90 | $34,792 | -4% | $6,802 |
| 378 Gastrointestinal Hemorrhage with CC | 90 | $41,015 | -16% | $8,319 |
| 552 Medical Back Problems without MCC | 84 | $36,914 | -24% | $8,265 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 79 | $68,991 | -9% | $12,912 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 70 | $30,344 | -18% | $6,827 |
| 812 Red Blood Cell Disorders without MCC | 65 | $38,832 | -13% | $7,930 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 65 | $248,300 | -23% | $52,108 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 63 | $66,827 | +5% | $9,964 |
| 813 Coagulation Disorders | 63 | $80,511 | +1% | $16,252 |
| 377 Gastrointestinal Hemorrhage with MCC | 62 | $69,863 | -18% | $13,857 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 61 | $114,198 | 0% | $16,185 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 58 | $108,645 | -20% | $22,027 |
| 389 Gastrointestinal Obstruction with CC | 57 | $28,894 | -26% | $6,967 |
| 194 Simple Pneumonia and Pleurisy with CC | 54 | $32,860 | -14% | $7,013 |
| 603 Cellulitis without MCC | 54 | $24,266 | -35% | $7,200 |
| 394 Other Digestive System Diagnoses with CC | 53 | $33,082 | -30% | $8,078 |
| 300 Peripheral Vascular Disorders with CC | 51 | $41,299 | -16% | $8,956 |
| 305 Hypertension without MCC | 51 | $30,908 | -23% | $6,459 |
| 330 Major Small and Large Bowel Procedures with CC | 51 | $121,674 | +2% | $21,265 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 49 | $234,530 | +6% | $36,489 |
| 057 Degenerative Nervous System Disorders without MCC | 48 | $54,312 | -4% | $10,842 |
| 460 Spinal Fusion except Cervical without MCC | 48 | $158,629 | -7% | $28,356 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 48 | $32,014 | -33% | $8,015 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 47 | $109,011 | -3% | $17,873 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 47 | $98,228 | -4% | $17,082 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 46 | $49,918 | -1% | $8,064 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 45 | $58,888 | -10% | $11,643 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 45 | $51,307 | -16% | $10,450 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 45 | $179,197 | -17% | $33,341 |
| 178 Respiratory Infections and Inflammations with CC | 44 | $36,101 | -20% | $8,101 |
| 314 Other Circulatory System Diagnoses with MCC | 43 | $75,661 | -20% | $19,584 |
| 329 Major Small and Large Bowel Procedures with MCC | 43 | $176,013 | -18% | $32,748 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 42 | $42,747 | -37% | $10,597 |
| 101 Seizures without MCC | 42 | $48,654 | 0% | $8,336 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 41 | $225,446 | -3% | $45,202 |
| 299 Peripheral Vascular Disorders with MCC | 41 | $61,425 | -18% | $12,713 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 41 | $77,331 | +15% | $11,761 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 40 | $147,350 | +6% | $23,184 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 39 | $27,290 | -5% | $5,564 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 39 | $38,431 | -22% | $8,614 |
Showing the 60 most frequent of 192 DRGs.
Outpatient services
Against the Ohio average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Miami Valley Hospital charged $81,203 on average, 26% more than the Ohio average of $64,290, and was paid $16,172 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Miami Valley Hospital charged $51,156 on average, 19% more than the Ohio average of $42,986, and was paid $10,509 against a state average of $10,652. For Respiratory Infections and Inflammations with MCC (DRG 177), Miami Valley Hospital charged $55,793 on average, 10% more than the Ohio average of $50,577, and was paid $13,158 against a state average of $13,102. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Miami Valley Hospital charged $46,750 on average, 12% more than the Ohio average of $41,598, and was paid $10,480 against a state average of $10,716. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,175 was 18% above the state average of $17,044. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $15,664 was 48% above the state average of $10,597. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $74,080 was 27% above the state average of $58,420. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $13,630 was 34% above the state average of $10,162.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Miami Valley Hospital in Dayton, OH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-09-29 (CMS case 706)
- CAP Request — 2022-06-29 (CMS case 706)
- Closure Notice — 2022-07-15 (CMS case 706)
- Met Requirements — 2023-08-10 (CMS case 1704)
- Met Requirements — 2025-06-18 (CMS case 5245)
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.