Ohio / Mount Carmel East
CMS certification 360035 · Columbus, OH · 5 entries in CMS's price-transparency list
Mount Carmel East: charges and Medicare payments
Mount Carmel East reported 3,082 Medicare inpatient stays across 95 DRGs in 2024. Across them it charged 4.94 times what it was paid — among the higher ratios in Ohio, number 17 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: 345 stays at an average charge of $80,376, 11% below the national average. It also billed 2,425 outpatient services, charging 6.42 times what Medicare paid.
- 1Medicare inpatient stays 3,082
- 2Charge ÷ paid, inpatient 4.94×
- 3Rank in OH (highest ratio = 1) 17 of 104
- 4CMS price-transparency actions 5
Inpatient stays
For the 95 DRGs that can be compared with the national average, Mount Carmel East charged more than the national average in 19 (20%). 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 | 345 | $80,376 | -11% | $16,520 |
| 291 Heart Failure and Shock with MCC | 243 | $64,839 | +15% | $11,261 |
| 193 Simple Pneumonia and Pleurisy with MCC | 98 | $59,258 | -1% | $11,125 |
| 689 Kidney and Urinary Tract Infections with MCC | 87 | $44,698 | -13% | $9,738 |
| 177 Respiratory Infections and Inflammations with MCC | 72 | $65,466 | -7% | $13,464 |
| 189 Pulmonary Edema and Respiratory Failure | 72 | $48,046 | -17% | $11,264 |
| 481 Hip and Femur Procedures except Major Joint with CC | 66 | $102,094 | +1% | $17,052 |
| 378 Gastrointestinal Hemorrhage with CC | 64 | $43,400 | -11% | $9,351 |
| 690 Kidney and Urinary Tract Infections without MCC | 57 | $31,007 | -18% | $7,570 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 55 | $42,283 | -14% | $8,640 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 52 | $77,902 | -22% | $17,154 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 52 | $198,077 | -13% | $45,556 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 50 | $48,234 | -13% | $9,530 |
| 683 Renal Failure with CC | 48 | $39,817 | -2% | $8,023 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 47 | $67,368 | -8% | $12,888 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 46 | $181,306 | -18% | $37,172 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 43 | $95,893 | -39% | $23,909 |
| 377 Gastrointestinal Hemorrhage with MCC | 43 | $73,256 | -14% | $13,864 |
| 682 Renal Failure with MCC | 42 | $55,239 | -16% | $12,490 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 40 | $36,687 | -9% | $7,686 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 39 | $81,871 | -27% | $19,294 |
| 552 Medical Back Problems without MCC | 37 | $43,107 | -12% | $8,795 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 36 | $35,687 | -1% | $7,200 |
| 312 Syncope and Collapse | 35 | $37,987 | -17% | $8,165 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 35 | $53,185 | -12% | $10,955 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 35 | $216,717 | -33% | $50,144 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 32 | $142,091 | -13% | $24,032 |
| 314 Other Circulatory System Diagnoses with MCC | 31 | $72,816 | -23% | $16,931 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 31 | $106,353 | -7% | $15,048 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $33,714 | -9% | $7,843 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 30 | $50,164 | -1% | $9,423 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 30 | $58,551 | +3% | $10,758 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 28 | $95,574 | +26% | $16,988 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 28 | $107,403 | +5% | $15,550 |
| 100 Seizures with MCC | 26 | $82,311 | -13% | $16,965 |
| 603 Cellulitis without MCC | 26 | $35,706 | -4% | $9,156 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 25 | $247,693 | -13% | $51,613 |
| 389 Gastrointestinal Obstruction with CC | 25 | $31,206 | -20% | $8,083 |
| 637 Diabetes with MCC | 25 | $50,756 | -24% | $13,610 |
| 638 Diabetes with CC | 25 | $38,869 | -7% | $9,993 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 24 | $138,765 | -14% | $26,870 |
| 101 Seizures without MCC | 23 | $53,408 | +10% | $7,902 |
| 069 Transient Ischemia without Thrombolytic | 22 | $38,244 | -24% | $7,592 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 21 | $70,344 | +8% | $14,348 |
| 178 Respiratory Infections and Inflammations with CC | 21 | $49,863 | +10% | $11,174 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 21 | $58,432 | -9% | $10,516 |
| 812 Red Blood Cell Disorders without MCC | 21 | $41,693 | -6% | $7,865 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 21 | $170,881 | -21% | $36,417 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 20 | $215,245 | -23% | $44,635 |
| 194 Simple Pneumonia and Pleurisy with CC | 20 | $43,364 | +13% | $6,859 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 20 | $106,976 | -21% | $21,650 |
| 330 Major Small and Large Bowel Procedures with CC | 20 | $100,064 | -16% | $18,336 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 19 | $181,004 | -22% | $40,712 |
| 811 Red Blood Cell Disorders with MCC | 19 | $72,632 | +7% | $12,136 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 18 | $223,291 | +6% | $35,526 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 18 | $44,406 | -12% | $7,768 |
| 329 Major Small and Large Bowel Procedures with MCC | 18 | $217,916 | +1% | $39,092 |
| 394 Other Digestive System Diagnoses with CC | 17 | $32,796 | -30% | $8,799 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 17 | $57,202 | -15% | $11,865 |
| 884 Organic Disturbances and Intellectual Disability | 17 | $64,589 | +4% | $14,429 |
Showing the 60 most frequent of 95 DRGs.
Outpatient services
Against the Ohio average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Mount Carmel East charged $80,376 on average, 25% more than the Ohio average of $64,290, and was paid $16,520 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Mount Carmel East charged $64,839 on average, 51% more than the Ohio average of $42,986, and was paid $11,261 against a state average of $10,652. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Mount Carmel East charged $59,258 on average, 42% more than the Ohio average of $41,598, and was paid $11,125 against a state average of $10,716. For Kidney and Urinary Tract Infections with MCC (DRG 689), Mount Carmel East charged $44,698 on average, 27% more than the Ohio average of $35,158, and was paid $9,738 against a state average of $9,559. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,094 was 24% above the state average of $17,044. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $7,234 was 30% below the state average of $10,363. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,264 was 19% below the state average of $10,162. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $70,481 was 21% above the state average of $58,420.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Mount Carmel East in Columbus, OH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-07-07 (CMS case 1657)
- CAP Request — 2023-10-12 (CMS case 1657)
- Closure Notice — 2023-12-19 (CMS case 1657)
- Warning Notice — 2025-04-11 (CMS case 3702)
- Closure Notice — 2025-07-16 (CMS case 3702)
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.