Ohio / Riverside Methodist Hospital

CMS certification 360006 · Columbus, OH · 1 entry in CMS's price-transparency list

Riverside Methodist Hospital: charges and Medicare payments

Riverside Methodist Hospital reported 8,418 Medicare inpatient stays across 213 DRGs in 2024. Across them it charged 4.19 times what it was paid — mid-range in Ohio, number 44 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: 481 stays at an average charge of $73,035, 19% below the national average. It also billed 5,833 outpatient services, charging 7.15 times what Medicare paid.

1Medicare inpatient stays 8,418
2Charge ÷ paid, inpatient 4.19×
3Rank in OH (highest ratio = 1) 44 of 104
4CMS price-transparency actions 1

Average charge per stay at Riverside Methodist Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 213 DRGs that can be compared with the national average, Riverside Methodist Hospital charged more than the national average in 17 (8%). 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	481	$73,035	-19%	$17,547
291 Heart Failure and Shock with MCC	351	$46,263	-18%	$10,895
267 Endovascular Cardiac Valve Replacement and Supplement...	150	$167,680	-24%	$38,234
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	147	$42,878	-23%	$9,238
274 Percutaneous and Other Intracardiac Procedures without MCC	145	$130,635	-17%	$25,646
378 Gastrointestinal Hemorrhage with CC	139	$45,661	-6%	$9,275
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	134	$69,021	-31%	$16,523
552 Medical Back Problems without MCC	125	$27,889	-43%	$8,466
377 Gastrointestinal Hemorrhage with MCC	123	$80,020	-6%	$15,234
177 Respiratory Infections and Inflammations with MCC	117	$51,937	-26%	$13,205
309 Cardiac Arrhythmia and Conduction Disorders with CC	102	$24,696	-32%	$6,830
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	96	$26,105	-35%	$7,319
543 Pathological Fractures and Musculoskeletal and Connective...	95	$33,569	-32%	$9,276
682 Renal Failure with MCC	90	$53,243	-19%	$12,432
454 Combined Anterior and Posterior Spinal Fusion with CC	85	$155,005	-45%	$59,420
853 Infectious and Parasitic Diseases with O.R. Procedures with...	85	$181,663	-21%	$41,052
470 Major Hip and Knee Joint Replacement or Reattachment of...	82	$93,218	0%	$15,687
481 Hip and Femur Procedures except Major Joint with CC	78	$91,482	-9%	$17,388
193 Simple Pneumonia and Pleurisy with MCC	77	$39,240	-34%	$11,384
330 Major Small and Large Bowel Procedures with CC	77	$123,914	+4%	$24,574
322 Percutaneous Cardiovascular Procedures with Intraluminal...	75	$68,502	-40%	$16,081
101 Seizures without MCC	74	$43,591	-11%	$8,933
689 Kidney and Urinary Tract Infections with MCC	72	$39,402	-23%	$10,097
025 Craniotomy and Endovascular Intracranial Procedures with MCC	71	$205,120	-11%	$43,678
460 Spinal Fusion except Cervical without MCC	71	$127,096	-25%	$34,145
266 Endovascular Cardiac Valve Replacement and Supplement...	68	$199,698	-30%	$47,175
280 Acute Myocardial Infarction, Discharged Alive with MCC	68	$55,271	-27%	$13,694
057 Degenerative Nervous System Disorders without MCC	66	$38,902	-31%	$11,498
683 Renal Failure with CC	66	$29,314	-28%	$7,889
100 Seizures with MCC	64	$95,307	+1%	$17,821
516 Other Musculoskeletal System and Connective Tissue O.R....	64	$82,611	-19%	$16,317
542 Pathological Fractures and Musculoskeletal and Connective...	63	$51,450	-36%	$14,567
321 Percutaneous Cardiovascular Procedures with Intraluminal...	62	$90,266	-45%	$24,844
286 Circulatory Disorders except AMI, with Cardiac...	61	$74,178	-34%	$17,794
308 Cardiac Arrhythmia and Conduction Disorders with MCC	61	$51,510	-9%	$10,682
432 Cirrhosis and Alcoholic Hepatitis with MCC	61	$79,822	-17%	$16,468
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	61	$37,810	-23%	$9,401
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	60	$84,107	-18%	$16,676
329 Major Small and Large Bowel Procedures with MCC	59	$171,840	-20%	$38,709
189 Pulmonary Edema and Respiratory Failure	57	$39,119	-32%	$10,451
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	56	$309,564	-22%	$107,422
690 Kidney and Urinary Tract Infections without MCC	56	$27,552	-27%	$7,423
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	54	$57,506	-6%	$11,192
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	54	$43,740	-27%	$16,347
389 Gastrointestinal Obstruction with CC	53	$26,816	-31%	$7,454
435 Malignancy of Hepatobiliary System or Pancreas with MCC	53	$68,605	-27%	$15,609
603 Cellulitis without MCC	52	$23,316	-37%	$7,821
312 Syncope and Collapse	50	$28,329	-38%	$7,559
236 Coronary Bypass without Cardiac Catheterization without MCC	48	$216,330	+3%	$45,505
023 Craniotomy with Major Device Implant or Acute Complex Cns...	47	$171,705	-39%	$44,435
480 Hip and Femur Procedures except Major Joint with MCC	47	$108,126	-22%	$25,666
092 Other Disorders of Nervous System with CC	45	$37,981	-26%	$9,060
235 Coronary Bypass without Cardiac Catheterization with MCC	45	$260,081	-11%	$58,163
472 Cervical Spinal Fusion with CC	45	$115,041	-20%	$25,803
270 Other Major Cardiovascular Procedures with MCC	44	$189,999	-27%	$48,228
314 Other Circulatory System Diagnoses with MCC	44	$79,111	-17%	$16,898
393 Other Digestive System Diagnoses with MCC	44	$53,500	-30%	$13,654
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	43	$253,496	-8%	$59,046
287 Circulatory Disorders except AMI, with Cardiac...	42	$43,832	-31%	$9,170
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	42	$23,590	-18%	$5,513

Showing the 60 most frequent of 213 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	1,156	$13,829	$2,398
Level 1 Endovascular Procedures	485	$18,177	$2,893
Level 3 Electrophysiologic Procedures	404	$122,073	$21,040
Level 2 Upper GI Procedures	391	$15,021	$1,698
Level 2 Excision/ Biopsy/ Incision and Drainage	389	$12,071	$1,443
Level 5 Musculoskeletal Procedures	379	$70,757	$11,754
Level 3 Endovascular Procedures	279	$50,221	$9,742
Level 1 Laparoscopy and Related Services	216	$42,994	$5,103
Level 3 Vascular Procedures	146	$20,101	$2,738
Level 2 Laparoscopy and Related Services	146	$72,600	$9,200
Level 4 Vascular Procedures	142	$24,021	$3,468
Level 4 Endovascular Procedures	104	$70,264	$15,364
Level 5 Urology and Related Services	99	$33,556	$4,515
Level 1 Nerve Procedures	93	$19,710	$1,638
Level 4 Urology and Related Services	92	$23,758	$3,090
Level 3 Excision/ Biopsy/ Incision and Drainage	89	$20,204	$2,518
Level 3 Pacemaker and Similar Procedures	86	$38,174	$9,543
Level 3 Urology and Related Services	84	$20,634	$1,806
Level 4 Musculoskeletal Procedures	82	$47,707	$6,335
Level 4 Gynecologic Procedures	72	$27,061	$2,734
Level 4 Airway Endoscopy	56	$23,046	$3,349
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	56	$33,555	$3,050
Level 2 Endovascular Procedures	51	$40,688	$5,111
Level 2 ICD and Similar Procedures	48	$101,361	$28,755
Level 4 Neurostimulator and Related Procedures	45	$86,971	$19,119

Against the Ohio average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Riverside Methodist Hospital charged $73,035 on average, 14% more than the Ohio average of $64,290, and was paid $17,547 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Riverside Methodist Hospital charged $46,263 on average, 8% more than the Ohio average of $42,986, and was paid $10,895 against a state average of $10,652. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Riverside Methodist Hospital charged $167,680 on average, 4% less than the Ohio average of $175,426, and was paid $38,234 against a state average of $39,081. For Intracranial Hemorrhage or Cerebral Infarction with CC or Tpa in 24 Hours (DRG 065), Riverside Methodist Hospital charged $42,878 on average, 6% more than the Ohio average of $40,542, and was paid $9,238 against a state average of $8,605. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $13,829 was 19% below the state average of $17,044. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,177 was 22% below the state average of $23,255. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $122,073 was 11% above the state average of $110,148. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $15,021 was 45% above the state average of $10,363.

Price-transparency record

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

Met Requirements — 2025-03-14 (CMS case 3279)

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.