Ohio / South Pointe Hospital
CMS certification 360144 · Warrensville Heights, OH · 1 entry in CMS's price-transparency list
South Pointe Hospital: charges and Medicare payments
South Pointe Hospital reported 1,119 Medicare inpatient stays across 39 DRGs in 2024. Across them it charged 4.08 times what it was paid — mid-range in Ohio, number 48 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: 144 stays at an average charge of $67,652, 25% below the national average. It also billed 680 outpatient services, charging 9.18 times what Medicare paid.
- 1Medicare inpatient stays 1,119
- 2Charge ÷ paid, inpatient 4.08×
- 3Rank in OH (highest ratio = 1) 48 of 104
- 4CMS price-transparency actions 1
Inpatient stays
For the 39 DRGs that can be compared with the national average, South Pointe Hospital charged more than the national average in 1 (3%). 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 | 144 | $67,652 | -25% | $15,819 |
| 291 Heart Failure and Shock with MCC | 135 | $42,217 | -25% | $10,443 |
| 177 Respiratory Infections and Inflammations with MCC | 61 | $54,344 | -23% | $13,495 |
| 690 Kidney and Urinary Tract Infections without MCC | 57 | $23,992 | -37% | $7,028 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 44 | $37,766 | -37% | $10,023 |
| 193 Simple Pneumonia and Pleurisy with MCC | 40 | $46,859 | -22% | $9,749 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 39 | $42,601 | -16% | $8,660 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 39 | $48,952 | -33% | $13,574 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 38 | $35,807 | -27% | $8,523 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 33 | $25,214 | -37% | $6,849 |
| 683 Renal Failure with CC | 31 | $31,569 | -22% | $7,650 |
| 378 Gastrointestinal Hemorrhage with CC | 27 | $39,985 | -18% | $8,280 |
| 689 Kidney and Urinary Tract Infections with MCC | 26 | $31,013 | -40% | $9,423 |
| 178 Respiratory Infections and Inflammations with CC | 24 | $28,895 | -36% | $7,908 |
| 603 Cellulitis without MCC | 24 | $25,707 | -31% | $7,941 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 23 | $124,437 | -46% | $36,411 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $26,572 | -28% | $6,644 |
| 682 Renal Failure with MCC | 20 | $55,335 | -16% | $11,516 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 18 | $34,581 | -13% | $7,016 |
| 299 Peripheral Vascular Disorders with MCC | 18 | $51,250 | -32% | $12,099 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $33,594 | -12% | $6,846 |
| 312 Syncope and Collapse | 16 | $25,679 | -44% | $6,940 |
| 314 Other Circulatory System Diagnoses with MCC | 16 | $64,335 | -32% | $16,324 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 16 | $28,324 | -40% | $8,396 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 15 | $60,054 | -21% | $12,051 |
| 389 Gastrointestinal Obstruction with CC | 15 | $25,543 | -34% | $6,293 |
| 638 Diabetes with CC | 14 | $29,554 | -29% | $7,398 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $90,211 | +57% | $13,845 |
| 202 Bronchitis and Asthma with CC/MCC | 13 | $33,577 | -27% | $8,714 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $30,420 | -16% | $6,228 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $63,083 | -26% | $13,506 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $41,098 | -33% | $11,227 |
| 394 Other Digestive System Diagnoses with CC | 13 | $32,695 | -31% | $7,785 |
| 552 Medical Back Problems without MCC | 13 | $25,482 | -48% | $7,798 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $55,008 | -3% | $9,927 |
| 948 Signs and Symptoms without MCC | 12 | $19,440 | -49% | $6,147 |
| 388 Gastrointestinal Obstruction with MCC | 11 | $38,582 | -44% | $10,653 |
| 673 Other Kidney and Urinary Tract Procedures with MCC | 11 | $93,488 | -46% | $28,507 |
| 812 Red Blood Cell Disorders without MCC | 11 | $28,766 | -35% | $7,391 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 255 | $17,846 | $2,320 |
| Level 5 Urology and Related Services | 108 | $35,007 | $4,385 |
| Level 3 Vascular Procedures | 62 | $20,027 | $2,651 |
| Level 2 Upper GI Procedures | 56 | $7,719 | $1,601 |
| Level 3 Urology and Related Services | 56 | $11,341 | $1,739 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 36 | $10,167 | $1,192 |
| Level 4 Musculoskeletal Procedures | 21 | $34,957 | $6,107 |
| Level 1 Nerve Procedures | 20 | $12,657 | $1,648 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 14 | $12,838 | $2,322 |
| Level 1 Laparoscopy and Related Services | 14 | $32,485 | $4,393 |
| Level 3 Musculoskeletal Procedures | 13 | $16,950 | $2,763 |
| Level 2 Endovascular Procedures | 13 | $32,801 | $4,879 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 12 | $18,005 | $2,953 |
Against the Ohio average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), South Pointe Hospital charged $67,652 on average, 5% more than the Ohio average of $64,290, and was paid $15,819 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), South Pointe Hospital charged $42,217 on average, 2% less than the Ohio average of $42,986, and was paid $10,443 against a state average of $10,652. For Respiratory Infections and Inflammations with MCC (DRG 177), South Pointe Hospital charged $54,344 on average, 7% more than the Ohio average of $50,577, and was paid $13,495 against a state average of $13,102. For Kidney and Urinary Tract Infections without MCC (DRG 690), South Pointe Hospital charged $23,992 on average, 6% less than the Ohio average of $25,492, and was paid $7,028 against a state average of $6,811. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,846 was 5% above the state average of $17,044. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $35,007 was 30% above the state average of $26,980. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $20,027 was 7% above the state average of $18,730. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $7,719 was 26% below the state average of $10,363.
Price-transparency record
CMS's enforcement list records these actions for a hospital named South Pointe Hospital in Warrensville Heights, OH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-09 (CMS case 3732)
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.