Ohio / Southeastern Ohio Regional Medical Center
CMS certification 360203 · Cambridge, OH
Southeastern Ohio Regional Medical Center: charges and Medicare payments
Southeastern Ohio Regional Medical Center reported 283 Medicare inpatient stays across 13 DRGs in 2024. Across them it charged 2.19 times what it was paid — among the lower ratios in Ohio, number 93 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: 74 stays at an average charge of $39,435, 56% below the national average. It also billed 567 outpatient services, charging 5.52 times what Medicare paid.
- 1Medicare inpatient stays 283
- 2Charge ÷ paid, inpatient 2.19×
- 3Rank in OH (highest ratio = 1) 93 of 104
- 4CMS price-transparency actions 0
Inpatient stays
For the 13 DRGs that can be compared with the national average, Southeastern Ohio Regional Medical Center charged more than the national average in 0 (0%). 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 | 74 | $39,435 | -56% | $18,472 |
| 291 Heart Failure and Shock with MCC | 29 | $25,675 | -54% | $11,890 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 26 | $20,689 | -58% | $9,517 |
| 193 Simple Pneumonia and Pleurisy with MCC | 25 | $28,912 | -52% | $12,223 |
| 683 Renal Failure with CC | 17 | $15,368 | -62% | $8,287 |
| 378 Gastrointestinal Hemorrhage with CC | 16 | $29,988 | -38% | $9,079 |
| 177 Respiratory Infections and Inflammations with MCC | 15 | $42,450 | -40% | $15,395 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $21,357 | -47% | $7,255 |
| 689 Kidney and Urinary Tract Infections with MCC | 15 | $28,196 | -45% | $10,836 |
| 189 Pulmonary Edema and Respiratory Failure | 14 | $31,156 | -46% | $11,387 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $57,910 | -75% | $45,703 |
| 481 Hip and Femur Procedures except Major Joint with CC | 12 | $51,344 | -49% | $19,108 |
| 682 Renal Failure with MCC | 12 | $27,580 | -58% | $13,762 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 4 Urology and Related Services | 141 | $11,374 | $3,177 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 60 | $6,584 | $1,421 |
| Level 5 Urology and Related Services | 58 | $13,801 | $4,716 |
| Level 5 Musculoskeletal Procedures | 55 | $60,302 | $11,978 |
| Level 1 Nerve Procedures | 47 | $8,525 | $1,760 |
| Level 4 Musculoskeletal Procedures | 25 | $32,551 | $6,520 |
| Level 2 Musculoskeletal Procedures | 24 | $9,596 | $1,404 |
| Level 3 Vascular Procedures | 23 | $14,273 | $2,905 |
| Level 2 Upper GI Procedures | 23 | $6,551 | $1,734 |
| Comprehensive Observation Services | 23 | $13,130 | $2,495 |
| Level 3 Musculoskeletal Procedures | 22 | $19,626 | $2,950 |
| Level 1 Laparoscopy and Related Services | 20 | $23,674 | $5,258 |
| Level 3 Urology and Related Services | 19 | $6,083 | $1,759 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 15 | $15,664 | $2,417 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 12 | $21,764 | $3,153 |
Against the Ohio average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Southeastern Ohio Regional Medical Center charged $39,435 on average, 39% less than the Ohio average of $64,290, and was paid $18,472 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Southeastern Ohio Regional Medical Center charged $25,675 on average, 40% less than the Ohio average of $42,986, and was paid $11,890 against a state average of $10,652. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Southeastern Ohio Regional Medical Center charged $20,689 on average, 39% less than the Ohio average of $34,039, and was paid $9,517 against a state average of $8,621. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Southeastern Ohio Regional Medical Center charged $28,912 on average, 30% less than the Ohio average of $41,598, and was paid $12,223 against a state average of $10,716. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $11,374 was 40% below the state average of $18,813. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,584 was 35% below the state average of $10,162. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $13,801 was 49% below the state average of $26,980. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $60,302 was 3% above the state average of $58,420.
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.