Ohio / Southern Ohio Medical Center

CMS certification 360008 · Portsmouth, OH

Southern Ohio Medical Center: charges and Medicare payments

Southern Ohio Medical Center reported 1,536 Medicare inpatient stays across 50 DRGs in 2024. Across them it charged 3.37 times what it was paid — among the lower ratios in Ohio, number 71 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: 211 stays at an average charge of $49,225, 45% below the national average. It also billed 2,322 outpatient services, charging 7.83 times what Medicare paid.

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  1. 1Medicare inpatient stays 1,536
  2. 2Charge ÷ paid, inpatient 3.37×
  3. 3Rank in OH (highest ratio = 1) 71 of 104
  4. 4CMS price-transparency actions 0
DRG 871$49,225DRG 291$28,474DRG 177$31,589DRG 280$38,359DRG 321$119,679DRG 322$93,322DRG 682$33,096DRG 884$19,997DRG 309$19,339DRG 377$51,282
Average charge per stay at Southern Ohio Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 50 DRGs that can be compared with the national average, Southern Ohio Medical Center charged more than the national average in 1 (2%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC211$49,225-45%$16,283
291 Heart Failure and Shock with MCC143$28,474-49%$10,607
177 Respiratory Infections and Inflammations with MCC68$31,589-55%$13,733
280 Acute Myocardial Infarction, Discharged Alive with MCC67$38,359-49%$13,081
321 Percutaneous Cardiovascular Procedures with Intraluminal...63$119,679-27%$24,342
322 Percutaneous Cardiovascular Procedures with Intraluminal...58$93,322-19%$15,430
682 Renal Failure with MCC38$33,096-50%$12,240
884 Organic Disturbances and Intellectual Disability36$19,997-68%$14,134
309 Cardiac Arrhythmia and Conduction Disorders with CC35$19,339-46%$6,391
377 Gastrointestinal Hemorrhage with MCC34$51,282-40%$14,769
853 Infectious and Parasitic Diseases with O.R. Procedures with...34$124,328-46%$40,922
189 Pulmonary Edema and Respiratory Failure32$25,328-56%$10,248
193 Simple Pneumonia and Pleurisy with MCC31$28,029-53%$10,918
287 Circulatory Disorders except AMI, with Cardiac...30$48,347-24%$10,521
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...30$23,666-41%$6,486
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC29$24,038-51%$8,637
378 Gastrointestinal Hemorrhage with CC27$31,870-34%$8,253
683 Renal Failure with CC25$27,835-32%$7,615
243 Permanent Cardiac Pacemaker Implant with CC24$77,007-31%$19,800
308 Cardiac Arrhythmia and Conduction Disorders with MCC24$30,781-46%$10,277
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...24$31,306-48%$10,879
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...23$20,451-45%$6,692
312 Syncope and Collapse22$28,474-37%$7,366
690 Kidney and Urinary Tract Infections without MCC22$19,884-47%$6,634
432 Cirrhosis and Alcoholic Hepatitis with MCC21$32,731-66%$15,783
481 Hip and Femur Procedures except Major Joint with CC21$60,725-40%$17,017
638 Diabetes with CC20$17,754-57%$7,439
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...19$33,028-41%$8,391
470 Major Hip and Knee Joint Replacement or Reattachment of...19$106,947+15%$17,995
522 Hip Replacement with Principal Diagnosis of Hip Fracture...19$89,247-13%$17,356
281 Acute Myocardial Infarction, Discharged Alive with CC18$32,155-36%$8,824
812 Red Blood Cell Disorders without MCC18$27,783-37%$7,514
286 Circulatory Disorders except AMI, with Cardiac...17$59,489-47%$17,905
064 Intracranial Hemorrhage or Cerebral Infarction with MCC16$52,383-48%$16,374
178 Respiratory Infections and Inflammations with CC16$28,628-37%$8,213
389 Gastrointestinal Obstruction with CC16$25,542-34%$6,620
689 Kidney and Urinary Tract Infections with MCC16$27,702-46%$9,645
191 Chronic Obstructive Pulmonary Disease with CC15$22,971-42%$7,026
208 Respiratory System Diagnosis with Ventilator Support <=96...15$69,152-49%$22,071
637 Diabetes with MCC15$31,383-53%$11,771
100 Seizures with MCC14$39,232-58%$16,115
305 Hypertension without MCC14$28,820-28%$7,922
480 Hip and Femur Procedures except Major Joint with MCC14$82,541-41%$24,125
813 Coagulation Disorders14$54,516-32%$15,252
190 Chronic Obstructive Pulmonary Disease with MCC12$28,445-44%$9,206
194 Simple Pneumonia and Pleurisy with CC12$22,792-41%$6,810
917 Poisoning and Toxic Effects of Drugs with MCC12$30,656-59%$13,134
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC11$16,126-44%$4,584
394 Other Digestive System Diagnoses with CC11$31,917-32%$8,517
698 Other Kidney and Urinary Tract Diagnoses with MCC11$52,005-29%$13,708

Outpatient services

Against the Ohio average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Southern Ohio Medical Center charged $49,225 on average, 23% less than the Ohio average of $64,290, and was paid $16,283 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Southern Ohio Medical Center charged $28,474 on average, 34% less than the Ohio average of $42,986, and was paid $10,607 against a state average of $10,652. For Respiratory Infections and Inflammations with MCC (DRG 177), Southern Ohio Medical Center charged $31,589 on average, 38% less than the Ohio average of $50,577, and was paid $13,733 against a state average of $13,102. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Southern Ohio Medical Center charged $38,359 on average, 33% less than the Ohio average of $57,170, and was paid $13,081 against a state average of $13,024. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,605 was 14% below the state average of $17,044. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,555 was 16% above the state average of $3,065. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,281 was 48% below the state average of $10,162. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $67,446 was 12% above the state average of $60,047.

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.