Toledo Hospital the: charges and Medicare payments

Toledo Hospital the reported 6,007 Medicare inpatient stays across 168 DRGs in 2024. Across them it charged 5.81 times what it was paid — among the higher ratios in Ohio, number 5 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: 445 stays at an average charge of $102,776, 14% above the national average. It also billed 9,429 outpatient services, charging 9.36 times what Medicare paid.

1Medicare inpatient stays 6,007
2Charge ÷ paid, inpatient 5.81×
3Rank in OH (highest ratio = 1) 5 of 104
4CMS price-transparency actions 0

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

Inpatient stays

For the 168 DRGs that can be compared with the national average, Toledo Hospital the charged more than the national average in 99 (59%). 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	445	$102,776	+14%	$17,031
291 Heart Failure and Shock with MCC	279	$69,364	+23%	$11,082
193 Simple Pneumonia and Pleurisy with MCC	176	$68,048	+14%	$11,832
853 Infectious and Parasitic Diseases with O.R. Procedures with...	136	$268,401	+17%	$45,628
177 Respiratory Infections and Inflammations with MCC	127	$78,134	+11%	$13,820
189 Pulmonary Edema and Respiratory Failure	111	$65,275	+13%	$10,880
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	107	$65,503	+18%	$8,501
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	105	$99,863	0%	$16,247
378 Gastrointestinal Hemorrhage with CC	88	$62,895	+30%	$8,687
309 Cardiac Arrhythmia and Conduction Disorders with CC	83	$37,949	+5%	$6,745
274 Percutaneous and Other Intracardiac Procedures without MCC	82	$131,774	-16%	$25,188
286 Circulatory Disorders except AMI, with Cardiac...	79	$122,171	+9%	$18,303
377 Gastrointestinal Hemorrhage with MCC	76	$102,220	+20%	$14,626
280 Acute Myocardial Infarction, Discharged Alive with MCC	75	$96,867	+28%	$13,352
025 Craniotomy and Endovascular Intracranial Procedures with MCC	68	$194,432	-16%	$32,446
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	67	$52,434	+7%	$8,911
322 Percutaneous Cardiovascular Procedures with Intraluminal...	64	$148,848	+30%	$16,187
682 Renal Failure with MCC	64	$69,203	+5%	$12,612
683 Renal Failure with CC	63	$45,310	+11%	$7,836
329 Major Small and Large Bowel Procedures with MCC	60	$220,416	+3%	$38,197
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	60	$46,373	+15%	$6,874
267 Endovascular Cardiac Valve Replacement and Supplement...	58	$190,129	-14%	$38,644
689 Kidney and Urinary Tract Infections with MCC	57	$56,789	+11%	$9,880
552 Medical Back Problems without MCC	56	$53,089	+9%	$9,277
690 Kidney and Urinary Tract Infections without MCC	56	$49,245	+30%	$6,570
481 Hip and Femur Procedures except Major Joint with CC	55	$110,636	+10%	$16,334
023 Craniotomy with Major Device Implant or Acute Complex Cns...	51	$195,482	-30%	$43,227
321 Percutaneous Cardiovascular Procedures with Intraluminal...	49	$190,097	+16%	$25,951
698 Other Kidney and Urinary Tract Diagnoses with MCC	48	$73,583	0%	$12,946
266 Endovascular Cardiac Valve Replacement and Supplement...	47	$211,910	-26%	$47,950
603 Cellulitis without MCC	46	$46,456	+25%	$7,936
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	45	$71,503	+10%	$11,557
236 Coronary Bypass without Cardiac Catheterization without MCC	45	$196,222	-7%	$31,550
308 Cardiac Arrhythmia and Conduction Disorders with MCC	45	$53,528	-5%	$11,913
467 Revision of Hip or Knee Replacement with CC	45	$146,947	-7%	$29,523
208 Respiratory System Diagnosis with Ventilator Support <=96...	44	$143,462	+6%	$22,980
194 Simple Pneumonia and Pleurisy with CC	43	$51,533	+34%	$7,242
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	42	$278,402	+1%	$44,266
330 Major Small and Large Bowel Procedures with CC	42	$126,044	+6%	$19,869
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	42	$103,309	+1%	$16,629
870 Septicemia or Severe Sepsis with MV >96 Hours	41	$289,892	-10%	$54,892
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	40	$73,273	+22%	$10,903
234 Coronary Bypass with Cardiac Catheterization or Open...	39	$278,957	+4%	$41,378
233 Coronary Bypass with Cardiac Catheterization or Open...	38	$326,451	-15%	$60,107
253 Other Vascular Procedures with CC	38	$135,886	+3%	$20,449
312 Syncope and Collapse	38	$52,472	+15%	$7,631
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	38	$68,041	+11%	$11,665
460 Spinal Fusion except Cervical without MCC	38	$137,211	-19%	$32,213
314 Other Circulatory System Diagnoses with MCC	36	$107,363	+13%	$18,111
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	36	$225,296	+4%	$37,748
190 Chronic Obstructive Pulmonary Disease with MCC	35	$65,073	+29%	$10,308
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	35	$313,653	-21%	$61,744
480 Hip and Femur Procedures except Major Joint with MCC	35	$141,157	+2%	$23,137
638 Diabetes with CC	35	$46,457	+11%	$8,367
269 Aortic and Heart Assist Procedures except Pulsation Balloon...	34	$175,390	-9%	$32,498
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	34	$44,985	+21%	$7,044
039 Extracranial Procedures without CC/MCC	33	$82,005	+28%	$9,534
163 Major Chest Procedures with MCC	33	$207,725	-1%	$41,074
470 Major Hip and Knee Joint Replacement or Reattachment of...	33	$104,117	+12%	$15,775
101 Seizures without MCC	32	$49,469	+1%	$7,804

Showing the 60 most frequent of 168 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Intraocular Procedures	1,073	$12,856	$1,019
Comprehensive Observation Services	1,048	$33,515	$2,380
Level 5 Musculoskeletal Procedures	746	$60,949	$11,258
Level 1 Endovascular Procedures	548	$43,494	$2,815
Level 2 Urology and Related Services	537	$5,911	$598
Level 3 Urology and Related Services	494	$13,483	$1,686
Level 2 Excision/ Biopsy/ Incision and Drainage	473	$10,955	$1,425
Level 3 Vascular Procedures	284	$27,055	$2,741
Level 4 Musculoskeletal Procedures	272	$49,335	$6,182
Level 2 Intraocular Procedures	266	$19,786	$1,668
Level 2 Upper GI Procedures	259	$12,183	$1,642
Level 1 Laparoscopy and Related Services	212	$48,190	$5,039
Level 4 Urology and Related Services	204	$24,750	$3,030
Level 5 Urology and Related Services	199	$39,003	$4,546
Level 3 Endovascular Procedures	197	$85,546	$9,528
Level 3 Excision/ Biopsy/ Incision and Drainage	190	$20,073	$2,457
Level 3 Electrophysiologic Procedures	167	$117,805	$19,882
Level 2 Endovascular Procedures	153	$48,666	$4,998
Level 6 Musculoskeletal Procedures	149	$86,753	$15,201
Level 2 Laparoscopy and Related Services	130	$73,651	$8,838
Level 4 Airway Endoscopy	120	$21,201	$3,211
Level 3 Pacemaker and Similar Procedures	120	$41,252	$9,068
Level 3 Extraocular, Repair, and Plastic Eye Procedures	117	$19,973	$850
Level 4 Vascular Procedures	114	$46,118	$3,952
Level 4 Gynecologic Procedures	107	$21,566	$2,709

Against the Ohio average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Toledo Hospital the charged $102,776 on average, 60% more than the Ohio average of $64,290, and was paid $17,031 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Toledo Hospital the charged $69,364 on average, 61% more than the Ohio average of $42,986, and was paid $11,082 against a state average of $10,652. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Toledo Hospital the charged $68,048 on average, 64% more than the Ohio average of $41,598, and was paid $11,832 against a state average of $10,716. For Infectious and Parasitic Diseases with O.R. Procedures with MCC (DRG 853), Toledo Hospital the charged $268,401 on average, 58% more than the Ohio average of $169,506, and was paid $45,628 against a state average of $40,962. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,856 was 21% above the state average of $10,597. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $33,515 was 97% above the state average of $17,044. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $60,949 was 4% above the state average of $58,420. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $43,494 was 87% above the state average of $23,255.

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.