Ohio / Uh Cleveland Medical Center

CMS certification 360137 · Cleveland, OH · 5 entries in CMS's price-transparency list

Uh Cleveland Medical Center: charges and Medicare payments

Uh Cleveland Medical Center reported 3,486 Medicare inpatient stays across 131 DRGs in 2024. Across them it charged 3.72 times what it was paid — mid-range in Ohio, number 62 of 104 hospitals with at least 100 stays (state median 4.01×, national 4.15×). Its most frequent stay was DRG 267, Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC: 161 stays at an average charge of $157,155, 29% below the national average. It also billed 3,868 outpatient services, charging 7.26 times what Medicare paid.

1Medicare inpatient stays 3,486
2Charge ÷ paid, inpatient 3.72×
3Rank in OH (highest ratio = 1) 62 of 104
4CMS price-transparency actions 5

Average charge per stay at Uh Cleveland Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 131 DRGs that can be compared with the national average, Uh Cleveland Medical Center charged more than the national average in 26 (20%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
267 Endovascular Cardiac Valve Replacement and Supplement...	161	$157,155	-29%	$44,950
274 Percutaneous and Other Intracardiac Procedures without MCC	161	$97,281	-38%	$30,545
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	117	$84,081	-7%	$22,661
291 Heart Failure and Shock with MCC	84	$54,266	-4%	$16,000
164 Major Chest Procedures with CC	80	$85,667	-33%	$25,284
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	71	$86,080	-14%	$21,724
481 Hip and Femur Procedures except Major Joint with CC	64	$95,678	-5%	$21,942
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	62	$291,331	-27%	$80,398
025 Craniotomy and Endovascular Intracranial Procedures with MCC	60	$169,580	-27%	$45,047
853 Infectious and Parasitic Diseases with O.R. Procedures with...	59	$261,252	+14%	$65,146
330 Major Small and Large Bowel Procedures with CC	53	$88,204	-26%	$25,647
101 Seizures without MCC	50	$48,707	0%	$10,899
266 Endovascular Cardiac Valve Replacement and Supplement...	49	$228,712	-20%	$64,067
177 Respiratory Infections and Inflammations with MCC	46	$67,380	-5%	$18,963
163 Major Chest Procedures with MCC	42	$157,005	-25%	$49,206
286 Circulatory Disorders except AMI, with Cardiac...	41	$112,156	0%	$27,780
698 Other Kidney and Urinary Tract Diagnoses with MCC	41	$82,559	+12%	$23,380
003 ECMO or Tracheostomy with MV >96 Hours or Principal...	38	$693,031	-34%	$206,278
193 Simple Pneumonia and Pleurisy with MCC	38	$64,083	+7%	$15,371
552 Medical Back Problems without MCC	37	$39,582	-19%	$11,557
699 Other Kidney and Urinary Tract Diagnoses with CC	37	$44,914	-5%	$11,968
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	36	$70,804	+17%	$17,864
236 Coronary Bypass without Cardiac Catheterization without MCC	35	$184,803	-12%	$42,039
690 Kidney and Urinary Tract Infections without MCC	35	$29,901	-21%	$9,717
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	34	$45,656	-18%	$12,344
235 Coronary Bypass without Cardiac Catheterization with MCC	34	$243,779	-17%	$63,699
054 Nervous System Neoplasms with MCC	33	$86,640	+12%	$20,003
280 Acute Myocardial Infarction, Discharged Alive with MCC	33	$63,993	-16%	$18,777
460 Spinal Fusion except Cervical without MCC	33	$118,705	-30%	$35,742
165 Major Chest Procedures without CC/MCC	32	$68,998	-33%	$18,204
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	32	$237,987	-14%	$59,087
314 Other Circulatory System Diagnoses with MCC	32	$59,218	-38%	$21,956
329 Major Small and Large Bowel Procedures with MCC	30	$222,007	+3%	$53,434
178 Respiratory Infections and Inflammations with CC	29	$89,350	+97%	$16,480
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	29	$31,616	-15%	$8,958
683 Renal Failure with CC	29	$40,680	0%	$11,201
378 Gastrointestinal Hemorrhage with CC	28	$40,946	-16%	$10,769
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	28	$98,466	-17%	$25,001
270 Other Major Cardiovascular Procedures with MCC	27	$245,990	-5%	$65,647
309 Cardiac Arrhythmia and Conduction Disorders with CC	27	$28,971	-20%	$8,990
327 Stomach, Esophageal and Duodenal Procedures with CC	26	$99,018	-22%	$25,170
454 Combined Anterior and Posterior Spinal Fusion with CC	26	$243,241	-13%	$59,567
682 Renal Failure with MCC	26	$66,794	+1%	$17,855
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	25	$38,774	-3%	$9,690
689 Kidney and Urinary Tract Infections with MCC	25	$48,754	-5%	$13,787
194 Simple Pneumonia and Pleurisy with CC	24	$49,940	+30%	$9,970
299 Peripheral Vascular Disorders with MCC	24	$52,946	-30%	$17,472
472 Cervical Spinal Fusion with CC	24	$107,107	-25%	$30,429
023 Craniotomy with Major Device Implant or Acute Complex Cns...	23	$142,441	-49%	$51,450
027 Craniotomy and Endovascular Intracranial Procedures without...	23	$100,058	-28%	$29,588
394 Other Digestive System Diagnoses with CC	23	$38,775	-18%	$11,467
083 Traumatic Stupor and Coma >1 Hour with CC	22	$50,802	-31%	$15,239
100 Seizures with MCC	22	$74,156	-21%	$20,654
809 Major Hematological and Immunological Diagnoses except...	22	$66,296	+6%	$15,072
812 Red Blood Cell Disorders without MCC	22	$44,756	+1%	$11,072
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	22	$86,746	+28%	$17,279
082 Traumatic Stupor and Coma >1 Hour with MCC	21	$74,296	-36%	$25,059
252 Other Vascular Procedures with MCC	21	$148,655	-13%	$41,790
253 Other Vascular Procedures with CC	21	$115,186	-13%	$27,289
315 Other Circulatory System Diagnoses with CC	21	$36,877	-23%	$11,444

Showing the 60 most frequent of 131 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 2 Excision/ Biopsy/ Incision and Drainage	396	$9,335	$1,053
Level 1 Intraocular Procedures	387	$11,872	$1,973
Comprehensive Observation Services	297	$15,991	$2,293
Level 3 Excision/ Biopsy/ Incision and Drainage	250	$15,128	$2,317
Level 4 Airway Endoscopy	187	$21,283	$3,016
Level 3 Urology and Related Services	177	$6,864	$1,562
Level 3 Electrophysiologic Procedures	152	$98,066	$19,736
Level 2 Upper GI Procedures	147	$10,904	$1,598
Level 3 Vascular Procedures	145	$21,293	$2,592
Level 2 Urology and Related Services	144	$2,792	$521
Level 1 Nerve Procedures	114	$9,695	$1,593
Level 5 Airway Endoscopy	102	$37,550	$5,752
Level 2 Intraocular Procedures	98	$19,922	$3,386
Level 1 Endovascular Procedures	89	$23,862	$2,696
Level 2 Laparoscopy and Related Services	83	$58,806	$8,698
Level 5 ENT Procedures	80	$40,552	$4,850
Level 1 Laparoscopy and Related Services	74	$30,989	$4,767
Level 5 Musculoskeletal Procedures	60	$57,677	$10,903
Level 3 Airway Endoscopy	59	$11,766	$1,153
Level 2 Musculoskeletal Procedures	56	$9,821	$1,333
Level 4 Vascular Procedures	51	$37,276	$4,618
Level 4 Musculoskeletal Procedures	50	$41,458	$6,107
Level 5 Urology and Related Services	50	$26,597	$4,417
Level 3 Endovascular Procedures	42	$52,092	$9,017
Level 4 Gynecologic Procedures	38	$14,140	$2,588

Against the Ohio average

For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Uh Cleveland Medical Center charged $157,155 on average, 10% less than the Ohio average of $175,426, and was paid $44,950 against a state average of $39,081. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), Uh Cleveland Medical Center charged $97,281 on average, 11% less than the Ohio average of $108,965, and was paid $30,545 against a state average of $25,887. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Uh Cleveland Medical Center charged $84,081 on average, 31% more than the Ohio average of $64,290, and was paid $22,661 against a state average of $15,664. For Heart Failure and Shock with MCC (DRG 291), Uh Cleveland Medical Center charged $54,266 on average, 26% more than the Ohio average of $42,986, and was paid $16,000 against a state average of $10,652. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,335 was 8% below the state average of $10,162. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $11,872 was 12% above the state average of $10,597. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,991 was 6% below the state average of $17,044. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $15,128 was 13% below the state average of $17,292.

Price-transparency record

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

Warning Notice — 2023-05-02 (CMS case 1194)
CAP Request — 2023-08-16 (CMS case 1194)
Closure Notice — 2023-12-01 (CMS case 1194)
Warning Notice — 2025-03-25 (CMS case 3340)
Closure Notice — 2025-04-03 (CMS case 3340)

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.