Ohio / University of Toledo Medical Center
CMS certification 360048 · Toledo, OH · 2 entries in CMS's price-transparency list
University of Toledo Medical Center: charges and Medicare payments
University of Toledo Medical Center reported 1,134 Medicare inpatient stays across 47 DRGs in 2024. Across them it charged 4.58 times what it was paid — among the higher ratios in Ohio, number 33 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: 117 stays at an average charge of $79,713, 12% below the national average. It also billed 1,720 outpatient services, charging 8.11 times what Medicare paid.
- 1Medicare inpatient stays 1,134
- 2Charge ÷ paid, inpatient 4.58×
- 3Rank in OH (highest ratio = 1) 33 of 104
- 4CMS price-transparency actions 2
Inpatient stays
For the 47 DRGs that can be compared with the national average, University of Toledo Medical Center charged more than the national average in 13 (28%). 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 | 117 | $79,713 | -12% | $20,943 |
| 652 Kidney Transplant | 66 | $313,679 | -7% | $52,410 |
| 291 Heart Failure and Shock with MCC | 62 | $51,579 | -9% | $14,022 |
| 193 Simple Pneumonia and Pleurisy with MCC | 43 | $53,024 | -11% | $14,489 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 39 | $55,783 | -24% | $16,987 |
| 177 Respiratory Infections and Inflammations with MCC | 35 | $65,231 | -8% | $17,941 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 35 | $86,034 | +13% | $17,792 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 35 | $72,227 | +52% | $12,169 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 29 | $48,944 | 0% | $11,482 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 28 | $89,235 | -21% | $22,372 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 27 | $18,640 | -50% | $10,465 |
| 481 Hip and Femur Procedures except Major Joint with CC | 26 | $122,602 | +22% | $21,594 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $31,699 | -14% | $9,043 |
| 378 Gastrointestinal Hemorrhage with CC | 24 | $52,111 | +7% | $11,454 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 24 | $29,995 | -25% | $8,786 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $48,886 | -5% | $13,950 |
| 682 Renal Failure with MCC | 23 | $63,446 | -4% | $15,623 |
| 683 Renal Failure with CC | 23 | $25,738 | -37% | $9,745 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 23 | $217,286 | -5% | $50,567 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 22 | $28,374 | -21% | $8,724 |
| 312 Syncope and Collapse | 21 | $48,205 | +6% | $9,958 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $71,719 | +19% | $15,057 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 18 | $49,432 | -11% | $10,883 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $65,020 | +13% | $14,493 |
| 637 Diabetes with MCC | 18 | $93,151 | +40% | $17,594 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 17 | $130,062 | -4% | $26,695 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $104,648 | +23% | $22,229 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 17 | $134,426 | +99% | $16,863 |
| 650 Kidney Transplant with Hemodialysis with MCC | 16 | $363,446 | -13% | $45,682 |
| 690 Kidney and Urinary Tract Infections without MCC | 16 | $32,705 | -14% | $9,785 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 15 | $46,212 | -24% | $12,566 |
| 638 Diabetes with CC | 15 | $39,185 | -6% | $10,409 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 14 | $78,401 | -21% | $20,290 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $45,550 | -20% | $12,813 |
| 329 Major Small and Large Bowel Procedures with MCC | 14 | $245,125 | +14% | $51,759 |
| 389 Gastrointestinal Obstruction with CC | 14 | $30,580 | -21% | $9,350 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 14 | $119,500 | +17% | $21,983 |
| 552 Medical Back Problems without MCC | 14 | $37,903 | -22% | $10,256 |
| 603 Cellulitis without MCC | 14 | $34,388 | -8% | $9,641 |
| 071 Other Cerebrovascular Disorders with CC | 13 | $41,618 | -18% | $11,857 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 13 | $264,413 | -18% | $66,183 |
| 070 Other Cerebrovascular Disorders with MCC | 12 | $69,542 | -9% | $18,861 |
| 100 Seizures with MCC | 12 | $73,032 | -23% | $19,136 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 12 | $114,951 | -27% | $27,997 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $155,140 | -5% | $28,019 |
| 811 Red Blood Cell Disorders with MCC | 12 | $47,574 | -30% | $13,524 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $56,472 | +12% | $12,603 |
Outpatient services
Against the Ohio average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), University of Toledo Medical Center charged $79,713 on average, 24% more than the Ohio average of $64,290, and was paid $20,943 against a state average of $15,664. For Kidney Transplant (DRG 652), University of Toledo Medical Center charged $313,679 on average, 15% more than the Ohio average of $272,401, and was paid $52,410 against a state average of $44,062. For Heart Failure and Shock with MCC (DRG 291), University of Toledo Medical Center charged $51,579 on average, 20% more than the Ohio average of $42,986, and was paid $14,022 against a state average of $10,652. For Simple Pneumonia and Pleurisy with MCC (DRG 193), University of Toledo Medical Center charged $53,024 on average, 27% more than the Ohio average of $41,598, and was paid $14,489 against a state average of $10,716. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $3,424 was 12% above the state average of $3,065. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $21,576 was 27% above the state average of $17,044. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $14,203 was 26% above the state average of $11,228. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,883 was 17% above the state average of $10,162.
Price-transparency record
CMS's enforcement list records these actions for a hospital named University of Toledo Medical Center in Toledo, OH, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-03-07 (CMS case 3237)
- Closure Notice — 2025-03-20 (CMS case 3237)
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.