Ohio / Wooster Community Hospital
CMS certification 360036 · Wooster, OH
Wooster Community Hospital: charges and Medicare payments
Wooster Community Hospital reported 608 Medicare inpatient stays across 30 DRGs in 2024. Across them it charged 2.28 times what it was paid — among the lower ratios in Ohio, number 91 of 104 hospitals with at least 100 stays (state median 4.01×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 76 stays at an average charge of $17,471, 69% below the national average. It also billed 865 outpatient services, charging 4.62 times what Medicare paid.
- 1Medicare inpatient stays 608
- 2Charge ÷ paid, inpatient 2.28×
- 3Rank in OH (highest ratio = 1) 91 of 104
- 4CMS price-transparency actions 0
Inpatient stays
For the 30 DRGs that can be compared with the national average, Wooster Community Hospital 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 76 | $17,471 | -69% | $8,451 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 60 | $25,156 | -72% | $12,392 |
| 177 Respiratory Infections and Inflammations with MCC | 36 | $24,485 | -65% | $10,336 |
| 690 Kidney and Urinary Tract Infections without MCC | 28 | $12,915 | -66% | $5,596 |
| 378 Gastrointestinal Hemorrhage with CC | 26 | $18,589 | -62% | $7,020 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $16,136 | -69% | $7,662 |
| 193 Simple Pneumonia and Pleurisy with MCC | 23 | $20,541 | -66% | $8,802 |
| 194 Simple Pneumonia and Pleurisy with CC | 22 | $13,896 | -64% | $5,894 |
| 603 Cellulitis without MCC | 22 | $11,172 | -70% | $6,212 |
| 683 Renal Failure with CC | 20 | $12,185 | -70% | $6,292 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 19 | $17,150 | -66% | $7,596 |
| 377 Gastrointestinal Hemorrhage with MCC | 18 | $24,173 | -72% | $11,036 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 18 | $11,861 | -68% | $5,533 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 16 | $17,411 | -77% | $9,641 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $22,163 | -60% | $7,426 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 15 | $10,973 | -70% | $5,304 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 13 | $15,919 | -68% | $6,159 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 13 | $38,971 | -58% | $12,750 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $32,503 | -68% | $13,547 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $22,783 | -62% | $8,938 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $14,984 | -69% | $7,199 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $27,781 | -52% | $9,312 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 12 | $11,126 | -72% | $6,010 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 12 | $62,027 | -46% | $20,142 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $32,434 | -68% | $15,401 |
| 682 Renal Failure with MCC | 12 | $26,793 | -59% | $9,963 |
| 884 Organic Disturbances and Intellectual Disability | 12 | $18,680 | -70% | $9,921 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 11 | $16,363 | -71% | $8,911 |
| 312 Syncope and Collapse | 11 | $17,059 | -63% | $6,664 |
| 552 Medical Back Problems without MCC | 11 | $16,457 | -66% | $6,589 |
Outpatient services
Against the Ohio average
For Heart Failure and Shock with MCC (DRG 291), Wooster Community Hospital charged $17,471 on average, 59% less than the Ohio average of $42,986, and was paid $8,451 against a state average of $10,652. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Wooster Community Hospital charged $25,156 on average, 61% less than the Ohio average of $64,290, and was paid $12,392 against a state average of $15,664. For Respiratory Infections and Inflammations with MCC (DRG 177), Wooster Community Hospital charged $24,485 on average, 52% less than the Ohio average of $50,577, and was paid $10,336 against a state average of $13,102. For Kidney and Urinary Tract Infections without MCC (DRG 690), Wooster Community Hospital charged $12,915 on average, 49% less than the Ohio average of $25,492, and was paid $5,596 against a state average of $6,811. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,215 was 46% below the state average of $17,044. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,322 was 48% below the state average of $10,162. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $14,357 was 38% below the state average of $23,255. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $11,766 was 56% below the state average of $26,980.
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.