39/100
#1,606 nationally
Adena Regional Medical Center
272 Hospital Road, Chillicothe, OH 45601 · (740) 779-7500
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Adena Regional Medical Center billed $5.35 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.3x
- volume-weighted across all its priced work
- Procedures priced
- 86
- inpatient and outpatient combined
- Rank in OH
- #92
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 38% of U.S. hospitals.
Better than 32% of U.S. hospitals.
Better than 45% of U.S. hospitals.
Better than 40% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
366 | $2,289 | $594 | -27% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
314 | $67,861 | $15,283 | +4% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
234 | $13,630 | $2,355 | -30% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
149 | $10,181 | $1,412 | about average |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
143 | $7,529 | $1,783 | -42% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
116 | $36,704 | $4,498 | +34% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
100 | $47,166 | $10,444 | +9% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
99 | $13,846 | $1,396 | +23% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
97 | $27,772 | $2,751 | +10% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
87 | $51,361 | $12,535 | -16% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 5 Airway Endoscopy
APC 5155 · Hospital outpatient visit |
$82,394 | $5,991 | +114% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$140,042 | $16,279 | +69% |
|
Level 2 Laparoscopy and Related Services
APC 5362 · Hospital outpatient visit |
$95,720 | $8,515 | +60% |
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$37,050 | $3,028 | +59% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$122,585 | $14,753 | +53% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$29,396 | $2,755 | +44% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$49,847 | $5,003 | +44% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$48,476 | $5,051 | +38% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$7,529 | $1,783 | -42% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without Major
MS-DRG 897 · Inpatient stay |
$19,601 | $6,919 | -40% |
|
Back Problems (without major complications)
MS-DRG 552 · Inpatient stay |
$24,451 | $7,766 | -37% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$87,206 | $20,738 | -34% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$30,044 | $9,078 | -34% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$51,121 | $14,642 | -33% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$21,089 | $6,437 | -33% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
$27,816 | $6,584 | -33% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.