Adena Regional Medical Center
ADENA REGIONAL MEDICAL CENTER in Chillicothe, OH charges 5.9x the Medicare reimbursement rate on average across 48 analyzed procedures at this nonprofit-private hospital.
Chillicothe, OH 45601 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
D
High
Avg markup vs Medicare
5.88x
Charge / Medicare rate
Max markup
11.07x
Worst procedure
Procedures analyzed
48
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $139,854 | $69,927 | — | 11.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $196,796 | $98,398 | — | 8.5x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $154,116 | $77,058 | — | 7.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $53,399 | $26,699 | — | 7.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $93,145 | $46,572 | — | 7.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $40,049 | $20,025 | — | 7.1x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $107,047 | $53,523 | — | 7.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $95,162 | $47,581 | — | 6.9x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $38,705 | $19,353 | — | 6.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $140,342 | $70,171 | — | 6.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $32,102 | $16,051 | — | 6.7x |
| CELLULITIS WITHOUT MCC | 603 | $36,310 | $18,155 | — | 6.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $60,112 | $30,056 | — | 6.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $291,632 | $145,816 | — | 6.6x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $79,018 | $39,509 | — | 6.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $135,473 | $67,737 | — | 6.4x |
| RENAL FAILURE WITH CC | 683 | $37,238 | $18,619 | — | 6.4x |
| DIABETES WITH MCC | 637 | $54,263 | $27,132 | — | 6.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $38,278 | $19,139 | — | 6.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $72,175 | $36,087 | — | 6.2x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $113,145 | $56,573 | — | 6.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $31,093 | $15,546 | — | 6.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $84,047 | $42,023 | — | 6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $37,519 | $18,760 | — | 6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $61,878 | $30,939 | — | 5.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $42,439 | $21,219 | — | 5.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $37,505 | $18,753 | — | 5.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $45,808 | $22,904 | — | 5.6x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $65,230 | $32,615 | — | 5.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $178,262 | $89,131 | — | 5.4x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $34,786 | $17,393 | — | 5.3x |
| RENAL FAILURE WITH MCC | 682 | $50,078 | $25,039 | — | 5.2x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $47,279 | $23,639 | — | 5.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $168,780 | $84,390 | — | 5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $23,996 | $11,998 | — | 5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $40,956 | $20,478 | — | 4.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $33,974 | $16,987 | — | 4.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $21,991 | $10,995 | — | 4.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $61,088 | $30,544 | — | 4.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $61,146 | $30,573 | — | 4.7x |
| SYNCOPE AND COLLAPSE | 312 | $25,339 | $12,669 | — | 4.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $27,328 | $13,664 | — | 4.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $29,524 | $14,762 | — | 4.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $38,846 | $19,423 | — | 4.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $64,854 | $32,427 | — | 4.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $48,022 | $24,011 | — | 3.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $43,038 | $21,519 | — | 3.8x |
| PSYCHOSES | 885 | $32,956 | $16,478 | — | 3.7x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use