Ashtabula County Medical Center
ASHTABULA COUNTY MEDICAL CENTER in Ashtabula, OH charges 3.3x the Medicare reimbursement rate on average, based on analysis of 33 standard procedures at this nonprofit hospital.
Ashtabula, OH 44004 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
C
Average
Avg markup vs Medicare
3.32x
Charge / Medicare rate
Max markup
4.81x
Worst procedure
Procedures analyzed
33
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $21,691 | $10,845 | — | 4.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $13,048 | $6,524 | — | 4.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $54,611 | $27,305 | — | 4.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $19,430 | $9,715 | — | 4.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $25,867 | $12,933 | — | 4.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $24,625 | $12,312 | — | 4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $24,414 | $12,207 | — | 4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $17,474 | $8,737 | — | 3.8x |
| HYPERTENSION WITHOUT MCC | 305 | $18,761 | $9,380 | — | 3.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $23,947 | $11,974 | — | 3.7x |
| RENAL FAILURE WITH CC | 683 | $22,041 | $11,020 | — | 3.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $17,925 | $8,963 | — | 3.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $30,777 | $15,389 | — | 3.6x |
| SYNCOPE AND COLLAPSE | 312 | $19,765 | $9,883 | — | 3.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $50,150 | $25,075 | — | 3.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $18,593 | $9,296 | — | 3.5x |
| DIABETES WITH CC | 638 | $19,721 | $9,861 | — | 3.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $23,381 | $11,690 | — | 3.3x |
| RENAL FAILURE WITH MCC | 682 | $36,082 | $18,041 | — | 3.2x |
| CELLULITIS WITHOUT MCC | 603 | $17,060 | $8,530 | — | 3.2x |
| CELLULITIS WITH MCC | 602 | $32,375 | $16,187 | — | 3.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $24,455 | $12,228 | — | 3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $15,813 | $7,907 | — | 2.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $21,342 | $10,671 | — | 2.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $30,458 | $15,229 | — | 2.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $22,097 | $11,048 | — | 2.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $21,634 | $10,817 | — | 2.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $32,854 | $16,427 | — | 2.5x |
| DEPRESSIVE NEUROSES | 881 | $13,673 | $6,836 | — | 2.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $33,799 | $16,899 | — | 2.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $18,101 | $9,050 | — | 2.4x |
| PSYCHOSES | 885 | $19,126 | $9,563 | — | 2.3x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $24,193 | $12,096 | — | 2.1x |
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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