Atrium Medical Center
ATRIUM MEDICAL CENTER in Franklin, OH charges 5.8x the Medicare reimbursement rate across 53 analyzed procedures, reflecting the pricing structure at this nonprofit-private hospital.
Franklin, OH 45005 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
D
High
Avg markup vs Medicare
5.76x
Charge / Medicare rate
Max markup
8.91x
Worst procedure
Procedures analyzed
53
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 |
|---|---|---|---|---|---|
| HYPERTENSION WITHOUT MCC | 305 | $32,067 | $16,034 | — | 8.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $24,690 | $12,345 | — | 8.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $44,848 | $22,424 | — | 8.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $49,083 | $24,542 | — | 8.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $35,068 | $17,534 | — | 7.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $32,836 | $16,418 | — | 7.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $49,915 | $24,958 | — | 7.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $83,997 | $41,998 | — | 7.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $40,277 | $20,139 | — | 7.1x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $30,887 | $15,444 | — | 7.1x |
| CHEST PAIN | 313 | $26,282 | $13,141 | — | 6.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $82,223 | $41,112 | — | 6.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $58,486 | $29,243 | — | 6.7x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $35,044 | $17,522 | — | 6.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $192,433 | $96,217 | — | 6.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $32,361 | $16,180 | — | 6.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $28,482 | $14,241 | — | 6.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $83,568 | $41,784 | — | 6.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $128,953 | $64,476 | — | 6.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $58,427 | $29,214 | — | 6.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $37,489 | $18,744 | — | 6.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $25,900 | $12,950 | — | 6.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $74,806 | $37,403 | — | 5.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $42,388 | $21,194 | — | 5.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $77,356 | $38,678 | — | 5.8x |
| SYNCOPE AND COLLAPSE | 312 | $26,908 | $13,454 | — | 5.7x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $74,720 | $37,360 | — | 5.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $45,246 | $22,623 | — | 5.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $37,919 | $18,959 | — | 5.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $65,658 | $32,829 | — | 5.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $41,354 | $20,677 | — | 5.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $42,296 | $21,148 | — | 5.4x |
| RENAL FAILURE WITH CC | 683 | $27,481 | $13,741 | — | 5.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $40,662 | $20,331 | — | 5.4x |
| CELLULITIS WITHOUT MCC | 603 | $26,526 | $13,263 | — | 5.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $23,148 | $11,574 | — | 5.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $140,527 | $70,263 | — | 5x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $25,780 | $12,890 | — | 5x |
| DIABETES WITH MCC | 637 | $33,348 | $16,674 | — | 4.9x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $23,696 | $11,848 | — | 4.9x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $29,623 | $14,812 | — | 4.7x |
| MEDICAL BACK PROBLEMS WITH MCC | 551 | $48,157 | $24,079 | — | 4.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $28,312 | $14,156 | — | 4.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $40,676 | $20,338 | — | 4.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $48,710 | $24,355 | — | 4.4x |
| RENAL FAILURE WITH MCC | 682 | $40,246 | $20,123 | — | 4.3x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $33,213 | $16,607 | — | 4x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $65,475 | $32,738 | — | 4x |
| SEIZURES WITH MCC | 100 | $38,973 | $19,487 | — | 3.7x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $31,066 | $15,533 | — | 3.5x |
Showing 50 of 53 procedures
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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