Bethesda North
BETHESDA NORTH in Cincinnati, OH charges 4.0x the Medicare reimbursement rate across 127 analyzed procedures, reflecting pricing patterns common among nonprofit-religious hospital systems.
Cincinnati, OH 45242 · 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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Billing patterns — nonprofit-religious
Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.
Pricing grade
C
Average
Avg markup vs Medicare
4.04x
Charge / Medicare rate
Max markup
8.6x
Worst procedure
Procedures analyzed
127
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 WITHOUT CC/MCC | 310 | $25,386 | $12,693 | — | 8.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $62,693 | $31,347 | — | 8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $29,376 | $14,688 | — | 7.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $25,020 | $12,510 | — | 6.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $40,149 | $20,075 | — | 6.7x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $62,912 | $31,456 | — | 6.7x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $83,883 | $41,941 | — | 6.6x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $37,340 | $18,670 | — | 6.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $69,501 | $34,750 | — | 6.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $100,689 | $50,345 | — | 6.1x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $76,584 | $38,292 | — | 5.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $31,921 | $15,961 | — | 5.6x |
| CHEST PAIN | 313 | $23,092 | $11,546 | — | 5.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $19,555 | $9,777 | — | 5.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $29,001 | $14,500 | — | 5.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $90,968 | $45,484 | — | 5.2x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $47,516 | $23,758 | — | 4.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $28,341 | $14,170 | — | 4.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $63,752 | $31,876 | — | 4.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $142,122 | $71,061 | — | 4.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $26,698 | $13,349 | — | 4.8x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $26,549 | $13,275 | — | 4.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $36,394 | $18,197 | — | 4.8x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $55,473 | $27,736 | — | 4.8x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $44,516 | $22,258 | — | 4.8x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $20,110 | $10,055 | — | 4.6x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $19,924 | $9,962 | — | 4.6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $24,502 | $12,251 | — | 4.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $26,267 | $13,134 | — | 4.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $44,937 | $22,469 | — | 4.5x |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $532,949 | $266,475 | — | 4.5x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $52,439 | $26,220 | — | 4.5x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $53,554 | $26,777 | — | 4.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $52,024 | $26,012 | — | 4.4x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | 492 | $90,277 | $45,139 | — | 4.4x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $58,632 | $29,316 | — | 4.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $49,837 | $24,919 | — | 4.3x |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $23,580 | $11,790 | — | 4.3x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $101,844 | $50,922 | — | 4.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $52,742 | $26,371 | — | 4.2x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $72,080 | $36,040 | — | 4.2x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $65,193 | $32,597 | — | 4.1x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $133,718 | $66,859 | — | 4.1x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $45,066 | $22,533 | — | 4.1x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | 273 | $111,111 | $55,555 | — | 4.1x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $106,641 | $53,321 | — | 4.1x |
| FRACTURES OF HIP AND PELVIS WITH MCC | 535 | $25,994 | $12,997 | — | 4.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $19,032 | $9,516 | — | 4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $18,083 | $9,041 | — | 4x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $50,085 | $25,042 | — | 4x |
Showing 50 of 127 procedures
How BETHESDA NORTH compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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.
FAQ — nonprofit-religious hospital billing
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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