Cleveland Clinic Avon Hospital
Cleveland Clinic Avon Hospital in Avon, Ohio charges 4.5x the Medicare reimbursement rate across 52 analyzed procedures, representing a significant markup for this nonprofit healthcare facility.
Avon, OH 44011 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Pricing grade
C
Average
Avg markup vs Medicare
4.54x
Charge / Medicare rate
Max markup
6.55x
Worst procedure
Procedures analyzed
52
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 |
|---|---|---|---|---|---|
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $19,884 | $9,942 | — | 6.6x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $27,047 | $13,524 | — | 6.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $23,895 | $11,947 | — | 6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $60,423 | $30,212 | — | 5.7x |
| ENDOCRINE DISORDERS WITH CC | 644 | $25,646 | $12,823 | — | 5.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $18,319 | $9,159 | — | 5.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $18,736 | $9,368 | — | 5.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $26,592 | $13,296 | — | 5.4x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $17,128 | $8,564 | — | 5.3x |
| DIABETES WITH CC | 638 | $19,400 | $9,700 | — | 5.2x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $38,414 | $19,207 | — | 5.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $25,528 | $12,764 | — | 5.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $29,930 | $14,965 | — | 5.1x |
| RENAL FAILURE WITH CC | 683 | $21,363 | $10,681 | — | 5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $30,788 | $15,394 | — | 5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $48,537 | $24,268 | — | 4.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $23,238 | $11,619 | — | 4.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $23,448 | $11,724 | — | 4.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $46,955 | $23,477 | — | 4.8x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $21,607 | $10,804 | — | 4.8x |
| HYPERTENSION WITHOUT MCC | 305 | $16,605 | $8,303 | — | 4.8x |
| SYNCOPE AND COLLAPSE | 312 | $22,339 | $11,170 | — | 4.7x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $20,693 | $10,347 | — | 4.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $18,019 | $9,009 | — | 4.7x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $20,947 | $10,473 | — | 4.7x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $30,352 | $15,176 | — | 4.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $42,753 | $21,376 | — | 4.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $40,790 | $20,395 | — | 4.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $25,285 | $12,642 | — | 4.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $46,676 | $23,338 | — | 4.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $33,670 | $16,835 | — | 4.4x |
| CELLULITIS WITHOUT MCC | 603 | $16,387 | $8,194 | — | 4.4x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $31,349 | $15,675 | — | 4.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $27,497 | $13,748 | — | 4.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $21,053 | $10,527 | — | 4.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $16,014 | $8,007 | — | 4.1x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $39,165 | $19,583 | — | 4x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $44,777 | $22,389 | — | 4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $17,878 | $8,939 | — | 4x |
| CELLULITIS WITH MCC | 602 | $27,462 | $13,731 | — | 4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $23,405 | $11,702 | — | 3.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $25,654 | $12,827 | — | 3.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $25,939 | $12,970 | — | 3.8x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $27,732 | $13,866 | — | 3.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $37,339 | $18,670 | — | 3.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $23,693 | $11,846 | — | 3.5x |
| RENAL FAILURE WITH MCC | 682 | $27,680 | $13,840 | — | 3.5x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $18,021 | $9,011 | — | 3.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $29,043 | $14,521 | — | 3.3x |
| DIGESTIVE MALIGNANCY WITH MCC | 374 | $32,602 | $16,301 | — | 3.3x |
Showing 50 of 52 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