Firelands Regional Medical Center
FIRELANDS REGIONAL MEDICAL CENTER in Sandusky, Ohio charges 4.7x the Medicare reimbursement rate on average across 54 analyzed procedures at this nonprofit hospital.
Sandusky, OH 44870 · 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
4.7x
Charge / Medicare rate
Max markup
7.37x
Worst procedure
Procedures analyzed
54
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 |
|---|---|---|---|---|---|
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $21,365 | $10,682 | — | 7.4x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $23,952 | $11,976 | — | 7.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $17,600 | $8,800 | — | 6.9x |
| GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | 379 | $13,232 | $6,616 | — | 6.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $26,767 | $13,383 | — | 6.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $23,320 | $11,660 | — | 6.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $31,383 | $15,692 | — | 6.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $17,541 | $8,770 | — | 6.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $18,209 | $9,104 | — | 6.2x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $50,776 | $25,388 | — | 6.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $43,748 | $21,874 | — | 6.1x |
| RENAL FAILURE WITH CC | 683 | $18,498 | $9,249 | — | 5.8x |
| HYPERTENSION WITHOUT MCC | 305 | $15,487 | $7,743 | — | 5.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | 192 | $10,952 | $5,476 | — | 5.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $47,044 | $23,522 | — | 5.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $21,388 | $10,694 | — | 5.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $16,683 | $8,341 | — | 5.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $15,225 | $7,612 | — | 5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $24,535 | $12,267 | — | 4.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $16,313 | $8,157 | — | 4.9x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $23,882 | $11,941 | — | 4.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $20,343 | $10,171 | — | 4.8x |
| RENAL FAILURE WITH MCC | 682 | $28,170 | $14,085 | — | 4.7x |
| DIABETES WITH CC | 638 | $18,135 | $9,067 | — | 4.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $13,982 | $6,991 | — | 4.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $23,983 | $11,991 | — | 4.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $60,393 | $30,197 | — | 4.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $50,023 | $25,012 | — | 4.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $15,316 | $7,658 | — | 4.5x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $15,899 | $7,949 | — | 4.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $18,744 | $9,372 | — | 4.4x |
| CELLULITIS WITHOUT MCC | 603 | $17,570 | $8,785 | — | 4.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $23,985 | $11,992 | — | 4.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $20,441 | $10,221 | — | 4.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $72,235 | $36,118 | — | 4.3x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $14,614 | $7,307 | — | 4.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $36,440 | $18,220 | — | 4.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $21,902 | $10,951 | — | 4x |
| SYNCOPE AND COLLAPSE | 312 | $15,923 | $7,962 | — | 3.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $9,092 | $4,546 | — | 3.9x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $26,339 | $13,169 | — | 3.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $33,117 | $16,558 | — | 3.9x |
| SEIZURES WITHOUT MCC | 101 | $15,414 | $7,707 | — | 3.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $18,870 | $9,435 | — | 3.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $24,260 | $12,130 | — | 3.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $36,465 | $18,233 | — | 3.6x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $16,774 | $8,387 | — | 3.6x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $40,548 | $20,274 | — | 3.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $15,812 | $7,906 | — | 3.3x |
| DEPRESSIVE NEUROSES | 881 | $10,866 | $5,433 | — | 3.1x |
Showing 50 of 54 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