Hmhp St Elizabeth Boardman Health Center
HMHP St Elizabeth Boardman Health Center in Boardman, OH charges 5.4x the Medicare reimbursement rate across 63 analyzed procedures at this nonprofit-religious hospital.
Boardman, OH 44512 · 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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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
D
High
Avg markup vs Medicare
5.41x
Charge / Medicare rate
Max markup
10.79x
Worst procedure
Procedures analyzed
63
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 |
|---|---|---|---|---|---|
| RESPIRATORY SIGNS AND SYMPTOMS | 204 | $36,297 | $18,149 | — | 10.8x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $50,378 | $25,189 | — | 8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $34,040 | $17,020 | — | 8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $29,231 | $14,616 | — | 7.6x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 809 | $60,414 | $30,207 | — | 7.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $27,532 | $13,766 | — | 7.3x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $31,284 | $15,642 | — | 6.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $17,071 | $8,535 | — | 6.8x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $31,820 | $15,910 | — | 6.8x |
| CHEST PAIN | 313 | $24,899 | $12,450 | — | 6.7x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $34,721 | $17,360 | — | 6.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $25,301 | $12,651 | — | 6.4x |
| COAGULATION DISORDERS | 813 | $62,711 | $31,355 | — | 6.3x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $21,092 | $10,546 | — | 6.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $34,266 | $17,133 | — | 6.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $23,951 | $11,975 | — | 6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $73,398 | $36,699 | — | 6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $34,716 | $17,358 | — | 5.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $52,020 | $26,010 | — | 5.8x |
| SYNCOPE AND COLLAPSE | 312 | $26,381 | $13,191 | — | 5.8x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $30,786 | $15,393 | — | 5.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $26,767 | $13,383 | — | 5.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $31,830 | $15,915 | — | 5.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $39,130 | $19,565 | — | 5.7x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $32,421 | $16,210 | — | 5.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $71,546 | $35,773 | — | 5.7x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $65,887 | $32,943 | — | 5.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $38,817 | $19,408 | — | 5.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $39,974 | $19,987 | — | 5.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $15,139 | $7,569 | — | 5.5x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $23,810 | $11,905 | — | 5.4x |
| RENAL FAILURE WITH CC | 683 | $25,726 | $12,863 | — | 5.3x |
| RENAL FAILURE WITH MCC | 682 | $43,553 | $21,776 | — | 5.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $49,264 | $24,632 | — | 5.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $69,312 | $34,656 | — | 5.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $30,974 | $15,487 | — | 5.2x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $60,923 | $30,461 | — | 5.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $35,725 | $17,863 | — | 5.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $20,905 | $10,452 | — | 5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $56,777 | $28,388 | — | 5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $52,661 | $26,330 | — | 4.8x |
| DIABETES WITH CC | 638 | $22,895 | $11,447 | — | 4.8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $23,024 | $11,512 | — | 4.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $34,496 | $17,248 | — | 4.6x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $18,057 | $9,029 | — | 4.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $107,430 | $53,715 | — | 4.5x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $39,866 | $19,933 | — | 4.5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $31,699 | $15,849 | — | 4.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $22,303 | $11,152 | — | 4.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $26,271 | $13,136 | — | 4.4x |
Showing 50 of 63 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