Insight Hospital and Medical Center Trumbull
INSIGHT HOSPITAL AND MEDICAL CENTER TRUMBULL in Warren, OH charges 7.5x the Medicare reimbursement rate across 30 analyzed procedures, reflecting this for-profit facility's pricing structure.
Warren, OH 44482 · Acute Care Hospitals · CMS Rating: 2/5
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 — for-profit
For-profit hospitals in our dataset demonstrate distinct billing patterns, with 628 facilities showing an average markup of 7.8 times Medicare rates. These hospitals typically maintain higher charge structures across most service categories compared to non-profit and government facilities. Common patterns include substantial charges above benchmark rates for emergency services, surgical procedures, and diagnostic imaging. Patients should be aware that initial bills from for-profit hospitals often reflect chargemaster rates rather than negotiated insurance amounts. The billing structure frequently includes separate charges for facility fees, physician services, and ancillary services that may appear as multiple line items. Before receiving care, patients can request cost estimates and inquire about financial assistance programs, which are federally required at all hospital types. Understanding that insurance negotiations typically result in significantly lower actual payments than initial charges can help patients navigate the billing process more effectively when receiving care at for-profit facilities.
Pricing grade
D
High
Avg markup vs Medicare
7.48x
Charge / Medicare rate
Max markup
10.82x
Worst procedure
Procedures analyzed
30
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 |
|---|---|---|---|---|---|
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $44,351 | $22,175 | — | 10.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $55,563 | $27,782 | — | 10.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $128,278 | $64,139 | — | 10.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $55,954 | $27,977 | — | 9.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $181,171 | $90,585 | — | 9.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $61,297 | $30,649 | — | 9.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $26,152 | $13,076 | — | 9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $70,902 | $35,451 | — | 8.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $37,479 | $18,739 | — | 8.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $38,827 | $19,413 | — | 8.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $36,772 | $18,386 | — | 8.1x |
| SYNCOPE AND COLLAPSE | 312 | $41,565 | $20,782 | — | 8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $80,257 | $40,129 | — | 7.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $31,769 | $15,885 | — | 7.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $40,312 | $20,156 | — | 7.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $254,775 | $127,387 | — | 7.4x |
| RENAL FAILURE WITH CC | 683 | $37,876 | $18,938 | — | 7.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $61,856 | $30,928 | — | 7.1x |
| CELLULITIS WITHOUT MCC | 603 | $36,998 | $18,499 | — | 6.9x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $85,669 | $42,835 | — | 6.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $52,294 | $26,147 | — | 6.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $54,322 | $27,161 | — | 6.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $76,230 | $38,115 | — | 6.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $83,119 | $41,559 | — | 6.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $66,709 | $33,354 | — | 5.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $44,150 | $22,075 | — | 5.8x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $107,512 | $53,756 | — | 5.6x |
| RENAL FAILURE WITH MCC | 682 | $53,871 | $26,936 | — | 5.6x |
| PSYCHOSES | 885 | $31,543 | $15,772 | — | 4.2x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $36,814 | $18,407 | — | 3.8x |
How INSIGHT HOSPITAL AND MEDICAL CENTER TRUMBULL 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.
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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