Mercy Health-anderson Hospital
Mercy Health-Anderson Hospital in Cincinnati, OH charges 6.1x the Medicare reimbursement rate across 67 analyzed procedures, placing it among nonprofit hospitals with moderate pricing above the Medicare benchmark.
Cincinnati, OH 45255 · 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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Pricing grade
D
High
Avg markup vs Medicare
6.14x
Charge / Medicare rate
Max markup
10.11x
Worst procedure
Procedures analyzed
67
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 |
|---|---|---|---|---|---|
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $253,003 | $126,501 | — | 10.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $22,808 | $11,404 | — | 9.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $91,174 | $45,587 | — | 8.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $51,667 | $25,833 | — | 8.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $37,240 | $18,620 | — | 8.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $55,945 | $27,972 | — | 7.9x |
| HYPERTENSION WITHOUT MCC | 305 | $29,610 | $14,805 | — | 7.7x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $24,984 | $12,492 | — | 7.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $34,956 | $17,478 | — | 7.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $44,093 | $22,046 | — | 7.2x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $30,463 | $15,231 | — | 7.1x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $70,643 | $35,322 | — | 7x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $116,545 | $58,272 | — | 7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $82,188 | $41,094 | — | 6.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $28,597 | $14,299 | — | 6.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $49,025 | $24,512 | — | 6.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $30,097 | $15,049 | — | 6.7x |
| CHEST PAIN | 313 | $25,130 | $12,565 | — | 6.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $45,038 | $22,519 | — | 6.6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $29,171 | $14,585 | — | 6.6x |
| NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | 068 | $28,711 | $14,356 | — | 6.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $81,003 | $40,502 | — | 6.6x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $130,427 | $65,214 | — | 6.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $25,462 | $12,731 | — | 6.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $51,739 | $25,869 | — | 6.5x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $81,347 | $40,673 | — | 6.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $26,023 | $13,011 | — | 6.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $26,517 | $13,259 | — | 6.4x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $165,661 | $82,830 | — | 6.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $52,192 | $26,096 | — | 6.4x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $70,487 | $35,244 | — | 6.3x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $24,601 | $12,300 | — | 6.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $35,002 | $17,501 | — | 6.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $54,363 | $27,182 | — | 6.3x |
| DYSEQUILIBRIUM | 149 | $25,466 | $12,733 | — | 6.2x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $34,484 | $17,242 | — | 6.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $110,339 | $55,170 | — | 6x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $86,590 | $43,295 | — | 6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $108,781 | $54,390 | — | 6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $31,332 | $15,666 | — | 6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $45,362 | $22,681 | — | 6x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $84,539 | $42,269 | — | 5.9x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $103,319 | $51,660 | — | 5.8x |
| RENAL FAILURE WITH MCC | 682 | $48,964 | $24,482 | — | 5.7x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $26,682 | $13,341 | — | 5.7x |
| CELLULITIS WITHOUT MCC | 603 | $26,022 | $13,011 | — | 5.7x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $57,945 | $28,973 | — | 5.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $33,559 | $16,780 | — | 5.4x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $28,584 | $14,292 | — | 5.3x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $42,528 | $21,264 | — | 5.3x |
Showing 50 of 67 procedures
How MERCY HEALTH-ANDERSON HOSPITAL 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