Mercy Health - Fairfield Hospital
Mercy Health - Fairfield Hospital in Fairfield, OH charges 6.0x the Medicare reimbursement rate across 66 analyzed procedures, positioning it among nonprofit hospitals with moderate pricing levels.
Fairfield, OH 45014 · Acute Care Hospitals · CMS Rating: 3/5
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
D
High
Avg markup vs Medicare
6.01x
Charge / Medicare rate
Max markup
8.83x
Worst procedure
Procedures analyzed
66
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 |
|---|---|---|---|---|---|
| COAGULATION DISORDERS | 813 | $83,330 | $41,665 | — | 8.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $32,386 | $16,193 | — | 7.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $39,290 | $19,645 | — | 7.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $42,154 | $21,077 | — | 7.6x |
| HYPERTENSION WITHOUT MCC | 305 | $30,366 | $15,183 | — | 7.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $82,504 | $41,252 | — | 7.5x |
| CHEST PAIN | 313 | $28,628 | $14,314 | — | 7.5x |
| DIABETES WITH CC | 638 | $36,550 | $18,275 | — | 7.4x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $49,095 | $24,548 | — | 7.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $38,039 | $19,020 | — | 7.1x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $30,543 | $15,271 | — | 7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $79,818 | $39,909 | — | 6.9x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $34,455 | $17,228 | — | 6.9x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $31,499 | $15,749 | — | 6.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $79,671 | $39,836 | — | 6.8x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $135,662 | $67,831 | — | 6.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $29,829 | $14,914 | — | 6.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $46,493 | $23,247 | — | 6.7x |
| DYSEQUILIBRIUM | 149 | $25,880 | $12,940 | — | 6.7x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $23,640 | $11,820 | — | 6.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $36,655 | $18,328 | — | 6.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $84,082 | $42,041 | — | 6.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $44,821 | $22,411 | — | 6.5x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $89,989 | $44,994 | — | 6.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $71,480 | $35,740 | — | 6.5x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $49,472 | $24,736 | — | 6.5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $26,996 | $13,498 | — | 6.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $54,112 | $27,056 | — | 6.4x |
| SYNCOPE AND COLLAPSE | 312 | $31,089 | $15,545 | — | 6.4x |
| RENAL FAILURE WITH CC | 683 | $28,904 | $14,452 | — | 6.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $35,545 | $17,773 | — | 6.2x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $38,530 | $19,265 | — | 6.1x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $27,589 | $13,794 | — | 6.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $99,750 | $49,875 | — | 6.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $25,922 | $12,961 | — | 6x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | 267 | $189,466 | $94,733 | — | 5.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $36,520 | $18,260 | — | 5.8x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $32,659 | $16,329 | — | 5.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $51,507 | $25,753 | — | 5.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $24,652 | $12,326 | — | 5.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $68,189 | $34,094 | — | 5.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $163,999 | $81,999 | — | 5.6x |
| CELLULITIS WITHOUT MCC | 603 | $27,576 | $13,788 | — | 5.6x |
| DIABETES WITH MCC | 637 | $41,861 | $20,930 | — | 5.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $41,080 | $20,540 | — | 5.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $57,529 | $28,764 | — | 5.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $38,805 | $19,402 | — | 5.2x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $32,913 | $16,456 | — | 5.1x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $31,991 | $15,996 | — | 5.1x |
| ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | 266 | $210,141 | $105,071 | — | 5.1x |
Showing 50 of 66 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