Mercy Health-st Rita's Medical Center
MERCY HEALTH-ST. RITA'S MEDICAL CENTER in Lima, OH charges 6.9x the Medicare reimbursement rate across 97 analyzed procedures, reflecting the pricing patterns typical of nonprofit private hospitals.
Lima, OH 45801 · Acute Care Hospitals · CMS Rating: 4/5
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
6.9x
Charge / Medicare rate
Max markup
16.54x
Worst procedure
Procedures analyzed
97
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $41,083 | $20,542 | — | 16.5x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $29,291 | $14,646 | — | 10.2x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $149,024 | $74,512 | — | 9.9x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $168,870 | $84,435 | — | 9.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $53,043 | $26,521 | — | 9.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $33,879 | $16,940 | — | 9.6x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $334,278 | $167,139 | — | 9.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $163,804 | $81,902 | — | 8.9x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $60,628 | $30,314 | — | 8.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $99,982 | $49,991 | — | 8.7x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $96,158 | $48,079 | — | 8.7x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $284,219 | $142,110 | — | 8.7x |
| CHEST PAIN | 313 | $31,314 | $15,657 | — | 8.7x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $194,741 | $97,371 | — | 8.6x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | 432 | $90,712 | $45,356 | — | 8.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $47,313 | $23,656 | — | 8.5x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $40,179 | $20,090 | — | 8.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $99,109 | $49,554 | — | 8.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $98,413 | $49,207 | — | 8.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $86,402 | $43,201 | — | 8.4x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $32,306 | $16,153 | — | 8.3x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $105,115 | $52,557 | — | 8.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $35,332 | $17,666 | — | 8.2x |
| ATHEROSCLEROSIS WITHOUT MCC | 303 | $30,472 | $15,236 | — | 8.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $110,710 | $55,355 | — | 8.2x |
| BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | 477 | $150,712 | $75,356 | — | 8.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $51,045 | $25,523 | — | 8.1x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | 521 | $155,549 | $77,775 | — | 8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $155,392 | $77,696 | — | 7.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $120,316 | $60,158 | — | 7.6x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $66,521 | $33,260 | — | 7.6x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $41,159 | $20,579 | — | 7.6x |
| HYPERTENSION WITHOUT MCC | 305 | $28,523 | $14,261 | — | 7.6x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $42,770 | $21,385 | — | 7.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $30,244 | $15,122 | — | 7.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $31,434 | $15,717 | — | 7.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $40,460 | $20,230 | — | 7.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $31,509 | $15,754 | — | 7.2x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $148,512 | $74,256 | — | 7.1x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $41,196 | $20,598 | — | 7x |
| SYNCOPE AND COLLAPSE | 312 | $34,888 | $17,444 | — | 7x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $40,269 | $20,134 | — | 6.9x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $153,401 | $76,701 | — | 6.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $115,767 | $57,884 | — | 6.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $78,690 | $39,345 | — | 6.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $191,488 | $95,744 | — | 6.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $30,375 | $15,187 | — | 6.7x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $39,658 | $19,829 | — | 6.6x |
| SEIZURES WITHOUT MCC | 101 | $33,928 | $16,964 | — | 6.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $50,657 | $25,329 | — | 6.5x |
Showing 50 of 97 procedures
How MERCY HEALTH-ST RITA'S MEDICAL CENTER 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