Mercy Regional Medical Center
Mercy Regional Medical Center in Lorain, Ohio charges 6.2x the Medicare reimbursement rate based on our analysis of 38 common procedures at this nonprofit facility.
Lorain, OH 44053 · Acute Care Hospitals · CMS Rating: 2/5
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
6.15x
Charge / Medicare rate
Max markup
8.21x
Worst procedure
Procedures analyzed
38
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 |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $38,219 | $19,109 | — | 8.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $44,872 | $22,436 | — | 8.1x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $35,693 | $17,847 | — | 7.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $43,767 | $21,883 | — | 7.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $52,780 | $26,390 | — | 7.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $32,691 | $16,346 | — | 7.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $77,949 | $38,974 | — | 7.3x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $85,534 | $42,767 | — | 7.2x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $42,645 | $21,322 | — | 7.2x |
| DIABETES WITH CC | 638 | $31,838 | $15,919 | — | 6.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $70,247 | $35,124 | — | 6.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $62,102 | $31,051 | — | 6.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $78,013 | $39,007 | — | 6.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $47,722 | $23,861 | — | 6.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $111,714 | $55,857 | — | 6.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $30,379 | $15,189 | — | 6.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $26,945 | $13,472 | — | 6.3x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | 056 | $63,501 | $31,750 | — | 6.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $25,474 | $12,737 | — | 6.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $33,264 | $16,632 | — | 6.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $43,247 | $21,624 | — | 6.1x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $32,908 | $16,454 | — | 5.9x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $38,409 | $19,204 | — | 5.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $71,271 | $35,636 | — | 5.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $72,574 | $36,287 | — | 5.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $32,299 | $16,150 | — | 5.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $42,922 | $21,461 | — | 5.5x |
| RENAL FAILURE WITH CC | 683 | $28,791 | $14,396 | — | 5.4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $39,461 | $19,730 | — | 5.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $60,872 | $30,436 | — | 5.4x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $62,706 | $31,353 | — | 5.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $72,466 | $36,233 | — | 5.2x |
| CELLULITIS WITHOUT MCC | 603 | $24,870 | $12,435 | — | 5.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $61,813 | $30,906 | — | 5.1x |
| RENAL FAILURE WITH MCC | 682 | $46,791 | $23,395 | — | 5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $31,888 | $15,944 | — | 4.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $125,327 | $62,664 | — | 4.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $41,897 | $20,948 | — | 3.8x |
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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