Mercy St Vincent Medical Center

Mercy St Vincent Medical Center in Toledo, OH charges 8.7x the Medicare reimbursement rate on average across 157 analyzed procedures at this nonprofit religious hospital.

Toledo, OH 43608 · Acute Care Hospitals · CMS Rating: 3/5

By Elena Vasquez , Medical Billing Research Lead · Published March 15, 2026 · Updated April 3, 2026

Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.

About the analyst

Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.

157 procedures analyzed

CMS price transparency data

Updated 2026-04-03

8.7x

Medicare markup ratio

OH lowestMercy St Vincent Medic...OH highest

8.7x

Avg markup ratio

8.2x

Median markup

157

Procedures

Outlier procedures

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Billing patterns — nonprofit-religious

Nonprofit religious hospitals, representing 203 facilities in the dataset, demonstrate an average markup of 5.4x Medicare rates, positioning them in the mid-range compared to other ownership types. These institutions typically maintain standardized charge structures across their health system networks, often reflecting their mission-driven approach to healthcare delivery. Patients at nonprofit religious hospitals may encounter charges above the benchmark for routine procedures, though many offer financial assistance programs and charity care policies that can significantly reduce out-of-pocket expenses for qualifying individuals. Common billing patterns include transparent pricing for elective procedures and comprehensive financial counseling services. The potential difference between listed charges and actual patient responsibility can be substantial, particularly for uninsured patients who may qualify for sliding-scale payment options. Patients should inquire about available financial assistance programs during the admissions process, as these hospitals often have more flexible payment arrangements compared to for-profit facilities, reflecting their tax-exempt status and community benefit obligations.

Pricing grade

Very high

Avg markup vs Medicare

8.67x

Charge / Medicare rate

Max markup

16.95x

Worst procedure

Procedures analyzed

157

With pricing data

Outlier procedures

6.4%

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 WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC	236	$542,222	$271,111	—	17x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC	440	$47,210	$23,605	—	15.7x
NERVOUS SYSTEM NEOPLASMS WITH MCC	054	$113,592	$56,796	—	14.8x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC	234	$619,120	$309,560	—	14.4x
OTHER VASCULAR PROCEDURES WITH CC	253	$282,970	$141,485	—	14.4x
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC	657	$154,707	$77,354	—	13.8x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC	419	$121,927	$60,964	—	13.4x
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WIT	062	$177,723	$88,862	—	12.9x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC	282	$55,995	$27,998	—	12.5x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC	233	$777,055	$388,528	—	12.2x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC	310	$37,772	$18,886	—	12.1x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS	065	$78,823	$39,411	—	12x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC	235	$624,168	$312,084	—	11.9x
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES	483	$180,077	$90,039	—	11.8x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC	322	$152,577	$76,288	—	11.6x
OTHER VASCULAR PROCEDURES WITH MCC	252	$339,032	$169,516	—	11.6x
HEADACHES WITHOUT MCC	103	$45,256	$22,628	—	11.5x
LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC	493	$161,672	$80,836	—	11.3x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/	321	$242,011	$121,006	—	11.2x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC	418	$126,479	$63,240	—	11.2x
ANGINA PECTORIS	311	$46,011	$23,006	—	11.1x
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC	039	$86,828	$43,414	—	10.9x
MAJOR CHEST PROCEDURES WITH MCC	163	$445,942	$222,971	—	10.9x
PULMONARY EDEMA AND RESPIRATORY FAILURE	189	$87,006	$43,503	—	10.9x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC	417	$160,989	$80,495	—	10.8x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC	331	$117,820	$58,910	—	10.7x
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC	092	$71,923	$35,962	—	10.6x
BRONCHITIS AND ASTHMA WITH CC/MCC	202	$59,527	$29,763	—	10.4x
PNEUMOTHORAX WITH CC	200	$77,373	$38,686	—	10.4x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC	480	$232,283	$116,141	—	10.3x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC	025	$351,803	$175,901	—	10.3x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC	482	$104,344	$52,172	—	10.2x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC	066	$44,241	$22,120	—	10.1x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC	329	$332,612	$166,306	—	10.1x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC	281	$60,910	$30,455	—	10x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC	481	$136,860	$68,430	—	9.9x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC	872	$65,262	$32,631	—	9.8x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE	175	$96,451	$48,226	—	9.8x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC	287	$73,090	$36,545	—	9.8x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC	330	$164,938	$82,469	—	9.8x
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC	390	$30,823	$15,411	—	9.8x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC	247	$130,185	$65,093	—	9.7x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC	308	$85,530	$42,765	—	9.7x
COAGULATION DISORDERS	813	$110,523	$55,261	—	9.6x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC	274	$218,426	$109,213	—	9.6x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC	270	$330,060	$165,030	—	9.6x
TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC	082	$173,046	$86,523	—	9.6x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC	271	$235,516	$117,758	—	9.5x
AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC	617	$128,766	$64,383	—	9.5x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC	280	$110,915	$55,458	—	9.4x

Showing 50 of 157 procedures

How MERCY ST VINCENT 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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — nonprofit-religious hospital billing

How do nonprofit religious hospital charges compare to Medicare rates?

Data shows that 203 nonprofit religious hospitals have an average markup of 5.4 times Medicare rates for similar services. These hospitals operate under religious organizational structures while maintaining nonprofit tax status, which provides context for their billing practices and pricing structures.

What does a 5.4x Medicare markup mean for my medical bills?

A 5.4x markup means these hospitals typically charge 5.4 times what Medicare would pay for the same service. For example, if Medicare pays $1,000 for a procedure, the hospital's standard charge would average $5,400, though your actual out-of-pocket costs depend on your insurance coverage and negotiated rates.

Are nonprofit religious hospitals required to offer financial assistance?

Yes, nonprofit hospitals including religious institutions must provide charity care and financial assistance programs as a condition of their tax-exempt status. These hospitals are required to have written financial assistance policies and must make them publicly available, though the specific terms and eligibility requirements vary by institution.

How can I find out the actual charges at a specific nonprofit religious hospital?

Nonprofit hospitals are required to publish their standard charges online, typically called a 'chargemaster' or price transparency list. You can also request a good faith estimate before receiving services, which may show potential differences between standard charges and what you might actually pay based on your insurance coverage.

Related pricing data

OH hospital rankingsCompare all hospitals in OH

Toledo, OH costsCity-level pricing data

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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