Metrohealth System
MetroHealth System, a nonprofit hospital in Cleveland, OH, charges 5.5x the Medicare reimbursement rate across 53 analyzed procedures, according to our pricing analysis.
Cleveland, OH 44109 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
D
High
Avg markup vs Medicare
5.54x
Charge / Medicare rate
Max markup
11.06x
Worst procedure
Procedures analyzed
53
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 |
|---|---|---|---|---|---|
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $38,257 | $19,129 | — | 11.1x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $57,367 | $28,683 | — | 9.2x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $35,076 | $17,538 | — | 8.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $57,504 | $28,752 | — | 8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $36,284 | $18,142 | — | 7.8x |
| DIABETES WITH MCC | 637 | $47,406 | $23,703 | — | 7.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $28,370 | $14,185 | — | 7.7x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $99,489 | $49,744 | — | 7.6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $37,271 | $18,636 | — | 7.2x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $82,972 | $41,486 | — | 7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $33,733 | $16,867 | — | 6.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $108,288 | $54,144 | — | 6.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $51,401 | $25,701 | — | 6.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $50,001 | $25,001 | — | 6.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $65,571 | $32,785 | — | 6.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $54,416 | $27,208 | — | 6.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $63,074 | $31,537 | — | 6.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $119,376 | $59,688 | — | 5.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $46,377 | $23,189 | — | 5.8x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $75,064 | $37,532 | — | 5.7x |
| SYNCOPE AND COLLAPSE | 312 | $36,272 | $18,136 | — | 5.7x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $41,226 | $20,613 | — | 5.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $32,910 | $16,455 | — | 5.5x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $55,495 | $27,747 | — | 5.5x |
| RENAL FAILURE WITH CC | 683 | $28,815 | $14,408 | — | 5.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $54,771 | $27,385 | — | 5.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $79,128 | $39,564 | — | 5.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $74,000 | $37,000 | — | 5.1x |
| RENAL FAILURE WITH MCC | 682 | $45,055 | $22,527 | — | 5.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $70,994 | $35,497 | — | 5.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $76,688 | $38,344 | — | 4.9x |
| DIABETES WITH CC | 638 | $31,303 | $15,651 | — | 4.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $41,607 | $20,803 | — | 4.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $43,545 | $21,773 | — | 4.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $38,806 | $19,403 | — | 4.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $199,283 | $99,642 | — | 4.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $33,364 | $16,682 | — | 4.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $59,990 | $29,995 | — | 4.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $41,070 | $20,535 | — | 4.5x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $91,818 | $45,909 | — | 4.5x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $60,156 | $30,078 | — | 4.5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $33,509 | $16,754 | — | 4.4x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $47,592 | $23,796 | — | 4.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $37,205 | $18,602 | — | 4.3x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $80,606 | $40,303 | — | 4.2x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | 896 | $78,649 | $39,324 | — | 4.1x |
| CELLULITIS WITHOUT MCC | 603 | $25,804 | $12,902 | — | 4.1x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $34,490 | $17,245 | — | 3.7x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $30,641 | $15,320 | — | 3.6x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $76,187 | $38,094 | — | 3.5x |
Showing 50 of 53 procedures
How METROHEALTH SYSTEM 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