Miami Valley Hospital
Miami Valley Hospital in Dayton, OH charges 6.3x the Medicare reimbursement rate across 211 analyzed procedures, representing a significant markup for this nonprofit-private healthcare facility.
Dayton, OH 45409 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
D
High
Avg markup vs Medicare
6.32x
Charge / Medicare rate
Max markup
11.72x
Worst procedure
Procedures analyzed
211
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 |
|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $43,298 | $21,649 | — | 11.7x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $171,426 | $85,713 | — | 11x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $26,614 | $13,307 | — | 10x |
| SEIZURES WITHOUT MCC | 101 | $47,678 | $23,839 | — | 9.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $35,020 | $17,510 | — | 9.3x |
| RENAL FAILURE WITHOUT CC/MCC | 684 | $27,939 | $13,969 | — | 9.2x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $70,427 | $35,213 | — | 9.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $103,938 | $51,969 | — | 8.9x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $62,730 | $31,365 | — | 8.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $49,284 | $24,642 | — | 8.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $53,999 | $27,000 | — | 8.7x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $112,110 | $56,055 | — | 8.7x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $201,648 | $100,824 | — | 8.5x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $147,676 | $73,838 | — | 8.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $104,791 | $52,396 | — | 8.3x |
| TRANSURETHRAL PROCEDURES WITH CC | 669 | $78,783 | $39,392 | — | 8.2x |
| AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | 240 | $143,299 | $71,650 | — | 8.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $125,311 | $62,656 | — | 8.1x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $262,504 | $131,252 | — | 8x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $129,210 | $64,605 | — | 7.9x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $283,321 | $141,660 | — | 7.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $74,674 | $37,337 | — | 7.7x |
| DIABETES WITH MCC | 637 | $67,892 | $33,946 | — | 7.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $148,059 | $74,029 | — | 7.7x |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | 354 | $102,537 | $51,269 | — | 7.7x |
| DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | 446 | $32,567 | $16,284 | — | 7.7x |
| SEIZURES WITH MCC | 100 | $91,814 | $45,907 | — | 7.6x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $80,155 | $40,077 | — | 7.6x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $325,275 | $162,638 | — | 7.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $84,571 | $42,285 | — | 7.5x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/M | 544 | $33,934 | $16,967 | — | 7.5x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $84,191 | $42,096 | — | 7.5x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $72,127 | $36,064 | — | 7.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $44,589 | $22,294 | — | 7.3x |
| URINARY STONES WITHOUT MCC | 694 | $38,185 | $19,093 | — | 7.3x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $23,273 | $11,636 | — | 7.3x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $33,141 | $16,571 | — | 7.2x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $33,681 | $16,841 | — | 7.2x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $81,541 | $40,771 | — | 7.2x |
| DIABETES WITH CC | 638 | $36,001 | $18,001 | — | 7.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $91,122 | $45,561 | — | 7.2x |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | 964 | $66,801 | $33,401 | — | 7.1x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $174,098 | $87,049 | — | 7.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $96,177 | $48,089 | — | 7.1x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $234,281 | $117,140 | — | 7.1x |
| HYPERTENSION WITHOUT MCC | 305 | $30,288 | $15,144 | — | 7x |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $84,959 | $42,480 | — | 7x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $43,072 | $21,536 | — | 7x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $34,938 | $17,469 | — | 7x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $44,353 | $22,176 | — | 7x |
Showing 50 of 211 procedures
How MIAMI VALLEY HOSPITAL 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