MIAMI VALLEY HOSPITAL
DAYTON, OH 45409 · Acute Care Hospitals
211 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
211
With CMS pricing data
Avg Charge-to-Medicare Ratio
6.3x
Chargemaster ÷ Medicare
CMS Quality Rating
Patient experience & outcomes
Hospital Type
Acute Care Hospitals
Voluntary non-profit - Private
Above 90th Percentile
0%
Compared to OH hospitals
Understanding Your Costs
When you receive a bill from MIAMI VALLEY HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, MIAMI VALLEY HOSPITAL lists chargemaster rates that average 6.3x the corresponding Medicare reimbursement amount across 211 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in OH has a chargemaster-to-Medicare ratio of 4.7x, with ratios across the state ranging from 2.0x to 8.7x. At 6.3x, this facility’s average ratio is above the state median. 113 hospitals in OH report pricing data to CMS (Source: CMS IPPS Provider Summary).
The procedure with the largest gap between the listed price and Medicare reimbursement at MIAMI VALLEY HOSPITAL is ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC (DRG 282). The listed chargemaster rate is $43,298, while Medicare reimburses $3,695 for the same procedure — a ratio of 11.7x (Source: CMS IPPS Provider Summary, FY2024).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
MIAMI VALLEY HOSPITAL is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 3/5 stars. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $43,298 | $3,695 | 11.7x | 1th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $171,426 | $15,583 | 11.0x | 1th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $26,614 | $2,656 | 10.0x | 1th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $47,678 | $5,068 | 9.4x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $35,020 | $3,773 | 9.3x | 1th | Compare your bill |
| RENAL FAILURE WITHOUT CC/MCC | 684 | $27,939 | $3,028 | 9.2x | 1th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $70,427 | $7,683 | 9.2x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $103,938 | $11,664 | 8.9x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $62,730 | $7,073 | 8.9x | 1th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $49,284 | $5,565 | 8.9x | 1th | Compare your bill |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $53,999 | $6,185 | 8.7x | 1th | Compare your bill |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $112,110 | $12,964 | 8.7x | 1th | Compare your bill |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $201,648 | $23,807 | 8.5x | 1th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $147,676 | $17,716 | 8.3x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $104,791 | $12,617 | 8.3x | 1th | Compare your bill |
| TRANSURETHRAL PROCEDURES WITH CC | 669 | $78,783 | $9,584 | 8.2x | 1th | Compare your bill |
| AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | 240 | $143,299 | $17,689 | 8.1x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $125,311 | $15,490 | 8.1x | 1th | Compare your bill |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $262,504 | $32,793 | 8.0x | 1th | Compare your bill |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $129,210 | $16,428 | 7.9x | 1th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $283,321 | $36,042 | 7.9x | 1th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $74,674 | $9,651 | 7.7x | 1th | Compare your bill |
| DIABETES WITH MCC | 637 | $67,892 | $8,786 | 7.7x | 1th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $148,059 | $19,268 | 7.7x | 1th | Compare your bill |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | 354 | $102,537 | $13,373 | 7.7x | 1th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | 446 | $32,567 | $4,245 | 7.7x | 0th | Compare your bill |
| SEIZURES WITH MCC | 100 | $91,814 | $12,081 | 7.6x | 1th | Compare your bill |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $80,155 | $10,576 | 7.6x | 1th | Compare your bill |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | 233 | $325,275 | $43,157 | 7.5x | 1th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $84,571 | $11,262 | 7.5x | 1th | Compare your bill |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/M | 544 | $33,934 | $4,535 | 7.5x | 1th | Compare your bill |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $84,191 | $11,281 | 7.5x | 1th | Compare your bill |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | 517 | $72,127 | $9,780 | 7.4x | 1th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $44,589 | $6,092 | 7.3x | 1th | Compare your bill |
| URINARY STONES WITHOUT MCC | 694 | $38,185 | $5,232 | 7.3x | 0th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $23,273 | $3,211 | 7.3x | 1th | Compare your bill |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $33,141 | $4,578 | 7.2x | 0th | Compare your bill |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $33,681 | $4,665 | 7.2x | 0th | Compare your bill |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $81,541 | $11,355 | 7.2x | 1th | Compare your bill |
| DIABETES WITH CC | 638 | $36,001 | $5,022 | 7.2x | 1th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $91,122 | $12,733 | 7.2x | 1th | Compare your bill |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $174,098 | $24,602 | 7.1x | 1th | Compare your bill |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | 964 | $66,801 | $9,434 | 7.1x | 0th | Compare your bill |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $96,177 | $13,604 | 7.1x | 1th | Compare your bill |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $234,281 | $33,213 | 7.0x | 1th | Compare your bill |
| HYPERTENSION WITHOUT MCC | 305 | $30,288 | $4,300 | 7.0x | 0th | Compare your bill |
| AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | 617 | $84,959 | $12,062 | 7.0x | 1th | Compare your bill |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $43,072 | $6,124 | 7.0x | 1th | Compare your bill |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $34,938 | $4,981 | 7.0x | 1th | Compare your bill |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $44,353 | $6,325 | 7.0x | 1th | Compare your bill |
Showing 50 of 211 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across OH hospitals
113 hospitals in OH report pricing data to CMS. This facility's average ratio of 6.3x places it at the upper-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About MIAMI VALLEY HOSPITAL
How much does MIAMI VALLEY HOSPITAL charge compared to Medicare?
According to CMS IPPS data, MIAMI VALLEY HOSPITAL's listed chargemaster rates average 6.3x the Medicare reimbursement amount across 211 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at MIAMI VALLEY HOSPITAL?
The procedure with the highest chargemaster-to-Medicare ratio at MIAMI VALLEY HOSPITAL is ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC (DRG 282), with a listed charge of $43,298 compared to Medicare reimbursement of $3,695 — a ratio of 11.7x. Source: CMS IPPS Provider Summary.
Is MIAMI VALLEY HOSPITAL expensive compared to other OH hospitals?
MIAMI VALLEY HOSPITAL's average chargemaster-to-Medicare ratio is 6.3x. Ratios vary significantly across OH hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for MIAMI VALLEY HOSPITAL come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from MIAMI VALLEY HOSPITAL is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does MIAMI VALLEY HOSPITAL in DAYTON, OH accept Medicare?
MIAMI VALLEY HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact MIAMI VALLEY HOSPITAL directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.