Mount Carmel St Ann's
MOUNT CARMEL ST ANN'S in Westerville, OH charges 5.6x the Medicare reimbursement rate across 53 analyzed procedures, reflecting the pricing structure at this nonprofit-private hospital.
Westerville, OH 43081 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
5.57x
Charge / Medicare rate
Max markup
8.61x
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 |
|---|---|---|---|---|---|
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $41,939 | $20,970 | — | 8.6x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $46,562 | $23,281 | — | 8x |
| TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | 713 | $64,012 | $32,006 | — | 7.7x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $53,517 | $26,759 | — | 7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $58,487 | $29,244 | — | 6.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $87,792 | $43,896 | — | 6.8x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $192,105 | $96,053 | — | 6.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $85,646 | $42,823 | — | 6.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $49,774 | $24,887 | — | 6.4x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $106,289 | $53,144 | — | 6.2x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $41,961 | $20,981 | — | 6.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $47,699 | $23,850 | — | 6.2x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $52,306 | $26,153 | — | 6.2x |
| SYNCOPE AND COLLAPSE | 312 | $31,512 | $15,756 | — | 6.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $19,965 | $9,982 | — | 6.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $35,206 | $17,603 | — | 5.9x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $132,590 | $66,295 | — | 5.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $31,251 | $15,625 | — | 5.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $113,429 | $56,715 | — | 5.8x |
| RENAL FAILURE WITH CC | 683 | $31,653 | $15,827 | — | 5.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $44,358 | $22,179 | — | 5.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $55,431 | $27,715 | — | 5.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $78,443 | $39,222 | — | 5.7x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $64,462 | $32,231 | — | 5.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $34,518 | $17,259 | — | 5.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $50,562 | $25,281 | — | 5.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $23,202 | $11,601 | — | 5.5x |
| PERIPHERAL VASCULAR DISORDERS WITH CC | 300 | $35,262 | $17,631 | — | 5.5x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $87,845 | $43,922 | — | 5.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $63,480 | $31,740 | — | 5.4x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $32,891 | $16,446 | — | 5.4x |
| SEIZURES WITH MCC | 100 | $68,525 | $34,263 | — | 5.4x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $97,348 | $48,674 | — | 5.4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $53,725 | $26,862 | — | 5.4x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $25,818 | $12,909 | — | 5.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $165,573 | $82,786 | — | 5.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $37,281 | $18,640 | — | 5.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $26,557 | $13,279 | — | 5.2x |
| CELLULITIS WITH MCC | 602 | $48,060 | $24,030 | — | 5.2x |
| RENAL FAILURE WITH MCC | 682 | $43,494 | $21,747 | — | 5.1x |
| DIABETES WITH MCC | 637 | $41,615 | $20,807 | — | 5x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $119,712 | $59,856 | — | 5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $23,537 | $11,769 | — | 5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $52,576 | $26,288 | — | 4.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $121,557 | $60,779 | — | 4.5x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $24,663 | $12,332 | — | 4.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $23,784 | $11,892 | — | 4.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $25,011 | $12,505 | — | 4.3x |
| CELLULITIS WITHOUT MCC | 603 | $21,257 | $10,629 | — | 3.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $30,854 | $15,427 | — | 3.9x |
Showing 50 of 53 procedures
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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