Promedica Toledo Hospital
ProMedica Toledo Hospital, a nonprofit facility in Toledo, OH, charges 7.3x the Medicare reimbursement rate across 180 analyzed procedures.
Toledo, OH 43606 · 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
7.28x
Charge / Medicare rate
Max markup
13.86x
Worst procedure
Procedures analyzed
180
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 | $54,063 | $27,031 | — | 13.9x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $78,996 | $39,498 | — | 12x |
| HYPERTENSION WITHOUT MCC | 305 | $53,237 | $26,618 | — | 11.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $46,768 | $23,384 | — | 11.1x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $53,581 | $26,790 | — | 10.6x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $31,100 | $15,550 | — | 10.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $72,548 | $36,274 | — | 10.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $125,378 | $62,689 | — | 10.5x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $75,683 | $37,842 | — | 10.5x |
| RESPIRATORY NEOPLASMS WITH MCC | 180 | $123,020 | $61,510 | — | 10.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $121,729 | $60,864 | — | 9.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $57,925 | $28,963 | — | 9.7x |
| PNEUMOTHORAX WITH CC | 200 | $69,169 | $34,584 | — | 9.7x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $56,417 | $28,209 | — | 9.5x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $60,008 | $30,004 | — | 9.3x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $118,823 | $59,411 | — | 9.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $53,455 | $26,727 | — | 9.2x |
| NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | 068 | $54,952 | $27,476 | — | 9.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $44,805 | $22,403 | — | 9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $54,759 | $27,380 | — | 8.9x |
| SEIZURES WITHOUT MCC | 101 | $52,743 | $26,371 | — | 8.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $58,752 | $29,376 | — | 8.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $27,766 | $13,883 | — | 8.8x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $253,763 | $126,881 | — | 8.7x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | 862 | $90,067 | $45,034 | — | 8.7x |
| SYNCOPE AND COLLAPSE | 312 | $51,688 | $25,844 | — | 8.7x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $99,919 | $49,960 | — | 8.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $181,873 | $90,937 | — | 8.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $48,549 | $24,275 | — | 8.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $44,594 | $22,297 | — | 8.6x |
| MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | 435 | $105,812 | $52,906 | — | 8.5x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $161,600 | $80,800 | — | 8.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $122,512 | $61,256 | — | 8.4x |
| AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | 239 | $296,399 | $148,199 | — | 8.4x |
| DYSEQUILIBRIUM | 149 | $42,506 | $21,253 | — | 8.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $95,346 | $47,673 | — | 8.4x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $39,289 | $19,645 | — | 8.3x |
| MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATIO | 808 | $112,150 | $56,075 | — | 8.3x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $105,402 | $52,701 | — | 8.3x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $46,236 | $23,118 | — | 8.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $89,958 | $44,979 | — | 8.3x |
| ENDOCRINE DISORDERS WITH MCC | 643 | $85,864 | $42,932 | — | 8.2x |
| DIABETES WITH CC | 638 | $43,323 | $21,661 | — | 8.2x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $64,350 | $32,175 | — | 8.2x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | 520 | $82,998 | $41,499 | — | 8.2x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $93,518 | $46,759 | — | 8.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $84,865 | $42,433 | — | 8x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $90,508 | $45,254 | — | 8x |
| COMPLICATIONS OF TREATMENT WITH CC | 920 | $54,545 | $27,273 | — | 8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $54,353 | $27,177 | — | 8x |
Showing 50 of 180 procedures
How PROMEDICA TOLEDO 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