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Reid Health

REID HEALTH in Richmond, Indiana charges 3.4x the Medicare reimbursement rate across 88 analyzed procedures, reflecting the pricing structure at this nonprofit-private hospital.

Richmond, IN 47374 · Acute Care Hospitals · CMS Rating: 3/5

By Michael Glenn , Healthcare Data Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
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.

88 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.0x1.4x15.0x
3.4x
Medicare markup ratio
IN lowestReid HealthIN highest
3.4x
Avg markup ratio
3.3x
Median markup
88
Procedures
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Pricing grade

C

Average

Avg markup vs Medicare

3.42x

Charge / Medicare rate

Max markup

6.83x

Worst procedure

Procedures analyzed

88

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.

ProcedureCodeGross chargeCash priceMedicareMarkup
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$73,340$36,6706.8x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$161,640$80,8206.6x
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC439$32,466$16,2336x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$41,068$20,5345.9x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$77,214$38,6075.7x
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$39,095$19,5485.5x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$103,747$51,8745.4x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$30,411$15,2065.2x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$22,477$11,2394.6x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/321$98,878$49,4394.5x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$23,924$11,9624.5x
SEIZURES WITHOUT MCC101$24,735$12,3674.4x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$28,153$14,0774.4x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$59,166$29,5834.4x
SYNCOPE AND COLLAPSE312$23,884$11,9424.3x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$40,307$20,1544.3x
GASTROINTESTINAL OBSTRUCTION WITH CC389$21,343$10,6724.2x
DISORDERS OF THE BILIARY TRACT WITH CC445$27,491$13,7454.1x
GASTROINTESTINAL HEMORRHAGE WITH CC378$26,083$13,0424.1x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$102,296$51,1484.1x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$18,880$9,4404.1x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$19,627$9,8143.9x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$18,687$9,3433.8x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC191$22,120$11,0603.8x
MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC372$26,565$13,2833.7x
RENAL FAILURE WITH CC683$21,887$10,9443.7x
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC563$19,550$9,7753.7x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$22,141$11,0713.7x
MEDICAL BACK PROBLEMS WITHOUT MCC552$23,034$11,5173.5x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$26,294$13,1473.5x
DIABETES WITH MCC637$29,892$14,9463.5x
BRONCHITIS AND ASTHMA WITH CC/MCC202$20,693$10,3463.5x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC482$39,504$19,7523.4x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$27,262$13,6313.4x
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE175$31,198$15,5993.4x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$23,163$11,5823.4x
AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC617$46,383$23,1923.3x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC455$119,734$59,8673.3x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$51,995$25,9983.3x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$21,314$10,6573.3x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$56,033$28,0173.3x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$52,745$26,3733.3x
RED BLOOD CELL DISORDERS WITHOUT MCC812$18,422$9,2113.3x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$30,160$15,0803.3x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$128,173$64,0873.3x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$37,432$18,7163.3x
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC071$23,427$11,7133.2x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$47,933$23,9673.2x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$22,259$11,1303.2x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$41,725$20,8633.2x

Showing 50 of 88 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.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

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

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