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SOUTH POINTE HOSPITAL

WARRENSVILLE HEIGHTS, OH 44122 · Acute Care Hospitals

32 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

32

With CMS pricing data

Avg Charge-to-Medicare Ratio

3.8x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Other

Above 90th Percentile

0%

Compared to OH hospitals

Understanding Your Costs

When you receive a bill from SOUTH POINTE HOSPITAL, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, SOUTH POINTE HOSPITAL lists chargemaster rates that average 3.8x the corresponding Medicare reimbursement amount across 32 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 3.8x, this facility’s average ratio is below 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 SOUTH POINTE HOSPITAL is Simple Pneumonia and Pleurisy with Complications (DRG 194). The listed chargemaster rate is $28,556, while Medicare reimburses $5,025 for the same procedure — a ratio of 5.7x (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.

SOUTH POINTE HOSPITAL is a voluntary non-profit - other acute care hospitals facility with a CMS quality rating of 4/5 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

Listed Chargemaster Rate Medicare Reimbursement

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.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
Simple Pneumonia and Pleurisy with Complications194$28,556$5,0255.7x
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Gastrointestinal Hemorrhage with Complications378$30,260$5,8835.1x
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Pulmonary Edema and Respiratory Failure189$34,050$6,7605.0x
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Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without Major Complications392$22,049$4,8054.6x
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Chronic Obstructive Pulmonary Disease with Major Complications or Comorbidities190$30,328$6,6374.6x
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Syncope and Collapse312$24,137$5,4324.4x
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Cardiac Arrhythmia and Conduction Disorders with Major Complications or Comorbidities308$30,097$6,9214.3x
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Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without Major Complications641$20,237$4,8154.2x
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Chronic Obstructive Pulmonary Disease with Complications191$23,778$5,7074.2x
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Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours with Major Complications or Comorbidities871$50,585$12,2324.1x
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Septicemia or Severe Sepsis without Mechanical Ventilation over 96 Hours without Major Complications872$24,517$6,0444.1x
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Other Vascular Procedures with Major Complications or Comorbidities252$89,507$22,8153.9x
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Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with Major Complications or Comorbidities391$31,815$8,2023.9x
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Heart Failure and Shock with Major Complications or Comorbidities291$30,210$7,8333.9x
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Kidney and Urinary Tract Infections without Major Complications690$18,434$4,7823.9x
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Renal Failure with Complications683$21,940$5,8333.8x
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Diabetes with Complications638$17,416$4,7823.6x
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Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with Major Complications or Comorbidities640$31,070$8,6033.6x
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Cellulitis without Major Complications603$17,368$4,8723.6x
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Other Kidney and Urinary Tract Procedures with Major Complications or Comorbidities673$105,136$30,3843.5x
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Kidney and Urinary Tract Infections with Major Complications or Comorbidities689$26,449$7,6763.5x
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Gastrointestinal Hemorrhage with Major Complications or Comorbidities377$37,683$11,0783.4x
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Other Circulatory System Diagnoses with Major Complications or Comorbidities314$44,084$13,1603.4x
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Respiratory Infections and Inflammations with Complications178$22,694$6,7743.4x
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Simple Pneumonia and Pleurisy with Major Complications or Comorbidities193$25,509$7,6793.3x
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Respiratory Infections and Inflammations with Major Complications or Comorbidities177$37,166$11,5763.2x
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Red Blood Cell Disorders without Major Complications812$18,300$5,9073.1x
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Renal Failure with Major Complications or Comorbidities682$27,828$9,0203.1x
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Other Kidney and Urinary Tract Diagnoses with Complications699$19,256$6,3273.0x
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Bronchitis and Asthma with Complications or Comorbidities202$18,884$6,4652.9x
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Other Kidney and Urinary Tract Diagnoses with Major Complications or Comorbidities698$28,968$10,3862.8x
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Infectious and Parasitic Diseases with Operating Room Procedures with Major Complications or Comorbidities853$78,011$28,6052.7x
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Showing 32 of 32 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

2.0x
Median: 4.7x
8.7x
3.8x

113 hospitals in OH report pricing data to CMS. This facility's average ratio of 3.8x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

Compare Your Bill

Upload your bill and our system compares every line item against CMS reimbursement data. Free, takes 60 seconds.

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Request an Itemized Bill

Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: 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.

Read our methodology·Report a data error

Frequently Asked Questions About SOUTH POINTE HOSPITAL

How much does SOUTH POINTE HOSPITAL charge compared to Medicare?

According to CMS IPPS data, SOUTH POINTE HOSPITAL's listed chargemaster rates average 3.8x the Medicare reimbursement amount across 32 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 SOUTH POINTE HOSPITAL?

The procedure with the highest chargemaster-to-Medicare ratio at SOUTH POINTE HOSPITAL is Simple Pneumonia and Pleurisy with Complications (DRG 194), with a listed charge of $28,556 compared to Medicare reimbursement of $5,025 — a ratio of 5.7x. Source: CMS IPPS Provider Summary.

Is SOUTH POINTE HOSPITAL expensive compared to other OH hospitals?

SOUTH POINTE HOSPITAL's average chargemaster-to-Medicare ratio is 3.8x. 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 SOUTH POINTE 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 SOUTH POINTE 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 SOUTH POINTE HOSPITAL in WARRENSVILLE HEIGHTS, OH accept Medicare?

SOUTH POINTE HOSPITAL is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact SOUTH POINTE HOSPITAL directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.