South Pointe Hospital
SOUTH POINTE HOSPITAL in Warrensville Heights, OH charges 3.8x the Medicare reimbursement rate across 32 analyzed procedures, reflecting the pricing variations patients may encounter at this nonprofit facility.
Warrensville Heights, OH 44122 · Acute Care Hospitals · CMS Rating: 4/5
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.
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Pricing grade
C
Average
Avg markup vs Medicare
3.8x
Charge / Medicare rate
Max markup
5.68x
Worst procedure
Procedures analyzed
32
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 |
|---|---|---|---|---|---|
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $28,556 | $14,278 | — | 5.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $30,260 | $15,130 | — | 5.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $34,050 | $17,025 | — | 5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $22,049 | $11,024 | — | 4.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $30,328 | $15,164 | — | 4.6x |
| SYNCOPE AND COLLAPSE | 312 | $24,137 | $12,069 | — | 4.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $30,097 | $15,048 | — | 4.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $20,237 | $10,118 | — | 4.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $23,778 | $11,889 | — | 4.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $50,585 | $25,293 | — | 4.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $24,517 | $12,258 | — | 4.1x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $89,507 | $44,753 | — | 3.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $31,815 | $15,908 | — | 3.9x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $30,210 | $15,105 | — | 3.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $18,434 | $9,217 | — | 3.9x |
| RENAL FAILURE WITH CC | 683 | $21,940 | $10,970 | — | 3.8x |
| DIABETES WITH CC | 638 | $17,416 | $8,708 | — | 3.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $31,070 | $15,535 | — | 3.6x |
| CELLULITIS WITHOUT MCC | 603 | $17,368 | $8,684 | — | 3.6x |
| OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | 673 | $105,136 | $52,568 | — | 3.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $26,449 | $13,225 | — | 3.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $37,683 | $18,842 | — | 3.4x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $44,084 | $22,042 | — | 3.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $22,694 | $11,347 | — | 3.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $25,509 | $12,755 | — | 3.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $37,166 | $18,583 | — | 3.2x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $18,300 | $9,150 | — | 3.1x |
| RENAL FAILURE WITH MCC | 682 | $27,828 | $13,914 | — | 3.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $19,256 | $9,628 | — | 3x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $18,884 | $9,442 | — | 2.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $28,968 | $14,484 | — | 2.8x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $78,011 | $39,006 | — | 2.7x |
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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