Southern Ohio Medical Center
Southern Ohio Medical Center in Portsmouth, OH charges 4.4x the Medicare reimbursement rate across 60 analyzed procedures at this nonprofit-private hospital.
Portsmouth, OH 45662 · 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
4.41x
Charge / Medicare rate
Max markup
8.64x
Worst procedure
Procedures analyzed
60
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 WITH CC | 281 | $48,323 | $24,162 | — | 8.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $93,784 | $46,892 | — | 7.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $95,982 | $47,991 | — | 7.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $44,738 | $22,369 | — | 6.8x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $28,203 | $14,102 | — | 6.5x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $103,089 | $51,544 | — | 6.5x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $136,248 | $68,124 | — | 6.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $17,788 | $8,894 | — | 6.1x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $187,355 | $93,678 | — | 6.1x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $137,880 | $68,940 | — | 5.7x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $51,090 | $25,545 | — | 5.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $88,295 | $44,148 | — | 5.6x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $38,901 | $19,450 | — | 5.2x |
| HYPERTENSION WITHOUT MCC | 305 | $23,318 | $11,659 | — | 5.1x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $87,213 | $43,607 | — | 5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $29,663 | $14,831 | — | 5x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $142,478 | $71,239 | — | 4.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $34,673 | $17,336 | — | 4.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $23,218 | $11,609 | — | 4.8x |
| SEIZURES WITHOUT MCC | 101 | $27,754 | $13,877 | — | 4.7x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $25,889 | $12,944 | — | 4.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $22,808 | $11,404 | — | 4.6x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | 242 | $141,518 | $70,759 | — | 4.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $169,709 | $84,854 | — | 4.5x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $28,753 | $14,377 | — | 4.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $23,217 | $11,609 | — | 4.3x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $28,065 | $14,033 | — | 4.3x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $28,445 | $14,222 | — | 4.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $19,910 | $9,955 | — | 4.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $37,670 | $18,835 | — | 4.2x |
| SYNCOPE AND COLLAPSE | 312 | $22,760 | $11,380 | — | 4.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $21,248 | $10,624 | — | 4.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $46,733 | $23,367 | — | 4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $21,224 | $10,612 | — | 3.9x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $49,682 | $24,841 | — | 3.9x |
| DIABETES WITH CC | 638 | $21,966 | $10,983 | — | 3.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $33,097 | $16,548 | — | 3.9x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $77,342 | $38,671 | — | 3.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $58,317 | $29,158 | — | 3.8x |
| CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | 433 | $28,266 | $14,133 | — | 3.8x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $32,477 | $16,238 | — | 3.7x |
| RENAL FAILURE WITH CC | 683 | $22,559 | $11,280 | — | 3.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $55,985 | $27,993 | — | 3.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $34,639 | $17,320 | — | 3.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $29,962 | $14,981 | — | 3.5x |
| DIABETES WITH MCC | 637 | $34,596 | $17,298 | — | 3.5x |
| RENAL FAILURE WITH MCC | 682 | $36,961 | $18,481 | — | 3.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $40,127 | $20,064 | — | 3.4x |
| CELLULITIS WITHOUT MCC | 603 | $19,408 | $9,704 | — | 3.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $48,273 | $24,137 | — | 3.3x |
Showing 50 of 60 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