Springfield Regional Medical Center
Springfield Regional Medical Center in Springfield, OH charges 6.4x the Medicare reimbursement rate on average across 51 analyzed procedures at this nonprofit facility.
Springfield, OH 45504 · Acute Care Hospitals · CMS Rating: 3/5
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
D
High
Avg markup vs Medicare
6.37x
Charge / Medicare rate
Max markup
9.29x
Worst procedure
Procedures analyzed
51
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 |
|---|---|---|---|---|---|
| DYSEQUILIBRIUM | 149 | $37,351 | $18,676 | — | 9.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $59,073 | $29,536 | — | 9.1x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $48,392 | $24,196 | — | 8.9x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $42,676 | $21,338 | — | 8.5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $55,110 | $27,555 | — | 8.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $57,980 | $28,990 | — | 8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $63,800 | $31,900 | — | 7.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $47,182 | $23,591 | — | 7.3x |
| SYNCOPE AND COLLAPSE | 312 | $35,160 | $17,580 | — | 7.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $32,453 | $16,227 | — | 7.2x |
| CELLULITIS WITHOUT MCC | 603 | $36,019 | $18,009 | — | 7.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $84,872 | $42,436 | — | 7.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $53,700 | $26,850 | — | 7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $32,793 | $16,396 | — | 7x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $309,058 | $154,529 | — | 6.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $37,357 | $18,678 | — | 6.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $27,413 | $13,706 | — | 6.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $32,032 | $16,016 | — | 6.7x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $36,845 | $18,422 | — | 6.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $72,216 | $36,108 | — | 6.6x |
| HYPERTENSION WITHOUT MCC | 305 | $28,163 | $14,082 | — | 6.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $69,128 | $34,564 | — | 6.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $54,362 | $27,181 | — | 6.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $39,912 | $19,956 | — | 6.5x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $132,484 | $66,242 | — | 6.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $50,070 | $25,035 | — | 6.3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $74,875 | $37,438 | — | 6.2x |
| DIABETES WITH MCC | 637 | $50,875 | $25,438 | — | 6.2x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $39,252 | $19,626 | — | 6.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $37,260 | $18,630 | — | 6.1x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $55,484 | $27,742 | — | 6x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $66,264 | $33,132 | — | 5.9x |
| RENAL FAILURE WITH CC | 683 | $32,450 | $16,225 | — | 5.9x |
| RENAL FAILURE WITH MCC | 682 | $54,253 | $27,127 | — | 5.9x |
| DIABETES WITH CC | 638 | $31,204 | $15,602 | — | 5.9x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $60,801 | $30,400 | — | 5.8x |
| SEIZURES WITHOUT MCC | 101 | $30,426 | $15,213 | — | 5.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $67,563 | $33,782 | — | 5.7x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $90,435 | $45,217 | — | 5.6x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $40,052 | $20,026 | — | 5.4x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $42,895 | $21,448 | — | 5.4x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $73,512 | $36,756 | — | 5.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $56,791 | $28,395 | — | 5x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $46,980 | $23,490 | — | 5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $35,697 | $17,848 | — | 5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $65,123 | $32,561 | — | 4.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $62,794 | $31,397 | — | 4.7x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $37,482 | $18,741 | — | 4.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $49,530 | $24,765 | — | 4.7x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $115,189 | $57,595 | — | 4.4x |
Showing 50 of 51 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