Summa Western Reserve Hospital
SUMMA WESTERN RESERVE HOSPITAL in Cuyahoga Falls, OH charges 8.3x the Medicare reimbursement on average, with 30% of analyzed procedures showing significant pricing variations.
Cuyahoga Falls, OH 44223 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
F
Very high
Avg markup vs Medicare
8.26x
Charge / Medicare rate
Max markup
11.03x
Worst procedure
Procedures analyzed
10
With pricing data
Outlier procedures
30%
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 |
|---|---|---|---|---|---|
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $93,934 | $46,967 | — | 11x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $92,673 | $46,336 | — | 10.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $72,368 | $36,184 | — | 9.8x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $92,651 | $46,325 | — | 9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $47,908 | $23,954 | — | 8.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $133,516 | $66,758 | — | 8.3x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $72,815 | $36,408 | — | 7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $92,106 | $46,053 | — | 7x |
| CELLULITIS WITHOUT MCC | 603 | $44,485 | $22,243 | — | 6.4x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $73,502 | $36,751 | — | 5.3x |
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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