University of Toledo Medical Center
University of Toledo Medical Center in Toledo, OH charges 6.2x the Medicare reimbursement rate across 54 analyzed procedures at this government-owned facility.
Toledo, OH 43614 · 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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Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
D
High
Avg markup vs Medicare
6.23x
Charge / Medicare rate
Max markup
12.98x
Worst procedure
Procedures analyzed
54
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 |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $287,325 | $143,662 | — | 13x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | 651 | $303,905 | $151,952 | — | 11.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $104,696 | $52,348 | — | 11.2x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $152,709 | $76,354 | — | 10.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $61,906 | $30,953 | — | 9.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $61,361 | $30,680 | — | 9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $51,270 | $25,635 | — | 8.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $91,107 | $45,554 | — | 7.9x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $43,419 | $21,710 | — | 7.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $60,051 | $30,026 | — | 7.7x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $126,403 | $63,201 | — | 7.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $52,760 | $26,380 | — | 7.5x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $49,572 | $24,786 | — | 7.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $39,054 | $19,527 | — | 7.2x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $53,702 | $26,851 | — | 7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $87,916 | $43,958 | — | 6.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $45,869 | $22,935 | — | 6.7x |
| DIABETES WITH MCC | 637 | $64,559 | $32,279 | — | 6.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $94,565 | $47,283 | — | 6.5x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $80,066 | $40,033 | — | 6.4x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $214,091 | $107,046 | — | 6.3x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | 270 | $251,106 | $125,553 | — | 6.1x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $52,368 | $26,184 | — | 6x |
| DIABETES WITH CC | 638 | $37,183 | $18,591 | — | 6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $73,363 | $36,681 | — | 5.9x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $72,361 | $36,181 | — | 5.9x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $119,602 | $59,801 | — | 5.8x |
| SEIZURES WITHOUT MCC | 101 | $35,206 | $17,603 | — | 5.8x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $115,469 | $57,734 | — | 5.7x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $28,552 | $14,276 | — | 5.6x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $60,925 | $30,462 | — | 5.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $86,822 | $43,411 | — | 5.3x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $43,426 | $21,713 | — | 5.3x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $156,860 | $78,430 | — | 5.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $39,624 | $19,812 | — | 5.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $28,338 | $14,169 | — | 5.2x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $63,022 | $31,511 | — | 5.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $44,234 | $22,117 | — | 5.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $74,732 | $37,366 | — | 5.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $27,337 | $13,668 | — | 5.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $163,816 | $81,908 | — | 5x |
| CELLULITIS WITHOUT MCC | 603 | $27,690 | $13,845 | — | 4.8x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $46,197 | $23,099 | — | 4.8x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $130,968 | $65,484 | — | 4.5x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $150,998 | $75,499 | — | 4.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $42,358 | $21,179 | — | 4.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $43,079 | $21,540 | — | 4.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $40,861 | $20,430 | — | 4.3x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | 207 | $209,816 | $104,908 | — | 4.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $56,388 | $28,194 | — | 4.2x |
Showing 50 of 54 procedures
How UNIVERSITY OF TOLEDO MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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