Wilson Memorial Hospital
Wilson Memorial Hospital in Sidney, OH charges 3.0x the Medicare reimbursement rate across analyzed procedures, according to our review of this nonprofit-private facility's pricing data.
Sidney, OH 45365 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
B
Good
Avg markup vs Medicare
2.97x
Charge / Medicare rate
Max markup
3.89x
Worst procedure
Procedures analyzed
10
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 AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $19,969 | $9,984 | — | 3.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $19,846 | $9,923 | — | 3.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $26,033 | $13,016 | — | 3.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $22,980 | $11,490 | — | 3.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $23,129 | $11,565 | — | 3.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $10,433 | $5,216 | — | 3x |
| CELLULITIS WITHOUT MCC | 603 | $13,998 | $6,999 | — | 2.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $18,125 | $9,063 | — | 2.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $22,680 | $11,340 | — | 2.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $23,034 | $11,517 | — | 2x |
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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