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CMS Price Transparency Data Hospital file updated: 2026-03-31

Digestive disorders treatment (inpatient stay)

Facility: Diley Ridge Medical Center

Billing Code: 392 (MS-DRG)

Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.Good Deal · Below Fair Market
$7,619Fair BaseRate (0.38× Market)
Position vs. 1.00× Fair Price62% Below Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

This hospital's typical commercial price is $2,921 compared to the $7,619 fair price benchmark.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).86/100 · Verified
86/100Hover Any Check Below to See How Prices Were Audited
File Completeness90Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic88Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment86Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing83Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount84Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.Regional Value Leader
CMS Star RatingNot RatedOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety ScoreNot ScoredComposite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER WaitNo ER DataMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

The BaseRate · fair price high confidence
A fair price for this
$7,619
about 1.3× the $5,676 Medicare rate · typically $5,720–$15,674
modeled estimate · not a bill or quote
What this hospital charges insurers
$2,921
Below the fair price — a good deal
about $4,698 under the fair price · 0.5× Medicare
Medicare pays $5,676 Fair price $7,619 This hospital $2,921 Cash price $12,115

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

One of the lower prices — 5 of 8 other OH hospitals charge more for the same procedure.

Cheapest $2,859 Priciest $5,373

Black dot = this hospital, among the 9 OH hospitals with a price for this procedure. Full list below.

Note: The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Digestive disorders treatment (inpatient stay) is about $7,619 (about 1.3× the $5,676 Medicare rate). Diley Ridge Medical Center charges insurers about $2,921, or about $12,115 in cash — below the fair price — a good deal. Located in Canal Winchester, OH.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

UnitedHealthcareBlue Cross Blue ShieldAetnaCigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $4,782 - $5,185 84%
Blue Cross Blue Shieldmajor $17,171 303%
Aetnamajor $3,563 - $10,484 63%
Cignamajor $2,921 51%
GEHA $5,185 91%
HealthPartners $2,921 51%
MVP Health Care $2,921 51%
Priority Health $2,921 51%
+ 6 smaller / regional plans $632 - $3,563

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 7911 Diley Road, Canal Winchester, OH 43110
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals

Other Procedures at Diley Ridge Medical Center

Compare: Digestive disorders treatment (inpatient stay) at other OH hospitals

Insurance negotiated median for the same procedure, sorted lowest first.

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Diley Ridge Medical Center (Zero PHI Required)

CMS CCN: 360358
MS-DRG 392
Fair BaseRate™ $7,619
Medicare Rate $5,676
Self-Pay Cash $12,115
Insurer Median $2,921
Pre-filled with Diley Ridge Medical Center’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
2026 FPL: $15,650 + $5,500 per additional person
Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $2,545 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $2,545

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $2,545).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $12,115

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Diley Ridge Medical Center's published 45 CFR § 180 self-pay cash rate is $12,115 (vs. $2,921 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $7,619 Fair BaseRate

Negotiate Toward $7,619 Fair BaseRate ($5,676 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($7,619).

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, MS-DRG code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.
Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

45 CFR § 180 Primary-Source Lineage & Federal Verification Verified CMS CCN 360358

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (342032340_diley-ridge-medical-center_standardcharges.zip!342032340_Diley-Ridge-Medical-Center_standardcharges.csv) Verify on CMS Medicare.gov (CCN 360358) ↗ CMS HCRIS Cost Reports ↗
Published MRF File342032340_diley-ridge-medical-center_standardcharges.zip!342032340_Diley-Ridge-Medical-Center_standardcharges.csv
Publication / Vintage2026-03-31 · 118.92 MB
Validated Rate Rows15,140,797 (CMS v3.0.0)
File Integrity Digest902a20fecc780f5a6597…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy