How many shoppable procedure prices are published for Bethesda North?

Bethesda North in Cincinnati, OH currently has 141 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Bethesda North's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Bethesda North's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Bethesda North's CMS Care Compare overall star rating?

CMS Care Compare assigns Bethesda North an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 432 Beds · urban Updated: 2026-04-01

Bethesda North

10500 Montgomery Road, Cincinnati, OH 45242 · 141 Priced Procedures · 71% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.44×vs. Fair Market Price

Typical commercial prices here are +44% above the fair benchmark (1.44×) even after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 24% of the Time

File Completeness56

Price Logic89

Peer Alignment66

Clean Billing84

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.44× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Bethesda North prices shoppable and inpatient services (1.9× to 1.4× Medicare, divergence 0.74×) in alignment with regional hospital peers (1.44× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#118 of 137 in OH · 85th State Percentile#2,540 of 3,385 in U.S. · 75th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.35× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 24% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 71% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (42.6% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.6× markup over Medicare rates
Commercial insurance median sits at 1.51× Fair BaseRate (1.9× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.87×) jump +24% above the median procedure ratio (Q50 1.51×)
Unnegotiated chargemaster list prices average 3.9× Medicare (29¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.9× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.74× Divergence

1.4× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+24% Upper Tail

Q25 1.35× · Q50 1.51× · Q75 1.87×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.9× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.8× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

24% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Bethesda North

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 141 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$38,067	$30,775	1.2×
Total knee replacement CPT Code: `27447`	—	$23,107	$13,523	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$22,890	$19,087	1.2×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$22,730	$19,432	1.2×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$20,775	$17,936	1.2×
Total hip replacement CPT Code: `27130`	—	$18,973	$13,413	1.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$10,784	$6,109	1.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,426	$8,223	1.1×
Inguinal hernia repair CPT Code: `49505`	—	$7,183	$3,629	2.0×
Breast lump removal CPT Code: `19120`	—	$7,019	$3,875	1.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$6,957	$3,372	2.1×
Bunion correction surgery CPT Code: `28296`	—	$6,859	$3,446	2.0×
C-section delivery (full package) CPT Code: `59510`	—	$5,998	$2,975	2.0×
Vaginal delivery (full package) CPT Code: `59400`	—	$5,385	$2,680	2.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$5,127	$2,540	2.0×
Trauma team activation HCPCS Code: `G0390`	$2,625	$3,155	$1,453	2.2×
Upper endoscopy with biopsy CPT Code: `43239`	$2,110	$1,910	$987	1.9×
Colonoscopy with biopsy CPT Code: `45380`	$2,618	$1,791	$1,256	1.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$2,673	$1,670	$1,021	1.6×
Injection procedure for pain management HCPCS Code: `G0260`	—	$1,568	$855	1.8×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,850	$1,359	$981	1.4×
Behavioral health residential care HCPCS Code: `H0011`	—	$995	$364	2.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,568	$975	$583	1.7×
Blood transfusion CPT Code: `36430`	$688	$886	$498	1.8×
Behavioral health day treatment HCPCS Code: `H0010`	—	$864	$343	unverified
Psychological testing by technician CPT Code: `96138`	—	$797	$395	unverified
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$706	$269	2.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$606	$671	$448	1.5×
Residential mental health treatment HCPCS Code: `H2036`	—	$560	$406	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$965	$502	$272	1.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$495	$495	$511	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$606	$426	$303	1.4×
Rabies immune globulin HCPCS Code: `90375`	$5,526	$451	$322	1.4×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$416	$88	4.7×
MRI, brain (no contrast) CPT Code: `70551`	$495	$434	$343	1.3×
MRI, lower back (no contrast) CPT Code: `72148`	$495	$426	$338	1.3×
MRI, knee or other leg joint CPT Code: `73721`	$495	$451	$369	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$330	$372	$181	2.1×
Neurobehavioral status check CPT Code: `96116`	$470	$385	$231	1.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$303	$343	$258	1.3×
Psychotherapy session (45 minutes) CPT Code: `90834`	$314	$317	$166	1.9×
CT scan, head (with contrast) CPT Code: `70460`	$303	$317	$242	1.3×
Psychiatric evaluation (first visit) CPT Code: `90791`	$294	$294	$185	unverified
Mental health services (assessment) HCPCS Code: `H0031`	—	$256	$140	1.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$392	$248	$148	1.7×
Behavioral health assessment HCPCS Code: `H0001`	—	$248	$157	1.6×
X-ray, lower back CPT Code: `72110`	$596	$220	$112	2.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$560	$220	$126	1.7×
Ultrasound, pelvis CPT Code: `76856`	$547	$220	$130	1.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$655	$220	$132	1.7×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$226	$151	1.5×
CT scan, sinuses CPT Code: `70486`	$303	$242	$166	1.5×
CT scan, pelvis CPT Code: `72192`	$303	$226	$163	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$303	$230	$169	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$303	$227	$167	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$303	$227	$168	1.4×
X-ray, pelvis CPT Code: `72170`	$319	$220	$110	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$702	$220	$134	unverified
Psychological testing evaluation CPT Code: `96136`	—	$237	$128	unverified
Behavioral health day program HCPCS Code: `H2012`	—	$199	$100	2.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$210	$123	1.7×
Mental health services (therapy) HCPCS Code: `H0032`	—	$181	$65	2.8×
X-ray, chest (single view) CPT Code: `71045`	$217	$183	$92	2.0×
X-ray, foot CPT Code: `73630`	$382	$183	$92	2.0×
X-ray, chest (two views) CPT Code: `71046`	$261	$183	$93	2.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$350	$183	$93	2.0×
X-ray, hand CPT Code: `73130`	$347	$183	$93	2.0×
X-ray, hip CPT Code: `73502`	$382	$183	$93	2.0×
X-ray, ankle CPT Code: `73610`	$382	$183	$93	2.0×
Screening mammogram (both breasts) CPT Code: `77067`	$311	$205	$123	1.7×
CT scan, head (no contrast) CPT Code: `70450`	$303	$203	$160	1.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$1,729	$166	$86	1.9×
Group therapy session CPT Code: `90853`	$255	$181	$100	1.8×
Care planning with family CPT Code: `90887`	$181	$193	$107	1.8×
New patient office visit (30-44 min) CPT Code: `99203`	—	$177	$110	1.6×
Review of medical records for care CPT Code: `90889`	—	$180	$114	1.6×
X-ray, shoulder CPT Code: `73030`	$338	$183	$92	unverified
Family therapy session CPT Code: `90847`	$171	$171	$173	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$199	$178	$86	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$142	$87	1.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$154	$154	$201	unverified
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$83	$33	2.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$152	$105	$64	1.6×
Typhoid vaccine HCPCS Code: `90675`	—	$516	$347	1.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$367	$367	$203	1.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$194	$194	$111	1.7×
Pneumococcal vaccine HCPCS Code: `90732`	$271	$215	$140	1.5×
Drug screening test HCPCS Code: `G0480`	$352	$166	$116	1.4×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$77	$16	4.8×
Behavioral health living support HCPCS Code: `H2019`	—	$78	$34	2.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$84	$86	$39	2.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$134	$105	$56	1.9×
Flu vaccine injection HCPCS Code: `G0008`	—	$84	$48	1.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$84	$49	1.7×
Prosthetic fitting and training CPT Code: `97761`	$93	$68	$45	1.5×
Orthotic fitting and training CPT Code: `97760`	$83	$77	$51	1.5×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$42	$25	1.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$100	$60	$40	1.5×
Colorectal cancer screening HCPCS Code: `G0010`	—	$84	$49	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$55	$37	$25	1.5×
Physical therapy (functional capacity test) CPT Code: `97750`	$210	$56	$38	1.5×
Community mental health services HCPCS Code: `H0038`	—	$29	$16	1.8×
Hepatitis B vaccine HCPCS Code: `90744`	—	$54	$37	1.5×
Physical therapy (gait training) CPT Code: `97116`	$107	$48	$33	1.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$93	$55	$38	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	$118	$54	$38	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$46	$27	$19	1.4×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$107	$48	$35	1.4×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$36	$27	1.3×
Physical therapy (manual therapy) CPT Code: `97140`	$93	$45	$34	1.3×
Speech therapy (group session) CPT Code: `92508`	—	$56	$27	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	—	$19	$14	1.4×
Blood test, vitamin D CPT Code: `82306`	$79	$40	$31	1.3×
Blood test, calcium CPT Code: `82310`	$10	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$14	$7	$5	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$6	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$21	$8	$6	1.3×
Culture, bacterial CPT Code: `87070`	$23	$12	$9	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$26	$13	$10	1.3×
Blood test, amylase CPT Code: `82150`	$12	$9	$7	1.3×
Blood test, lipase CPT Code: `83690`	$13	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$18	$9	$7	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$32	$23	$18	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$28	$14	$11	1.3×
Culture, blood CPT Code: `87040`	$35	$14	$11	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$40	$20	$16	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$10	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$7	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$15	$10	$8	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$13	$11	$9	1.2×
Blood test, liver function panel CPT Code: `80076`	$15	$11	$9	1.2×
Blood test, potassium CPT Code: `84132`	$16	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$16	$6	$5	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$13	$6	$5	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$29	$35	0.8×
Blood antibody screen CPT Code: `86850`	$30	$30	$46	0.7×
Blood test, hemoglobin CPT Code: `85018`	$8	$3	$3	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$25	$19	$14	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$26	$20	$14	unverified
Hepatitis C antibody test CPT Code: `86803`	$38	$21	$15	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$35	$28	$20	unverified

Showing top 25 high-impact procedures of 141 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 42.6%

Audit a Bill or Quote at Bethesda North (Zero PHI Required)

CMS CCN: 360179

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $38,067

1. Amount on Your Bill or Quote ($) Pre-filled with Bethesda North’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $38,920 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $38,920

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (42.6% of gross = $38,920).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Bethesda North's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$60,586 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($91,361) is $60,586 above the denoised Fair BaseRate ($30,775) and 3.9× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (42.6% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite69/100

Would Recommend71%

Rated 9 or 10 (HCAHPS)72%

Median ER Wait151 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.2%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Bethesda North. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-16·administrative_or_closure
Closure Notice
Recorded
2025-05-16·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,737 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

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

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Bethesda North.

Price Index: 0.96× regional baseline

Quality: 66/100 CMS composite

Median Household Income$70,816U.S. Census ACS

Local Uninsured Share5.8%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 79/100 · Corroborated CMS CCN 360179

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 360179) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows1,992 (CMS v3.0.0)

File Integrity DigestVerified · CCN 360179

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