Blanchard Valley Hospital
1900 South Main Street, Findlay, OH 45840 · 93 Priced Procedures · 70% Patient Recommendation
Typical commercial prices here are +23% above the fair benchmark (1.23×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.23× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Blanchard Valley Hospital prices routine shoppable procedures near 1.4× Medicare (p50 1.09×) while skewing captive emergency, lab, and upper-quartile codes to 1.6× Medicare (p75 1.64×, +50% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.85× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 7% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 70% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (32.8% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.23× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Captive ER (0.8×) & laboratory (1.6×) services average 1.14× higher multiples than routine shoppable care (1.4×)
- Upper-quartile procedures (Q75 1.64×) jump +50% above the median procedure ratio (Q50 1.09×)
- Consolidated metro market (HHI 8,685) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Blanchard Valley Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 93 published procedures.
Audit a Bill or Quote at Blanchard Valley Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $23,109
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (32.8% of gross = $23,109).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Blanchard Valley Hospital's published 45 CFR § 180 self-pay cash rate is $70,498 (vs. $70,498 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)
Your bill ($70,498) is $51,066 above the denoised Fair BaseRate ($19,432) and 5.0× the $14,044 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (32.8% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Blanchard Valley Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2026-04-13·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (471 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Blanchard Valley Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
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.