How many shoppable procedure prices are published for Doctors Hospital?

Doctors Hospital in Columbus, OH currently has 119 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Doctors Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Doctors Hospital's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is Doctors Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Doctors Hospital an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 174 Beds · urban Updated: 2026-04-01

Doctors Hospital

5100 West Broad Street, Columbus, OH 43228 · 119 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.16×vs. Fair Market Price

Typical commercial prices here are +16% above the fair benchmark (1.16×) even after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 27% of the Time

File Completeness100

Price Logic66

Peer Alignment65

Clean Billing58

Real Cash Discount100

Premium Quality Tier

3-Star CMS clinical quality rating paired with 1.16× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Doctors Hospital prices routine shoppable procedures near 1.3× Medicare (p50 0.92×) while skewing captive emergency, lab, and upper-quartile codes to 1.4× Medicare (p75 1.61×, +75% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#84 of 137 in OH · 60th State Percentile#1,894 of 3,385 in U.S. · 55th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 27% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 68% patient recommendation (66/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (29.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Captive ER (0.4×) & laboratory (0.4×) services average 1.08× higher multiples than routine shoppable care (1.3×)
Upper-quartile procedures (Q75 1.61×) jump +75% above the median procedure ratio (Q50 0.92×)
Unnegotiated chargemaster list prices average 7.1× Medicare (17¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.3× Medicare

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

Back-Door Captive & ER1.08× Divergence

1.4× Medicare

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

Quantile Tail Spread+75% Upper Tail

Q25 0.78× · Q50 0.92× · Q75 1.61×

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

1.3× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.5× MedicareGood

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

1.5× MedicareGood

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

27% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 66/100Fair

Procedure Prices at Doctors Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 119 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`	—	$31,974	$30,775	1.0×
Total knee replacement CPT Code: `27447`	—	$25,433	$13,523	1.9×
Total hip replacement CPT Code: `27130`	—	$22,168	$13,413	1.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$20,445	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$20,323	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,838	$17,936	1.1×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$16,329	$6,109	2.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$10,034	$8,223	1.2×
Breast lump removal CPT Code: `19120`	—	$9,773	$3,875	2.5×
Inguinal hernia repair CPT Code: `49505`	—	$9,608	$3,629	2.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$9,456	$3,372	2.8×
Bunion correction surgery CPT Code: `28296`	—	$9,456	$3,446	2.7×
Trauma team activation HCPCS Code: `G0390`	$8,695	$8,695	$1,453	6.0×
Cataract surgery with lens implant CPT Code: `66984`	—	$5,740	$2,540	2.3×
Colonoscopy with biopsy CPT Code: `45380`	$3,199	$3,199	$1,256	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$2,876	$2,315	$981	2.4×
Upper endoscopy with biopsy CPT Code: `43239`	$2,738	$2,304	$987	2.3×
Injection procedure for pain management HCPCS Code: `G0260`	$4,533	$2,205	$855	2.6×
Blood transfusion CPT Code: `36430`	$1,801	$2,074	$498	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	—	$846	$1,021	0.8×
Rabies immune globulin HCPCS Code: `90375`	$4,149	$656	$322	2.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,565	$538	$583	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$272	$342	$151	2.3×
Family therapy session CPT Code: `90847`	$364	$364	$173	2.1×
Psychotherapy session (60 minutes) CPT Code: `90837`	$364	$364	$181	2.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$326	$326	$166	2.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$326	$326	$185	1.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,932	$344	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,005	$344	$511	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,571	$235	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,309	$235	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$1,275	$235	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,836	$235	$369	0.6×
Behavioral health day program HCPCS Code: `H2012`	$207	$207	$100	2.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$245	$216	$201	1.1×
Neurobehavioral status check CPT Code: `96116`	$541	$213	$231	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$931	$235	$272	0.9×
Group therapy session CPT Code: `90853`	$182	$182	$100	1.8×
CT scan, head (with contrast) CPT Code: `70460`	$951	$173	$242	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,078	$173	$258	0.7×
Psychological testing evaluation CPT Code: `96136`	—	$131	$128	1.0×
X-ray, pelvis CPT Code: `72170`	$235	$103	$110	0.9×
X-ray, chest (single view) CPT Code: `71045`	$171	$86	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$432	$86	$92	0.9×
X-ray, foot CPT Code: `73630`	$368	$86	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$200	$86	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$236	$86	$93	0.9×
X-ray, hand CPT Code: `73130`	$312	$86	$93	0.9×
X-ray, hip CPT Code: `73502`	$235	$86	$93	0.9×
X-ray, ankle CPT Code: `73610`	$362	$86	$93	0.9×
X-ray, lower back CPT Code: `72110`	$287	$103	$112	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$355	$103	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$226	$103	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$478	$103	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$403	$103	$134	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$541	$101	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$161	$83	$123	0.7×
CT scan, head (no contrast) CPT Code: `70450`	$835	$103	$160	0.6×
CT scan, pelvis CPT Code: `72192`	$1,020	$103	$163	0.6×
CT scan, sinuses CPT Code: `70486`	$876	$103	$166	0.6×
CT scan, chest (no contrast) CPT Code: `71250`	$996	$103	$167	0.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$868	$103	$168	0.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,073	$103	$169	0.6×
Typhoid vaccine HCPCS Code: `90675`	$951	$951	$347	2.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$561	$511	$203	2.5×
Pneumococcal vaccine HCPCS Code: `90732`	$379	$312	$140	2.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$299	$260	$111	2.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$122	$122	$6	20.3×
Culture, bacterial CPT Code: `87070`	$125	$125	$9	13.9×
Culture, blood CPT Code: `87040`	$126	$126	$11	11.5×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$85	$85	$5	17.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$100	$100	$14	7.1×
Blood test, amylase CPT Code: `82150`	$65	$65	$7	9.3×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$94	$82	$39	2.1×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$66	$66	$10	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$85	$85	$27	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$55	$55	$20	2.8×
Hepatitis B vaccine HCPCS Code: `90744`	$88	$72	$37	1.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$146	$90	$56	1.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$78	$78	$86	0.9×
Blood test, lipase CPT Code: `83690`	$48	$48	$7	6.9×
Speech therapy (language evaluation) CPT Code: `92507`	$244	$73	$86	0.8×
Blood test, magnesium CPT Code: `83735`	$42	$42	$7	6.0×
Blood test, calcium CPT Code: `82310`	$28	$28	$5	5.6×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$48	$48	$11	4.4×
Blood test, basic metabolic panel CPT Code: `80048`	$36	$36	$9	4.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$40	$40	$14	2.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$46	$46	$18	2.6×
Blood test, vitamin B12 CPT Code: `82607`	$40	$40	$16	2.5×
Flu vaccine (high dose) HCPCS Code: `90656`	$81	$52	$25	2.1×
Blood test, vitamin D CPT Code: `82306`	$52	$52	$31	1.7×
Flu vaccine injection HCPCS Code: `G0008`	$33	$46	$48	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$33	$46	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$33	$46	$49	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$99	$58	$64	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$20	$20	$8	2.5×
Orthotic fitting and training CPT Code: `97760`	$140	$44	$51	0.9×
Blood test, liver function panel CPT Code: `80076`	$18	$18	$9	2.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$6	$6	$4	1.5×
Blood test, creatinine (kidney) CPT Code: `82565`	$6	$6	$5	1.2×
Electrical stimulation therapy HCPCS Code: `G0283`	$128	$12	$14	0.9×
Physical therapy (gait training) CPT Code: `97116`	$123	$28	$33	0.8×
Prosthetic fitting and training CPT Code: `97761`	$105	$38	$45	0.8×
Physical therapy (functional capacity test) CPT Code: `97750`	$103	$32	$38	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$124	$33	$40	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$113	$31	$38	0.8×
Blood antibody screen CPT Code: `86850`	$38	$37	$46	0.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$42	$42	$19	unverified
Blood test, hemoglobin CPT Code: `85018`	$7	$7	$3	2.3×
Hepatitis C antibody test CPT Code: `86803`	$23	$23	$15	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$6	$6	$4	1.5×
Blood test, potassium CPT Code: `84132`	$6	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$6	$6	$5	1.2×
Speech therapy (group session) CPT Code: `92508`	$101	$23	$27	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$107	$31	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$125	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$129	$27	$34	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$12	$35	0.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$8	$8	$3	unverified

Showing top 25 high-impact procedures of 119 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 29.2%

Audit a Bill or Quote at Doctors Hospital (Zero PHI Required)

CMS CCN: 360152

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $31,974

1. Amount on Your Bill or Quote ($) Pre-filled with Doctors Hospital’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: $22,392 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $22,392

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (29.2% of gross = $22,392).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Doctors Hospital'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 +$45,963 Above Fair BaseRate

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

Your bill ($76,738) is $45,963 above the denoised Fair BaseRate ($30,775) and 3.3× 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)

EIN: 314394942

Filing Period: 194210

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 (29.2% 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 Composite66/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait174 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (524 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

Higher-Quality, Above-Median Price Tier

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

Price Index: 1.22× regional baseline

Quality: 60/100 CMS composite

Median Household Income$73,795U.S. Census ACS

Local Uninsured Share8.4%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 77/100 · Corroborated CMS CCN 360152 EIN 314394942

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 360152) ↗ Verify IRS Form 990 (EIN 314394942) ↗ CMS HCRIS Cost Reports ↗

Published MRF File314394942_doctors-hospital_standardcharges.json

Publication / Vintage2026-04-01 · 24.18 MB

Validated Rate Rows204 (CMS v3.0.0)

File Integrity Digest07303a38f781fbeb3525…

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

Doctors Hospital

Loss-Leader / Captive Ancillary Cross-Subsidizer

Where They're Good (Patient & Payer Edge)

Where You Can Get Burned (Markup Traps)

REA Pricing Decompiler · 5-Layer Cost-to-Charge Reverse Engineering

Insurer Bargaining Power & Cash-Vulnerability Matrix

Procedure Prices at Doctors Hospital

Audit a Bill or Quote at Doctors Hospital (Zero PHI Required)

Statutory 501(r) AGB Cap Limits Bill to $22,392

Compare Prompt-Pay Cash Rate Against Remaining Deductible

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

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

Clinical Quality, Patient Experience & Infection Benchmarks

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

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

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