Encompass Health Rehabilitation Hospital of Toledo
4647 Monroe St, Toledo, OH 43623 · 61 Priced Procedures
Typical commercial prices here match the fair market benchmark (1.00×) after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Specialty Drug & Surgical Margin Engine
Encompass Health Rehabilitation Hospital of Toledo concentrates commercial margin in outpatient surgical suites (5.0× Medicare) and specialty drug infusions (4.6× Medicare) relative to routine diagnostics (4.6×). Comparing freestanding ambulatory surgery centers or specialty pharmacy options before treatment yields substantial savings.
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 0% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 5.0× markup over Medicare rates
- Commercial insurance median sits at 1.00× Fair BaseRate (4.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.28×) jump +28% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 4.4× Medicare (29¢ true HCRIS cost per $1 gross)
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 Encompass Health Rehabilitation Hospital of Toledo
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 61 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,574 | 3.5× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,574 | 3.1× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,180 | 3.9× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,180 | 3.5× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,180 | 3.4× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,180 | 3.2× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,046 | 4.3× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,046 | 4.1× |
| Blood transfusion CPT Code: 36430 | $894 | 1.8× |
| CT scan, head (no contrast) CPT Code: 70450 | $860 | 5.4× |
| CT scan, pelvis CPT Code: 72192 | $860 | 5.3× |
| CT scan, chest (no contrast) CPT Code: 71250 | $860 | 5.1× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $860 | 5.1× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $860 | 5.1× |
| CT scan, sinuses CPT Code: 70486 | $814 | 4.9× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $338 | 1.2× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $309 | 0.5× |
| Speech therapy (language evaluation) CPT Code: 92507 | $243 | 2.8× |
| Neurobehavioral status check CPT Code: 96116 | $239 | 1.0× |
| X-ray, chest (single view) CPT Code: 71045 | $203 | 2.2× |
| X-ray, shoulder CPT Code: 73030 | $203 | 2.2× |
| X-ray, foot CPT Code: 73630 | $203 | 2.2× |
| X-ray, chest (two views) CPT Code: 71046 | $203 | 2.2× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $203 | 2.2× |
| X-ray, hand CPT Code: 73130 | $203 | 2.2× |
Audit a Bill or Quote at Encompass Health Rehabilitation Hospital of Toledo (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Self-Pay Cash Rate ($1,574) Beats Your Bill
Encompass Health Rehabilitation Hospital of Toledo's published 45 CFR § 180 self-pay cash rate is $1,574 (vs. $1,574 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $448 Fair BaseRate ($356 Medicare)
Your bill ($2,098) is $1,650 above the denoised Fair BaseRate ($448) and 5.9× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Encompass Health Rehabilitation Hospital of Toledo as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
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 Encompass Health Rehabilitation Hospital of Toledo.
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.