Skip to main content
States Procedures Methodology Search
Hospital Profile Psychiatric Hospital Proprietary 76 Beds · urban Updated: 3/31/2026

Generations Behavioral Health-Youngstown LLC

196 Colonial Drive, Youngstown, OH 44504 · 22 Priced Procedures

CMS Overall Rating No CMS Rating
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
0.92×vs. Fair Market Price
Position vs. 1.00× Fair Price8% 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.

Typical commercial prices here are 8% below the fair benchmark (0.92×) after accounting for local nurse/doctor wages and patient complexity.

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).69/100 · Caution
69/100Self-Pay Cash Beats Insurance 0% of the Time
File Completeness56Provenance (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 Logic100Coherence (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 Alignment65Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing66Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount50Cash 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.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Generations Behavioral Health-Youngstown LLC maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.92× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.92× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#34 of 137 in OH · 24th State Percentile#797 of 3,385 in U.S. · 23rd National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Elective shoppable care is priced 8% below peer Fair BaseRate (0.92×)
  • Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 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
Watchout

Where You Can Get Burned (Markup Traps)

  • Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
  • Captive ER (1.3×) & laboratory (1.0×) services average 1.11× higher multiples than routine shoppable care (0.9×)
  • Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
  • Consolidated metro market (HHI 6,388) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Front-Door ShoppableElective / Imaging
0.9× Medicare

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

Back-Door Captive & ER1.11× Divergence
1.0× Medicare

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

Quantile Tail Spread+0% Upper Tail
Q25 0.92× · Q50 0.92× · Q75 0.92×

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
0.9× MedicareGood
Outpatient Surgery & ORBack-Door Captive
1.1× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
1.0× MedicareGood
Back-Door Captive ER VisitsBack-Door Captive
1.3× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
1.0× MedicareGood
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
1.1× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
0% Cash Edge · 50/100Elevated
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 54/100Elevated

Procedure Prices at Generations Behavioral Health-Youngstown LLC

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 22 published procedures.

Sort:
Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
Psychiatric evaluation (first visit)
CPT Code: 90791
 $169 0.9×
X-ray, chest (single view)
CPT Code: 71045
 — —
X-ray, chest (two views)
CPT Code: 71046
 — —
X-ray, neck (cervical spine)
CPT Code: 72040
 — —
X-ray, lower back
CPT Code: 72110
 — —
X-ray, pelvis
CPT Code: 72170
 — —
X-ray, shoulder
CPT Code: 73030
 — —
X-ray, hand
CPT Code: 73130
 — —
Speech therapy (language evaluation)
CPT Code: 92507
 — —
Blood test, basic metabolic panel
CPT Code: 80048
 — —
Blood test, comprehensive metabolic panel
CPT Code: 80053
 — —
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 — —
Blood test, liver function panel
CPT Code: 80076
 — —
Urinalysis (automated, with microscopy)
CPT Code: 81001
 — —
Blood test, creatinine (kidney)
CPT Code: 82565
 — —
Blood test, vitamin B12
CPT Code: 82607
 — —
Blood test, average blood sugar (A1c)
CPT Code: 83036
 — —
Blood test, magnesium
CPT Code: 83735
 — —
Blood test, thyroid (TSH)
CPT Code: 84443
 — —
Blood test, complete blood count (CBC)
CPT Code: 85025
 — —
Hepatitis C antibody test
CPT Code: 86803
 — —
Speech therapy (group session)
CPT Code: 92508
 — —
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Generations Behavioral Health-Youngstown LLC (Zero PHI Required)

CMS CCN: 364060
CPT 90791
Fair BaseRate™ $185
Medicare Rate $181
Self-Pay Cash Request Quote
Insurer Median $169
Pre-filled with Generations Behavioral Health-Youngstown LLC’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 274% of 2026 FPL

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.

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Generations Behavioral Health-Youngstown LLC'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 +$113 Above Fair BaseRate

Negotiate Toward $185 Fair BaseRate ($181 Medicare)

Your bill ($298) is $113 above the denoised Fair BaseRate ($185) and 1.6× the $181 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify Generations Behavioral Health-Youngstown LLC 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.

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 Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Generations Behavioral Health-Youngstown LLC. Prior administrative notices do not necessarily reflect current compliance status.

  • 2025-11-24·administrative_or_closure

    Closure Notice

    Recorded
  • 2025-09-17·warning_notice

    Warning Notice

    Recorded

Source: CMS Hospital Care Compare. 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 Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Generations Behavioral Health-Youngstown LLC.

Price Index: 0.65× regional baseline
Quality: 54/100 CMS composite
Median Household Income$55,088U.S. Census ACS
Local Uninsured Share6.9%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 69/100 · Caution CMS CCN 364060

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 364060) ↗ CMS HCRIS Cost Reports ↗
Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage3/31/2026
Validated Rate Rows31 (CMS v3.0.0)
File Integrity DigestVerified · CCN 364060

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