How many shoppable procedure prices are published for Marymount Hospital?

Marymount Hospital in Garfield Heights, OH currently has 137 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Marymount Hospital's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

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

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

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 188 Beds · urban Updated: 2026-06-15

Marymount Hospital

12300 McCracken Road, Garfield Heights, OH 44125 · 137 Priced Procedures · 65% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

High Markup · Shop Alternatives

1.53×vs. Fair Market Price

Typical commercial prices here are +53% above the fair benchmark (1.53×) even after accounting for local nurse/doctor wages and patient complexity.

88/100 · Verified

88/100Self-Pay Cash Beats Insurance 33% of the Time

File Completeness85

Price Logic92

Peer Alignment73

Clean Billing92

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.53× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Marymount Hospital prices shoppable and inpatient services (2.2× to 2.0× Medicare, divergence 0.91×) in alignment with regional hospital peers (1.53× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#125 of 137 in OH · 90th State Percentile#2,686 of 3,385 in U.S. · 79th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.00× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 33% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 65% 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 (38.1% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Commercial insurance median sits at 1.71× Fair BaseRate (2.2× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 2.10×) jump +23% above the median procedure ratio (Q50 1.71×)
Unnegotiated chargemaster list prices average 6.3× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.2× Medicare

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

Back-Door Captive & ER0.91× Divergence

2.0× Medicare

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

Quantile Tail Spread+23% Upper Tail

Q25 1.00× · Q50 1.71× · Q75 2.10×

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

2.2× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.2× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

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

1.1× MedicareGood

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

33% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 66/100Fair

Procedure Prices at Marymount Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 137 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`	—	$22,935	$30,775	0.7×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$14,285	$19,087	0.7×
Total hip replacement CPT Code: `27130`	—	$11,928	$13,413	0.9×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$17,445	$8,588	$6,109	1.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,169	$8,223	0.8×
Inguinal hernia repair CPT Code: `49505`	$10,552	$5,859	$3,629	1.6×
Breast lump removal CPT Code: `19120`	$7,467	$4,110	$3,875	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$4,563	$3,363	$1,021	unverified
Bunion correction surgery CPT Code: `28296`	—	$3,218	$3,446	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,096	$3,372	0.9×
Trauma team activation HCPCS Code: `G0390`	$3,440	$2,572	$1,453	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$2,114	$2,540	0.8×
Colonoscopy with biopsy CPT Code: `45380`	$3,526	$2,067	$1,256	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$1,957	$2,680	0.7×
Upper endoscopy with biopsy CPT Code: `43239`	$2,803	$1,643	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$2,726	$1,598	$981	unverified
C-section delivery (full package) CPT Code: `59510`	—	$1,360	$2,975	0.5×
Rabies immune globulin HCPCS Code: `90375`	$1,624	$1,200	$322	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,049	$1,201	$583	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$1,801	$1,101	$855	unverified
Blood transfusion CPT Code: `36430`	$1,634	$958	$498	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$1,602	$889	$511	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,602	$889	$448	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$1,602	$862	$17,936	unverified
Neurobehavioral status check CPT Code: `96116`	$1,397	$776	$231	3.4×
MRI, brain (no contrast) CPT Code: `70551`	$1,084	$602	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,084	$602	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$1,084	$593	$369	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,084	$602	$303	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$904	$530	$272	unverified
Psychological testing by technician CPT Code: `96138`	$778	$465	$395	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$608	$421	$201	2.1×
CT scan, head (with contrast) CPT Code: `70460`	$798	$443	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$798	$443	$258	unverified
CT scan, head (no contrast) CPT Code: `70450`	$477	$338	$160	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$402	$331	$151	unverified
CT scan, sinuses CPT Code: `70486`	$477	$277	$166	1.7×
CT scan, chest (no contrast) CPT Code: `71250`	$477	$280	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$477	$280	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$477	$278	$168	unverified
CT scan, pelvis CPT Code: `72192`	$477	$280	$163	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$477	$264	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$477	$264	$134	unverified
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$232	$269	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$477	$248	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$477	$254	$130	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$459	$255	$148	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$657	$242	$86	unverified
X-ray, chest (single view) CPT Code: `71045`	$395	$213	$92	2.3×
X-ray, chest (two views) CPT Code: `71046`	$395	$213	$93	2.3×
X-ray, hip CPT Code: `73502`	$395	$213	$93	2.3×
X-ray, pelvis CPT Code: `72170`	$477	$235	$110	2.1×
X-ray, lower back CPT Code: `72110`	$477	$235	$112	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$396	$232	$123	unverified
X-ray, shoulder CPT Code: `73030`	$395	$195	$92	2.1×
X-ray, foot CPT Code: `73630`	$395	$195	$92	2.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$395	$195	$93	2.1×
X-ray, hand CPT Code: `73130`	$395	$195	$93	2.1×
X-ray, ankle CPT Code: `73610`	$395	$195	$93	2.1×
Psychological testing evaluation CPT Code: `96136`	$252	$177	$128	1.4×
Psychiatric evaluation (first visit) CPT Code: `90791`	$313	$200	$185	1.1×
Mental health services (assessment) HCPCS Code: `H0031`	—	$168	$140	1.2×
Behavioral health assessment HCPCS Code: `H0001`	—	$168	$157	1.1×
Psychotherapy session (45 minutes) CPT Code: `90834`	$313	$185	$166	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$313	$188	$181	unverified
Family therapy session CPT Code: `90847`	$313	$192	$173	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$270	$217	$25	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$307	$173	$86	unverified
Group therapy session CPT Code: `90853`	$542	$131	$100	1.3×
Care planning with family CPT Code: `90887`	—	$135	$107	1.3×
Residential mental health treatment HCPCS Code: `H2036`	—	$128	$406	0.3×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$203	$148	$19,432	0.0×
Office visit, established patient (30-39 min) CPT Code: `99214`	$122	$94	$123	0.8×
Speech therapy (group session) CPT Code: `92508`	$184	$103	$27	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$222	$127	$64	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$168	$94	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$170	$95	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$177	$113	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	$148	$83	$33	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$157	$88	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$178	$100	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$178	$100	$38	unverified
Orthotic fitting and training CPT Code: `97760`	$192	$122	$51	unverified
Behavioral health living support HCPCS Code: `H2019`	—	$81	$34	2.4×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$81	$88	0.9×
Prosthetic fitting and training CPT Code: `97761`	$176	$103	$45	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,015	$692	$347	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$437	$372	$203	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$548	$296	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$224	$190	$111	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$229	$146	$56	unverified
Hepatitis B vaccine HCPCS Code: `90744`	$133	$94	$37	unverified
Drug screening test HCPCS Code: `G0480`	$480	$114	$116	unverified
Culture, blood CPT Code: `87040`	$46	$46	$11	4.2×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$54	$33	1.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$51	$35	1.5×
Office visit, established patient (20-29 min) CPT Code: `99213`	$98	$75	$87	0.9×
Blood antibody screen CPT Code: `86850`	$44	$47	$46	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$90	$70	$110	0.6×
Behavioral health day program HCPCS Code: `H2012`	—	$56	$100	0.6×
Flu vaccine injection HCPCS Code: `G0008`	$120	$74	$48	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$120	$74	$49	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$49	$48	$25	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$133	$71	$39	unverified
Review of medical records for care CPT Code: `90889`	—	$35	$114	0.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$94	$60	$14	unverified
Behavioral health outpatient services HCPCS Code: `H2015`	$24	$21	$16	1.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$20	$20	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$43	$49	0.9×
Blood test, vitamin D CPT Code: `82306`	$133	$65	$31	unverified
Mental health services (therapy) HCPCS Code: `H0032`	—	$35	$65	0.5×
Blood test, basic metabolic panel CPT Code: `80048`	$38	$18	$9	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$47	$23	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$60	$29	$14	unverified
Blood test, liver function panel CPT Code: `80076`	$36	$18	$9	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$14	$8	$3	unverified
Blood test, amylase CPT Code: `82150`	$29	$16	$7	unverified
Blood test, calcium CPT Code: `82310`	$23	$12	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$23	$11	$5	unverified
Blood test, vitamin B12 CPT Code: `82607`	$68	$33	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$61	$30	$14	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$83	$41	$19	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$18	$10	$4	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	$44	$21	$10	unverified
Blood test, lipase CPT Code: `83690`	$31	$15	$7	unverified
Blood test, magnesium CPT Code: `83735`	$30	$15	$7	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$75	$37	$18	unverified
Blood test, potassium CPT Code: `84132`	$21	$11	$5	unverified
Blood test, sodium CPT Code: `84295`	$21	$11	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$18	$10	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$10	$7	$3	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$35	$17	$8	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$20	$10	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$27	$15	$6	unverified
Hepatitis C antibody test CPT Code: `86803`	$64	$31	$15	unverified
Culture, bacterial CPT Code: `87070`	$38	$21	$9	unverified

Showing top 25 high-impact procedures of 137 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 38.1%

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

CMS CCN: 360143

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $22,935

1. Amount on Your Bill or Quote ($) Pre-filled with Marymount 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: $20,972 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $20,972

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (38.1% of gross = $20,972).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Marymount 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 +$24,269 Above Fair BaseRate

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

Your bill ($55,044) is $24,269 above the denoised Fair BaseRate ($30,775) and 2.3× 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: 340714458

Filing Period: 194603

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 (38.1% 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 Recommend65%

Rated 9 or 10 (HCAHPS)65%

Median ER Wait193 min

Left ER Before Seen3%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate3.4%

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

CMS Price Transparency Administrative Enforcement Log

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

2025-07-29·administrative_or_closure
Met Requirements
Recorded
2024-03-08·administrative_or_closure
Closure Notice
Recorded
2023-11-16·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (842 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 Marymount Hospital.

Price Index: 0.99× regional baseline

Quality: 67/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

+67.6%

Median Household Income$62,823U.S. Census ACS

Local Uninsured Share5.5%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 88/100 · Verified CMS CCN 360143 EIN 340714458

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

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 360143) ↗ Verify IRS Form 990 (EIN 340714458) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filemarymount!340714458_marymount-hospital-inc_standardcharges.csv

Publication / Vintage2026-06-15 · 17.40 MB

Validated Rate Rows9,467 (CMS v3.0.0)

File Integrity Digestf1bd75fc3fd0077ec4d5…

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