How many shoppable procedure prices are published for Memorial Hospital?

Memorial Hospital in Fremont, OH currently has 98 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

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

Across scored shoppable procedures, Memorial Hospital's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

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

CMS Care Compare assigns Memorial 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 - Other 31 Beds · rural Updated: 2026-03-25

Memorial Hospital

715 South Taft Avenue, Fremont, OH 43420 · 98 Priced Procedures · 63% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

1.04×vs. Fair Market Price

Typical commercial prices here are +4% above the fair benchmark (1.04×) even after accounting for local nurse/doctor wages and patient complexity.

85/100 · Verified

85/100Self-Pay Cash Beats Insurance 20% of the Time

File Completeness66

Price Logic92

Peer Alignment84

Clean Billing87

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.04× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Memorial Hospital prices shoppable and inpatient services (1.1× to 1.2× Medicare, divergence 1.09×) in alignment with regional hospital peers (1.04× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#66 of 137 in OH · 47th State Percentile#1,476 of 3,385 in U.S. · 43rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.79× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 20% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 63% patient recommendation (65/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (19.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Captive ER (1.6×) & laboratory (2.5×) services average 1.09× higher multiples than routine shoppable care (1.1×)
Upper-quartile procedures (Q75 1.20×) jump +15% above the median procedure ratio (Q50 1.04×)
Consolidated metro market (HHI 5,025) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.1× Medicare

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

Back-Door Captive & ER1.09× Divergence

1.2× Medicare

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

Quantile Tail Spread+15% Upper Tail

Q25 0.79× · Q50 1.04× · Q75 1.20×

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

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.5× MedicareFair

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

0.5× MedicareGood

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

20% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 65/100Fair

Procedure Prices at Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 98 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$18,005	$19,087	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,881	$19,432	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,358	$17,936	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,334	$8,223	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$5,249	$829	$1,021	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,101	$522	$583	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,415	$423	$448	0.9×
Blood transfusion CPT Code: `36430`	$911	$419	$498	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$3,522	$403	$511	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$631	$367	$166	unverified
Neurobehavioral status check CPT Code: `96116`	$625	$322	$231	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,167	$282	$303	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$2,464	$249	$343	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$3,013	$244	$338	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$3,013	$259	$369	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,731	$266	$258	unverified
CT scan, head (with contrast) CPT Code: `70460`	$2,272	$227	$242	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,004	$230	$272	0.8×
CT scan, sinuses CPT Code: `70486`	$1,538	$196	$166	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,274	$197	$169	1.2×
Family therapy session CPT Code: `90847`	$324	$195	$173	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$987	$197	$167	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,307	$197	$168	unverified
CT scan, pelvis CPT Code: `72192`	$1,084	$197	$163	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$392	$164	$148	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$239	$159	$151	1.1×
CT scan, head (no contrast) CPT Code: `70450`	$1,251	$163	$160	1.0×
Psychiatric evaluation (first visit) CPT Code: `90791`	$343	$174	$185	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$277	$137	$123	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$786	$137	$132	1.0×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,472	$161	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	$1,027	$157	$130	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$100	$127	$123	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$100	$94	$87	1.1×
Group therapy session CPT Code: `90853`	$334	$96	$100	1.0×
Psychological testing evaluation CPT Code: `96136`	$177	$116	$128	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,084	$109	$126	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$81	$81	$86	unverified
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$148	$112	$203	0.6×
Speech therapy (language evaluation) CPT Code: `92507`	$205	$79	$86	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$148	$50	$38	1.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$114	$46	$38	1.2×
Orthotic fitting and training CPT Code: `97760`	$111	$68	$51	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$86	$39	$34	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$105	$38	$35	1.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$70	$44	$56	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$84	$63	$111	0.6×
Pneumococcal vaccine HCPCS Code: `90732`	$54	$79	$140	0.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$94	$79	$201	0.4×
Prosthetic fitting and training CPT Code: `97761`	$120	$52	$45	1.2×
X-ray, hip CPT Code: `73502`	$304	$71	$93	0.8×
X-ray, lower back CPT Code: `72110`	$518	$77	$112	0.7×
X-ray, shoulder CPT Code: `73030`	$277	$61	$92	0.7×
X-ray, foot CPT Code: `73630`	$283	$61	$92	0.7×
X-ray, chest (two views) CPT Code: `71046`	$329	$61	$93	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$358	$61	$93	0.7×
X-ray, hand CPT Code: `73130`	$237	$61	$93	0.7×
X-ray, ankle CPT Code: `73610`	$278	$61	$93	0.7×
X-ray, pelvis CPT Code: `72170`	$283	$61	$110	0.6×
Occupational therapy (self-care training) CPT Code: `97535`	$151	$34	$38	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$289	$35	$64	0.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$105	$49	$40	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$59	$4	$3	1.3×
Blood test, clotting time (PTT) CPT Code: `85730`	$57	$8	$6	1.3×
Culture, bacterial CPT Code: `87070`	$106	$12	$9	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$171	$21	$16	1.3×
Blood test, lipase CPT Code: `83690`	$30	$9	$7	1.3×
Culture, blood CPT Code: `87040`	$105	$14	$11	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$25	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$77	$5	$4	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$148	$17	$14	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$23	$6	$5	1.2×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$51	$12	$10	1.2×
Blood test, potassium CPT Code: `84132`	$21	$6	$5	1.2×
Blood test, sodium CPT Code: `84295`	$46	$6	$5	1.2×
Hepatitis C antibody test CPT Code: `86803`	$142	$18	$15	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$217	$13	$11	1.2×
Blood test, thyroid (TSH) CPT Code: `84443`	$101	$21	$18	1.2×
X-ray, chest (single view) CPT Code: `71045`	$233	$38	$92	0.4×
Blood test, amylase CPT Code: `82150`	$77	$8	$7	1.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$62	$9	$8	1.1×
Blood test, basic metabolic panel CPT Code: `80048`	$150	$10	$9	1.1×
Blood test, PSA (prostate screen) CPT Code: `84153`	$103	$21	$19	1.1×
Blood test, vitamin D CPT Code: `82306`	$159	$34	$31	1.1×
Physical therapy (gait training) CPT Code: `97116`	$86	$33	$33	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	$20	$29	$37	0.8×
Pneumonia vaccine injection HCPCS Code: `G0009`	$48	$36	$49	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$38	$35	$48	0.7×
Blood test, calcium CPT Code: `82310`	$77	$6	$5	1.2×
Blood test, magnesium CPT Code: `83735`	$67	$8	$7	1.1×
Blood test, liver function panel CPT Code: `80076`	$111	$9	$9	1.0×
Blood test, hemoglobin CPT Code: `85018`	$28	$3	$3	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$58	$5	$5	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$30	$23	$25	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$32	$24	$39	0.6×
Blood antibody screen CPT Code: `86850`	$45	$12	$46	0.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$69	$19	$14	unverified
Speech therapy (group session) CPT Code: `92508`	$72	$36	$27	unverified

Showing top 25 high-impact procedures of 98 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 19.3%

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

CMS CCN: 360156

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash Request Quote

Insurer Median $18,005

1. Amount on Your Bill or Quote ($) Pre-filled with Memorial 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: $8,318 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $8,318

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (19.3% of gross = $8,318).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Memorial 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 +$24,125 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($43,212) is $24,125 above the denoised Fair BaseRate ($19,087) and 3.1× the $14,117 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)

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 (19.3% 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 Composite65/100

Would Recommend63%

Rated 9 or 10 (HCAHPS)71%

Median ER Wait129 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)

C. diff Hospital-Onset Infectionsame

Source: CMS Hospital Care Compare (251 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 Quality & Price Benchmark

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

Price Index: 1.13× regional baseline

Quality: 55/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Meridian

+67.8%

Median Household Income$62,500U.S. Census ACS

Local Uninsured Share5.7%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 85/100 · Verified CMS CCN 360156

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 360156) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-25

Validated Rate Rows9,936 (CMS v3.0.0)

File Integrity DigestVerified · CCN 360156

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