Mercy Allen Hospital
200 West Lorain Street, Oberlin, OH 44074 · 97 Priced Procedures · 88% Patient Recommendation
Typical commercial prices here are 62% below the fair benchmark (0.38×) after accounting for local nurse/doctor wages and patient complexity.
5-Star CMS clinical quality rating paired with 0.38× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Mercy Allen Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.5× Medicare, p50 0.35× Fair BaseRate) and emergency/ancillary services (0.5× Medicare, p75 0.35× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 62% below peer Fair BaseRate (0.38×)
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (95/100 Cash Honesty)
- 5-Star CMS clinical rating with 88% patient recommendation (83/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (12.3% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.3× markup over Medicare rates
- Commercial insurance median sits at 0.35× Fair BaseRate (0.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Even at low-cost facilities (0.38× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Unnegotiated chargemaster list prices average 3.8× Medicare (20¢ 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 Mercy Allen Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 97 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $42,259 | 3.2× |
| Total knee replacement CPT Code: 27447 | $38,286 | 2.8× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $10,782 | 3.2× |
| Upper endoscopy with biopsy CPT Code: 43239 | $6,597 | 6.7× |
| Colonoscopy with biopsy CPT Code: 45380 | $6,064 | 4.8× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $5,916 | 6.0× |
| Rabies immune globulin HCPCS Code: 90375 | $5,696 | 17.7× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $4,838 | 4.7× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $3,232 | 6.3× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $2,878 | 0.3× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,801 | 4.8× |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,684 | 7.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,343 | 5.2× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,301 | 7.6× |
| MRI, brain (no contrast) CPT Code: 70551 | $2,207 | 6.4× |
| Injection procedure for pain management HCPCS Code: G0260 | $2,115 | 2.5× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,948 | 7.6× |
| MRI, knee or other leg joint CPT Code: 73721 | $1,809 | 4.9× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,590 | 6.6× |
| CT scan, sinuses CPT Code: 70486 | $1,447 | 8.7× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,415 | 8.4× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,388 | 8.3× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,090 | 6.8× |
| CT scan, pelvis CPT Code: 72192 | $1,087 | 6.7× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $965 | 3.5× |
Audit a Bill or Quote at Mercy Allen Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $8,635
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (12.3% of gross = $8,635).
Self-Pay Cash Rate ($42,259) Beats Your Bill
Mercy Allen Hospital's published 45 CFR § 180 self-pay cash rate is $42,259 (vs. $42,259 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($70,432) is $57,019 above the denoised Fair BaseRate ($13,413) and 5.4× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (12.3% 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.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Mercy Allen Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-07-23·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (139 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
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 Mercy Allen Hospital.
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.