How many shoppable procedure prices are published for Mercy Health-Anderson Hospital?

Mercy Health-Anderson Hospital in Cincinnati, OH currently has 91 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Mercy Health-Anderson Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Mercy Health-Anderson Hospital's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Mercy Health-Anderson Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Mercy Health-Anderson 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 - Private 199 Beds · urban Updated: 4/1/2026

Mercy Health-Anderson Hospital

7500 State Road, Cincinnati, OH 45255 · 91 Priced Procedures · 65% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.10×vs. Fair Market Price

Typical commercial prices here are +10% above the fair benchmark (1.10×) even after accounting for local nurse/doctor wages and patient complexity.

70/100 · Corroborated

70/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness51

Price Logic100

Peer Alignment84

Clean Billing21

Real Cash Discount90

Premium Quality Tier

3-Star CMS clinical quality rating paired with 1.10× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Mercy Health-Anderson Hospital prices routine shoppable procedures near 1.0× Medicare (p50 0.96×) while skewing captive emergency, lab, and upper-quartile codes to 1.6× Medicare (p75 1.09×, +14% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#76 of 137 in OH · 54th State Percentile#1,686 of 3,385 in U.S. · 49th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (90/100 Cash Honesty)
4-Star CMS clinical rating with 65% patient recommendation (67/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (11.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.4× markup over Medicare rates
Captive ER (1.4×) & laboratory (1.6×) services average 1.60× higher multiples than routine shoppable care (1.0×)
Even at low-cost facilities (1.10× 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 8.3× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.60× Divergence

1.6× Medicare

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

Quantile Tail Spread+14% Upper Tail

Q25 0.93× · Q50 0.96× · Q75 1.09×

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

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.4× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

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

0.5× MedicareGood

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

0% Cash Edge · 90/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 67/100Fair

Procedure Prices at Mercy Health-Anderson Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$22,877	$19,432	1.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$21,545	$19,087	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$19,640	$17,936	1.1×
Total hip replacement CPT Code: `27130`	$47,002	$12,512	$13,413	0.9×
Total knee replacement CPT Code: `27447`	$43,692	$12,512	$13,523	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,200	$8,223	1.1×
Rabies immune globulin HCPCS Code: `90375`	$8,819	$8,819	$322	27.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$25,293	$5,891	$6,109	1.0×
Breast lump removal CPT Code: `19120`	$12,211	$3,816	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	$24,042	$3,489	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$16,613	$3,189	$3,372	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$2,183	$2,183	$151	14.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,012	$2,012	$448	4.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,609	$1,609	$303	5.3×
Upper endoscopy with biopsy CPT Code: `43239`	$7,755	$1,386	$987	1.4×
Blood transfusion CPT Code: `36430`	$1,186	$1,186	$498	2.4×
Colonoscopy with biopsy CPT Code: `45380`	$7,778	$1,178	$1,256	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,141	$1,141	$258	4.4×
CT scan, pelvis CPT Code: `72192`	$926	$926	$163	5.7×
CT scan, sinuses CPT Code: `70486`	$893	$893	$166	5.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$4,637	$906	$981	0.9×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$827	$827	$168	4.9×
CT scan, neck (cervical spine) CPT Code: `72125`	$782	$782	$169	4.6×
CT scan, head (no contrast) CPT Code: `70450`	$733	$733	$160	4.6×
CT scan, chest (no contrast) CPT Code: `71250`	$739	$739	$167	4.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$677	$677	$132	5.1×
Injection procedure for pain management HCPCS Code: `G0260`	$3,468	$688	$855	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$620	$620	$126	4.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$605	$605	$134	4.5×
Ultrasound, pelvis CPT Code: `76856`	$502	$502	$130	3.9×
CT scan, head (with contrast) CPT Code: `70460`	$509	$509	$242	2.1×
X-ray, neck (cervical spine) CPT Code: `72040`	$320	$320	$93	3.4×
X-ray, hip CPT Code: `73502`	$276	$276	$93	3.0×
X-ray, ankle CPT Code: `73610`	$274	$274	$93	2.9×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$291	$291	$148	2.0×
X-ray, chest (two views) CPT Code: `71046`	$259	$259	$93	2.8×
X-ray, foot CPT Code: `73630`	$246	$246	$92	2.7×
X-ray, shoulder CPT Code: `73030`	$244	$244	$92	2.7×
X-ray, hand CPT Code: `73130`	$238	$238	$93	2.6×
X-ray, chest (single view) CPT Code: `71045`	$233	$233	$92	2.5×
X-ray, pelvis CPT Code: `72170`	$256	$256	$110	2.3×
Speech therapy (language evaluation) CPT Code: `92507`	$217	$217	$86	2.5×
Speech therapy (group session) CPT Code: `92508`	$189	$189	$27	7.0×
X-ray, lower back CPT Code: `72110`	$208	$208	$112	1.9×
Screening mammogram (both breasts) CPT Code: `77067`	$211	$211	$123	1.7×
Electrical stimulation therapy HCPCS Code: `G0283`	$120	$120	$14	8.6×
Breathing treatment (nebulizer) CPT Code: `94640`	$137	$137	$201	0.7×
Prosthetic fitting and training CPT Code: `97761`	$81	$81	$45	1.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$408	$408	$203	2.0×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$208	$208	$111	1.9×
Drug screening test HCPCS Code: `G0480`	$154	$154	$116	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$112	$112	$14	8.0×
Blood test, vitamin D CPT Code: `82306`	$136	$136	$31	4.4×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$88	$88	$4	22.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$102	$102	$19	5.4×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$104	$104	$56	1.9×
Blood test, lipase CPT Code: `83690`	$66	$66	$7	9.4×
Culture, blood CPT Code: `87040`	$91	$91	$11	8.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$77	$77	$10	7.7×
Blood test, vitamin B12 CPT Code: `82607`	$88	$88	$16	5.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$99	$99	$20	5.0×
Blood test, sodium CPT Code: `84295`	$61	$61	$5	12.2×
Blood test, liver function panel CPT Code: `80076`	$74	$74	$9	8.2×
Blood test, basic metabolic panel CPT Code: `80048`	$67	$67	$9	7.4×
Culture, bacterial CPT Code: `87070`	$62	$62	$9	6.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$53	$53	$11	4.8×
Occupational therapy (self-care training) CPT Code: `97535`	$76	$76	$38	2.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$62	$62	$35	1.8×
Blood antibody screen CPT Code: `86850`	$74	$74	$46	1.6×
Orthotic fitting and training CPT Code: `97760`	$68	$68	$51	1.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$27	$27	$3	9.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$35	$35	$4	8.8×
Blood test, calcium CPT Code: `82310`	$41	$41	$5	8.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$40	$40	$5	8.0×
Blood test, magnesium CPT Code: `83735`	$51	$51	$7	7.3×
Blood test, amylase CPT Code: `82150`	$41	$41	$7	5.9×
Physical therapy (manual therapy) CPT Code: `97140`	$63	$63	$34	1.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$64	$64	$38	1.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$63	$63	$39	1.6×
Blood test, potassium CPT Code: `84132`	$35	$35	$5	7.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$29	$29	$6	4.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$38	$38	$8	4.8×
Blood test, thyroid (TSH) CPT Code: `84443`	$57	$57	$18	3.2×
Physical therapy (gait training) CPT Code: `97116`	$58	$58	$33	1.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$57	$57	$38	1.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$55	$55	$40	1.4×
Blood test, hemoglobin CPT Code: `85018`	$20	$20	$3	6.7×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$24	$24	$5	4.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$45	$45	$14	3.2×
Hepatitis C antibody test CPT Code: `86803`	$41	$41	$15	2.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$44	$44	$35	1.3×

Showing top 25 high-impact procedures of 91 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 11.5%

Audit a Bill or Quote at Mercy Health-Anderson Hospital (Zero PHI Required)

CMS CCN: 360001

CPT 470

Select Procedure to Audit:

Fair BaseRate™ $19,432

Medicare Rate $14,044

Self-Pay Cash Request Quote

Insurer Median $22,877

1. Amount on Your Bill or Quote ($) Pre-filled with Mercy Health-Anderson 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: $6,320 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $6,320

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (11.5% of gross = $6,320).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Mercy Health-Anderson 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 +$35,473 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($54,905) is $35,473 above the denoised Fair BaseRate ($19,432) and 3.9× the $14,044 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 (11.5% 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 Composite67/100

Would Recommend65%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait156 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3%

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 Mercy Health-Anderson Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-30·administrative_or_closure
Closure Notice
Recorded
2025-04-25·warning_notice
Warning Notice
Recorded
2023-07-31·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (1,036 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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Mercy Health-Anderson Hospital.

Price Index: 1.39× regional baseline

Quality: 61/100 CMS composite

Median Household Income$70,816U.S. Census ACS

Local Uninsured Share5.8%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 70/100 · Corroborated CMS CCN 360001

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 360001) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage4/1/2026

Validated Rate Rows238 (CMS v3.0.0)

File Integrity DigestVerified · CCN 360001

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