Mercy Health - Tiffin Hospital
45 St Lawrence Drive, Tiffin, OH 44883 · 95 Priced Procedures · 67% Patient Recommendation
Typical commercial prices here are 13% below the fair benchmark (0.87×) after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 0.87× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Mercy Health - Tiffin Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (0.9× Medicare, p50 0.89× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.90× 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 13% below peer Fair BaseRate (0.87×)
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (72/100 safety score) with 67% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (11.3% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
- Captive ER (1.3×) & laboratory (2.0×) services average 1.11× higher multiples than routine shoppable care (0.9×)
- Even at low-cost facilities (0.87× 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.
- Consolidated metro market (HHI 8,059) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
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 Health - Tiffin Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 95 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $14,297 | 0.7× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $14,203 | 0.7× |
| Total hip replacement CPT Code: 27130 | $12,115 | 0.9× |
| Total knee replacement CPT Code: 27447 | $12,115 | 0.9× |
| Rabies immune globulin HCPCS Code: 90375 | $6,125 | 19.0× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $5,979 | 0.7× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $5,705 | 0.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $4,366 | 9.7× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $3,825 | 12.6× |
| Inguinal hernia repair CPT Code: 49505 | $3,379 | 0.9× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,088 | 0.9× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,783 | 4.8× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,178 | 0.9× |
| MRI, knee or other leg joint CPT Code: 73721 | $2,006 | 5.4× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $1,516 | 10.0× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,346 | 8.4× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $1,223 | 9.7× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,139 | 4.7× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,107 | 8.3× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,129 | 0.9× |
| CT scan, pelvis CPT Code: 72192 | $956 | 5.9× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $946 | 5.6× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $918 | 3.6× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $878 | 0.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $856 | 0.9× |
Audit a Bill or Quote at Mercy Health - Tiffin Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $3,874
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (11.3% of gross = $3,874).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Mercy Health - Tiffin Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)
Your bill ($34,313) is $15,226 above the denoised Fair BaseRate ($19,087) and 2.4× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (11.3% 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)Source: CMS Hospital Care Compare (539 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 Health - Tiffin 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.