How many shoppable procedure prices are published for Mercy St Vincent Medical Center?

Mercy St Vincent Medical Center in Toledo, OH currently has 101 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Mercy St Vincent Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Mercy St Vincent Medical Center's median negotiated commercial rate is 1.1× the regionally adjusted fair BaseRate benchmark.

What is Mercy St Vincent Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Mercy St Vincent Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 516 Beds · rural Updated: 4/1/2026

Mercy St Vincent Medical Center

2213 Cherry Street, Toledo, OH 43608 · 101 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.11×vs. Fair Market Price

Typical commercial prices here are +11% above the fair benchmark (1.11×) even after accounting for local nurse/doctor wages and patient complexity.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 4% of the Time

File Completeness56

Price Logic98

Peer Alignment82

Clean Billing69

Real Cash Discount98

Premium Quality Tier

3-Star CMS clinical quality rating paired with 1.11× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Mercy St Vincent Medical Center prices routine shoppable procedures near 1.0× Medicare (p50 0.96×) while skewing captive emergency, lab, and upper-quartile codes to 1.7× Medicare (p75 1.40×, +46% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#80 of 137 in OH · 57th State Percentile#1,719 of 3,385 in U.S. · 50th 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 4% of shoppable procedures (98/100 Cash Honesty)
CMS clinical safety score (65/100 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 (6.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
Captive ER (1.4×) & laboratory (2.4×) services average 1.70× higher multiples than routine shoppable care (1.0×)
Upper-quartile procedures (Q75 1.40×) jump +46% above the median procedure ratio (Q50 0.96×)
Consolidated metro market (HHI 3,219) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

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

Back-Door Captive & ER1.70× Divergence

1.7× Medicare

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

Quantile Tail Spread+46% Upper Tail

Q25 0.93× · Q50 0.96× · Q75 1.40×

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

1.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.4× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.4× MedicareFair

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

0.5× MedicareGood

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

4% Cash Edge · 98/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at Mercy St Vincent Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 published procedures.

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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`	—	$45,901	$30,775	1.5×
Rabies immune globulin HCPCS Code: `90375`	$30,010	$30,010	$322	93.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$28,636	$19,087	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$25,990	$17,936	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$15,972	$19,432	0.8×
Total hip replacement CPT Code: `27130`	$58,993	$12,472	$13,413	0.9×
Total knee replacement CPT Code: `27447`	$56,593	$12,472	$13,523	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$11,493	$8,223	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$6,153	$6,153	$151	40.7×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$52,283	$5,873	$6,109	1.0×
Breast lump removal CPT Code: `19120`	$22,239	$3,804	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	$32,402	$3,478	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$25,286	$3,242	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	$32,616	$3,242	$3,446	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,650	$2,650	$448	5.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,414	$2,414	$303	8.0×
CT scan, head (with contrast) CPT Code: `70460`	$2,255	$2,255	$242	9.3×
Cataract surgery with lens implant CPT Code: `66984`	$15,717	$2,242	$2,540	0.9×
CT scan, pelvis CPT Code: `72192`	$2,012	$2,012	$163	12.3×
CT scan, chest (no contrast) CPT Code: `71250`	$1,609	$1,609	$167	9.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,609	$1,609	$168	9.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,609	$1,609	$169	9.5×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,548	$1,548	$258	6.0×
Blood transfusion CPT Code: `36430`	$1,544	$1,544	$498	3.1×
Injection procedure for pain management HCPCS Code: `G0260`	$1,513	$1,513	$855	1.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,363	$1,363	$160	8.5×
CT scan, sinuses CPT Code: `70486`	$1,363	$1,363	$166	8.2×
Upper endoscopy with biopsy CPT Code: `43239`	$11,515	$1,381	$987	unverified
Ultrasound, pelvis CPT Code: `76856`	$1,228	$1,228	$130	9.4×
Colonoscopy with biopsy CPT Code: `45380`	$9,797	$1,186	$1,256	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$8,881	$903	$981	0.9×
X-ray, lower back CPT Code: `72110`	$782	$782	$112	7.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$800	$800	$132	6.1×
X-ray, chest (two views) CPT Code: `71046`	$666	$666	$93	7.2×
X-ray, foot CPT Code: `73630`	$490	$490	$92	5.3×
X-ray, hand CPT Code: `73130`	$485	$485	$93	5.2×
X-ray, ankle CPT Code: `73610`	$485	$485	$93	5.2×
X-ray, pelvis CPT Code: `72170`	$503	$503	$110	4.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$455	$455	$93	4.9×
X-ray, shoulder CPT Code: `73030`	$449	$449	$92	4.9×
X-ray, hip CPT Code: `73502`	$411	$411	$93	4.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$404	$404	$126	3.2×
X-ray, chest (single view) CPT Code: `71045`	$355	$355	$92	3.9×
Speech therapy (group session) CPT Code: `92508`	$323	$323	$27	12.0×
Speech therapy (language evaluation) CPT Code: `92507`	$237	$237	$86	2.8×
Screening mammogram (both breasts) CPT Code: `77067`	$258	$258	$123	2.1×
Electrical stimulation therapy HCPCS Code: `G0283`	$187	$187	$14	13.4×
New patient office visit (30-44 min) CPT Code: `99203`	$208	$208	$110	1.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$205	$205	$123	1.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$187	$187	$201	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$160	$160	$35	4.6×
Physical therapy (functional capacity test) CPT Code: `97750`	$171	$171	$38	4.5×
Physical therapy (manual therapy) CPT Code: `97140`	$143	$143	$34	4.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$159	$159	$38	4.2×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$162	$162	$40	4.0×
Prosthetic fitting and training CPT Code: `97761`	$173	$173	$45	3.8×
Orthotic fitting and training CPT Code: `97760`	$173	$173	$51	3.4×
Office visit, established patient (20-29 min) CPT Code: `99213`	$178	$178	$87	2.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$203	$203	$148	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$167	$167	$134	1.2×
Physical therapy (gait training) CPT Code: `97116`	$135	$135	$33	4.1×
Occupational therapy (self-care training) CPT Code: `97535`	$93	$93	$38	2.4×
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,108	$1,108	$347	3.2×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$476	$476	$203	2.3×
Blood test, basic metabolic panel CPT Code: `80048`	$252	$252	$9	28.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$265	$265	$11	24.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$235	$235	$111	2.1×
Blood test, complete blood count (CBC) CPT Code: `85025`	$134	$134	$8	16.8×
Culture, blood CPT Code: `87040`	$151	$151	$11	13.7×
Blood test, ferritin (iron stores) CPT Code: `82728`	$149	$149	$14	10.6×
Blood test, calcium CPT Code: `82310`	$118	$118	$5	23.6×
Blood test, sodium CPT Code: `84295`	$106	$106	$5	21.2×
Blood test, clotting time (PTT) CPT Code: `85730`	$120	$120	$6	20.0×
Blood test, lipase CPT Code: `83690`	$122	$122	$7	17.4×
Blood test, amylase CPT Code: `82150`	$117	$117	$7	16.7×
Blood test, liver function panel CPT Code: `80076`	$133	$133	$9	14.8×
Culture, bacterial CPT Code: `87070`	$131	$131	$9	14.6×
Hepatitis C antibody test CPT Code: `86803`	$142	$142	$15	9.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$121	$121	$56	2.2×
Drug screening test HCPCS Code: `G0480`	$144	$144	$116	1.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$88	$88	$5	17.6×
Blood test, magnesium CPT Code: `83735`	$95	$95	$7	13.6×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$119	$119	$14	8.5×
Blood test, thyroid (TSH) CPT Code: `84443`	$107	$107	$18	5.9×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$77	$77	$4	19.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$80	$80	$10	8.0×
Blood test, vitamin B12 CPT Code: `82607`	$95	$95	$16	5.9×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$96	$96	$20	4.8×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$92	$92	$27	3.4×
Blood test, vitamin D CPT Code: `82306`	$104	$104	$31	3.4×
Blood test, hemoglobin CPT Code: `85018`	$52	$52	$3	17.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$44	$44	$3	14.7×
Blood test, potassium CPT Code: `84132`	$50	$50	$5	10.0×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$73	$73	$39	1.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$42	$42	$5	8.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$44	$44	$19	2.3×
Blood antibody screen CPT Code: `86850`	$55	$55	$46	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$34	$34	$48	0.7×
Blood test, glucose (blood sugar) CPT Code: `82947`	$91	$4	$4	1.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$28	$28	$35	0.8×

Showing top 25 high-impact procedures of 101 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 6.8%

Audit a Bill or Quote at Mercy St Vincent Medical Center (Zero PHI Required)

CMS CCN: 360112

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $45,901

1. Amount on Your Bill or Quote ($) Pre-filled with Mercy St Vincent Medical Center’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: $7,513 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $7,513

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (6.8% of gross = $7,513).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Mercy St Vincent Medical Center'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 +$79,387 Above Fair BaseRate

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

Your bill ($110,162) is $79,387 above the denoised Fair BaseRate ($30,775) and 4.7× 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)

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 (6.8% 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 Recommend67%

Rated 9 or 10 (HCAHPS)70%

Median ER Wait152 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate5.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

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 St Vincent Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-10·warning_notice
Warning Notice
Recorded
2025-04-02·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (2,475 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 St Vincent Medical Center.

Price Index: 1.36× regional baseline

Quality: 62/100 CMS composite

Median Household Income$60,095U.S. Census ACS

Local Uninsured Share5.3%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 81/100 · Corroborated CMS CCN 360112

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 360112) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage4/1/2026

Validated Rate Rows513 (CMS v3.0.0)

File Integrity DigestVerified · CCN 360112

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