Mh St Joseph Warren Hospital
667 Eastland Ave Se, Warren, OH 44484 · 77 Priced Procedures · 64% Patient Recommendation
Typical commercial prices here are 9% below the fair benchmark (0.91×) after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 0.91× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Mh St Joseph Warren Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.90× Fair BaseRate) and emergency/ancillary services (1.4× Medicare, p75 0.96× 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 9% below peer Fair BaseRate (0.91×)
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (57/100 safety score) with 64% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (10.8% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
- Captive ER (1.4×) & laboratory (1.6×) services average 1.40× higher multiples than routine shoppable care (1.0×)
- Even at low-cost facilities (0.91× 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 6,388) 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 Mh St Joseph Warren Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 77 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $22,004 | unverified |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $20,056 | unverified |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $13,079 | 0.7× |
| Total hip replacement CPT Code: 27130 | $12,146 | 0.9× |
| Total knee replacement CPT Code: 27447 | $12,146 | 0.9× |
| Rabies immune globulin HCPCS Code: 90375 | $9,615 | 29.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $9,319 | 1.1× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $5,720 | 0.9× |
| Breast lump removal CPT Code: 19120 | $3,704 | 1.0× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,096 | 0.9× |
| Bunion correction surgery CPT Code: 28296 | $3,096 | 0.9× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $2,500 | 16.6× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,183 | 0.9× |
| X-ray, chest (single view) CPT Code: 71045 | $1,900 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $1,847 | 4.1× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,813 | 6.0× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,815 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,397 | 5.4× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,214 | 5.0× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,132 | 0.9× |
| CT scan, sinuses CPT Code: 70486 | $1,055 | 6.4× |
| CT scan, pelvis CPT Code: 72192 | $1,016 | 6.2× |
| X-ray, hip CPT Code: 73502 | $972 | 10.5× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $880 | 0.9× |
| CT scan, head (no contrast) CPT Code: 70450 | $854 | 5.3× |
Audit a Bill or Quote at Mh St Joseph Warren Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $5,709
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (10.8% of gross = $5,709).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Mh St Joseph Warren 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 ($52,810) is $33,723 above the denoised Fair BaseRate ($19,087) and 3.7× the $14,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (10.8% 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.
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 (585 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 Mh St Joseph Warren 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.