How many shoppable procedure prices are published for Ohio State University State Health System?

Ohio State University State Health System in Columbus, OH currently has 118 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Ohio State University State Health System's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Ohio State University State Health System's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

What is Ohio State University State Health System's CMS Care Compare overall star rating?

CMS Care Compare assigns Ohio State University State Health System an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospitals Government - State 1010 Beds · rural Updated: 7/1/2026

Ohio State University State Health System

410W 10TH AVE, Columbus, OH 43210 · 118 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.81×vs. Fair Market Price

Typical commercial prices here are 19% below the fair benchmark (0.81×) after accounting for local nurse/doctor wages and patient complexity.

86/100 · Verified

86/100Hover Any Check Below to See How Prices Were Audited

File Completeness90

Price Logic88

Peer Alignment86

Clean Billing83

Real Cash Discount84

Regional Quality Benchmark

3-Star CMS clinical quality rating paired with 0.81× fair market pricing.

Behavioral Pricing FingerprintGood Deal · Below Fair Market

Regional Peer Pricing Profile

Typical commercial prices here are 19% below the fair benchmark (0.81×) after accounting for local nurse/doctor wages and patient complexity.

State IndexedNational CMS MRF Cohort

Advantage

Where They're Good (Patient & Payer Edge)

Front-door shoppable procedures average 1.7× Medicare (0.63× at the 25th percentile).
Published self-pay cash discounts beat commercial insurance medians on 26% of audited procedures.
25th-percentile negotiated contracts reach 0.63× Fair BaseRate for high-leverage commercial plans.

Watchout

Where You Can Get Burned (Markup Traps)

Back-door captive departments average 2.1× Medicare (1.25× captive-to-shoppable divergence).
Upper-quartile tail (p75 1.03× vs. p50 0.81×) jumps +28%, exposing median-gaming on complex codes.

Front-Door ShoppableElective / Imaging

1.7× Medicare

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

Back-Door Captive & ER1.25× Divergence

2.1× Medicare

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

Quantile Tail Spread+28% Upper Tail

Q25 0.63× · Q50 0.81× · Q75 1.03×

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.

Open-Box Reverse Engineering: How the Crystal Isolates True Price from Confounders

Chargemaster Gross → (−Chargemaster Air) → CMS Medicare Anchor → (±Regional Wage & Acuity Glare) → (= Fair BaseRate) → Residual (ε)

Layer 01-57% chargemaster air stripped

Chargemaster Gross Sticker Anchor

1.9×

Unregulated hospital list price before insurer contract or 501(r) AGB adjustments

Layer 02OPPS/IPPS federal cost anchor

Federal CMS Medicare Cost Baseline

1.00× Medicare floor

Resource-based federal Medicare fee schedule baseline

Layer 03Regional labor strip

Regional Wage & Income Glare (AWI)

CMS Area Wage Index

Isolates local CMS hospital wage index and county household income baseline

Layer 04System Leverage

Facility Scale, CMI Acuity & HHI Monopoly

Market Index

Adjusts for tertiary trauma capability, bed scale, and regional concentration

Layer 05Good Deal · Below Fair Market

Denoised Fair BaseRate vs. Actual → Residual (ε)

0.81×

Pure hospital pricing signal after orthogonalizing wage, bed scale, and clinical acuity

Federal Confounder & Structural Telemetry (CMS HCRIS · Form 990 · DOJ/FTC HHI)

CMS Wage Index (AWI)

0.92×

County median income $68,400

Case Mix Index (CMI)

1.18 (Community)

CMS DRG severity weight

HCRIS Cost-to-Charge (CCR)

0.35

CMS Form 2552-10 cost ratio

Market Monopoly (HHI)

2,150

Regional Market

Ownership & Tax Status

For-Profit / Public

Independent

501(r) AGB Billing Cap

35.0% of Gross

Max legal charge for eligible uninsured

Procedure Prices at Ohio State University State Health System

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 118 published procedures.

Sort:

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`	—	—	$27,653	—
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	—	$17,651	—
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	—	$17,062	—
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	—	$15,348	—
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	—	$7,084	—
Breast lump removal CPT Code: `19120`	—	—	$4,651	unverified
Colonoscopy with biopsy CPT Code: `45380`	—	—	$1,564	unverified
Trauma team activation HCPCS Code: `G0390`	—	—	$1,444	unverified
Upper endoscopy with biopsy CPT Code: `43239`	—	—	$1,318	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	—	$1,256	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	—	—	$1,070	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	—	$867	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	—	$610	unverified
Blood transfusion CPT Code: `36430`	—	—	$541	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	—	$461	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	—	—	$448	unverified
Residential mental health treatment HCPCS Code: `H2036`	—	—	$389	unverified
Behavioral health residential care HCPCS Code: `H0011`	—	—	$414	unverified
Psychological testing by technician CPT Code: `96138`	—	—	$356	unverified
Rabies immune globulin HCPCS Code: `90375`	—	—	$377	unverified
MRI, knee or other leg joint CPT Code: `73721`	—	—	$303	unverified
MRI, brain (no contrast) CPT Code: `70551`	—	—	$310	unverified
MRI, lower back (no contrast) CPT Code: `72148`	—	—	$317	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	—	$313	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	—	$282	unverified
CT scan, head (with contrast) CPT Code: `70460`	—	—	$229	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	—	—	$196	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	—	—	$214	unverified
Neurobehavioral status check CPT Code: `96116`	—	—	$232	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	—	—	$234	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	—	—	$185	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	—	—	$197	unverified
Behavioral health assessment HCPCS Code: `H0001`	—	—	$211	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	—	—	$182	unverified
Family therapy session CPT Code: `90847`	—	—	$184	unverified
CT scan, sinuses CPT Code: `70486`	—	—	$137	unverified
Psychological testing evaluation CPT Code: `96136`	—	—	$144	unverified
X-ray, pelvis CPT Code: `72170`	—	—	$117	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	—	—	$134	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	—	—	$133	unverified
CT scan, pelvis CPT Code: `72192`	—	—	$138	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	—	$134	unverified
Ultrasound, pelvis CPT Code: `76856`	—	—	$133	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	—	—	$136	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	—	$128	unverified
CT scan, head (no contrast) CPT Code: `70450`	—	—	$137	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	—	—	$129	unverified
X-ray, shoulder CPT Code: `73030`	—	—	$100	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$102	unverified
X-ray, lower back CPT Code: `72110`	—	—	$123	unverified
X-ray, foot CPT Code: `73630`	—	—	$101	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	—	—	$116	unverified
CT scan, chest (no contrast) CPT Code: `71250`	—	—	$137	unverified
New patient office visit (30-44 min) CPT Code: `99203`	—	—	$109	unverified
X-ray, hip CPT Code: `73502`	—	—	$98	unverified
X-ray, chest (single view) CPT Code: `71045`	—	—	$100	unverified
X-ray, ankle CPT Code: `73610`	—	—	$102	unverified
Screening mammogram (both breasts) CPT Code: `77067`	—	—	$103	unverified
Group therapy session CPT Code: `90853`	—	—	$105	unverified
Office visit, established patient (20-29 min) CPT Code: `99213`	—	—	$90	unverified
X-ray, hand CPT Code: `73130`	—	—	$99	unverified
X-ray, chest (two views) CPT Code: `71046`	—	—	$99	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	—	—	$102	unverified
Typhoid vaccine HCPCS Code: `90675`	—	—	$384	unverified
Pneumococcal vaccine HCPCS Code: `90732`	—	—	$197	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	—	$146	unverified
Drug screening test HCPCS Code: `G0480`	—	—	$120	unverified
Speech therapy (language evaluation) CPT Code: `92507`	—	—	$79	unverified
Flu vaccine injection HCPCS Code: `G0008`	—	—	$46	unverified
Behavioral health living support HCPCS Code: `H2019`	—	—	$48	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	—	$64	unverified
Blood test, liver function panel CPT Code: `80076`	—	—	$11	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	—	—	$15	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	—	$32	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	—	$42	unverified
Physical therapy (manual therapy) CPT Code: `97140`	—	—	$30	unverified
Diagnostic procedure preparation HCPCS Code: `G0279`	—	—	$30	unverified
Blood test, hemoglobin CPT Code: `85018`	—	—	$4	unverified
Culture, bacterial CPT Code: `87070`	—	—	$11	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	—	$13	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	—	$37	unverified
Hepatitis B vaccine HCPCS Code: `90744`	—	—	$46	unverified
Blood test, magnesium CPT Code: `83735`	—	—	$8	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	—	—	$11	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	—	—	$33	unverified
Occupational therapy (self-care training) CPT Code: `97535`	—	—	$34	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	—	$6	unverified
Speech therapy (group session) CPT Code: `92508`	—	—	$26	unverified
Blood test, lipase CPT Code: `83690`	—	—	$8	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	—	$15	unverified
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	—	$12	unverified
Blood test, basic metabolic panel CPT Code: `80048`	—	—	$11	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	—	—	$16	unverified
Physical therapy (gait training) CPT Code: `97116`	—	—	$31	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	—	$22	unverified
Blood antibody screen CPT Code: `86850`	—	—	$40	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	—	—	$47	unverified
Colorectal cancer screening HCPCS Code: `G0010`	—	—	$46	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	—	$66	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	—	$35	unverified
Prosthetic fitting and training CPT Code: `97761`	—	—	$40	unverified
Orthotic fitting and training CPT Code: `97760`	—	—	$46	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	—	—	$6	unverified
Blood test, sodium CPT Code: `84295`	—	—	$6	unverified
Blood test, vitamin B12 CPT Code: `82607`	—	—	$17	unverified
Blood test, vitamin D CPT Code: `82306`	—	—	$31	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	—	—	$35	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	—	$5	unverified
Blood test, amylase CPT Code: `82150`	—	—	$8	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	—	$6	unverified
Hepatitis C antibody test CPT Code: `86803`	—	—	$16	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	—	—	$21	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	—	—	$8	unverified
Blood test, potassium CPT Code: `84132`	—	—	$6	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	—	—	$7	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	—	—	$19	unverified
Blood test, calcium CPT Code: `82310`	—	—	$7	unverified
Culture, blood CPT Code: `87040`	—	—	$13	unverified

Showing top 25 high-impact procedures of 118 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 36.3%

Audit a Bill or Quote at Ohio State University State Health System (Zero PHI Required)

CMS CCN: 360085

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $27,653

Medicare Rate $16,039

Self-Pay Cash Request Quote

Insurer Median $31,801

1. Amount on Your Bill or Quote ($) Pre-filled with Ohio State University State Health System’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: $27,705 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $27,705

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $27,705).

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Ohio State University State Health System'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 +$48,669 Above Fair BaseRate

Negotiate Toward $27,653 Fair BaseRate ($16,039 Medicare)

Your bill ($76,322) is $48,669 above the denoised Fair BaseRate ($27,653) and 4.8× the $16,039 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.

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Would Recommend72%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait312 min

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

45 CFR § 180 Primary-Source Lineage & Federal Verification Verified CMS CCN 360085

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 360085) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage7/1/2026

Validated Rate RowsIndexed (CMS v3.0.0)

File Integrity DigestVerified · CCN 360085

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