Ohio Valley Surgical Hospital
100 West Main Street, Springfield, OH 45502 · 87 Priced Procedures · 90% Patient Recommendation
Typical commercial prices here are +124% above the fair benchmark (2.24×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Ohio Valley Surgical Hospital prices routine shoppable procedures at 3.1× Medicare (median 2.04× Fair BaseRate) while upper-quartile commercial rates jump +60% to 3.26× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.91× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 43% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (73/100 safety score) with 90% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 11.9× markup over Medicare rates
- Commercial insurance median sits at 2.04× Fair BaseRate (3.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 3.26×) jump +60% above the median procedure ratio (Q50 2.04×)
- Consolidated metro market (HHI 8,697) 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 Ohio Valley Surgical Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 87 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Total hip replacement CPT Code: 27130 | $12,263 | unverified |
| Total knee replacement CPT Code: 27447 | $12,263 | unverified |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $5,561 | 0.9× |
| Breast lump removal CPT Code: 19120 | $3,650 | 0.9× |
| Inguinal hernia repair CPT Code: 49505 | $3,363 | 0.9× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,092 | 0.9× |
| Bunion correction surgery CPT Code: 28296 | $3,092 | 0.9× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,247 | 4.4× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,174 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $1,705 | 5.6× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,408 | 5.5× |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,427 | 4.2× |
| MRI, brain (no contrast) CPT Code: 70551 | $1,427 | 4.2× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,268 | 5.2× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,124 | 0.9× |
| CT scan, sinuses CPT Code: 70486 | $986 | 5.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $894 | 0.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $869 | 0.9× |
| CT scan, pelvis CPT Code: 72192 | $809 | 5.0× |
| CT scan, chest (no contrast) CPT Code: 71250 | $809 | 4.8× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $809 | 4.8× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $748 | unverified |
| Blood transfusion CPT Code: 36430 | $649 | 1.3× |
| Injection procedure for pain management HCPCS Code: G0260 | $660 | 0.8× |
| CT scan, head (no contrast) CPT Code: 70450 | $587 | 3.7× |
Audit a Bill or Quote at Ohio Valley Surgical Hospital (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Self-Pay Cash Rate ($31,423) Beats Your Bill
Ohio Valley Surgical Hospital's published 45 CFR § 180 self-pay cash rate is $31,423 (vs. $12,263 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $13,413 Fair BaseRate ($13,117 Medicare)
Your bill ($52,372) is $38,959 above the denoised Fair BaseRate ($13,413) and 4.0× the $13,117 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Ohio Valley Surgical Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare (64 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 Ohio Valley Surgical Hospital.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
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.