How many shoppable procedure prices are published for Ohiohealth Morrow County Hospital?

Ohiohealth Morrow County Hospital in Mount Gilead, OH currently has 91 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Ohiohealth Morrow County Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Ohiohealth Morrow County Hospital's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Government - Local 23 Beds · rural Updated: 2025-10-22

Ohiohealth Morrow County Hospital

651 West Marion Road, Mount Gilead, OH 43338 · 91 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.27×vs. Fair Market Price

Typical commercial prices here are +27% above the fair benchmark (1.27×) even after accounting for local nurse/doctor wages and patient complexity.

78/100 · Corroborated

78/100Self-Pay Cash Beats Insurance 77% of the Time

File Completeness66

Price Logic69

Peer Alignment76

Clean Billing85

Real Cash Discount100

Regional Benchmark Tier

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Ohiohealth Morrow County Hospital prices routine shoppable procedures near 1.5× Medicare (p50 1.17×) while skewing captive emergency, lab, and upper-quartile codes to 1.8× Medicare (p75 1.72×, +47% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#106 of 137 in OH · 76th State Percentile#2,193 of 3,385 in U.S. · 64th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.78× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 77% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (65/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.9× markup over Medicare rates
Captive ER (2.2×) & laboratory (2.1×) services average 1.20× higher multiples than routine shoppable care (1.5×)
Upper-quartile procedures (Q75 1.72×) jump +47% above the median procedure ratio (Q50 1.17×)
Unnegotiated chargemaster list prices average 8.0× Medicare (20¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER1.20× Divergence

1.8× Medicare

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

Quantile Tail Spread+47% Upper Tail

Q25 0.78× · Q50 1.17× · Q75 1.72×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.2× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

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

1.8× MedicareGood

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

77% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at Ohiohealth Morrow County Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$10,766	$10,766	$19,087	0.6×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$10,094	$6,685	$8,223	0.8×
Inguinal hernia repair CPT Code: `49505`	$1,179	$1,179	$3,629	0.3×
Rabies immune globulin HCPCS Code: `90375`	$1,106	$1,106	$322	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	$3,370	$892	$1,021	0.9×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$848	$848	$583	1.5×
Blood transfusion CPT Code: `36430`	$795	$575	$498	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$1,446	$498	$242	2.1×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,707	$498	$258	1.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,975	$498	$303	1.6×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,267	$498	$448	1.1×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,487	$489	$511	1.0×
CT scan, head (no contrast) CPT Code: `70450`	$1,317	$498	$160	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$2,097	$323	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	$2,097	$323	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$2,097	$323	$369	0.9×
CT scan, pelvis CPT Code: `72192`	$1,317	$232	$163	1.4×
CT scan, sinuses CPT Code: `70486`	$1,290	$232	$166	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$1,265	$232	$167	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,781	$232	$168	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,522	$232	$169	1.4×
Ultrasound, pelvis CPT Code: `76856`	$443	$190	$130	1.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$719	$190	$134	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$780	$190	$272	0.7×
Ultrasound, abdomen (limited) CPT Code: `76705`	$620	$124	$126	1.0×
Ultrasound, thyroid and neck CPT Code: `76536`	$442	$124	$132	0.9×
Speech therapy (language evaluation) CPT Code: `92507`	$230	$90	$86	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$80	$87	$87	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	$112	$87	$110	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$109	$87	$123	0.7×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$107	$108	$35	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$106	$108	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$81	$108	$40	unverified
Orthotic fitting and training CPT Code: `97760`	$88	$108	$51	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$80	$80	$86	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$59	$82	$201	0.4×
Typhoid vaccine HCPCS Code: `90675`	$1,130	$1,130	$347	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$121	$121	$27	4.5×
Drug screening test HCPCS Code: `G0480`	$109	$109	$116	0.9×
Blood test, lipase CPT Code: `83690`	$65	$65	$7	9.3×
Blood test, amylase CPT Code: `82150`	$61	$61	$7	8.7×
Blood test, liver function panel CPT Code: `80076`	$69	$69	$9	7.7×
X-ray, chest (single view) CPT Code: `71045`	$213	$72	$92	0.8×
X-ray, shoulder CPT Code: `73030`	$255	$72	$92	0.8×
X-ray, foot CPT Code: `73630`	$255	$72	$92	0.8×
X-ray, chest (two views) CPT Code: `71046`	$273	$72	$93	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$269	$72	$93	0.8×
X-ray, hand CPT Code: `73130`	$273	$72	$93	0.8×
X-ray, hip CPT Code: `73502`	$245	$72	$93	0.8×
X-ray, ankle CPT Code: `73610`	$268	$72	$93	0.8×
X-ray, pelvis CPT Code: `72170`	$241	$72	$110	0.7×
X-ray, lower back CPT Code: `72110`	$512	$72	$112	0.6×
Blood test, sodium CPT Code: `84295`	$45	$45	$5	9.0×
Screening mammogram (both breasts) CPT Code: `77067`	$195	$66	$123	0.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$277	$66	$148	0.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$65	$65	$38	unverified
Prosthetic fitting and training CPT Code: `97761`	$65	$65	$45	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$32	$32	$4	8.0×
Blood test, hemoglobin CPT Code: `85018`	$22	$22	$3	7.3×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$36	$36	$5	7.2×
Physical therapy (functional capacity test) CPT Code: `97750`	$61	$61	$38	unverified
Blood test, calcium CPT Code: `82310`	$31	$31	$5	6.2×
Blood test, creatinine (kidney) CPT Code: `82565`	$31	$31	$5	6.2×
Blood test, glucose (blood sugar) CPT Code: `82947`	$23	$23	$4	5.8×
Blood test, potassium CPT Code: `84132`	$19	$19	$5	3.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$69	$39	$14	2.8×
Blood test, basic metabolic panel CPT Code: `80048`	$76	$25	$9	2.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$31	$8	$3	2.7×
Culture, bacterial CPT Code: `87070`	$146	$21	$9	2.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$104	$25	$11	2.3×
Blood test, magnesium CPT Code: `83735`	$34	$15	$7	2.1×
Blood test, clotting time (PTT) CPT Code: `85730`	$38	$12	$6	2.0×
Hepatitis C antibody test CPT Code: `86803`	$72	$29	$15	1.9×
Culture, blood CPT Code: `87040`	$84	$21	$11	1.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$58	$25	$14	1.8×
Blood test, vitamin B12 CPT Code: `82607`	$37	$28	$16	1.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$121	$23	$14	1.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$62	$28	$18	1.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$54	$15	$10	1.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$81	$29	$20	1.4×
Physical therapy (gait training) CPT Code: `97116`	$57	$39	$33	1.2×
Blood test, complete blood count (CBC) CPT Code: `85025`	$54	$11	$8	1.4×
Blood test, PSA (prostate screen) CPT Code: `84153`	$81	$23	$19	1.2×
Diagnostic procedure preparation HCPCS Code: `G0279`	$41	$41	$35	1.2×
Occupational therapy (self-care training) CPT Code: `97535`	$68	$39	$38	1.0×
Blood test, vitamin D CPT Code: `82306`	$171	$26	$31	0.8×
Blood antibody screen CPT Code: `86850`	$113	$35	$46	0.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$133	$30	$64	0.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$12	$12	$49	0.2×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$103	$13	$56	0.2×
Flu vaccine injection HCPCS Code: `G0008`	$8	$8	$48	0.2×

Showing top 25 high-impact procedures of 91 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Ohiohealth Morrow County Hospital (Zero PHI Required)

CMS CCN: 361313

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $10,766

Insurer Median $10,766

1. Amount on Your Bill or Quote ($) Pre-filled with Ohiohealth Morrow County Hospital’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 274% of 2026 FPL

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.

Step 2 · Cash vs. Insurance Arbitrage Save $5,798 Paying Cash

Self-Pay Cash Rate ($10,766) Beats Your Bill

Ohiohealth Morrow County Hospital's published 45 CFR § 180 self-pay cash rate is $10,766 (vs. $10,766 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target Target: $19,087 Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your entered amount is at or below the modeled Fair BaseRate benchmark ($19,087).

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) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Ohiohealth Morrow County 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.

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

Safety Composite65/100

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.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Ohiohealth Morrow County Hospital.

Price Index: 1.22× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

AmeriHealth

-44.4%

Median Household Income$71,047U.S. Census ACS

Local Uninsured Share8.9%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 78/100 · Corroborated CMS CCN 361313

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 361313) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-10-22

Validated Rate Rows2,459 (CMS v3.00)

File Integrity DigestVerified · CCN 361313

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