Southwest General Health Center
18697 Bagley Road, Middleburg Heights, OH 44130 · 127 Priced Procedures · 73% Patient Recommendation
Typical commercial prices here are 19% below the fair benchmark (0.81×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 0.81× fair market pricing.
Uniform Value Leader · Low-Cost Across Departments
Southwest General Health Center maintains low, disciplined commercial pricing across both routine shoppable procedures (0.8× Medicare, p50 0.84× Fair BaseRate) and emergency/ancillary services (1.0× 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 19% below peer Fair BaseRate (0.81×)
- Self-pay cash beats commercial insurance on 24% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 73% patient recommendation (68/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (40.3% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (0.81× 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.
- Captive ER (0.7×) & laboratory (1.1×) services average 1.25× higher multiples than routine shoppable care (0.8×)
- Specialty infusion drugs (J-codes) average 1.1× Medicare — verify per-unit billing on itemized statements
- Unnegotiated chargemaster list prices average 4.4× Medicare (26¢ true HCRIS cost per $1 gross)
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 Southwest General Health Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 127 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $21,890 | 0.7× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $13,167 | 0.7× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $13,075 | 0.7× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $11,951 | 0.7× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $5,291 | 0.6× |
| Total hip replacement CPT Code: 27130 | $3,375 | unverified |
| C-section delivery (full package) CPT Code: 59510 | $2,690 | unverified |
| Total knee replacement CPT Code: 27447 | $2,625 | unverified |
| Vaginal delivery (full package) CPT Code: 59400 | $2,272 | 0.8× |
| Cataract surgery with lens implant CPT Code: 66984 | $2,114 | 0.8× |
| Trauma team activation HCPCS Code: G0390 | $1,227 | 0.8× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $943 | 0.9× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $938 | unverified |
| Injection procedure for pain management HCPCS Code: G0260 | $642 | 0.8× |
| Breast lump removal CPT Code: 19120 | $525 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $512 | unverified |
| Bunion correction surgery CPT Code: 28296 | $485 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $496 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | — | — |
| Blood transfusion CPT Code: 36430 | $405 | 0.8× |
| Psychological testing by technician CPT Code: 96138 | $370 | 0.9× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $331 | 0.7× |
| MRI, brain (no contrast) CPT Code: 70551 | — | — |
| MRI, lower back (no contrast) CPT Code: 72148 | — | — |
| Rabies immune globulin HCPCS Code: 90375 | $288 | 0.9× |
Audit a Bill or Quote at Southwest General Health Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $21,151
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (40.3% of gross = $21,151).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Southwest General Health Center'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 $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($52,536) is $21,761 above the denoised Fair BaseRate ($30,775) and 2.2× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (40.3% 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)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Southwest General Health Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-04-16·administrative_or_closure
Closure Notice
Recorded - 2025-04-09·warning_notice
Warning Notice
Recorded - 2023-09-21·administrative_or_closure
Closure Notice
Recorded - 2023-06-08·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (1,254 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 Southwest General Health Center.
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.