Springfield Regional Medical Center
100 Medical Center Drive, Springfield, OH 45504 · 93 Priced Procedures · 54% Patient Recommendation
Typical commercial prices here are 7% below the fair benchmark (0.93×) after accounting for local nurse/doctor wages and patient complexity.
2-Star CMS clinical quality rating paired with 0.93× fair market pricing.
Aligned Regional Benchmark Peer
Springfield Regional Medical Center prices shoppable and inpatient services (1.1× to 1.3× Medicare, divergence 1.18×) in alignment with regional hospital peers (0.93× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.
Where They're Good (Patient & Payer Edge)
- Elective shoppable care is priced 7% below peer Fair BaseRate (0.93×)
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 54% patient recommendation (59/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (13.3% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.5× markup over Medicare rates
- Captive ER (1.6×) & laboratory (2.7×) services average 1.18× higher multiples than routine shoppable care (1.1×)
- Even at low-cost facilities (0.93× 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 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 Springfield Regional Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 93 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $25,460 | 0.8× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $19,207 | 1.0× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $18,282 | 1.0× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $17,324 | 0.9× |
| Total hip replacement CPT Code: 27130 | $12,323 | 0.9× |
| Total knee replacement CPT Code: 27447 | $12,323 | 0.9× |
| Rabies immune globulin HCPCS Code: 90375 | $7,839 | 24.3× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $6,729 | 0.8× |
| Inguinal hernia repair CPT Code: 49505 | $5,827 | 1.6× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $5,803 | 0.9× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $3,141 | 0.9× |
| Bunion correction surgery CPT Code: 28296 | $3,141 | 0.9× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $2,845 | 9.4× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $2,573 | 5.7× |
| Hepatitis B immune globulin HCPCS Code: 90371 | $1,941 | 12.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $1,842 | 1.9× |
| CT scan, pelvis CPT Code: 72192 | $1,580 | 9.7× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $1,580 | 9.4× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,586 | 6.1× |
| Blood transfusion CPT Code: 36430 | $1,584 | 3.2× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,422 | 8.5× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $1,422 | 8.4× |
| CT scan, sinuses CPT Code: 70486 | $1,300 | 7.8× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,154 | 8.6× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,171 | 7.3× |
Audit a Bill or Quote at Springfield Regional Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $8,115
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (13.3% of gross = $8,115).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Springfield Regional Medical 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 ($61,104) is $30,329 above the denoised Fair BaseRate ($30,775) and 2.6× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (13.3% 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)Source: CMS Hospital Care Compare (1,586 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 Springfield Regional Medical Center.
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.