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States Procedures Methodology Search
Hospital Profile Acute Care Hospital Voluntary non-profit - Other 83 Beds · rural Updated: 2026-01-01

Summa Western Reserve Hospital

1900 23Rd Street, Cuyahoga Falls, OH 44223 · 95 Priced Procedures · 74% Patient Recommendation

CMS Overall Rating 3 / 5 Stars
Pillar 1 · The BaseRate™ CompositeHow 1.00× Fair BaseRate Works: Raw price averages unfairly penalize hospitals in high-wage cities or trauma centers treating sicker patients. We adjust for local CMS hospital wage levels and patient complexity first. A 1.00× score means right at the fair price average, 0.85× means 15% cheaper than fair market, and 1.30× means 30% above fair market.High Markup · Shop Alternatives
1.49×vs. Fair Market Price
Position vs. 1.00× Fair Price+49% Above Fair Price 1.00× (center of the bar) is the U.S. fair price average after accounting for local hospital wages and patient complexity. Left of center (<1.00×) is below fair price; right of center (>1.00×) is above fair price.

Typical commercial prices here are +49% above the fair benchmark (1.49×) even after accounting for local nurse/doctor wages and patient complexity.

Pillar 2 · VeriRate™ Data TrustHow VeriRate™ (0–100) Works: Hospitals are legally required to publish machine-readable price files, but some bury fake $0.01 numbers or omit cash discounts. VeriRate audits each file across 5 checks (hover any badge below to see what it tests).80/100 · Corroborated
80/100Self-Pay Cash Beats Insurance 2% of the Time
File Completeness61Provenance (File Completeness): Checks whether the hospital published a complete, up-to-date machine-readable price file with valid CPT and MS-DRG billing codes instead of leaving blanks.
Price Logic93Coherence (Price Logic): Checks whether the hospital’s numbers make basic sense — e.g., self-pay cash price is lower than gross list price, with no fake $0.01 or $999,999 placeholder numbers.
Peer Alignment72Concordance (Peer Alignment): Checks whether reported prices sit in a realistic range compared to Medicare and nearby hospitals rather than wild 100× unit errors.
Clean Billing77Regularity (Clean Billing): Checks whether rates are structured consistently across procedures without erratic statistical spikes or hidden unbundled facility fees.
Real Cash Discount100Cash Honesty (Real Cash Discount): Checks whether the hospital offers a genuine self-pay cash discount that beats or matches commercial insurance rates instead of billing full sticker price.
Pillar 3 · Clinical Quality & ER SpeedChecks whether higher hospital prices actually buy better clinical quality — combining CMS Star Ratings, hospital safety scores, and emergency room wait times.High-Markup · Check Safety
CMS Star Rating3/5 StarsOfficial CMS Overall Hospital Quality Star Rating (1 to 5 stars) summarizing mortality, safety of care, readmissions, and patient experience.
Safety Score66/100Composite patient safety score (0–100) derived from CMS hospital-acquired infection rates (CLABSI, CAUTI, MRSA, C. diff), surgical complications, and HCAHPS surveys.
Typical ER Wait160 minMedian minutes patients spent in the emergency department before leaving from the visit, as reported to CMS Timely and Effective Care.

3-Star CMS clinical quality rating paired with 1.49× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +34% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Summa Western Reserve Hospital prices routine shoppable procedures at 2.3× Medicare (median 1.61× Fair BaseRate) while upper-quartile commercial rates jump +34% to 2.16× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#123 of 137 in OH · 89th State Percentile#2,623 of 3,385 in U.S. · 77th National Percentile
Advantage

Where They're Good (Patient & Payer Edge)

  • Bottom-quartile procedures (Q25) price at 0.97× the peer BaseRate benchmark
  • Self-pay cash beats commercial insurance on 2% of shoppable procedures (99/100 Cash Honesty)
  • CMS clinical safety score (66/100 safety score) with 74% 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 1.1× markup over Medicare rates
  • Commercial insurance median sits at 1.61× Fair BaseRate (2.3× Medicare), so insured patients should always compare the self-pay cash price before paying.
  • Upper-quartile procedures (Q75 2.16×) jump +34% above the median procedure ratio (Q50 1.61×)
  • Consolidated metro market (HHI 2,942) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Front-Door ShoppableElective / Imaging
2.3× Medicare

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

Back-Door Captive & ER0.48× Divergence
1.1× Medicare

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

Quantile Tail Spread+34% Upper Tail
Q25 0.97× · Q50 1.61× · Q75 2.16×

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
2.3× MedicareFair
Outpatient Surgery & ORBack-Door Captive
1.1× MedicareGood
Diagnostic Imaging (CT/MRI)Front-Door Shoppable
3.3× MedicareElevated
Back-Door Captive ER VisitsBack-Door Captive
1.5× MedicareGood
Inpatient Lab & PathologyBack-Door Captive
5.9× MedicareWatchout
Specialty & Infusion Drugs (J-Codes)Back-Door Captive
1.7× MedicareGood
Self-Pay Cash Honesty & 501(r)Integrity & Outcomes
2% Cash Edge · 99/100Good
CMS Clinical Safety & Star ValueIntegrity & Outcomes
3 CMS · 66/100Fair

Procedure Prices at Summa Western Reserve Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 95 published procedures.

Sort:
Audit a Bill & 501(r) Cap ↓
Procedure & Billing Code This Hospital vs. Fair
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 $41,507 unverified
Trauma team activation
HCPCS Code: G0390
 $3,084 2.1×
Colonoscopy with biopsy
CPT Code: 45380
 $2,769 2.2×
Colonoscopy (diagnostic)
CPT Code: 45378
 $2,152 2.2×
Upper endoscopy with biopsy
CPT Code: 43239
 $2,098 2.1×
Sleep study (overnight, in lab)
CPT Code: 95810
 $1,987 1.9×
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,264 unverified
Blood transfusion
CPT Code: 36430
 $1,021 2.1×
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $807 1.8×
MRI, brain (with and without contrast)
CPT Code: 70553
 $807 1.6×
Rabies immune globulin
HCPCS Code: 90375
 $660 2.0×
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $569 3.8×
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $552 1.8×
MRI, lower back (no contrast)
CPT Code: 72148
 $552 1.6×
MRI, brain (no contrast)
CPT Code: 70551
 $552 1.6×
MRI, knee or other leg joint
CPT Code: 73721
 $552 1.5×
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $552 unverified
Breathing treatment (nebulizer)
CPT Code: 94640
 $507 unverified
Screening mammogram (both breasts)
CPT Code: 77067
 $389 3.2×
CT scan, head (with contrast)
CPT Code: 70460
 $406 1.7×
CT scan, head (with and without contrast)
CPT Code: 70470
 $406 1.6×
Office visit, established patient (30-39 min)
CPT Code: 99214
 $342 2.8×
New patient office visit (30-44 min)
CPT Code: 99203
 $301 2.7×
Office visit, established patient (20-29 min)
CPT Code: 99213
 $266 3.1×
X-ray, pelvis
CPT Code: 72170
 $242 2.2×
Showing top 25 high-impact procedures of 95 total
Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Summa Western Reserve Hospital (Zero PHI Required)

CMS CCN: 360150
CPT 470
Fair BaseRate™ $19,432
Medicare Rate $14,044
Self-Pay Cash Request Quote
Insurer Median $41,507
Pre-filled with Summa Western Reserve Hospital’s charged/list benchmark
Screened against 2026 HHS Federal Poverty Guidelines
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 Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Summa Western Reserve Hospital'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 +$80,185 Above Fair BaseRate

Negotiate Toward $19,432 Fair BaseRate ($14,044 Medicare)

Your bill ($99,617) is $80,185 above the denoised Fair BaseRate ($19,432) and 7.1× the $14,044 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.
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 Summa Western Reserve 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

CMS Overall3/5 Stars (3/5)
Safety Composite66/100
Would Recommend74%
Rated 9 or 10 (HCAHPS)69%
Median ER Wait160 min
Left ER Before Seen3%
30-Day Mortality vs U.S.same
Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)
C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Summa Western Reserve Hospital. Prior administrative notices do not necessarily reflect current compliance status.

  • 2025-04-08·administrative_or_closure

    Met Requirements

    Recorded

Source: CMS Hospital Care Compare (329 completed HCAHPS patient surveys). 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 Summa Western Reserve Hospital.

Price Index: 0.95× regional baseline
Quality: 56/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna
+108.6%
Median Household Income$71,016U.S. Census ACS
Local Uninsured Share5.6%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 80/100 · Corroborated CMS CCN 360150

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 360150) ↗ CMS HCRIS Cost Reports ↗
Published MRF FileCMS_45_CFR_180_FILING.json
Publication / Vintage2026-01-01
Validated Rate Rows1,309 (CMS v3.0.0)
File Integrity DigestVerified · CCN 360150

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