Uh St John Medical Center
29000 Center Ridge Road, Westlake, OH 44145 · 121 Priced Procedures · 73% Patient Recommendation
Typical commercial prices here are +10% above the fair benchmark (1.10×) even after accounting for local nurse/doctor wages and patient complexity.
4-Star CMS clinical quality rating paired with 1.10× fair market pricing.
Aligned Regional Benchmark Peer
Uh St John Medical Center prices shoppable and inpatient services (1.6× to 1.1× Medicare, divergence 0.69×) in alignment with regional hospital peers (1.10× 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)
- Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 31% 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 (50.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.10× 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.
- Commercial insurance median sits at 0.97× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.20×) jump +24% above the median procedure ratio (Q50 0.97×)
- Unnegotiated chargemaster list prices average 10.2× Medicare (21¢ 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 Uh St John Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 121 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $38,859 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $23,646 | unverified |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $23,485 | unverified |
| Total knee replacement CPT Code: 27447 | $23,175 | unverified |
| Total hip replacement CPT Code: 27130 | $22,950 | unverified |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $21,526 | unverified |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $9,909 | unverified |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $8,532 | unverified |
| Bunion correction surgery CPT Code: 28296 | $5,483 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $5,483 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $5,483 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $4,914 | unverified |
| Breast lump removal CPT Code: 19120 | $4,000 | unverified |
| Vaginal delivery (full package) CPT Code: 59400 | $2,372 | 0.9× |
| C-section delivery (full package) CPT Code: 59510 | $2,372 | 0.8× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,526 | unverified |
| Trauma team activation HCPCS Code: G0390 | $1,362 | 0.9× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,334 | 1.1× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $998 | 1.0× |
| Upper endoscopy with biopsy CPT Code: 43239 | $973 | 1.0× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $877 | 0.9× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $800 | 1.6× |
| MRI, brain (no contrast) CPT Code: 70551 | $800 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $800 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $800 | unverified |
Audit a Bill or Quote at Uh St John Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $46,631
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (50.0% of gross = $46,631).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Uh St John 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 ($93,262) is $62,487 above the denoised Fair BaseRate ($30,775) and 4.0× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (50.0% 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 Uh St John Medical Center. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-02-26·administrative_or_closure
Closure Notice
Recorded - 2024-11-21·warning_notice
Warning Notice
Recorded
Source: CMS Hospital Care Compare (1,357 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 Uh St John 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.