Union Hospital
659 Boulevard, Dover, OH 44622 · 140 Priced Procedures · 60% Patient Recommendation
Typical commercial prices here match the fair market benchmark (1.01×) after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.01× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Union Hospital prices routine shoppable procedures near 1.4× Medicare (p50 0.94×) while skewing captive emergency, lab, and upper-quartile codes to 2.5× Medicare (p75 1.25×, +33% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.75× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 28% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (62/100 safety score) with 60% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (30.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.01× 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 (0.8×) & laboratory (0.8×) services average 1.79× higher multiples than routine shoppable care (1.4×)
- Upper-quartile procedures (Q75 1.25×) jump +33% above the median procedure ratio (Q50 0.94×)
- Consolidated metro market (HHI 9,445) 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 Union Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 140 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $22,941 | 0.7× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $6,402 | 0.8× |
| Total knee replacement CPT Code: 27447 | $5,096 | 0.4× |
| Total hip replacement CPT Code: 27130 | $3,177 | 0.2× |
| Vaginal delivery (full package) CPT Code: 59400 | $2,591 | unverified |
| C-section delivery (full package) CPT Code: 59510 | $2,552 | unverified |
| Trauma team activation HCPCS Code: G0390 | $2,292 | unverified |
| Breast lump removal CPT Code: 19120 | $1,658 | unverified |
| Bunion correction surgery CPT Code: 28296 | $1,440 | 0.4× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,341 | 0.4× |
| Cataract surgery with lens implant CPT Code: 66984 | $1,284 | 0.5× |
| Injection procedure for pain management HCPCS Code: G0260 | $1,199 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $1,107 | unverified |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $1,055 | 0.2× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $1,067 | unverified |
| Sleep study (overnight, in lab) CPT Code: 95810 | $968 | unverified |
| Upper endoscopy with biopsy CPT Code: 43239 | $858 | unverified |
| Colonoscopy (diagnostic) CPT Code: 45378 | $864 | unverified |
| Blood transfusion CPT Code: 36430 | $767 | unverified |
| Inguinal hernia repair CPT Code: 49505 | $788 | unverified |
| Colonoscopy with biopsy CPT Code: 45380 | $566 | unverified |
| Psychological testing by technician CPT Code: 96138 | $423 | 1.1× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $383 | unverified |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $406 | unverified |
| Behavioral health counseling (per session) HCPCS Code: H0008 | $310 | 1.2× |
Audit a Bill or Quote at Union Hospital (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $16,495
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (30.0% of gross = $16,495).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Union Hospital'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 ($55,058) is $24,283 above the denoised Fair BaseRate ($30,775) and 2.3× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (30.0% 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)Source: CMS Hospital Care Compare (489 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 Union Hospital.
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.