University Hospitals Conneaut Medical Center
158 West Main Road, Conneaut, OH 44030 · 112 Priced Procedures · 75% Patient Recommendation
Typical commercial prices here are +77% above the fair benchmark (1.77×) even after accounting for local nurse/doctor wages and patient complexity.
5-Star CMS clinical quality rating paired with 1.77× fair market pricing.
Cash-Arbitrage Bifurcated Pricer
University Hospitals Conneaut Medical Center maintains elevated commercial insurance contracts (1.77× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 45% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.23× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 45% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 75% patient recommendation (80/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (55.8% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
- Commercial insurance median sits at 1.81× Fair BaseRate (2.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.24×) jump +24% above the median procedure ratio (Q50 1.81×)
- Unnegotiated chargemaster list prices average 11.1× Medicare (22¢ 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 University Hospitals Conneaut Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 112 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $40,286 | 1.3× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $23,823 | 1.2× |
| Total hip replacement CPT Code: 27130 | $23,591 | 1.8× |
| Total knee replacement CPT Code: 27447 | $23,591 | 1.7× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $21,986 | 1.2× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $18,415 | 1.0× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $10,037 | 1.2× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $8,000 | 1.3× |
| Rabies immune globulin HCPCS Code: 90375 | $6,990 | 21.7× |
| Cataract surgery with lens implant CPT Code: 66984 | $6,431 | unverified |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $4,298 | 1.3× |
| Inguinal hernia repair CPT Code: 49505 | $4,298 | 1.2× |
| Bunion correction surgery CPT Code: 28296 | $3,654 | 1.1× |
| Breast lump removal CPT Code: 19120 | $3,611 | 0.9× |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,063 | 2.1× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,063 | unverified |
| Injection procedure for pain management HCPCS Code: G0260 | $1,738 | 2.0× |
| Colonoscopy with biopsy CPT Code: 45380 | $1,621 | 1.3× |
| CT scan, head (with contrast) CPT Code: 70460 | $900 | 3.7× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $900 | 3.5× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $900 | 3.3× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $900 | 3.0× |
| MRI, lower back (no contrast) CPT Code: 72148 | $900 | 2.7× |
| MRI, brain (no contrast) CPT Code: 70551 | $900 | 2.6× |
| MRI, knee or other leg joint CPT Code: 73721 | $900 | 2.4× |
Audit a Bill or Quote at University Hospitals Conneaut Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $53,951
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (55.8% of gross = $53,951).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask University Hospitals Conneaut 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 ($96,686) is $65,911 above the denoised Fair BaseRate ($30,775) and 4.1× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (55.8% 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
Source: CMS Hospital Care Compare (137 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 University Hospitals Conneaut 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.