How many shoppable procedure prices are published for University Hospitals - Elyria Medical Center?

University Hospitals - Elyria Medical Center in Elyria, OH currently has 128 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do University Hospitals - Elyria Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, University Hospitals - Elyria Medical Center's median negotiated commercial rate is 1.0× the regionally adjusted fair BaseRate benchmark.

What is University Hospitals - Elyria Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns University Hospitals - Elyria Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 197 Beds · urban Updated: 2026-07-14

University Hospitals - Elyria Medical Center

630 East River Street, Elyria, OH 44035 · 128 Priced Procedures · 68% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Near Fair BaseRate Benchmark

1.03×vs. Fair Market Price

Typical commercial prices here are +3% above the fair benchmark (1.03×) even after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 31% of the Time

File Completeness60

Price Logic85

Peer Alignment74

Clean Billing81

Real Cash Discount100

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.03× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

University Hospitals - Elyria Medical Center prices shoppable and inpatient services (1.5× to 1.0× Medicare, divergence 0.67×) in alignment with regional hospital peers (1.03× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#60 of 137 in OH · 43rd State Percentile#1,435 of 3,385 in U.S. · 42nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.87× 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 68% patient recommendation (64/100 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)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.03× 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 0.93× Fair BaseRate (1.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (1.03× 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.
Unnegotiated chargemaster list prices average 10.2× Medicare (21¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.5× Medicare

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

Back-Door Captive & ER0.67× Divergence

1.0× Medicare

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

Quantile Tail Spread+5% Upper Tail

Q25 0.87× · Q50 0.93× · Q75 0.98×

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

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

0.9× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

31% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 64/100Elevated

Procedure Prices at University Hospitals - Elyria Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 128 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$27,080	$30,775	0.9×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$18,112	$19,432	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,508	$19,087	0.9×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$15,034	$17,936	0.8×
Total knee replacement CPT Code: `27447`	—	$12,754	$13,523	0.9×
Total hip replacement CPT Code: `27130`	—	$12,329	$13,413	0.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,961	$8,223	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$5,720	$6,109	0.9×
Breast lump removal CPT Code: `19120`	$3,704	$3,704	$3,875	unverified
Inguinal hernia repair CPT Code: `49505`	—	$3,387	$3,629	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$3,096	$3,372	0.9×
Bunion correction surgery CPT Code: `28296`	—	$3,096	$3,446	0.9×
C-section delivery (full package) CPT Code: `59510`	—	$2,419	$2,975	0.8×
Cataract surgery with lens implant CPT Code: `66984`	—	$2,293	$2,540	unverified
Vaginal delivery (full package) CPT Code: `59400`	—	$2,163	$2,680	0.8×
Trauma team activation HCPCS Code: `G0390`	$3,675	$1,261	$1,453	0.9×
Colonoscopy with biopsy CPT Code: `45380`	$2,538	$1,189	$1,256	0.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,603	$906	$981	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$2,465	$900	$987	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,345	$800	$511	1.6×
Sleep study (overnight, in lab) CPT Code: `95810`	$6,071	$812	$1,021	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$2,081	$800	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$2,266	$800	$338	unverified
MRI, knee or other leg joint CPT Code: `73721`	$2,629	$800	$369	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$780	$780	$86	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$701	$855	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,494	$600	$448	1.3×
CT scan, head (no contrast) CPT Code: `70450`	$1,257	$600	$160	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,496	$600	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$1,629	$600	$258	unverified
CT scan, sinuses CPT Code: `70486`	$1,304	$600	$166	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$1,520	$600	$167	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$1,568	$600	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,735	$600	$168	unverified
CT scan, pelvis CPT Code: `72192`	$1,393	$600	$163	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,419	$600	$303	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,126	$517	$583	0.9×
Blood transfusion CPT Code: `36430`	$1,166	$434	$498	0.9×
Rabies immune globulin HCPCS Code: `90375`	$6,990	$275	$322	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$199	$207	$201	1.0×
Neurobehavioral status check CPT Code: `96116`	$323	$204	$231	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,209	$226	$272	0.8×
Psychological testing by technician CPT Code: `96138`	$211	$211	$395	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$267	$168	$166	1.0×
Screening mammogram (both breasts) CPT Code: `77067`	$509	$123	$123	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$656	$146	$148	1.0×
Family therapy session CPT Code: `90847`	$297	$168	$173	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$329	$168	$181	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$509	$168	$185	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$148	$130	$123	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	$517	$140	$151	0.9×
New patient office visit (30-44 min) CPT Code: `99203`	—	$113	$110	1.0×
Psychological testing evaluation CPT Code: `96136`	$317	$126	$128	1.0×
Office visit, established patient (20-29 min) CPT Code: `99213`	$126	$91	$87	1.0×
Group therapy session CPT Code: `90853`	$242	$96	$100	1.0×
X-ray, pelvis CPT Code: `72170`	$300	$99	$110	0.9×
X-ray, chest (single view) CPT Code: `71045`	$293	$82	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$461	$82	$92	0.9×
X-ray, foot CPT Code: `73630`	$420	$82	$92	0.9×
X-ray, lower back CPT Code: `72110`	$548	$99	$112	0.9×
X-ray, chest (two views) CPT Code: `71046`	$366	$82	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$433	$82	$93	0.9×
X-ray, hand CPT Code: `73130`	$431	$82	$93	0.9×
X-ray, hip CPT Code: `73502`	$437	$82	$93	0.9×
X-ray, ankle CPT Code: `73610`	$397	$82	$93	0.9×
Care planning with family CPT Code: `90887`	—	$85	$107	0.8×
Ultrasound, abdomen (limited) CPT Code: `76705`	$753	$99	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$920	$99	$130	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$886	$99	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,120	$99	$134	0.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$359	$359	$203	1.8×
Typhoid vaccine HCPCS Code: `90675`	$1,465	$315	$347	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$207	$207	$111	unverified
Drug screening test HCPCS Code: `G0480`	—	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$239	$133	$140	0.9×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$136	$90	$56	1.6×
Speech therapy (language evaluation) CPT Code: `92507`	$332	$73	$86	0.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$39	$35	1.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$33	$33	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$19	$20	0.9×
Flu vaccine injection HCPCS Code: `G0008`	$38	$44	$48	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	$38	$44	$49	0.9×
Colorectal cancer screening HCPCS Code: `G0010`	$38	$44	$49	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$70	$33	$37	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$293	$56	$64	0.9×
Orthotic fitting and training CPT Code: `97760`	$139	$44	$51	0.9×
Physical therapy (gait training) CPT Code: `97116`	$139	$28	$33	0.8×
Prosthetic fitting and training CPT Code: `97761`	$139	$38	$45	0.8×
Blood antibody screen CPT Code: `86850`	$137	$49	$46	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$60	$60	$39	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$198	$11	$11	1.0×
Blood test, calcium CPT Code: `82310`	$53	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$50	$5	$5	1.0×
Blood test, vitamin D CPT Code: `82306`	$220	$30	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$123	$3	$3	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$200	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$45	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$108	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$178	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$73	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$81	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$57	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$54	$4	$4	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$78	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$128	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$128	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$137	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$111	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$107	$14	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$95	$13	$14	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	$46	$23	$25	0.9×
Culture, blood CPT Code: `87040`	$151	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$123	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$142	$8	$9	0.9×
Blood test, amylase CPT Code: `82150`	$156	$6	$7	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$12	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$108	$23	$27	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$139	$32	$38	0.8×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$157	$33	$40	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$139	$31	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$139	$31	$38	0.8×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$69	$4	$5	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$143	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$139	$27	$34	0.8×
Blood test, hemoglobin CPT Code: `85018`	$53	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$15	$25	0.6×
Blood test, complete blood count (CBC) CPT Code: `85025`	$104	$8	$8	unverified

Showing top 25 high-impact procedures of 128 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 50.0%

Audit a Bill or Quote at University Hospitals - Elyria Medical Center (Zero PHI Required)

CMS CCN: 360145

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $27,080

1. Amount on Your Bill or Quote ($) Pre-filled with University Hospitals - Elyria Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $32,496 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $32,496

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 = $32,496).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask University Hospitals - Elyria 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.

Step 3 · Fair BaseRate Target +$34,217 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($64,992) is $34,217 above the denoised Fair BaseRate ($30,775) and 2.8× the $23,504 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) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 340714612

Filing Period: 198902

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

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.

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 Composite64/100

Would Recommend68%

Rated 9 or 10 (HCAHPS)71%

Median ER Wait184 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.7%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (1,346 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 University Hospitals - Elyria Medical Center.

Price Index: 1.30× regional baseline

Quality: 60/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Summacare

+71.0%

Median Household Income$70,693U.S. Census ACS

Local Uninsured Share5.3%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 79/100 · Corroborated CMS CCN 360145 EIN 340714612

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 360145) ↗ Verify IRS Form 990 (EIN 340714612) ↗ CMS HCRIS Cost Reports ↗

Published MRF File340714612-1841299039_university-hospitals-health-system_standardcharges.csv

Publication / Vintage2026-07-14 · 3355.14 MB

Validated Rate Rows8,634 (CMS v3.0.0)

File Integrity DigestVerified · CCN 360145

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.

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