Mercy Health (Ohio) · Cincinnati, OH
37
In-network payers
364
Disclosed rate categories
298
Beds
3
Care quality
Mercy Health - Anderson Hospital is a 298-bed voluntary non-profit - private hospital in Cincinnati, OH, affiliated with Mercy Health (Ohio). Below you'll find publicly disclosed negotiated rates and facility details, including 37 in-network payers and 364 disclosed rate categories.
CCN (Medicare provider number)
360001
NPI
1235239211
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
298
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Mercy Health - Anderson Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$7,066 - $11,194
from 4 insurers · median $10,572
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$11,012 - $15,818
from 4 insurers · median $14,167
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 216
$154,079 - $184,944
from 4 insurers · median $166,416
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery
CPT 47562
$9,127 - $19,932
from 4 insurers · median $14,776
46 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$7,066 - $11,194
from 4 insurers · median $10,572
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 49650
$8,280 - $21,439
from 4 insurers · median $15,046
46 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$28,729 - $36,466
from 4 insurers · median $31,289
11 Medicare discharges for this DRG in CMS hospital data
Digestive procedures
CPT 45385
$2,857 - $6,328
from 4 insurers · median $5,436
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,857 - $6,400
from 4 insurers · median $4,679
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,777 - $2,408
from 2 insurers · median $2,092
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,857 - $6,400
from 4 insurers · median $6,146
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$53,703 - $64,568
from 3 insurers · median $58,841
Hospital reports neurosurgical services to CMS
CT imaging
CPT 74177
$620 - $1,914
from 4 insurers · median $814
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$10,160 - $35,568
from 4 insurers · median $20,341
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$4,537 - $10,016
from 3 insurers · median $9,221
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$1,255 - $6,899
from 4 insurers · median $2,672
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$9,127 - $28,481
from 4 insurers · median $14,709
52 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58558
$4,537 - $17,065
from 4 insurers · median $10,322
Typical for a hospital with this service line
Mammography
CPT 77067
$131 - $211
from 4 insurers · median $162
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$9,698 - $19,932
from 4 insurers · median $14,466
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$4,468 - $4,673
from 2 insurers · median $4,571
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$2,539 - $6,338
from 4 insurers · median $3,673
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$211 - $725
from 4 insurers · median $302
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$309 - $1,062
from 4 insurers · median $625
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 428% | 16 | 2 |
| Insurer B* | 20 | 280% | 4 | 7 |
| Insurer C* | 24 | 266% | 10 | 9 |
| Insurer D* | 22 | 220% | 1 | 17 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 9 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Mercy Health - Anderson Hospital.
7500 State Road, Cincinnati, OH 45255
(513) 624-4006
The nearest hospitals of similar type and size. Their rates are compared with Mercy Health - Anderson Hospital for the same insurers and services above.
St. Elizabeth Ft. Thomas Hospital
Rates about the same as Mercy Health - Anderson Hospital (21 services)
Bethesda Hospital
▼ Rates typically 34% lower than Mercy Health - Anderson Hospital (21 services)
St. Elizabeth Edgewood Hospital
Rates about the same as Mercy Health - Anderson Hospital (21 services)
St. Elizabeth Florence Hospital
Rates about the same as Mercy Health - Anderson Hospital (21 services)
Fort Hamilton Hospital
▲ Rates typically 16% higher than Mercy Health - Anderson Hospital (21 services)
Clinton Memorial Hospital
▲ Rates typically 28% higher than Mercy Health - Anderson Hospital (21 services)
Mercy Health - West Hospital
The Jewish Hospital - Mercy Health
University Of Cincinnati Medical Center
About Mercy Health - Anderson Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy Health - Anderson Hospital range from $620 to $1,914 across 4 insurers. UnitedHealthcare's rate is $829. The median at nearby comparable hospitals is $604. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mercy Health - Anderson Hospital range from $2,857 to $6,328 across 4 insurers. Blue Cross Blue Shield's rate is $6,328. The median at nearby comparable hospitals is $4,671. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mercy Health - Anderson Hospital range from $7,066 to $11,194 across 4 insurers. Cigna's rate is $10,619. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercy Health - Anderson Hospital range from $131 to $211 across 4 insurers. Cigna's rate is $175. The median at nearby comparable hospitals is $194. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Mercy Health - Anderson Hospital range from $28,729 to $36,466 across 4 insurers. Aetna's rate is $28,729. The median at nearby comparable hospitals is $39,336. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mercy Health - Anderson Hospital has 298 beds. Facility type: Short Term Acute Care Hospital.
Mercy Health - Anderson Hospital is located at 7500 State Road, Cincinnati, OH 45255. Its main phone number is (513) 624-4006.
Mercy Health - Anderson Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 360001.
The National Provider Identifier (NPI) on file for Mercy Health - Anderson Hospital is 1235239211.
Mercy Health - Anderson Hospital is affiliated with Mercy Health (Ohio).
Mercy Health - Anderson Hospital lists 37 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
364 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers