Mercy Health (Ohio) · Defiance, OH
34
In-network payers
253
Disclosed rate categories
23
Beds
5
Care quality
Mercy Health - Defiance Hospital is a 23-bed proprietary hospital in Defiance, OH, affiliated with Mercy Health (Ohio). Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 253 disclosed rate categories.
CCN (Medicare provider number)
360270
NPI
1629011234
Type
Short Term Acute Care Hospital
Ownership
Proprietary
Beds
23
Care Quality
5
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 - Defiance 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.
Digestive procedures
CPT 49650
$4,788 - $58,995
from 4 insurers · median $24,954
42 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 47562
$4,788 - $41,351
from 3 insurers · median $12,860
42 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 47563
$4,788 - $45,785
from 4 insurers · median $25,483
42 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$948 - $8,216
from 3 insurers · median $4,228
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$369 - $1,889
from 4 insurers · median $1,643
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$189 - $2,682
from 4 insurers · median $1,486
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 55700
$1,420 - $14,036
from 4 insurers · median $9,869
28 Medicare claims in Level 3 Urology and Related Services (CMS 2024)
CT imaging
CPT 74177
$276 - $2,798
from 4 insurers · median $518
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$8,788 - $18,047
from 2 insurers · median $13,417
Typical for a hospital with this service line
Orthopedics and pain
CPT 29888
$5,747 - $59,297
from 4 insurers · median $35,144
Typical for a hospital with this service line
Gynecology
CPT 58661
$4,788 - $23,915
from 4 insurers · median $17,429
Typical for a hospital with this service line
Mammography
CPT 77067
$83 - $239
from 4 insurers · median $189
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$558 - $8,660
from 4 insurers · median $2,588
Common here, based on CMS Medicare volume
Urology
CPT 52000
$552 - $1,247
from 4 insurers · median $1,171
94 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
Urology
CPT 50590
$2,792 - $15,435
from 4 insurers · median $9,475
14 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Nuclear imaging
CPT 78452
$731 - $4,262
from 4 insurers · median $1,894
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$2,564 - $8,522
from 4 insurers · median $7,265
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$4,688 - $13,040
from 2 insurers · median $8,864
Typical for a hospital with this service line
Medicine & Surgery
CPT 29881
$964 - $16,577
from 4 insurers · median $4,518
15 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Medicine & Surgery
CPT 66984
$1,828 - $5,027
from 2 insurers · median $3,428
Typical for a hospital with this service line
Orthopedics and pain
CPT 63030
$5,747 - $27,932
from 4 insurers · median $20,719
Typical for a hospital with this service line
CT imaging
CPT 70450
$83 - $810
from 4 insurers · median $211
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$189 - $2,593
from 4 insurers · median $1,401
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29880
$2,591 - $16,383
from 4 insurers · median $10,757
15 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
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* | 21 | 583% | 2 | 0 |
| Insurer B* | 19 | 302% | 6 | 6 |
| Insurer C* | 24 | 209% | 1 | 18 |
| Insurer D* | 24 | 78% | 0 | 6 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 7 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 - Defiance Hospital.
1404 East Second Street, Defiance, OH 43512
(419) 782-8444
The nearest hospitals of similar type and size. Their rates are compared with Mercy Health - Defiance Hospital for the same insurers and services above.
Parkview Ortho Hospital
▲ Rates typically 89% higher than Mercy Health - Defiance Hospital (24 services)
Parkview Noble Hospital
▲ Rates typically 87% higher than Mercy Health - Defiance Hospital (24 services)
Bluffton Regional Medical Center
▼ Rates typically 59% lower than Mercy Health - Defiance Hospital (17 services)
Parkview Whitley Hospital
▲ Rates typically 82% higher than Mercy Health - Defiance Hospital (24 services)
Parkview Huntington Hospital
▲ Rates typically 57% higher than Mercy Health - Defiance Hospital (24 services)
Ascension Brighton Center For Recovery
Too few shared services to compare rates
Mercy Health - Fairfield Hospital
Mercy Health St. Elizabeth Boardman Hospital
Mercy Health — St. Anne Hospital
Mercy Health - Lorain Hospital (Mercy Regional Medical Center)
About Mercy Health - Defiance Hospital's rates and hospital price transparency.
For MRI of the brain, without contrast (CPT 70551), published negotiated rates at Mercy Health - Defiance Hospital range from $189 to $2,593 across 4 insurers. UnitedHealthcare's rate is $189. The median at nearby comparable hospitals is $523. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT of the abdomen and pelvis, without contrast (CPT 74176), published negotiated rates at Mercy Health - Defiance Hospital range from $189 to $2,682 across 4 insurers. Aetna's rate is $2,682. The median at nearby comparable hospitals is $523. 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 - Defiance Hospital range from $948 to $8,216 across 3 insurers. UnitedHealthcare's rate is $948. The median at nearby comparable hospitals is $6,319. 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 - Defiance Hospital range from $83 to $239 across 4 insurers. Cigna's rate is $161. The median at nearby comparable hospitals is $212. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mercy Health - Defiance Hospital has 23 beds. Facility type: Short Term Acute Care Hospital.
Mercy Health - Defiance Hospital is located at 1404 East Second Street, Defiance, OH 43512. Its main phone number is (419) 782-8444.
Mercy Health - Defiance Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 360270.
The National Provider Identifier (NPI) on file for Mercy Health - Defiance Hospital is 1629011234.
Mercy Health - Defiance Hospital is affiliated with Mercy Health (Ohio).
Mercy Health - Defiance Hospital lists 34 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.
253 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.
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{
"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.
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