Mercy Health (Ohio) · Lorain, OH
34
In-network payers
338
Disclosed rate categories
338
Beds
3
Care quality
Mercy Health - Lorain Hospital (Mercy Regional Medical Center) is a 338-bed voluntary non-profit - private hospital in Lorain, OH, affiliated with Mercy Health (Ohio). Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 338 disclosed rate categories.
CCN (Medicare provider number)
360172
NPI
1245274950
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
338
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 - Lorain Hospital (Mercy Regional Medical Center) 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
$8,247 - $11,250
from 4 insurers · median $9,777
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
$9,184 - $17,074
from 4 insurers · median $12,759
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
Childbirth · Inpatient
MS-DRG 807
$8,247 - $11,250
from 4 insurers · median $9,777
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
Medicine & Surgery · Inpatient
MS-DRG 216
$123,371 - $174,207
from 4 insurers · median $147,596
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$26,642 - $32,791
from 4 insurers · median $28,206
11 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$5,425 - $18,227
from 4 insurers · median $11,146
31 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$5,425 - $32,563
from 4 insurers · median $13,591
31 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Gynecology
CPT 58571
$7,663 - $29,237
from 4 insurers · median $15,949
13 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$1,417 - $6,585
from 4 insurers · median $4,263
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$732 - $3,196
from 2 insurers · median $1,964
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,526 - $6,325
from 4 insurers · median $4,535
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 460
$48,712 - $56,152
from 3 insurers · median $52,593
Hospital reports neurosurgical services to CMS
CT imaging
CPT 74177
$263 - $1,073
from 4 insurers · median $715
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,526 - $6,186
from 4 insurers · median $4,640
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$32,105 - $51,707
from 4 insurers · median $39,637
Hospital reports neurosurgical services to CMS
Orthopedics and pain
CPT 64721
$2,644 - $7,037
from 4 insurers · median $5,356
96 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
Lung function and sleep
CPT 95810
$2,680 - $9,857
from 2 insurers · median $6,269
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$5,425 - $18,860
from 4 insurers · median $13,815
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$602 - $5,318
from 4 insurers · median $2,131
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$3,128 - $10,342
from 4 insurers · median $8,536
Typical for a hospital with this service line
Mammography
CPT 77067
$83 - $168
from 3 insurers · median $129
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$79 - $701
from 4 insurers · median $274
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$1,659 - $8,284
from 4 insurers · median $5,915
Typical for a hospital with this service line
Gynecology
CPT 58662
$5,425 - $19,666
from 4 insurers · median $13,815
Typical for a hospital with this service line
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 | 318% | 15 | 3 |
| Insurer B* | 23 | 295% | 14 | 2 |
| Insurer C* | 24 | 281% | 18 | 1 |
| Insurer D* | 22 | 95% | 3 | 15 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 9 are common here based on CMS Medicare volume, and 10 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 - Lorain Hospital (Mercy Regional Medical Center).
3700 Kolbe Road, Lorain, OH 44053
(440) 960-4000
The nearest hospitals of similar type and size. Their rates are compared with Mercy Health - Lorain Hospital (Mercy Regional Medical Center) for the same insurers and services above.
Uh Elyria Medical Center
▼ Rates typically 42% lower than Mercy Health - Lorain Hospital (Mercy Regional Medical Center) (21 services)
Fairview Hospital
Rates about the same as Mercy Health - Lorain Hospital (Mercy Regional Medical Center) (21 services)
Southwest General Health Center
▼ Rates typically 12% lower than Mercy Health - Lorain Hospital (Mercy Regional Medical Center) (21 services)
Firelands Regional Medical Center
▼ Rates typically 42% lower than Mercy Health - Lorain Hospital (Mercy Regional Medical Center) (20 services)
Uh Parma Medical Center
▼ Rates typically 53% lower than Mercy Health - Lorain Hospital (Mercy Regional Medical Center) (21 services)
Lutheran Hospital
Rates about the same as Mercy Health - Lorain Hospital (Mercy Regional Medical Center) (21 services)
Mercy Health - St Charles Hospital
Institute For Orthopaedic Surgery
Mercy Health - St Vincent Medical Center
Mercy Health - St Joseph Warren Hospital
About Mercy Health - Lorain Hospital (Mercy Regional Medical Center)'s rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy Health - Lorain Hospital (Mercy Regional Medical Center) range from $263 to $1,073 across 4 insurers. Aetna's rate is $701. The median at nearby comparable hospitals is $828. 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 - Lorain Hospital (Mercy Regional Medical Center) range from $1,526 to $6,325 across 4 insurers. Blue Cross Blue Shield's rate is $3,684. The median at nearby comparable hospitals is $2,305. 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 - Lorain Hospital (Mercy Regional Medical Center) range from $8,247 to $11,250 across 4 insurers. Cigna's rate is $11,250. 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 - Lorain Hospital (Mercy Regional Medical Center) range from $83 to $168 across 3 insurers. Cigna's rate is $168. The median at nearby comparable hospitals is $233. 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 - Lorain Hospital (Mercy Regional Medical Center) range from $26,642 to $32,791 across 4 insurers. Aetna's rate is $26,642. The median at nearby comparable hospitals is $25,339. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mercy Health - Lorain Hospital (Mercy Regional Medical Center) has 338 beds. Facility type: Short Term Acute Care Hospital.
Mercy Health - Lorain Hospital (Mercy Regional Medical Center) is located at 3700 Kolbe Road, Lorain, OH 44053. Its main phone number is (440) 960-4000.
Mercy Health - Lorain Hospital (Mercy Regional Medical Center)'s CMS Certification Number (CCN), also called its Medicare provider number, is 360172.
The National Provider Identifier (NPI) on file for Mercy Health - Lorain Hospital (Mercy Regional Medical Center) is 1245274950.
Mercy Health - Lorain Hospital (Mercy Regional Medical Center) is affiliated with Mercy Health (Ohio).
Mercy Health - Lorain Hospital (Mercy Regional Medical Center) 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.
338 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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{
"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