Mercy Health (Ohio) · Tiffin, OH
3 of 5
CMS star rating
35
Beds
2,862
Inpatient discharges a year
$115.7M
Net patient revenue a year
36
In-network payers
Mercy Health - Tiffin Hospital is a 35-bed voluntary non-profit - church hospital in Tiffin, OH, affiliated with Mercy Health (Ohio). Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 245 disclosed rate categories.
The 24 services Mercy Health - Tiffin 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, or start a free trial.
Medicine & Surgery
CPT 47562
$4,553 - $44,202
from 3 insurers · median $32,438
23 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 49650
$4,553 - $53,366
from 4 insurers · median $37,376
23 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$6,057
negotiated rate
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
Gynecology
CPT 58571
$8,271 - $58,470
from 3 insurers · median $47,246
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$236 - $3,475
from 4 insurers · median $3,075
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 788
$8,513
negotiated rate
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
Digestive procedures
CPT 47563
$4,553 - $63,185
from 3 insurers · median $32,438
23 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery
CPT 66984
$1,738 - $13,178
from 4 insurers · median $9,731
70 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Digestive procedures
CPT 43239
$248 - $11,471
from 4 insurers · median $3,253
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$731 - $8,135
from 4 insurers · median $4,535
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$4,553 - $32,438
from 3 insurers · median $28,049
Typical for a hospital with this service line
Urology
CPT 52000
$284 - $2,614
from 4 insurers · median $1,523
280 Medicare claims in Level 2 Urology and Related Services (CMS 2024)
CT imaging
CPT 74177
$263 - $5,363
from 4 insurers · median $519
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29826
$304 - $44,018
from 4 insurers · median $40,196
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$83 - $352
from 4 insurers · median $235
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$4,553 - $32,438
from 3 insurers · median $23,652
Typical for a hospital with this service line
CT imaging
CPT 70450
$79 - $1,653
from 4 insurers · median $418
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$39 - $546
from 4 insurers · median $271
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$4,459 - $22,338
from 2 insurers · median $13,398
Typical for a hospital with this service line
Gynecology
CPT 58558
$2,438 - $12,036
from 3 insurers · median $9,693
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$8,271 - $58,470
from 2 insurers · median $33,370
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$464 - $6,378
from 4 insurers · median $2,910
Common here, based on CMS Medicare volume
Urology
CPT 50590
$2,655 - $18,079
from 4 insurers · median $11,767
24 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Orthopedics and pain
CPT 29888
$5,465 - $40,567
from 2 insurers · median $23,016
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* | 19 | 576% | 6 | 1 |
| Insurer B* | 22 | 525% | 16 | 2 |
| Insurer C* | 13 | 106% | 4 | 9 |
| Insurer D* | 24 | 74% | 1 | 10 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 9 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 - Tiffin Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
3 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$115.7M net patient revenue
Ownership and leadership
Owned by Bon Secours Mercy Health Inc
The employer identification numbers (EINs) health plans and networks list for Mercy Health - Tiffin Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 34-4431174Mercy Health | 56Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 51 more | 1316994734 Mercy Health - Tiffin Hospital LLC1053965053 Mercy Health - Tiffin Hospital LLC1245241496 Mercy Health - Tiffin Hospital LLCand 5 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
45 St Lawrence Drive, Tiffin, OH 44883
(419) 455-7000
How Mercy Health - Tiffin Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
3 of 5
Lower than 42% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 2 measures
0 better, 2 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Worse on 1 of 8 measures
0 better, 7 no different, 1 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
65%
Lower than 73% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.9
Lower than 72% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
128 min
Lower than 66% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
59%
Lower than 64% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 3 of 5 | |
| Death rates | No different on 4 measures | |
| Safety | No different on 2 measures | |
| Readmissions | Worse on 1 of 8 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 65% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.9 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 128 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 59% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Mercy Health - Tiffin Hospital's inpatient payments for its readmissions, quality and cost results.
-0.58% on Medicare payments
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+1.18% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Mercy Health - Tiffin Hospital, beside the US median and the average of OH hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | This hospital | US median | OH average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 | Not Available | 4.308 | |||
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 631 cases | 3.2 | 3.9 | 3.915 | Better than 86% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 11.61 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.271 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 75 cases | 9.3 | 8.5 | 8.278 | Worse than 70% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 177 cases | 9.7 | 11 | 10.63 | Better than 74% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 173 cases | 16.1 | 15.2 | 14.65 | Worse than 63% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 11.66 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 1,012 cases | 0.42 | 0.51 | 0.5622 | No Different Than the National Rate | Better than 63% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 171 | Number of Cases Too Small | ||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 1,623 cases | 0.2 | 0.2 | 0.2056 | No Different Than the National Rate | Better than 46% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 1,575 cases | 0.26 | 0.27 | 0.2701 | No Different Than the National Rate | Better than 54% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 135 cases | 2.29 | 2.29 | 2.325 | No Different Than the National Rate | Worse than 49% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 · 37 cases | 1.66 | 1.63 | 1.702 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 · 37 cases | 8.86 | 8.88 | 9.312 | No Different Than the National Rate | Better than 50% of US hospitals |
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 138 cases | 3.25 | 3.4 | 3.413 | No Different Than the National Rate | Better than 64% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 · 34 cases | 5.13 | 5.105 | 5.133 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 · 27 cases | 1.73 | 1.72 | 1.786 | No Different Than the National Rate | Worse than 52% of US hospitals |
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 · 119 cases | 1.02 | 1.02 | 1.038 | No Different Than the National Rate | Better than 48% of US hospitals |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | This hospital | US median | OH average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 10.24 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 205 cases | -18.5 | 1.25 | 3.252 | Better than 77% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 181 cases | 3.7 | 3.85 | 2.286 | Better than 50% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 477 cases | 12.9 | 12.9 | 13.26 | No Different Than the National Rate | Better than 50% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 68 cases | 10.6 | 10.7 | 11.09 | No Different Than the National Rate | Better than 50% of US hospitals |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 · 68 cases | 5.6 | 5.3 | 5.358 | No Different Than the National Rate | Worse than 64% of US hospitals |
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 173 cases | 1.1 | 1 | 1.021 | No Different than expected | Worse than 69% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.52 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 11.07 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 110 cases | 19.5 | 19.8 | 19.74 | Better than 63% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 204 cases | 22.1 | 21.3 | 21.66 | Worse than 74% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 | Not Available | 6.073 | |||
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 197 cases | 17.7 | 17.2 | 17.27 | Worse than 67% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | This hospital | US median | OH average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2459 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.837 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 416 | 1,370 | 4,890 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.322 | 0.9835 | 4.84 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 3.051 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5828 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.1737 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 1.531 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 641 | 1,799 | 4,923 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.509 | 1.377 | 6.014 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.612 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.4289 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4312 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.823 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 11 | 61 | 128 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.226 | 1.591 | 3.482 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 1 | 1 | 3.774 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 1.024 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.3611 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.309 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 13 | 38 | 76.53 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.106 | 0.328 | 0.6942 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.7407 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 1.026 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2949 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.471 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 9,222 | 14,451 | 44,038 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.331 | 0.567 | 2.927 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.449 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.8096 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | 0.014 | 0.127 | 0.2222 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.371 | 0.747 | 1.342 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 8,015 | 13,646 | 41,602 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 3.598 | 5.683 | 21.78 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 1 | 2 | 9.689 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0.278 | 0.279 | 0.4242 | No Different than National Benchmark | Better than 50% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | This hospital | US median | OH average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 514 cases | 70 | 73 | 74.4 | Worse than 62% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 514 cases | 8 | 8 | 7.743 | Better than 47% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 514 cases | 22 | 18 | 17.85 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 514 cases | 87 | 87 | 87.73 | Better than 47% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 514 cases | 4 | 4 | 3.695 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 514 cases | 82 | 80 | 81.01 | Better than 63% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 514 cases | 93 | 91 | 92.25 | Better than 69% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 514 cases | 2 | 4 | 3.403 | Better than 76% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 514 cases | 4 | 3 | 3.844 | Better than 51% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 514 cases | 16 | 16 | 15.59 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 514 cases | 83 | 79 | 79.02 | Better than 71% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 514 cases | 93 | 91 | 90.87 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 514 cases | 3 | 5 | 5.09 | Better than 77% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 514 cases | 4 | 3 | 3.141 | Better than 63% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 514 cases | 14 | 16 | 15.89 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 514 cases | 67 | 61 | 62.02 | Better than 76% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 514 cases | 83 | 77 | 77.26 | Better than 88% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 514 cases | 14 | 19 | 19.28 | Better than 78% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 514 cases | 4 | 3 | 2.711 | Better than 79% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 514 cases | 19 | 19 | 18.69 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 514 cases | 88 | 86 | 87.03 | Better than 68% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 514 cases | 11 | 13 | 12.12 | Better than 68% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 514 cases | 4 | 3 | 3.609 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 514 cases | 89 | 87 | 87.88 | Better than 68% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 514 cases | 13 | 14 | 12.55 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 514 cases | 87 | 86 | 87.45 | Better than 59% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 514 cases | 78 | 74 | 74.02 | Better than 72% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 514 cases | 4 | 7 | 6.536 | Better than 81% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 514 cases | 18 | 19 | 19.44 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 514 cases | 81 | 77 | 77.31 | Better than 71% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 514 cases | 3 | 6 | 5.536 | Better than 84% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 514 cases | 16 | 17 | 17.16 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 514 cases | 89 | 85 | 85 | Better than 77% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 514 cases | 2 | 3 | 3.507 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 514 cases | 9 | 11 | 11.49 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 514 cases | 5 | 8 | 7.319 | Better than 73% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 514 cases | 20 | 20 | 19.92 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 514 cases | 75 | 72 | 72.76 | Better than 62% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 514 cases | 90 | 88 | 88.59 | Better than 66% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 514 cases | 4 | 3 | 3.453 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 514 cases | 81 | 74 | 75.59 | Better than 84% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 514 cases | 7 | 9 | 8.671 | Better than 71% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 514 cases | 12 | 16 | 15.74 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 514 cases | 76 | 75 | 76.39 | Better than 55% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 514 cases | 4 | 5 | 4.693 | Better than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 514 cases | 20 | 20 | 18.92 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 514 cases | 83 | 77 | 78.63 | Better than 82% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 514 cases | 2 | 4 | 3.614 | Better than 80% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 514 cases | 15 | 19 | 17.76 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 514 cases | 89 | 86 | 87.38 | Better than 70% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 514 cases | 1 | 3 | 2.129 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 514 cases | 10 | 11 | 10.49 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 514 cases | 61 | 59 | 57.06 | Better than 54% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 514 cases | 5 | 9 | 9.917 | Better than 77% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 514 cases | 34 | 31 | 33.02 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 514 cases | 85 | 82 | 81.36 | Better than 71% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 514 cases | 4 | 3 | 3.313 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 514 cases | 3 | 5 | 4.889 | Better than 70% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 514 cases | 65 | 71 | 71.18 | Worse than 73% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 514 cases | 87 | 87 | 87.72 | Worse than 49% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 514 cases | 32 | 23 | 23.93 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 514 cases | 4 | 4 | 3.789 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 514 cases | 52 | 47 | 47.66 | Better than 72% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 514 cases | 20 | 30 | 30.16 | Better than 89% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 514 cases | 28 | 22 | 22.18 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 514 cases | 4 | 3 | 3.43 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 514 cases | 9 | 12 | 11.87 | Better than 80% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 514 cases | 91 | 88 | 88.13 | Better than 80% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | This hospital | US median | OH average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 9.074 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 | Not Available | 1.087 | |||
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.1212 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 365 cases | 82 | 79 | 77.16 | Better than 54% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 402 cases | 138 | 154 | 168 | Better than 63% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 353 cases | 128 | 148 | 161 | Better than 66% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 16 cases | 130 | 247 | 272 | Better than 93% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 35 cases | 408 | 293 | 365 | Worse than 85% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 19,371 cases | 2 | 1 | 1.612 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 18 cases | 44 | 74 | 72.91 | Worse than 90% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 50 cases | 94 | 97 | 94.52 | Worse than 65% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 61.5 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 584 cases | 8 | 15 | 12.56 | Better than 91% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 73 cases | 59 | 65 | 63.31 | Worse than 64% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 31 cases | 74 | 73 | 70.83 | Better than 51% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 15 cases | 73 | 88 | 85.31 | Worse than 85% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 73 cases | 84 | 82 | 79.9 | Better than 56% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 44 cases | 86 | 94 | 92.1 | Worse than 84% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 97.97 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 72 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 95.51 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 919 cases | 93 | 90 | 92.19 | Better than 60% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 | Not Available | 94.4 |
How often scans were ordered when they may not be needed; lower is better.
| Measure | This hospital | US median | OH average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 4.5 | 5 | 4.612 | Better than 55% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 4.3 | 6.6 | 7.077 | Better than 80% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | This hospital | US median | OH average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.91 | 0.99 | 0.9819 | Better than 84% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | This hospital | US median | OH average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 3.333 | 20 | 25.91 | Worse than 85% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 0.8333 | 5 | 6.538 | Worse than 85% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 50 | 10 | 17.17 | Better than 84% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 12.5 | 2.5 | 4.458 | Better than 83% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 76 | 34 | 41.08 | Better than 95% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 19 | 8.75 | 10.59 | Better than 94% of US hospitals | |
| VBP safety domain scoreFY 2026 | 55 | 40 | 38.13 | Better than 74% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 13.75 | 10 | 9.573 | Better than 73% of US hospitals | |
| VBP total performance scoreFY 2026 | 46.08 | 29.5 | 30.65 | Better than 89% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 75 | 82.5 | 30 | 5 | 0 | 3.333 |
| VBP clinical outcomes weighted domain score | 25 | 20.63 | 7.5 | 1.667 | 0 | 0.8333 |
| VBP efficiency and cost reduction domain score | 60 | Not Available | 40 | 50 | 40 | 50 |
| VBP efficiency and cost reduction weighted domain score | 20 | Not Available | 10 | 16.67 | 13.33 | 12.5 |
| VBP person and community engagement domain score | 65 | Not Available | Not Available | 26 | 42 | 76 |
| VBP person and community engagement weighted domain score | 21.67 | Not Available | Not Available | 8.667 | 14 | 19 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | Not Available | 55 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | Not Available | 13.75 |
| VBP total performance score | 66.67 | Not Available | Not Available | 27 | 27.33 | 46.08 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | This hospital | US median | OH average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.016 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.013 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9458 | 0.9969 | 1.003 | Better than 91% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 · 200 cases | 1.07 | 0.9983 | 1.01 | Worse than 86% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.01 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 · 179 cases | 0.9857 | 0.9955 | 1.004 | Better than 56% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9818 | 0.9302 | 0.9395 | 0.8956 | 0.9197 | 0.9458 |
| READM-30-HF-HRRP | 1.044 | 1.019 | 0.9489 | 0.995 | 0.9774 | 1.07 |
| READM-30-HIP-KNEE-HRRP | 0.8411 | 0.8301 | 0.8341 | 0.9958 | 1.029 | N/A |
| READM-30-PN-HRRP | 0.9856 | 1.033 | 0.9693 | 0.9566 | 0.9845 | 0.9857 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | This hospital | US median | OH average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.489 | 0.4855 | The best result, shared by 14% of US hospitals | |
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0.266 | 0.346 | 0.4433 | Better than 63% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6651 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7981 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9046 | 0.9628 | 0.9715 | Better than 72% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 1.096 | |||
| Total HAC scoreFY 2026 | -0.7787 | -0.0453 | 0.04515 | Better than 90% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -1.151 | -1.149 | 0 | -0.4195 | -0.7889 | -0.7787 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2023)
Accreditation
None
Medical school affiliation
Church
Ownership type
120
Medicare-certified beds
102
Registered nurses (full-time equivalent)
1966
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Mercy Health - Tiffin Hospital reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
2,862
Inpatient discharges
Medicare 25%, Medicaid 1%
8,198
Inpatient days
64% of available bed days used
266
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 839163). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Mercy Health - Tiffin Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 2,188 | 143 | 5,867 | 8,198 |
| Discharges | 729 | 25 | 2,108 | 2,862 |
| Average length of stay | 3.0 days | 5.7 days | 2.8 days | 2.9 days |
| Average daily census | 6.0 | 0.4 | 16.1 | 22.5 |
1,967
Medicare Advantage days
603 discharges
1,602
Medicaid managed care days
436 discharges
1,127
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 30 | 6,350 | 1,915 | 58% |
| Intensive care unit | 5 | 660 | 273 | 36% |
| Nursery | 1,188 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839163, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Mercy Health - Tiffin Hospital treats Medicare patients for most often, in 2024. 414 Medicare discharges in 16 published DRGs; 0% surgical; 67% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Heart failure and shock with MCCMS-DRG 291, medical | 65 | $29,031 | $9,289 | $6,561 | 1.28 |
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 61 | $46,633 | $14,467 | $10,539 | 1.98 |
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 37 | $19,632 | $5,486 | $4,437 | 0.81 |
| Cardiac arrhythmia and conduction disorders with CCMS-DRG 309, medical | 30 | $19,263 | $4,700 | $4,354 | 0.74 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 26 | $38,732 | $8,845 | $8,753 | 1.33 |
| Simple pneumonia and pleurisy with CCMS-DRG 194, medical | 24 | $33,029 | $5,465 | $7,465 | 0.82 |
| Septicemia or severe sepsis without MV >96 hours without MCCMS-DRG 872, medical | 24 | $26,799 | $7,311 | $6,057 | 1.03 |
| Esophagitis, gastroenteritis and miscellaneous digestive disorders without MCCMS-DRG 392, medical | 23 | $26,486 | $5,083 | $5,986 | 0.79 |
| Respiratory infections and inflammations with MCCMS-DRG 177, medical | 20 | $39,262 | $12,074 | $8,873 | 1.70 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 20 | $34,256 | $7,369 | $7,742 | 1.10 |
| Pulmonary edema and respiratory failureMS-DRG 189, medical | 17 | $42,105 | $8,981 | $9,516 | 1.23 |
| Renal failure with CCMS-DRG 683, medical | 15 | $22,592 | $6,301 | $5,106 | 0.90 |
| Kidney and urinary tract infections with MCCMS-DRG 689, medical | 15 | $29,269 | $8,444 | $6,615 | 1.17 |
| Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without MCCMS-DRG 641, medical | 13 | $27,919 | $5,269 | $6,310 | 0.78 |
| Organic disturbances and intellectual disabilityMS-DRG 884, medical | 13 | $26,175 | $12,274 | $5,916 | 1.76 |
| Cellulitis without MCCMS-DRG 603, medical | 11 | $20,066 | $6,021 | $4,535 | 0.88 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Mercy Health - Tiffin Hospital billed Medicare for most in 2024: 934 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 2 Urology and Related ServicesAPC 5372 | 280 | 195 | $1,273 | $463 | $502 |
| Level 1 Endovascular ProceduresAPC 5191 | 106 | 106 | $30,770 | $1,985 | $2,208 |
| Comprehensive Observation ServicesAPC 8011 | 103 | 98 | $15,716 | $1,846 | $2,090 |
| Level 5 Urology and Related ServicesAPC 5375 | 72 | 66 | $22,373 | $3,526 | $3,918 |
| Level 1 Intraocular ProceduresAPC 5491 | 70 | 53 | $11,582 | $1,564 | $1,752 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 59 | 58 | $76,479 | $9,612 | $10,772 |
| Level 3 Urology and Related ServicesAPC 5373 | 48 | 45 | $7,525 | $1,380 | $1,516 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 37 | 35 | $8,162 | $1,046 | $1,220 |
| Level 4 Urology and Related ServicesAPC 5374 | 24 | 21 | $17,692 | $2,376 | $2,629 |
| Level 1 Nerve ProceduresAPC 5431 | 24 | 20 | $8,382 | $1,314 | $1,407 |
See all 17 Medicare outpatient services at Mercy Health - Tiffin Hospital
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Mercy Health - Tiffin Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 987 in 2020 to 1,285 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 44883 | 975 | 76% | 2,890 | $40M | 52% | 49% |
| 44830 | 73 | 6% | 245 | $3.6M | 7% | 4% |
| 44818 | 58 | 5% | 189 | $2.6M | 77% | 65% |
| 44867 | 35 | 3% | 87 | $1.5M | 56% | 70% |
| 44882 | 35 | 3% | 104 | $1.4M | 32% | 19% |
| 44853 | 27 | 2% | 79 | $926,349 | 60% | 54% |
| 44807 | 25 | 2% | 72 | $1.2M | 30% | 24% |
| 44836 | 19 | 1% | 70 | $972,489 | 13% | 14% |
| 43420 | 15 | 1% | 51 | $659,972 | 1% | 1% |
| 44841 | 12 | 1% | 40 | $545,242 | 52% | |
| 45840 | 11 | 1% | 33 | $417,777 | 0% |
Source: CMS Hospital Service Area file. Shares are of the 1,285 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Mercy Health - Tiffin Hospital reported at its latest Medicare certification survey (2009). Counts are people, not full-time equivalents.
16
Off-site locations
7
Off-site emergency departments
102
Registered nurses
18
Licensed practical nurses
3
Physicians
10
Nurse anesthetists (CRNAs)
4
Pharmacists
8
Respiratory therapists
1
Physical therapists
10
Occupational therapists
1
Speech pathologists and audiologists
8
Radiology technicians
3
Nuclear medicine technicians
7
Laboratory technicians
4
Medical technologists
2
Dietitians
1
Social workers
Source: CMS Provider of Services file.
299 clinicians who bill Medicare list Mercy Health - Tiffin Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Ghassan Safadi, M.D.
Allergy & Immunology Physician
NPI 1003813205
See commercial rates for Ghassan Safadi, M.D.Bret Bahn, M.D.
Interventional Pain Medicine Physician
NPI 1003887043
See commercial rates for Bret Bahn, M.D.Rudolph Vela, M.D.
Family Medicine Physician
NPI 1407043904
See commercial rates for Rudolph Vela, M.D.Brady Decker, FNP-C
Nurse Practitioner
NPI 1841608320
See commercial rates for Brady Decker, FNP-CDale Hager, CNP
Family Nurse Practitioner
NPI 1548839558
See commercial rates for Dale Hager, CNPKara Holcomb, CNP
Nurse Practitioner
NPI 1790220572
See commercial rates for Kara Holcomb, CNPBruce Heck, M.D.
Orthopaedic Surgery Physician
NPI 1528005774
See commercial rates for Bruce Heck, M.D.Angela Ray, M.D.
Internal Medicine Physician
NPI 1952359606
See commercial rates for Angela Ray, M.D.Sinan Alo, DO
Cardiovascular Disease Physician
NPI 1689972168
See commercial rates for Sinan Alo, DODavid Meier, M.D.
Interventional Cardiology Physician
NPI 1164470969
See commercial rates for David Meier, M.D.Benahili Iboaya, DO
Nephrology Physician
NPI 1699755876
See commercial rates for Benahili Iboaya, DOStephen Orr, MD
Ophthalmology Physician
NPI 1326048851
See commercial rates for Stephen Orr, MDThomas Church, M.D.
Diagnostic Radiology Physician
NPI 1629038153
See commercial rates for Thomas Church, M.D.Brook Crawford, APRN-CNP
Family Nurse Practitioner
NPI 1265055503
See commercial rates for Brook Crawford, APRN-CNPSandeep Patel, MD
Cardiovascular Disease Physician
NPI 1336379635
See commercial rates for Sandeep Patel, MDMary Wall, MD
Diagnostic Radiology Physician
NPI 1265405237
See commercial rates for Mary Wall, MDBelinda Ernst, PA-C
Physician Assistant
NPI 1295784981
See commercial rates for Belinda Ernst, PA-CAndrew Layne, M.D.
Orthopaedic Surgery Physician
NPI 1902899594
See commercial rates for Andrew Layne, M.D.Ali Ahmad, MD
Cardiovascular Disease Physician
NPI 1780980987
See commercial rates for Ali Ahmad, MDChristopher Sears, MD
Internal Medicine Physician
NPI 1427095926
See commercial rates for Christopher Sears, MDSteven Bruhl, MD
Cardiovascular Disease Physician
NPI 1508057738
See commercial rates for Steven Bruhl, MDSteven Copeland, MD
Sports Medicine (Orthopaedic Surgery) Physician
NPI 1265411201
See commercial rates for Steven Copeland, MDRugen Alda, MD
Family Medicine Physician
NPI 1750340022
See commercial rates for Rugen Alda, MDDaniel Berry, MD
Internal Medicine Physician
NPI 1669431938
See commercial rates for Daniel Berry, MDSource: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Mercy Health - Tiffin Hospital reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $427.3M | 369.4% |
| Inpatient | $107.6M | 93.1% |
| Outpatient | $319.6M | 276.3% |
| Contractual allowances and discounts | -$311.6M | -269.4% |
| Net patient revenue | $115.7M | 100.0% |
| Operating expenses | -$87.7M | -75.8% |
| Operating income from patient care | $27.9M | 24.2% |
| Other income | $2.3M | 2.0% |
| Net income | $30.3M | 26.2% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $112.7M | 26.4% |
| Medicaid (including managed care) | $63.1M | 14.8% |
| Other payers and self-pay | $251.3M | 58.8% |
| Total charges | $427.1M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839163, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Mercy Health - Tiffin Hospital's latest cost report.
24.2%
Operating margin
Operating income from patient care / net patient revenue
25.6%
Total margin
Net income / net patient revenue plus other income
28.0%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
32% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$40.12
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
51.1%
Return on assets
Net income for a year / total assets
214.8%
Return on equity
Net income for a year / fund balance
1.12
Current ratio
Current assets / current liabilities
0.91
Quick ratio
Cash, temporary investments and net receivables / current liabilities
1 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
38 days
Days in patient receivables
Net patient receivables / daily net patient revenue
57 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.99
Asset turnover
Total revenue for a year / total assets
19.9 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 839163, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Mercy Health - Tiffin Hospital owned and owed at the end of its reporting period (Dec 2025), across all fund types: $59.3M in total assets and a $14.1M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $141,190 | 0.2% |
| Patient receivables, net | $11.9M | 20.1% |
| Inventory | $2.6M | 4.4% |
| Total current assets | $14.7M | 24.9% |
| Property and equipment, net of depreciation | $42.6M | 71.9% |
| Investments and other assets | $1.9M | 3.2% |
| Total assets | $59.3M | 100.0% |
| Current liabilities | $13.2M | 22.3% |
| Total liabilities | $45.2M | 76.2% |
| Fund balance (net assets) | $14.1M | 23.8% |
Source: CMS cost report (HCRIS, Form 2552-10), report 839163, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Mercy Health - Tiffin Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$2M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$7.4M
Bad debt
Patient bills written off as uncollectible, at charges
$2.4M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$4.8M
Total unreimbursed and uncompensated care
5.4% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$11,855
Government grants and appropriations
Government grants or transfers supporting hospital operations
Source: CMS cost report (HCRIS, Form 2552-10), report 839163, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Mercy Health - Tiffin Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Dec 2020 | Dec 2021 | Dec 2022 | Dec 2023 | Dec 2024 | Dec 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $83.6M | $102.8M | $103M | $103.7M | $113.3M | $115.7M |
| Operating expenses | $66.2M | $75.4M | $84.4M | $84.8M | $85.2M | $87.7M |
| Operating margin | 20.8% | 26.6% | 18.1% | 18.2% | 24.8% | 24.2% |
| Net income | $26.4M | $28.5M | $23.5M | $22.2M | $29M | $30.3M |
| Total assets | $60.1M | $60.6M | $56.9M | $52.3M | $56M | $59.3M |
| Discharges | 2,373 | 2,793 | 2,696 | 2,822 | 2,489 | 2,862 |
| Inpatient days | 7,402 | 9,874 | 8,553 | 8,248 | 7,709 | 8,198 |
| Medicare Advantage days | 915 | 1,637 | 1,533 | 1,514 | 1,449 | 1,967 |
| Beds | 45 | 35 | 35 | 35 | 35 | 35 |
| Employees (FTE) | 264 | 277 | 279 | 270 | 259 | 266 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839163, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Mercy Health - Tiffin Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Drugs charged to patients | $13.4M | $74.6M | 0.18 | ||
| Operating room | $2.3M | $9.1M | $73.6M | 0.12 | 21,948 |
| Laboratory | $1.4M | $6.5M | $37.2M | 0.17 | 5,512 |
| Emergency | $2.4M | $5.6M | $30.9M | 0.18 | 7,095 |
| Clinic | $2.3M | $5M | $4.3M | 1.15 | 3,331 |
| Radiology-diagnostic | $1.9M | $4.1M | $21.6M | 0.19 | 6,512 |
| Delivery room & labor room | $2.3M | $3.5M | $7.8M | 0.45 | 3,456 |
| Impl. dev. charged to patients | $3.3M | $11.4M | 0.29 | ||
| Physical therapy | $18,720 | $3.1M | $8.3M | 0.37 | 779 |
| Medical supplies charged to patient | $2.2M | $6.7M | 0.33 | ||
| Oncology | $309,428 | $1.6M | $2M | 0.82 | 12,488 |
| Respiratory therapy | $792,956 | $1.4M | $22.7M | 0.06 | 571 |
| Observation beds (non-distinct part | $1.3M | $1.9M | 0.70 | ||
| Electrocardiology | $450,717 | $1.1M | $22.5M | 0.05 | 2,326 |
| Cardiac catheterization | $265,858 | $857,692 | $13.4M | 0.06 | 729 |
| Speech pathology | $639,782 | $3.6M | 0.18 | ||
| Occupational therapy | $610,765 | $2.6M | 0.23 | ||
| Sleep lab | $224,691 | $597,568 | $2.5M | 0.24 | 1,770 |
| Rural health clinic | $315,067 | $569,894 | $436,313 | 1.31 | |
| Intravenous therapy | $472,858 | $941,058 | 0.50 | ||
| Cardiac rehabilitation | $169,165 | $432,232 | $962,880 | 0.45 | 1,489 |
| Radioisotope | $197,298 | $352,126 | $3.9M | 0.09 | 804 |
| Mri | $124,906 | $309,182 | $7.6M | 0.04 | 799 |
| Ct scan | $20,063 | $217,088 | $44.8M | 0.00 | 320 |
| Ambulance services | $162,837 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $2.7M | $8.7M | $16.8M | 0.52 | 17,161 |
| Intensive care unit | $603,876 | $1.4M | $2.5M | 0.57 | 1,203 |
| Nursery | $913,274 | $1.7M | 0.53 | 352 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $1M | $17.3M | 21,669 | $48.83 | 18,784 |
| Employee benefits department | $179,802 | $3.7M | 1,027 | ||
| Maintenance & repairs | $3.3M | 22,228 | |||
| Cap rel costs-bldg & fixt | $2M | 165,467 | |||
| Nursing administration | $1.1M | $1.6M | 17,339 | $64.23 | 286 |
| Housekeeping | $1.6M | 3,378 | |||
| Cap rel costs-mvble equip | $813,632 | ||||
| Pharmacy | $849,323 | $720,083 | 14,259 | $60.04 | 3,968 |
| Dietary | $631,509 | 2,844 | |||
| Central services & supply | $141,161 | $413,511 | 6,005 | $23.69 | 4,847 |
| Laundry & linen service | $266,222 | 1,714 | |||
| Cafeteria | $214,850 | 1,828 |
Source: CMS cost report (HCRIS, Form 2552-10), report 839163, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Mercy Health - Tiffin Hospital for an inpatient stay.
1.26
Case mix index
Higher than 9% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
25.7%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
719
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.26 | 1.27 | 1.36 | 1.37 | 1.26 | 1.26 | 1.26 |
| Wage index | 0.869 | 0.843 | 0.897 | 0.854 | 0.892 | 0.877 | 0.889 |
| Readmissions adjustment | -0.58% | -0.46% | -0.57% | 0.00% | -0.05% | -0.05% | -0.58% |
| Value-based purchasing adjustment | +1.06% | +2.28% | +2.28% | -0.20% | +0.56% | +0.45% | +1.18% |
| Medicare inpatient stays | 866 | 866 | 883 | 769 | 812 | 811 | 719 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Mercy Health - Tiffin Hospital reports to Medicare as owners or with operational control. 1 individuals also hold ownership interests; they are not listed here.
Bon Secours Mercy Health Inc
5% or greater indirect ownership interest, 100%, since 2018
Mercy Health North LLC
5% or greater direct ownership interest, 100%, since 1970
Sources: CMS Hospital All Owners.
The officers and board members on Mercy Health - Tiffin Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment; the first 19 of 21 are shown.
340B drug pricing program
Not participating
340B ID DSH360089, registered as a disproportionate share hospital. Authorizing official: Brad Grosteffon, CFO Toledo Market.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Accountable care organization (Medicare Shared Savings Program)
Mercy Health Select, LLC
ACO A1215, current agreement since 2025. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Mercy Health - Tiffin Hospital's legal name.
Mh-tiffin hospital primary care new
CCN 363423, certified 2019, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Mercy Health - Tiffin Hospital's latest Medicare cost report (HCRIS).
About Mercy Health - Tiffin Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy Health - Tiffin Hospital range from $263 to $5,363 across 4 insurers. Aetna's rate is $555. The median at nearby comparable hospitals is $1,370. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Mercy Health - Tiffin Hospital range from $464 to $6,378 across 4 insurers. UnitedHealthcare's rate is $700. The median at nearby comparable hospitals is $2,462. 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 - Tiffin Hospital range from $6,057 to $6,057 across 1 insurers. UnitedHealthcare's rate is $6,057. 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 - Tiffin Hospital range from $83 to $352 across 4 insurers. Cigna's rate is $161. The median at nearby comparable hospitals is $261. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mercy Health - Tiffin Hospital has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.
CMS reports no Medicare-funded interns or residents at Mercy Health - Tiffin Hospital for fiscal year 2027.
Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Mercy Health - Tiffin Hospital's base inpatient payments by an estimated 0.58% in fiscal year 2027 for more readmissions than expected.
In 2024, the most common were heart failure and shock with mcc (65 discharges), septicemia or severe sepsis without mv >96 hours with mcc (61 discharges), kidney and urinary tract infections without mcc (37 discharges).
Mercy Health - Tiffin Hospital's Medicare case mix index is 1.26 for fiscal year 2027, higher than 9% of hospitals paid under the inpatient prospective payment system.
Mercy Health - Tiffin Hospital reported 2,862 inpatient discharges and 8,198 inpatient days from Jan 1, 2025 to Dec 31, 2025.
Mercy Health - Tiffin Hospital reported 266 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
Mercy Health - Tiffin Hospital reported $115.7M in net patient revenue on $427.3M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 24.2%, and net income of $30.3M.
Mercy Health - Tiffin Hospital reported $4.8M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025, including $2M of charity care at cost.
Mercy Health - Tiffin Hospital's Medicare enrollment lists Andrew Morgan as President since 2022.
Insurers' price transparency files list Mercy Health - Tiffin Hospital under employer identification number 34-4431174 (Mercy Health). 56 health plans and networks list 34-4431174 for it.
HRSA's 340B database lists Mercy Health - Tiffin Hospital (340B ID DSH360089) as no longer participating since 2026.
299 clinicians who bill Medicare list Mercy Health - Tiffin Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (44), internal medicine physician (21), certified registered nurse anesthetist (17).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Mercy Health - Tiffin Hospital, effective 2023.
In its Medicare enrollment, Mercy Health - Tiffin Hospital reports Bon Secours Mercy Health Inc as 5% or greater indirect ownership interest (100%).
CMS lists 29 services at Mercy Health - Tiffin Hospital, including Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Chemotherapy, Clinical Laboratory, CT Scan, Diagnostic Radiology.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Mercy Health - Tiffin Hospital came from ZIP codes 44883 (975), 44830 (73), 44818 (58).
Mercy Health - Tiffin Hospital has 35 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 120 are Medicare-certified beds in CMS's Provider of Services file. Facility type: Short Term Acute Care Hospital.
Mercy Health - Tiffin Hospital is located at 45 St Lawrence Drive, Tiffin, OH 44883. Its main phone number is (419) 455-7000.
Mercy Health - Tiffin Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 360089.
The National Provider Identifier (NPI) on file for Mercy Health - Tiffin Hospital is 1316994734.
Mercy Health - Tiffin Hospital is affiliated with Mercy Health (Ohio).
Mercy Health - Tiffin Hospital lists 36 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.
245 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.
For hospital finance and compliance teams
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