Mercy Health (Ohio) · Cincinnati, OH
35
In-network payers
330
Disclosed rate categories
565
Beds
4
Care quality
Mercy Health - West Hospital is a 565-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 35 in-network payers and 330 disclosed rate categories.
CCN (Medicare provider number)
360234
NPI
1912007931
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
565
Care Quality
4
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 - West 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.
Medicine & Surgery · Inpatient
MS-DRG 470
$31,823 - $34,280
from 4 insurers · median $33,562
48 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 66984
$4,537 - $9,412
from 3 insurers · median $7,860
574 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Gynecology
CPT 58558
$4,537 - $12,552
from 4 insurers · median $9,757
13 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
Medicine & Surgery
CPT 47562
$9,506 - $25,795
from 4 insurers · median $15,540
44 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$2,857 - $8,283
from 4 insurers · median $5,063
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,857 - $6,103
from 4 insurers · median $5,183
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$1,730 - $2,047
from 2 insurers · median $1,889
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$620 - $1,231
from 4 insurers · median $814
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$9,127 - $25,795
from 4 insurers · median $16,544
44 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 45380
$2,857 - $6,400
from 4 insurers · median $5,258
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$10,160 - $46,031
from 4 insurers · median $18,566
12 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$54,604 - $62,877
from 3 insurers · median $59,710
Hospital reports orthopedic surgery services to CMS
Nuclear imaging
CPT 78452
$1,298 - $5,772
from 4 insurers · median $2,728
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 49505
$5,789 - $15,603
from 4 insurers · median $10,760
17 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Mammography
CPT 77067
$131 - $211
from 4 insurers · median $166
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$2,857 - $24,124
from 4 insurers · median $7,807
Typical for a hospital with this service line
Gynecology
CPT 58661
$9,698 - $25,795
from 4 insurers · median $14,884
Typical for a hospital with this service line
CT imaging
CPT 74176
$323 - $1,304
from 4 insurers · median $644
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 63030
$8,842 - $25,383
from 4 insurers · median $17,389
62 Medicare claims in Level 4 Musculoskeletal Procedures (CMS 2024)
Lung function and sleep
CPT 95810
$3,702 - $4,633
from 2 insurers · median $4,167
Common here, based on CMS Medicare volume
Gynecology
CPT 58662
$9,698 - $25,795
from 4 insurers · median $15,723
Typical for a hospital with this service line
CT imaging
CPT 70450
$192 - $366
from 4 insurers · median $252
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$406 - $932
from 4 insurers · median $663
Common here, based on CMS Medicare volume
Lung function and sleep
CPT 94060
$787 - $2,863
from 2 insurers · median $1,825
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 | 418% | 21 | 0 |
| Insurer B* | 19 | 341% | 4 | 14 |
| Insurer C* | 24 | 240% | 13 | 8 |
| Insurer D* | 21 | 192% | 6 | 14 |
How we chose these services: 8 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 4 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 - West Hospital.
3300 Mercy Health Boulevard, Cincinnati, OH 45211
(513) 215-5000
The nearest hospitals of similar type and size. Their rates are compared with Mercy Health - West Hospital for the same insurers and services above.
Good Samaritan Hospital
▼ Rates typically 45% lower than Mercy Health - West Hospital (24 services)
The Christ Hospital
▼ Rates typically 27% lower than Mercy Health - West Hospital (23 services)
University Of Cincinnati Medical Center
▼ Rates typically 11% lower than Mercy Health - West Hospital (24 services)
St. Elizabeth Edgewood Hospital
Rates about the same as Mercy Health - West Hospital (24 services)
Bethesda Hospital
▼ Rates typically 30% lower than Mercy Health - West Hospital (24 services)
Kettering Memorial Hospital
▲ Rates typically 9% higher than Mercy Health - West Hospital (24 services)
Mercy Health - Anderson Hospital
The Jewish Hospital - Mercy Health
Trihealth Good Samaritan Evandale
University Of Cincinnati Medical Center Llc
About Mercy Health - West Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy Health - West Hospital range from $620 to $1,231 across 4 insurers. Cigna's rate is $620. The median at nearby comparable hospitals is $575. 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 - West Hospital range from $2,857 to $6,103 across 4 insurers. UnitedHealthcare's rate is $2,857. The median at nearby comparable hospitals is $4,222. 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 - West Hospital range from $131 to $211 across 4 insurers. UnitedHealthcare's rate is $211. The median at nearby comparable hospitals is $164. 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 - West Hospital range from $31,823 to $34,280 across 4 insurers. Aetna's rate is $33,458. The median at nearby comparable hospitals is $34,711. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mercy Health - West Hospital has 565 beds. Facility type: Short Term Acute Care Hospital.
Mercy Health - West Hospital is located at 3300 Mercy Health Boulevard, Cincinnati, OH 45211. Its main phone number is (513) 215-5000.
Mercy Health - West Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 360234.
The National Provider Identifier (NPI) on file for Mercy Health - West Hospital is 1912007931.
Mercy Health - West Hospital is affiliated with Mercy Health (Ohio).
Mercy Health - West Hospital lists 35 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.
330 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