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Childrens HospitalVoluntary Non-Profit - Private

Promedica Russell J. Ebeid Children S Hospital

ProMedica Health System · Toledo, OH

2142 N. Cove Blvd, Toledo, OH 43606419.291.4000

4 of 5

CMS star rating

846

Beds

33,759

Inpatient discharges a year

$1.7B

Net patient revenue a year

5

In-network payers

About this hospital

Promedica Russell J. Ebeid Children S Hospital is an 846-bed voluntary non-profit - private hospital in Toledo, OH, affiliated with ProMedica Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 5 in-network payers and 364 disclosed rate categories.

  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
360068
NPI
1285041004
Health system
ProMedica Health System
Teaching
Major teaching hospital
County
Lucas County
Metro area
Toledo, OH MSA
Medicare contractor
Jurisdiction 15, CGS Administrators (15201)
In Medicare since
1966
Last CMS survey
2015

Prices for common services

The 24 services Promedica Russell J. Ebeid Children S 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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$7,588 - $10,872

from 3 insurers · median $10,153

UnitedHealthcare$10,153
Insurer A*$7,588
Insurer B*$10,872

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

Cesarean delivery, hospital stay

MS-DRG 788

$7,588 - $15,371

from 3 insurers · median $14,328

UnitedHealthcare$14,328
Insurer A*$7,588
Insurer B*$15,371

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

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$1,597 - $5,835

from 4 insurers · median $4,187

UnitedHealthcare$4,090
Insurer A*$1,597
Insurer B*$4,283
Insurer C*$5,835
Medicare $483Nearby hospitals $1,290224% above nearby hospitals

Common here, based on CMS Medicare volume

Gynecology

Hysteroscopy with sampling of the uterine lining

CPT 58558

$2,024 - $4,182

from 4 insurers · median $3,427

Blue Cross$2,024
Insurer A*$2,805
Insurer B*$4,048
Insurer C*$4,182
Medicare $2,860Nearby hospitals $6,54648% below nearby hospitals

107 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)

How the insurers pay at Promedica Russell J. Ebeid Children S Hospital

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*12
797%
80
Insurer B*17
497%
131
Insurer C*24
288%
173
Insurer D*24
239%
812

How we chose these services: 7 appear in this hospital's own Medicare claims, 14 are common here based on CMS Medicare volume, and 3 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 Promedica Russell J. Ebeid Children S Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Avera Health PlansHarvard Pilgrim Health Care (Point32Health)Mass General Brigham (formerly AllWays Health Partners)Medica

More about this hospital

  • Quality

    4 of 5 stars

    • 180 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.02%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • Major teaching hospital
    • 2,118 affiliated clinicians
    See doctors and services
  • Finances

    $1.7B net patient revenue

    • Operating margin on patient care 11.1%
    • $36.5M unreimbursed and uncompensated care
    • -$35.3M net income
    See finances
  • Ownership and leadership

    Owned by ProMedica Health System Inc

    • Private (not for profit)
    • Arturo Polizzi, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Promedica Russell J. Ebeid Children S Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
34-4428256The Toledo Hospital63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 58 more1427147339 Toledo Hospital1407854771 The Toledo Hospital1013918937 The Toledo Hospitaland 37 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.

Location

2142 N. Cove Blvd, Toledo, OH 43606

419.291.4000

Get directions

Frequently asked questions

About Promedica Russell J. Ebeid Children S Hospital's rates and hospital price transparency.

How much does a CT scan cost at Promedica Russell J. Ebeid Children S Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Promedica Russell J. Ebeid Children S Hospital range from $703 to $2,488 across 4 insurers. Aetna's rate is $703. The median at nearby comparable hospitals is $692. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Promedica Russell J. Ebeid Children S Hospital?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Promedica Russell J. Ebeid Children S Hospital range from $2,723 to $2,924 across 2 insurers. Aetna's rate is $2,924. The median at nearby comparable hospitals is $2,857. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Promedica Russell J. Ebeid Children S Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Promedica Russell J. Ebeid Children S Hospital range from $7,588 to $10,872 across 3 insurers. UnitedHealthcare's rate is $10,153. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Promedica Russell J. Ebeid Children S Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Promedica Russell J. Ebeid Children S Hospital range from $266 to $613 across 4 insurers. Aetna's rate is $280. The median at nearby comparable hospitals is $161. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Promedica Russell J. Ebeid Children S Hospital's CMS star rating?

Promedica Russell J. Ebeid Children S Hospital has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Promedica Russell J. Ebeid Children S Hospital a teaching hospital?

Yes. CMS counts 0.32 Medicare-funded residents per bed at Promedica Russell J. Ebeid Children S Hospital for fiscal year 2027, so it is a major teaching hospital.

Does Medicare penalize Promedica Russell J. Ebeid Children S Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Promedica Russell J. Ebeid Children S Hospital's base inpatient payments by an estimated 0.02% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Promedica Russell J. Ebeid Children S Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (445 discharges), heart failure and shock with mcc (279 discharges), simple pneumonia and pleurisy with mcc (176 discharges).

What is Promedica Russell J. Ebeid Children S Hospital's case mix index?

Promedica Russell J. Ebeid Children S Hospital's Medicare case mix index is 2.31 for fiscal year 2027, higher than 90% of hospitals paid under the inpatient prospective payment system.

How many patients does Promedica Russell J. Ebeid Children S Hospital admit?

Promedica Russell J. Ebeid Children S Hospital reported 33,759 inpatient discharges and 186,786 inpatient days from Jan 1, 2025 to Dec 31, 2025.

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CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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