72/100
#565 nationally
Berger Hospital
600 North Pickaway Street, Circleville, OH 43113 · (740) 420-8008
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Berger Hospital billed $3.17 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.2x
- volume-weighted across all its priced work
- Procedures priced
- 25
- inpatient and outpatient combined
- Rank in OH
- #21
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 91% of U.S. hospitals.
Better than 55% of U.S. hospitals.
Better than 74% of U.S. hospitals.
Better than 40% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
102 | $29,572 | $15,808 | -55% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
67 | $8,818 | $1,727 | -22% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
58 | $68,621 | $11,579 | +10% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
58 | $11,775 | $2,372 | -39% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
52 | $19,369 | $10,521 | -55% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
33 | $20,225 | $2,825 | about average |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
31 | $14,967 | $3,117 | -28% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
29 | $22,785 | $12,092 | -51% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
27 | $28,453 | $5,007 | -19% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
26 | $10,492 | $1,338 | +4% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 1 Abdominal/peritoneal/biliary and Related Procedures
APC 5341 · Hospital outpatient visit |
$31,946 | $3,094 | +37% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$14,371 | $1,821 | +11% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$68,621 | $11,579 | +10% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$11,949 | $1,361 | +6% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$10,492 | $1,338 | +4% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$82,767 | $16,630 | about average |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$20,225 | $2,825 | about average |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$34,906 | $6,143 | -12% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$16,102 | $10,457 | -67% |
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$19,823 | $10,899 | -63% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
$15,956 | $9,589 | -61% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$19,369 | $10,521 | -55% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$24,762 | $12,909 | -55% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$29,572 | $15,808 | -55% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$13,914 | $6,801 | -55% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$18,277 | $9,605 | -53% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.