82/100
#296 nationally
Firelands Regional Medical Center
1111 Hayes Avenue, Sandusky, OH 44870 · (419) 557-7400
Charges close to what care is actually paid for
For every $1 of care Medicare actually paid for here, Firelands Regional Medical Center billed $3.18 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
- 87
- inpatient and outpatient combined
- Rank in OH
- #7
- lower markup ranks higher
- CMS quality stars
- 4/5
- 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 78% of U.S. hospitals.
Better than 78% of U.S. hospitals.
Better than 89% of U.S. hospitals.
Better than 86% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
398 | $9,546 | $2,310 | -51% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
143 | $21,056 | $9,405 | -51% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
104 | $15,243 | $6,090 | -49% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
104 | $9,641 | $1,359 | -4% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
100 | $12,691 | $2,699 | -34% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
94 | $12,747 | $10,104 | -65% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
93 | $7,108 | $1,619 | -40% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
82 | $13,117 | $2,755 | -48% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
80 | $54,617 | $11,186 | -13% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
64 | $13,721 | $2,358 | -22% |
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 |
|---|---|---|---|
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$82,865 | $14,092 | +4% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$13,297 | $1,700 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$9,641 | $1,359 | -4% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$54,617 | $11,186 | -13% |
|
Level 5 ENT Procedures
APC 5165 · Hospital outpatient visit |
$26,999 | $4,983 | -21% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$13,721 | $2,358 | -22% |
|
Level 6 Musculoskeletal Procedures
APC 5116 · Hospital outpatient visit |
$60,120 | $15,826 | -28% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$19,854 | $4,403 | -28% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Degenerative Nervous System Disorders without Major Complications
MS-DRG 057 · Inpatient stay |
$14,862 | $10,515 | -69% |
|
Chest Pain
MS-DRG 313 · Inpatient stay |
$11,757 | $5,454 | -65% |
|
Other Circulatory System Diagnoses with Major Complications
MS-DRG 314 · Inpatient stay |
$27,387 | $14,569 | -65% |
|
Psychoses
MS-DRG 885 · Inpatient stay |
$12,747 | $10,104 | -65% |
|
Circulatory Disorders Except Heart Attack, with Cardiac Catheterization with Major
MS-DRG 286 · Inpatient stay |
$31,223 | $14,998 | -65% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$17,429 | $8,906 | -64% |
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$20,921 | $10,362 | -63% |
|
Gastrointestinal Bleeding (severe)
MS-DRG 377 · Inpatient stay |
$28,222 | $12,587 | -60% |
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.