75/100
#486 nationally
Grand Lake Health System
200 Saint Clair Street, Saint Marys, OH 45885 · (419) 394-3335
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Grand Lake Health System billed $3.37 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
- 3.4x
- volume-weighted across all its priced work
- Procedures priced
- 20
- inpatient and outpatient combined
- Rank in OH
- #19
- 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 87% of U.S. hospitals.
Better than 68% of U.S. hospitals.
Better than 78% of U.S. hospitals.
Better than 43% 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 |
207 | $12,608 | $2,332 | -35% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
60 | $8,480 | $1,651 | -25% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
47 | $8,042 | $1,627 | -32% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
37 | $20,935 | $10,397 | -52% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
35 | $6,395 | $1,387 | -37% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
32 | $22,324 | $10,404 | -52% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
32 | $9,252 | $1,742 | -28% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
29 | $12,831 | $2,616 | -37% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
26 | $25,800 | $4,934 | -27% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
26 | $5,467 | $584 | +74% |
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 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$5,467 | $584 | +74% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$16,719 | $2,559 | -13% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$8,480 | $1,651 | -25% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$25,800 | $4,934 | -27% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
$9,252 | $1,742 | -28% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$42,797 | $11,242 | -31% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$8,042 | $1,627 | -32% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$12,608 | $2,332 | -35% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Kidney Failure (severe)
MS-DRG 682 · Inpatient stay |
$21,325 | $11,598 | -60% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$21,444 | $10,181 | -56% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$22,324 | $10,404 | -52% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$31,272 | $16,149 | -52% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$20,935 | $10,397 | -52% |
|
Skin Infection (without major complications)
MS-DRG 603 · Inpatient stay |
$15,818 | $7,710 | -48% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$18,701 | $7,626 | -43% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$17,258 | $4,425 | -37% |
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.