59/100
#982 nationally
Madison Health
210 North Main Street, London, OH 43140 · (740) 845-7000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Madison Health billed $4.41 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
- 4.4x
- volume-weighted across all its priced work
- Procedures priced
- 11
- inpatient and outpatient combined
- Rank in OH
- #45
- 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 86% of U.S. hospitals.
Better than 40% of U.S. hospitals.
Better than 50% 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 |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
77 | $17,134 | $2,397 | -12% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
24 | $9,226 | $1,727 | -19% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
20 | $26,148 | $11,555 | -40% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
19 | $13,389 | $2,084 | +14% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
18 | $11,481 | $1,450 | +14% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
17 | $51,564 | $5,160 | +47% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
16 | $68,193 | $11,754 | +9% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
16 | $3,880 | $611 | +24% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
15 | $40,419 | $17,553 | -38% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
13 | $29,857 | $15,323 | -46% |
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 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$51,564 | $5,160 | +47% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$3,880 | $611 | +24% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$11,481 | $1,450 | +14% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$13,389 | $2,084 | +14% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$68,193 | $11,754 | +9% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$12,128 | $1,578 | +3% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$17,134 | $2,397 | -12% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$9,226 | $1,727 | -19% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$29,857 | $15,323 | -46% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$26,148 | $11,555 | -40% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$40,419 | $17,553 | -38% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$9,226 | $1,727 | -19% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$17,134 | $2,397 | -12% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$12,128 | $1,578 | +3% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$68,193 | $11,754 | +9% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$13,389 | $2,084 | +14% |
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.