50/100
#1,258 nationally
Metrohealth System
2500 Metrohealth Drive, Cleveland, OH 44109 · (216) 778-7089
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Metrohealth System billed $4.75 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
- 4.8x
- volume-weighted across all its priced work
- Procedures priced
- 105
- inpatient and outpatient combined
- Rank in OH
- #69
- 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 58% of U.S. hospitals.
Better than 17% of U.S. hospitals.
Better than 62% of U.S. hospitals.
Better than 69% 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 |
351 | $18,030 | $1,481 | -7% |
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
275 | $3,266 | $259 | +4% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
243 | $8,381 | $848 | -29% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
206 | $8,086 | $705 | -20% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
187 | $67,212 | $17,974 | +3% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
129 | $39,739 | $4,762 | -36% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
111 | $52,551 | $11,272 | +21% |
|
Level 3 Urology and Related Services
APC 5373 · Hospital outpatient visit |
111 | $8,036 | $940 | -38% |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
105 | $9,997 | $809 | -12% |
|
Level 4 ENT Procedures
APC 5164 · Hospital outpatient visit |
94 | $15,414 | $2,257 | -19% |
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 4 Vascular Procedures
APC 5184 · Hospital outpatient visit |
$51,760 | $2,704 | +43% |
|
Fluid and Electrolyte Disorder (without major complications)
MS-DRG 641 · Inpatient stay |
$37,724 | $8,987 | +23% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$52,551 | $11,272 | +21% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$44,260 | $3,752 | +12% |
|
Digestive Disorder (severe)
MS-DRG 391 · Inpatient stay |
$57,123 | $12,738 | +11% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$43,081 | $10,910 | +10% |
|
Level 2 Neurostimulator and Related Procedures
APC 5462 · Hospital outpatient visit |
$28,778 | $2,455 | +10% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$35,482 | $10,615 | +8% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Chemotherapy without Acute Leukemia as Secondary Diagnosis with Complications
MS-DRG 847 · Inpatient stay |
$17,904 | $7,229 | -67% |
|
Degenerative Nervous System Disorders with Major Complications
MS-DRG 056 · Inpatient stay |
$35,034 | $17,982 | -59% |
|
Level 5 Neurostimulator and Related Procedures
APC 5465 · Hospital outpatient visit |
$51,695 | $10,308 | -54% |
|
Cervical Spinal Fusion with Complications
MS-DRG 472 · Inpatient stay |
$58,975 | $20,004 | -51% |
|
Hip or Knee Replacement (without major complications)
MS-DRG 470 · Inpatient stay |
$41,646 | $12,770 | -48% |
|
Seizures without Major Complications
MS-DRG 101 · Inpatient stay |
$22,572 | $9,442 | -45% |
|
Level 6 Gynecologic Procedures
APC 5416 · Hospital outpatient visit |
$22,897 | $3,309 | -44% |
|
Digestive Malignancy with Major Complications
MS-DRG 374 · Inpatient stay |
$48,560 | $20,146 | -44% |
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.