facebook tracking Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in Ohio: 8 hospitals compared (DRG 617)

Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in Ohio

What 8 hospitals in Ohio charged and were paid for a Medicare hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617), from 2024 Medicare claims.

DRG 617 Inpatient 2024 Medicare data
Average charge $82,857 Hospital list price billed
Average payment $18,395 Medicare + patient + other payers
Medicare paid $13,330 Average per stay
State rank #13 of 29 1 = lowest average payment

Hospitals in Ohio billed an average of $82,857 for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications, about 4.5 times the average total payment of $18,395. That payment is 3% below the U.S. average of $18,910.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $18,395Billed $82,857

About 22¢ was paid for every $1 hospitals in Ohio billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Ohio:

Ohio hospitals: amputation of lower limb for endocrine, nutritional and metabolic disorders with complications

Every Ohio hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
Riverside Methodist HospitalColumbus 15 $89,115 $19,781 $13,469
Toledo Hospital theToledo 14 $107,193 $17,858 $13,342
Cleveland Clinic - Main CampusCleveland 13 $81,981 $20,495 $15,999
Miami Valley HospitalDayton 12 $87,057 $17,019 $11,745
Ohio State University HospitalsColumbus 12 $77,854 $21,168 $14,031
Mercy St Vincent Medical CenterToledo 12 $113,001 $17,931 $14,314
Bethesda North HospitalCincinnati 12 $61,953 $15,932 $8,857
Genesis Healthcare SystemZanesville 11 $35,180 $16,372 $14,740
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Lowest and highest payments in Ohio

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Bethesda North HospitalCincinnati, OH$15,932
Genesis Healthcare SystemZanesville, OH$16,372
Miami Valley HospitalDayton, OH$17,019
Toledo Hospital theToledo, OH$17,858
Mercy St Vincent Medical CenterToledo, OH$17,931

Highest

Ohio State University HospitalsColumbus, OH$21,168
Cleveland Clinic - Main CampusCleveland, OH$20,495
Riverside Methodist HospitalColumbus, OH$19,781
Mercy St Vincent Medical CenterToledo, OH$17,931
Toledo Hospital theToledo, OH$17,858

Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in other states

Questions

How much does amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in Ohio?

In 2024 Medicare data, a hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617) at 8 hospitals in Ohio was billed at $82,857 on average, while the average total payment was $18,395, of which Medicare paid $13,330. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Ohio, average charges were 4.5 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.