facebook tracking Cardiac defibrillator implant with cardiac catheterization and mcc cost in Ohio: 3 hospitals compared (DRG 275)

Cardiac defibrillator implant with cardiac catheterization and mcc in Ohio

What 3 hospitals in Ohio charged and were paid for a Medicare hospital stay for cardiac defibrillator implant with cardiac catheterization and mcc (DRG 275), from 2024 Medicare claims.

DRG 275 Inpatient 2024 Medicare data
Average charge $293,298 Hospital list price billed
Average payment $69,745 Medicare + patient + other payers
Medicare paid $57,173 Average per stay
State rank #3 of 5 1 = lowest average payment

Hospitals in Ohio billed an average of $293,298 for cardiac defibrillator implant with cardiac catheterization and mcc, about 4.2 times the average total payment of $69,745. That payment is 4% below the U.S. average of $72,309.

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 $69,745Billed $293,298

About 24¢ was paid for every $1 hospitals in Ohio billed for this stay.

Ohio hospitals: cardiac defibrillator implant with cardiac catheterization and mcc

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 14 $268,038 $56,342 $54,668
Cleveland Clinic - Main CampusCleveland 13 $366,182 $94,392 $63,275
Ohio State University HospitalsColumbus 11 $239,313 $57,675 $53,150
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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

Riverside Methodist HospitalColumbus, OH$56,342
Ohio State University HospitalsColumbus, OH$57,675
Cleveland Clinic - Main CampusCleveland, OH$94,392

Highest

Cleveland Clinic - Main CampusCleveland, OH$94,392
Ohio State University HospitalsColumbus, OH$57,675
Riverside Methodist HospitalColumbus, OH$56,342

Cardiac defibrillator implant with cardiac catheterization and mcc in other states

Questions

How much does cardiac defibrillator implant with cardiac catheterization and mcc cost in Ohio?

In 2024 Medicare data, a hospital stay for cardiac defibrillator implant with cardiac catheterization and mcc (DRG 275) at 3 hospitals in Ohio was billed at $293,298 on average, while the average total payment was $69,745, of which Medicare paid $57,173. 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 4.2 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.