facebook tracking Carotid artery stent procedures without complications cost in Ohio: 5 hospitals compared (DRG 036)

Carotid artery stent procedures without complications in Ohio

What 5 hospitals in Ohio charged and were paid for a Medicare hospital stay for carotid artery stent procedures without complications (DRG 036), from 2024 Medicare claims.

DRG 036 Inpatient 2024 Medicare data
Average charge $67,610 Hospital list price billed
Average payment $16,907 Medicare + patient + other payers
Medicare paid $12,462 Average per stay
State rank #26 of 33 1 = lowest average payment

Hospitals in Ohio billed an average of $67,610 for carotid artery stent procedures without complications, about 4.0 times the average total payment of $16,907. That payment is 7% above the U.S. average of $15,778.

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 $16,907Billed $67,610

About 25¢ was paid for every $1 hospitals in Ohio billed for this stay.

Ohio hospitals: carotid artery stent procedures without 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 20 $69,327 $16,922 $11,907
Genesis Healthcare SystemZanesville 20 $44,467 $16,491 $13,093
Kettering Medical CenterKettering 15 $66,710 $15,153 $11,722
Mercy St Vincent Medical CenterToledo 12 $93,077 $20,015 $11,556
Cleveland Clinic - Main CampusCleveland 11 $80,012 $16,634 $14,321
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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

Kettering Medical CenterKettering, OH$15,153
Genesis Healthcare SystemZanesville, OH$16,491
Cleveland Clinic - Main CampusCleveland, OH$16,634
Riverside Methodist HospitalColumbus, OH$16,922
Mercy St Vincent Medical CenterToledo, OH$20,015

Highest

Mercy St Vincent Medical CenterToledo, OH$20,015
Riverside Methodist HospitalColumbus, OH$16,922
Cleveland Clinic - Main CampusCleveland, OH$16,634
Genesis Healthcare SystemZanesville, OH$16,491
Kettering Medical CenterKettering, OH$15,153

Carotid artery stent procedures without complications in other states

Questions

How much does carotid artery stent procedures without complications cost in Ohio?

In 2024 Medicare data, a hospital stay for carotid artery stent procedures without complications (DRG 036) at 5 hospitals in Ohio was billed at $67,610 on average, while the average total payment was $16,907, of which Medicare paid $12,462. 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 4.0 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.