facebook tracking Coronary bypass with cardiac catheterization or open ablation with major complications cost in Ohio: 10 hospitals compared (DRG 233)

Coronary bypass with cardiac catheterization or open ablation with major complications in Ohio

What 10 hospitals in Ohio charged and were paid for a Medicare hospital stay for coronary bypass with cardiac catheterization or open ablation with major complications (DRG 233), from 2024 Medicare claims.

DRG 233 Inpatient 2024 Medicare data
Average charge $315,436 Hospital list price billed
Average payment $68,788 Medicare + patient + other payers
Medicare paid $49,254 Average per stay
State rank #24 of 38 1 = lowest average payment

Hospitals in Ohio billed an average of $315,436 for coronary bypass with cardiac catheterization or open ablation with major complications, about 4.6 times the average total payment of $68,788. That payment is 1% below the U.S. average of $69,514.

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 $68,788Billed $315,436

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: coronary bypass with cardiac catheterization or open ablation with major 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
Bethesda North HospitalCincinnati 53 $152,865 $54,137 $40,437
Toledo Hospital theToledo 38 $326,451 $60,107 $43,118
St Elizabeth Health CenterYoungstown 33 $278,891 $61,486 $48,027
Cleveland Clinic - Main CampusCleveland 32 $322,811 $94,047 $57,506
Miami Valley HospitalDayton 28 $336,348 $66,327 $46,404
Christ HospitalCincinnati 28 $219,728 $57,353 $45,117
Ohio State University HospitalsColumbus 25 $386,603 $81,691 $69,521
Riverside Methodist HospitalColumbus 24 $384,273 $95,163 $56,485
Hillcrest HospitalCleveland 19 $285,996 $58,303 $42,195
Mercy St Vincent Medical CenterToledo 17 $808,977 $78,900 $56,682
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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$54,137
Christ HospitalCincinnati, OH$57,353
Hillcrest HospitalCleveland, OH$58,303
Toledo Hospital theToledo, OH$60,107
St Elizabeth Health CenterYoungstown, OH$61,486

Highest

Riverside Methodist HospitalColumbus, OH$95,163
Cleveland Clinic - Main CampusCleveland, OH$94,047
Ohio State University HospitalsColumbus, OH$81,691
Mercy St Vincent Medical CenterToledo, OH$78,900
Miami Valley HospitalDayton, OH$66,327

Coronary bypass with cardiac catheterization or open ablation with major complications in other states

Questions

How much does coronary bypass with cardiac catheterization or open ablation with major complications cost in Ohio?

In 2024 Medicare data, a hospital stay for coronary bypass with cardiac catheterization or open ablation with major complications (DRG 233) at 10 hospitals in Ohio was billed at $315,436 on average, while the average total payment was $68,788, of which Medicare paid $49,254. 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 4.6 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.