facebook tracking Coronary bypass without cardiac catheterization with major complications cost in Ohio: 10 hospitals compared (DRG 235)

Coronary bypass without cardiac catheterization with major complications in Ohio

What 10 hospitals in Ohio charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235), from 2024 Medicare claims.

DRG 235 Inpatient 2024 Medicare data
Average charge $219,710 Hospital list price billed
Average payment $53,232 Medicare + patient + other payers
Medicare paid $40,356 Average per stay
State rank #19 of 37 1 = lowest average payment

Hospitals in Ohio billed an average of $219,710 for coronary bypass without cardiac catheterization with major complications, about 4.1 times the average total payment of $53,232. That payment is 6% below the U.S. average of $56,401.

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 $53,232Billed $219,710

About 24¢ 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 without cardiac catheterization 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
Cleveland Clinic - Main CampusCleveland 78 $253,426 $66,450 $46,735
Bethesda North HospitalCincinnati 55 $102,603 $44,069 $27,742
Christ HospitalCincinnati 49 $149,559 $37,514 $34,712
Riverside Methodist HospitalColumbus 45 $260,081 $58,163 $38,581
University Hospitals of ClevelandCleveland 34 $243,779 $63,699 $56,657
Toledo Hospital theToledo 31 $265,882 $44,964 $37,243
Ohio State University HospitalsColumbus 31 $285,914 $55,571 $47,693
University Hospital, INCCincinnati 16 $297,873 $60,747 $44,365
St Elizabeth Health CenterYoungstown 15 $183,505 $43,483 $28,392
Kettering Medical CenterKettering 11 $258,083 $41,868 $38,801
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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

Christ HospitalCincinnati, OH$37,514
Kettering Medical CenterKettering, OH$41,868
St Elizabeth Health CenterYoungstown, OH$43,483
Bethesda North HospitalCincinnati, OH$44,069
Toledo Hospital theToledo, OH$44,964

Highest

Cleveland Clinic - Main CampusCleveland, OH$66,450
University Hospitals of ClevelandCleveland, OH$63,699
University Hospital, INCCincinnati, OH$60,747
Riverside Methodist HospitalColumbus, OH$58,163
Ohio State University HospitalsColumbus, OH$55,571

Coronary bypass without cardiac catheterization with major complications in other states

Questions

How much does coronary bypass without cardiac catheterization with major complications cost in Ohio?

In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization with major complications (DRG 235) at 10 hospitals in Ohio was billed at $219,710 on average, while the average total payment was $53,232, of which Medicare paid $40,356. 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 4.1 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.