facebook tracking Coronary intravascular lithotripsy with intraluminal device with major complications cost in Ohio: 3 hospitals compared (DRG 323)

Coronary intravascular lithotripsy with intraluminal device with major complications in Ohio

What 3 hospitals in Ohio charged and were paid for a Medicare hospital stay for coronary intravascular lithotripsy with intraluminal device with major complications (DRG 323), from 2024 Medicare claims.

DRG 323 Inpatient 2024 Medicare data
Average charge $174,541 Hospital list price billed
Average payment $38,930 Medicare + patient + other payers
Medicare paid $36,025 Average per stay
State rank #4 of 12 1 = lowest average payment

Hospitals in Ohio billed an average of $174,541 for coronary intravascular lithotripsy with intraluminal device with major complications, about 4.5 times the average total payment of $38,930. That payment is 4% below the U.S. average of $40,408.

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 $38,930Billed $174,541

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 intravascular lithotripsy with intraluminal device 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
Riverside Methodist HospitalColumbus 15 $136,792 $32,542 $31,139
Bethesda North HospitalCincinnati 13 $117,897 $29,916 $28,340
Cleveland Clinic - Main CampusCleveland 13 $274,741 $55,316 $49,348
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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$29,916
Riverside Methodist HospitalColumbus, OH$32,542
Cleveland Clinic - Main CampusCleveland, OH$55,316

Highest

Cleveland Clinic - Main CampusCleveland, OH$55,316
Riverside Methodist HospitalColumbus, OH$32,542
Bethesda North HospitalCincinnati, OH$29,916

Coronary intravascular lithotripsy with intraluminal device with major complications in other states

Questions

How much does coronary intravascular lithotripsy with intraluminal device with major complications cost in Ohio?

In 2024 Medicare data, a hospital stay for coronary intravascular lithotripsy with intraluminal device with major complications (DRG 323) at 3 hospitals in Ohio was billed at $174,541 on average, while the average total payment was $38,930, of which Medicare paid $36,025. 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.