Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in Ohio
What 13 hospitals in Ohio charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023), from 2024 Medicare claims.
Average charge
$203,780
Hospital list price billed
Average payment
$47,101
Medicare + patient + other payers
Medicare paid
$41,012
Average per stay
State rank
#14 of 38
1 = lowest average payment
Hospitals in Ohio billed an average of $203,780 for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o, about 4.3 times the average total payment of $47,101. That payment is 17% below the U.S. average of $56,603.
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 $47,101Billed $203,780
About 23¢ was paid for every $1 hospitals in Ohio billed for this stay.
Ohio hospitals: craniotomy with major device implant or acute complex cns principal diagnosis with major complications o
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 |
|---|---|---|---|---|
| Ohio State University HospitalsColumbus | 54 | $195,781 | $49,166 | $44,336 |
| Toledo Hospital theToledo | 51 | $195,482 | $43,227 | $39,158 |
| Riverside Methodist HospitalColumbus | 47 | $171,705 | $44,435 | $35,996 |
| Cleveland Clinic - Main CampusCleveland | 32 | $231,744 | $55,624 | $46,280 |
| University Hospital, INCCincinnati | 30 | $169,141 | $52,807 | $46,233 |
| Miami Valley HospitalDayton | 29 | $230,340 | $44,557 | $38,474 |
| Kettering Medical CenterKettering | 26 | $212,081 | $48,980 | $36,781 |
| Mercy St Vincent Medical CenterToledo | 23 | $398,435 | $52,980 | $44,081 |
| University Hospitals of ClevelandCleveland | 23 | $142,441 | $51,450 | $46,714 |
| Mount Carmel HealthColumbus | 20 | $215,245 | $44,635 | $41,537 |
| Cleveland Clinic - Akron GeneralAkron | 18 | $136,492 | $39,382 | $37,175 |
| St Elizabeth Health CenterYoungstown | 16 | $188,500 | $38,971 | $37,282 |
| Hillcrest HospitalCleveland | 11 | $174,776 | $35,780 | $34,244 |
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
| Hillcrest HospitalCleveland, OH | $35,780 |
|---|---|
| St Elizabeth Health CenterYoungstown, OH | $38,971 |
| Cleveland Clinic - Akron GeneralAkron, OH | $39,382 |
| Toledo Hospital theToledo, OH | $43,227 |
| Riverside Methodist HospitalColumbus, OH | $44,435 |
Highest
| Cleveland Clinic - Main CampusCleveland, OH | $55,624 |
|---|---|
| Mercy St Vincent Medical CenterToledo, OH | $52,980 |
| University Hospital, INCCincinnati, OH | $52,807 |
| University Hospitals of ClevelandCleveland, OH | $51,450 |
| Ohio State University HospitalsColumbus, OH | $49,166 |
Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in other states
Questions
How much does craniotomy with major device implant or acute complex cns principal diagnosis with major complications o cost in Ohio?
In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023) at 13 hospitals in Ohio was billed at $203,780 on average, while the average total payment was $47,101, of which Medicare paid $41,012. 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 4.3 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.