facebook tracking Degenerative nervous system disorders with major complications cost in Ohio: 13 hospitals compared (DRG 056)

Degenerative nervous system disorders with major complications in Ohio

What 13 hospitals in Ohio charged and were paid for a Medicare hospital stay for degenerative nervous system disorders with major complications (DRG 056), from 2024 Medicare claims.

DRG 056 Inpatient 2024 Medicare data
Average charge $77,834 Hospital list price billed
Average payment $19,599 Medicare + patient + other payers
Medicare paid $15,915 Average per stay
State rank #10 of 34 1 = lowest average payment

Hospitals in Ohio billed an average of $77,834 for degenerative nervous system disorders with major complications, about 4.0 times the average total payment of $19,599. That payment is 20% below the U.S. average of $24,633.

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 $19,599Billed $77,834

About 25¢ 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: degenerative nervous system disorders 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
Ohio State University HospitalsColumbus 42 $75,902 $25,227 $19,124
Miami Valley HospitalDayton 37 $99,795 $18,091 $15,795
Riverside Methodist HospitalColumbus 33 $61,790 $16,744 $15,374
Toledo Hospital theToledo 20 $106,118 $18,435 $16,335
Cleveland Clinic - Main CampusCleveland 20 $70,820 $21,256 $17,578
Summa Health System - Akron CampusAkron 16 $130,970 $20,380 $16,896
Mercy St Vincent Medical CenterToledo 15 $118,173 $20,784 $17,270
Kettering Medical CenterKettering 14 $43,297 $15,440 $10,695
Metrohealth SystemCleveland 13 $35,034 $17,982 $14,788
Atrium Medical CenterMiddletown 13 $44,065 $16,451 $11,896
Cleveland Clinic - Akron GeneralAkron 12 $39,548 $18,134 $13,947
Mercy Franciscan Hospital - Mt AiryCincinnati 12 $48,499 $16,084 $14,996
St Rita's Medical CenterLima 11 $96,704 $24,465 $14,509
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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$15,440
Mercy Franciscan Hospital - Mt AiryCincinnati, OH$16,084
Atrium Medical CenterMiddletown, OH$16,451
Riverside Methodist HospitalColumbus, OH$16,744
Metrohealth SystemCleveland, OH$17,982

Degenerative nervous system disorders with major complications in other states

Questions

How much does degenerative nervous system disorders with major complications cost in Ohio?

In 2024 Medicare data, a hospital stay for degenerative nervous system disorders with major complications (DRG 056) at 13 hospitals in Ohio was billed at $77,834 on average, while the average total payment was $19,599, of which Medicare paid $15,915. 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.