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Dental and oral diseases with complications in Ohio

What 2 hospitals in Ohio charged and were paid for a Medicare hospital stay for dental and oral diseases with complications (DRG 158), from 2024 Medicare claims.

DRG 158 Inpatient 2024 Medicare data
Average charge $33,120 Hospital list price billed
Average payment $9,201 Medicare + patient + other payers
Medicare paid $5,983 Average per stay
Volume 32 Medicare hospital stays

Hospitals in Ohio billed an average of $33,120 for dental and oral diseases with complications, about 3.6 times the average total payment of $9,201. That payment is 14% below the U.S. average of $10,651.

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 $9,201Billed $33,120

About 28¢ 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: dental and oral diseases with 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
Miami Valley HospitalDayton 18 $34,203 $8,979 $4,934
Ohio State University HospitalsColumbus 14 $31,728 $9,486 $7,332
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Dental and oral diseases with complications in other states

Questions

How much does dental and oral diseases with complications cost in Ohio?

In 2024 Medicare data, a hospital stay for dental and oral diseases with complications (DRG 158) at 2 hospitals in Ohio was billed at $33,120 on average, while the average total payment was $9,201, of which Medicare paid $5,983. 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 3.6 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.