Diabetes with complications in Ohio
What 56 hospitals in Ohio charged and were paid for a Medicare hospital stay for diabetes with complications (DRG 638), from 2024 Medicare claims.
Average charge
$31,614
Hospital list price billed
Average payment
$7,869
Medicare + patient + other payers
Medicare paid
$5,506
Average per stay
State rank
#12 of 47
1 = lowest average payment
Hospitals in Ohio billed an average of $31,614 for diabetes with complications, about 4.0 times the average total payment of $7,869. That payment is 15% below the U.S. average of $9,215.
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 $7,869Billed $31,614
About 25¢ was paid for every $1 hospitals in Ohio billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Ohio:
Ohio hospitals: diabetes 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 |
|---|---|---|---|---|
| Mercy St Vincent Medical CenterToledo | 53 | $53,389 | $9,150 | $5,869 |
| Summa Health System - Akron CampusAkron | 43 | $52,167 | $8,289 | $6,414 |
| Miami Valley HospitalDayton | 37 | $33,860 | $7,517 | $5,995 |
| Riverside Methodist HospitalColumbus | 35 | $28,846 | $8,700 | $5,873 |
| Toledo Hospital theToledo | 35 | $46,457 | $8,367 | $5,806 |
| Ohio State University HospitalsColumbus | 35 | $25,186 | $9,503 | $7,069 |
| Hillcrest HospitalCleveland | 35 | $32,023 | $6,447 | $4,569 |
| Cleveland Clinic - Main CampusCleveland | 32 | $37,704 | $10,348 | $6,976 |
| Ohiohealth Mansfield HospitalMansfield | 28 | $27,147 | $7,235 | $5,087 |
| St Elizabeth Boardman Health CenterYoungstown | 26 | $23,304 | $7,482 | $4,604 |
| Mount Carmel HealthColumbus | 25 | $38,869 | $9,993 | $5,095 |
| St Elizabeth Health CenterYoungstown | 25 | $30,431 | $7,409 | $5,812 |
| Kettering Medical CenterKettering | 25 | $36,709 | $8,948 | $4,572 |
| Doctors HospitalColumbus | 25 | $37,351 | $9,926 | $8,170 |
| Mercy Hospital FairfieldFairfield | 24 | $30,625 | $7,848 | $4,008 |
| Cleveland Clinic Avon HospitalAvon | 23 | $26,448 | $6,069 | $4,391 |
| Mercy Hospital AndersonCincinnati | 22 | $29,086 | $6,892 | $4,921 |
| West Chester Medical CenterWest Chester | 22 | $27,704 | $6,619 | $4,948 |
| Fairview HospitalCleveland | 21 | $26,268 | $8,596 | $4,430 |
| Christ HospitalCincinnati | 21 | $21,770 | $7,751 | $5,324 |
| Bethesda North HospitalCincinnati | 21 | $22,460 | $7,212 | $4,815 |
| Mercy Franciscan Hospital - Mt AiryCincinnati | 21 | $37,514 | $7,677 | $4,325 |
| Southern Ohio Medical CenterPortsmouth | 20 | $17,754 | $7,439 | $6,022 |
| Cleveland Clinic - Akron GeneralAkron | 20 | $28,951 | $7,311 | $5,481 |
| University Hospitals Ahuja Medical CenterBeachwood | 20 | $25,449 | $6,487 | $4,938 |
| Marymount HospitalGarfield Heights | 19 | $30,705 | $7,001 | $4,213 |
| Parma Community General HospitalParma | 18 | $23,365 | $6,168 | $4,478 |
| Metrohealth SystemCleveland | 18 | $25,662 | $9,904 | $7,218 |
| Adena Regional Medical CenterChillicothe | 18 | $36,942 | $7,134 | $5,721 |
| University Hospital, INCCincinnati | 17 | $32,669 | $10,807 | $7,831 |
| Firelands Community HospitalSandusky | 17 | $16,871 | $6,932 | $4,873 |
| Lake Hospital SystemPainesville | 17 | $23,084 | $5,818 | $4,119 |
| Grant Medical CenterColumbus | 16 | $28,898 | $9,977 | $7,708 |
| Genesis Healthcare SystemZanesville | 16 | $17,878 | $7,820 | $5,651 |
| Aultman HospitalCanton | 16 | $26,782 | $7,854 | $5,316 |
| University Hospitals - Elyria Medical CenterElyria | 16 | $26,689 | $6,618 | $4,681 |
| University of Toledo Medical CenterToledo | 15 | $39,185 | $10,409 | $6,139 |
| Southwest General Health CenterMiddleburg Heights | 15 | $19,106 | $5,681 | $4,076 |
| Soin Medical CenterBeaver Creek | 15 | $34,124 | $8,005 | $6,308 |
| St Rita's Medical CenterLima | 14 | $29,442 | $7,334 | $5,595 |
| Fairfield Medical CenterLancaster | 14 | $25,366 | $6,904 | $5,296 |
| South Pointe HospitalWarrensville Heights | 14 | $29,554 | $7,398 | $5,622 |
| Marion General HospitalMarion | 13 | $21,989 | $6,873 | $5,678 |
| Mercy Medical CenterCanton | 13 | $29,916 | $6,475 | $5,270 |
| Euclid HospitalEuclid | 13 | $27,173 | $6,729 | $4,865 |
| Springfield Regional Medical CenterSpringfield | 13 | $35,112 | $7,292 | $5,007 |
| Upper Valley Medical CenterTroy | 13 | $32,951 | $6,491 | $5,110 |
| Mercy Hospital ClermontBatavia | 13 | $23,201 | $6,311 | $4,930 |
| University Hospitals Portage Medical CenterRavenna | 11 | $27,220 | $6,276 | $4,796 |
| Kettering Health DaytonDayton | 11 | $44,049 | $8,607 | $7,013 |
| St Joseph Health CenterWarren | 11 | $30,410 | $6,464 | $5,270 |
| Mercy Regional Medical CenterLorain | 11 | $31,825 | $6,550 | $5,354 |
| Licking Memorial HospitalNewark | 11 | $21,060 | $7,501 | $5,141 |
| Kettering Medical Center - SycamoreMiamisburg | 11 | $33,402 | $6,872 | $5,124 |
| Bay Park Community HospitalOregon | 11 | $38,577 | $9,903 | $4,973 |
| Dublin Methodist HospitalDublin | 11 | $19,516 | $7,970 | $5,435 |
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
| Southwest General Health CenterMiddleburg Heights, OH | $5,681 |
|---|---|
| Lake Hospital SystemPainesville, OH | $5,818 |
| Cleveland Clinic Avon HospitalAvon, OH | $6,069 |
| Parma Community General HospitalParma, OH | $6,168 |
| University Hospitals Portage Medical CenterRavenna, OH | $6,276 |
Highest
| University Hospital, INCCincinnati, OH | $10,807 |
|---|---|
| University of Toledo Medical CenterToledo, OH | $10,409 |
| Cleveland Clinic - Main CampusCleveland, OH | $10,348 |
| Mount Carmel HealthColumbus, OH | $9,993 |
| Grant Medical CenterColumbus, OH | $9,977 |
Diabetes with complications in other states
Questions
How much does diabetes with complications cost in Ohio?
In 2024 Medicare data, a hospital stay for diabetes with complications (DRG 638) at 56 hospitals in Ohio was billed at $31,614 on average, while the average total payment was $7,869, of which Medicare paid $5,506. 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.