Diabetes with major complications in Ohio
What 39 hospitals in Ohio charged and were paid for a Medicare hospital stay for diabetes with major complications (DRG 637), from 2024 Medicare claims.
Average charge
$56,133
Hospital list price billed
Average payment
$12,772
Medicare + patient + other payers
Medicare paid
$9,815
Average per stay
State rank
#21 of 43
1 = lowest average payment
Hospitals in Ohio billed an average of $56,133 for diabetes with major complications, about 4.4 times the average total payment of $12,772. That payment is 9% below the U.S. average of $14,037.
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 $12,772Billed $56,133
About 23¢ 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 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 |
|---|---|---|---|---|
| Mercy St Vincent Medical CenterToledo | 49 | $79,359 | $12,980 | $10,337 |
| Ohio State University HospitalsColumbus | 38 | $46,506 | $14,033 | $10,322 |
| Miami Valley HospitalDayton | 36 | $55,889 | $12,155 | $7,775 |
| Kettering Medical CenterKettering | 26 | $69,521 | $13,222 | $9,119 |
| Summa Health System - Akron CampusAkron | 25 | $96,499 | $12,312 | $8,881 |
| Mount Carmel HealthColumbus | 25 | $50,756 | $13,610 | $7,362 |
| Grant Medical CenterColumbus | 24 | $69,058 | $15,833 | $14,129 |
| Riverside Methodist HospitalColumbus | 22 | $40,266 | $12,265 | $9,857 |
| Aultman HospitalCanton | 21 | $43,811 | $11,641 | $8,870 |
| Cleveland Clinic - Main CampusCleveland | 21 | $110,231 | $24,468 | $18,102 |
| Cleveland Clinic - Akron GeneralAkron | 20 | $50,336 | $11,307 | $9,143 |
| University of Toledo Medical CenterToledo | 18 | $93,151 | $17,594 | $10,898 |
| Bethesda North HospitalCincinnati | 18 | $26,500 | $10,957 | $8,549 |
| St Elizabeth Health CenterYoungstown | 17 | $54,869 | $12,376 | $8,700 |
| Toledo Hospital theToledo | 17 | $74,682 | $12,595 | $10,605 |
| Southern Ohio Medical CenterPortsmouth | 15 | $31,383 | $11,771 | $10,818 |
| Marion General HospitalMarion | 15 | $35,084 | $10,477 | $9,748 |
| Mercy Hospital FairfieldFairfield | 15 | $56,476 | $10,877 | $7,913 |
| University Hospitals of ClevelandCleveland | 15 | $64,263 | $18,911 | $14,991 |
| Soin Medical CenterBeaver Creek | 15 | $63,277 | $11,792 | $9,942 |
| St Rita's Medical CenterLima | 14 | $46,181 | $10,925 | $9,101 |
| St Elizabeth Boardman Health CenterYoungstown | 14 | $32,745 | $10,612 | $7,655 |
| University Hospitals Ahuja Medical CenterBeachwood | 14 | $35,473 | $8,609 | $8,022 |
| University Hospital, INCCincinnati | 13 | $71,427 | $20,302 | $13,190 |
| Mount Carmel St Ann's HospitalWesterville | 13 | $57,210 | $10,709 | $9,331 |
| Genesis Healthcare SystemZanesville | 13 | $35,256 | $12,129 | $11,376 |
| Ohiohealth Mansfield HospitalMansfield | 13 | $47,736 | $9,992 | $8,708 |
| Hillcrest HospitalCleveland | 13 | $60,613 | $9,648 | $8,106 |
| Mercy Franciscan Hospital - Mt AiryCincinnati | 13 | $52,464 | $9,767 | $7,609 |
| Parma Community General HospitalParma | 12 | $31,105 | $8,828 | $7,516 |
| Atrium Medical CenterMiddletown | 12 | $55,661 | $9,653 | $8,704 |
| Kettering Health DaytonDayton | 12 | $44,957 | $15,219 | $9,462 |
| Good Samaritan HospitalCincinnati | 12 | $36,311 | $14,403 | $10,188 |
| Marymount HospitalGarfield Heights | 12 | $37,333 | $9,705 | $8,430 |
| Marietta Memorial HospitalMarietta | 12 | $33,099 | $7,163 | $5,711 |
| Christ HospitalCincinnati | 12 | $46,211 | $11,470 | $9,124 |
| St John Medical CenterWestlake | 11 | $36,328 | $15,009 | $12,814 |
| Adena Regional Medical CenterChillicothe | 11 | $45,732 | $10,400 | $9,366 |
| Upper Valley Medical CenterTroy | 11 | $43,565 | $9,901 | $8,863 |
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
| Marietta Memorial HospitalMarietta, OH | $7,163 |
|---|---|
| University Hospitals Ahuja Medical CenterBeachwood, OH | $8,609 |
| Parma Community General HospitalParma, OH | $8,828 |
| Hillcrest HospitalCleveland, OH | $9,648 |
| Atrium Medical CenterMiddletown, OH | $9,653 |
Highest
| Cleveland Clinic - Main CampusCleveland, OH | $24,468 |
|---|---|
| University Hospital, INCCincinnati, OH | $20,302 |
| University Hospitals of ClevelandCleveland, OH | $18,911 |
| University of Toledo Medical CenterToledo, OH | $17,594 |
| Grant Medical CenterColumbus, OH | $15,833 |
Diabetes with major complications in other states
Questions
How much does diabetes with major complications cost in Ohio?
In 2024 Medicare data, a hospital stay for diabetes with major complications (DRG 637) at 39 hospitals in Ohio was billed at $56,133 on average, while the average total payment was $12,772, of which Medicare paid $9,815. 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 4.4 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.