Disorders of pancreas except malignancy with complications in Ohio
What 11 hospitals in Ohio charged and were paid for a Medicare hospital stay for disorders of pancreas except malignancy with complications (DRG 439), from 2024 Medicare claims.
Average charge
$30,216
Hospital list price billed
Average payment
$7,957
Medicare + patient + other payers
Medicare paid
$5,045
Average per stay
State rank
#12 of 37
1 = lowest average payment
Hospitals in Ohio billed an average of $30,216 for disorders of pancreas except malignancy with complications, about 3.8 times the average total payment of $7,957. That payment is 12% below the U.S. average of $9,024.
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 $7,957Billed $30,216
About 26¢ 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: disorders of pancreas except malignancy 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 |
|---|---|---|---|---|
| Riverside Methodist HospitalColumbus | 26 | $37,385 | $7,956 | $5,941 |
| Miami Valley HospitalDayton | 23 | $25,757 | $6,768 | $5,503 |
| University Hospital, INCCincinnati | 17 | $42,684 | $12,995 | $6,601 |
| Mercy St Vincent Medical CenterToledo | 17 | $52,355 | $8,874 | $5,909 |
| Southwest General Health CenterMiddleburg Heights | 16 | $22,488 | $6,926 | $3,228 |
| Aultman HospitalCanton | 15 | $21,022 | $7,899 | $4,271 |
| Cleveland Clinic Avon HospitalAvon | 14 | $29,150 | $6,017 | $3,564 |
| Bethesda North HospitalCincinnati | 13 | $20,862 | $7,348 | $5,435 |
| Cleveland Clinic - Akron GeneralAkron | 11 | $19,561 | $8,168 | $4,762 |
| Marietta Memorial HospitalMarietta | 11 | $21,317 | $3,779 | $2,415 |
| Cleveland Clinic - Main CampusCleveland | 11 | $24,848 | $9,969 | $6,274 |
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 | $3,779 |
|---|---|
| Cleveland Clinic Avon HospitalAvon, OH | $6,017 |
| Miami Valley HospitalDayton, OH | $6,768 |
| Southwest General Health CenterMiddleburg Heights, OH | $6,926 |
| Bethesda North HospitalCincinnati, OH | $7,348 |
Highest
| University Hospital, INCCincinnati, OH | $12,995 |
|---|---|
| Cleveland Clinic - Main CampusCleveland, OH | $9,969 |
| Mercy St Vincent Medical CenterToledo, OH | $8,874 |
| Cleveland Clinic - Akron GeneralAkron, OH | $8,168 |
| Riverside Methodist HospitalColumbus, OH | $7,956 |
Disorders of pancreas except malignancy with complications in other states
Questions
How much does disorders of pancreas except malignancy with complications cost in Ohio?
In 2024 Medicare data, a hospital stay for disorders of pancreas except malignancy with complications (DRG 439) at 11 hospitals in Ohio was billed at $30,216 on average, while the average total payment was $7,957, of which Medicare paid $5,045. 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 3.8 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.