facebook tracking Disorders of the biliary tract with complications cost in Ohio: 16 hospitals compared (DRG 445)

Disorders of the biliary tract with complications in Ohio

What 16 hospitals in Ohio charged and were paid for a Medicare hospital stay for disorders of the biliary tract with complications (DRG 445), from 2024 Medicare claims.

DRG 445 Inpatient 2024 Medicare data
Average charge $45,401 Hospital list price billed
Average payment $10,078 Medicare + patient + other payers
Medicare paid $7,225 Average per stay
State rank #19 of 40 1 = lowest average payment

Hospitals in Ohio billed an average of $45,401 for disorders of the biliary tract with complications, about 4.5 times the average total payment of $10,078. That payment is 8% below the U.S. average of $10,996.

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 $10,078Billed $45,401

About 22¢ was paid for every $1 hospitals in Ohio billed for this stay.

Ohio hospitals: disorders of the biliary tract 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 42 $51,331 $10,337 $6,951
Miami Valley HospitalDayton 25 $46,136 $9,481 $6,863
Ohio State University HospitalsColumbus 25 $52,246 $11,743 $8,365
Hillcrest HospitalCleveland 25 $37,094 $7,610 $5,882
Toledo Hospital theToledo 17 $43,571 $9,027 $7,386
Bethesda North HospitalCincinnati 17 $27,822 $8,881 $6,502
Cleveland Clinic - Main CampusCleveland 17 $42,569 $12,103 $8,469
St John Medical CenterWestlake 15 $40,769 $12,779 $10,527
Mercy St Vincent Medical CenterToledo 14 $79,030 $10,558 $7,939
University Hospitals Ahuja Medical CenterBeachwood 14 $30,332 $7,731 $6,427
University Hospital, INCCincinnati 13 $44,531 $14,501 $7,534
St Rita's Medical CenterLima 13 $62,007 $11,038 $6,427
Aultman HospitalCanton 13 $31,668 $8,926 $7,511
St Elizabeth Health CenterYoungstown 11 $62,986 $8,896 $7,615
Mercy Medical CenterCanton 11 $33,516 $8,505 $5,020
Christ HospitalCincinnati 11 $33,414 $9,054 $6,151
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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

Hillcrest HospitalCleveland, OH$7,610
University Hospitals Ahuja Medical CenterBeachwood, OH$7,731
Mercy Medical CenterCanton, OH$8,505
Bethesda North HospitalCincinnati, OH$8,881
St Elizabeth Health CenterYoungstown, OH$8,896

Highest

University Hospital, INCCincinnati, OH$14,501
St John Medical CenterWestlake, OH$12,779
Cleveland Clinic - Main CampusCleveland, OH$12,103
Ohio State University HospitalsColumbus, OH$11,743
St Rita's Medical CenterLima, OH$11,038

Disorders of the biliary tract with complications in other states

Questions

How much does disorders of the biliary tract with complications cost in Ohio?

In 2024 Medicare data, a hospital stay for disorders of the biliary tract with complications (DRG 445) at 16 hospitals in Ohio was billed at $45,401 on average, while the average total payment was $10,078, of which Medicare paid $7,225. 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 4.5 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.