facebook tracking Endovascular cardiac valve replacement and supplement procedures with major complications cost in Ohio: 13 hospitals compared (DRG 266)

Endovascular cardiac valve replacement and supplement procedures with major complications in Ohio

What 13 hospitals in Ohio charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266), from 2024 Medicare claims.

DRG 266 Inpatient 2024 Medicare data
Average charge $204,706 Hospital list price billed
Average payment $53,576 Medicare + patient + other payers
Medicare paid $49,034 Average per stay
State rank #26 of 42 1 = lowest average payment

Hospitals in Ohio billed an average of $204,706 for endovascular cardiac valve replacement and supplement procedures with major complications, about 3.8 times the average total payment of $53,576. That payment is 6% below the U.S. average of $57,249.

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 $53,576Billed $204,706

About 26¢ 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: endovascular cardiac valve replacement and supplement procedures 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
Cleveland Clinic - Main CampusCleveland 286 $178,036 $55,275 $51,124
Christ HospitalCincinnati 87 $205,082 $49,589 $44,978
Riverside Methodist HospitalColumbus 68 $199,698 $47,175 $45,673
University Hospitals of ClevelandCleveland 49 $228,712 $64,067 $60,046
Toledo Hospital theToledo 47 $211,910 $47,950 $46,242
Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville 27 $79,048 $46,556 $45,122
Mount Carmel HealthColumbus 25 $247,693 $51,613 $44,892
Summa Health System - Akron CampusAkron 20 $415,054 $66,689 $46,255
Mercy Hospital FairfieldFairfield 19 $235,543 $50,235 $37,149
Bethesda North HospitalCincinnati 16 $227,859 $57,605 $55,676
Miami Valley HospitalDayton 14 $327,992 $51,066 $48,948
Ohio State University HospitalsColumbus 14 $251,892 $58,427 $53,554
St Rita's Medical CenterLima 11 $312,787 $52,587 $39,761
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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

Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville, OH$46,556
Riverside Methodist HospitalColumbus, OH$47,175
Toledo Hospital theToledo, OH$47,950
Christ HospitalCincinnati, OH$49,589
Mercy Hospital FairfieldFairfield, OH$50,235

Highest

Endovascular cardiac valve replacement and supplement procedures with major complications in other states

Questions

How much does endovascular cardiac valve replacement and supplement procedures with major complications cost in Ohio?

In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266) at 13 hospitals in Ohio was billed at $204,706 on average, while the average total payment was $53,576, of which Medicare paid $49,034. 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.