Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in Ohio
What 26 hospitals in Ohio charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563), from 2024 Medicare claims.
Average charge
$30,821
Hospital list price billed
Average payment
$7,172
Medicare + patient + other payers
Medicare paid
$5,116
Average per stay
State rank
#10 of 39
1 = lowest average payment
Hospitals in Ohio billed an average of $30,821 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications, about 4.3 times the average total payment of $7,172. That payment is 18% below the U.S. average of $8,749.
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 $7,172Billed $30,821
About 23¢ 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: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without 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 |
|---|---|---|---|---|
| Hillcrest HospitalCleveland | 44 | $29,889 | $5,935 | $4,563 |
| Bethesda North HospitalCincinnati | 29 | $16,881 | $6,658 | $5,145 |
| Miami Valley HospitalDayton | 27 | $30,848 | $7,341 | $5,399 |
| Kettering Medical CenterKettering | 26 | $44,644 | $7,259 | $5,293 |
| West Chester Medical CenterWest Chester | 25 | $24,858 | $6,709 | $4,545 |
| Southwest General Health CenterMiddleburg Heights | 24 | $21,553 | $5,514 | $4,137 |
| Toledo Hospital theToledo | 23 | $53,224 | $10,206 | $5,091 |
| Summa Health System - Akron CampusAkron | 21 | $35,837 | $8,091 | $5,931 |
| Ohio State University HospitalsColumbus | 20 | $28,159 | $9,307 | $6,516 |
| Riverside Methodist HospitalColumbus | 19 | $26,376 | $8,404 | $5,877 |
| St Elizabeth Health CenterYoungstown | 18 | $32,276 | $7,480 | $4,901 |
| Fairview HospitalCleveland | 18 | $28,281 | $6,973 | $5,085 |
| Parma Community General HospitalParma | 17 | $26,575 | $6,002 | $4,239 |
| Mercy St Vincent Medical CenterToledo | 17 | $50,393 | $8,257 | $6,248 |
| University Hospital, INCCincinnati | 16 | $45,299 | $11,446 | $7,472 |
| Mount Carmel St Ann's HospitalWesterville | 15 | $27,991 | $6,567 | $5,238 |
| Soin Medical CenterBeaver Creek | 15 | $49,598 | $7,661 | $5,794 |
| University Hospitals Ahuja Medical CenterBeachwood | 14 | $23,222 | $6,059 | $4,548 |
| University Hospitals - Elyria Medical CenterElyria | 13 | $29,733 | $6,184 | $4,803 |
| Mount Carmel HealthColumbus | 12 | $31,330 | $6,804 | $5,079 |
| Mercy Franciscan Hospital - Mt AiryCincinnati | 12 | $24,366 | $6,043 | $4,411 |
| St Elizabeth Boardman Health CenterYoungstown | 12 | $22,255 | $7,148 | $4,527 |
| Medina HospitalMedina | 11 | $23,114 | $5,442 | $4,171 |
| Blanchard Valley Health AssnFindlay | 11 | $14,364 | $6,181 | $4,651 |
| Marymount HospitalGarfield Heights | 11 | $23,426 | $6,010 | $4,498 |
| Cleveland Clinic Avon HospitalAvon | 11 | $22,071 | $5,452 | $4,255 |
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
| Medina HospitalMedina, OH | $5,442 |
|---|---|
| Cleveland Clinic Avon HospitalAvon, OH | $5,452 |
| Southwest General Health CenterMiddleburg Heights, OH | $5,514 |
| Hillcrest HospitalCleveland, OH | $5,935 |
| Parma Community General HospitalParma, OH | $6,002 |
Highest
| University Hospital, INCCincinnati, OH | $11,446 |
|---|---|
| Toledo Hospital theToledo, OH | $10,206 |
| Ohio State University HospitalsColumbus, OH | $9,307 |
| Riverside Methodist HospitalColumbus, OH | $8,404 |
| Mercy St Vincent Medical CenterToledo, OH | $8,257 |
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in other states
Questions
How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Ohio?
In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563) at 26 hospitals in Ohio was billed at $30,821 on average, while the average total payment was $7,172, of which Medicare paid $5,116. 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 4.3 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.