facebook tracking Hip and femur procedures except major joint with complications cost in Ohio: 66 hospitals compared (DRG 481)

Hip and femur procedures except major joint with complications in Ohio

What 66 hospitals in Ohio charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.

DRG 481 Inpatient 2024 Medicare data
Average charge $84,289 Hospital list price billed
Average payment $16,449 Medicare + patient + other payers
Medicare paid $13,818 Average per stay
State rank #14 of 50 1 = lowest average payment

Hospitals in Ohio billed an average of $84,289 for hip and femur procedures except major joint with complications, about 5.1 times the average total payment of $16,449. That payment is 11% below the U.S. average of $18,473.

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 $16,449Billed $84,289

About 20¢ was paid for every $1 hospitals in Ohio billed for this stay.

Ohio hospitals: hip and femur procedures except major joint 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
Miami Valley HospitalDayton 119 $99,626 $16,051 $14,074
Bethesda North HospitalCincinnati 79 $57,902 $14,435 $12,660
Hillcrest HospitalCleveland 79 $79,094 $13,681 $11,885
Riverside Methodist HospitalColumbus 78 $91,482 $17,388 $14,521
Mount Carmel HealthColumbus 66 $102,094 $17,052 $12,773
Kettering Medical CenterKettering 66 $135,758 $16,219 $13,503
University Hospitals of ClevelandCleveland 64 $95,678 $21,942 $17,696
Toledo Hospital theToledo 55 $110,636 $16,334 $14,110
Grant Medical CenterColumbus 54 $100,386 $19,008 $15,483
Cleveland Clinic - Akron GeneralAkron 54 $67,305 $16,893 $14,383
Mercy St Vincent Medical CenterToledo 50 $163,670 $17,976 $15,066
Ohio State University HospitalsColumbus 49 $115,758 $20,804 $15,627
Ohiohealth Mansfield HospitalMansfield 49 $67,054 $14,607 $12,449
St Elizabeth Health CenterYoungstown 48 $83,552 $16,016 $13,601
Summa Health System - Akron CampusAkron 47 $87,982 $16,889 $13,924
Kettering Health DaytonDayton 44 $114,088 $17,571 $14,864
St John Medical CenterWestlake 40 $63,011 $23,767 $21,444
Fairview HospitalCleveland 39 $73,139 $15,179 $13,433
Mercy Hospital AndersonCincinnati 37 $87,168 $13,946 $12,372
University Hospital, INCCincinnati 37 $125,306 $23,363 $18,438
Metrohealth SystemCleveland 37 $74,388 $20,794 $17,071
Aultman HospitalCanton 36 $45,189 $15,900 $13,046
Atrium Medical CenterMiddletown 35 $80,362 $13,509 $12,296
Lake Hospital SystemPainesville 34 $59,402 $12,265 $10,922
St Rita's Medical CenterLima 33 $116,323 $15,922 $13,720
Southwest General Health CenterMiddleburg Heights 30 $54,585 $13,702 $10,384
Christ HospitalCincinnati 30 $65,654 $16,212 $12,835
Blanchard Valley Health AssnFindlay 29 $46,371 $13,235 $11,986
University Hospitals - Elyria Medical CenterElyria 29 $55,530 $13,233 $11,826
Mercy Medical CenterCanton 28 $62,451 $13,378 $11,732
Mount Carmel St Ann's HospitalWesterville 27 $81,992 $14,793 $13,178
Genesis Healthcare SystemZanesville 27 $54,765 $17,237 $15,907
Mercy Franciscan Hospital - Mt AiryCincinnati 27 $82,554 $14,853 $11,297
University of Toledo Medical CenterToledo 26 $122,602 $21,594 $15,316
Mercy Regional Medical CenterLorain 26 $81,765 $14,056 $12,428
St Elizabeth Boardman Health CenterYoungstown 25 $69,489 $13,862 $12,174
West Chester Medical CenterWest Chester 25 $88,786 $13,846 $12,391
Soin Medical CenterBeaver Creek 25 $109,286 $16,297 $14,395
Cleveland Clinic Avon HospitalAvon 25 $68,195 $13,826 $10,921
St Joseph Health CenterWarren 24 $93,507 $14,033 $12,379
Medina HospitalMedina 23 $63,010 $12,911 $11,291
Parma Community General HospitalParma 22 $62,593 $13,996 $12,323
Springfield Regional Medical CenterSpringfield 22 $71,542 $14,167 $12,683
Southern Ohio Medical CenterPortsmouth 21 $60,725 $17,017 $15,562
Marion General HospitalMarion 21 $69,226 $14,661 $13,324
UH Regional HospitalsRichmond Heights 21 $59,402 $25,815 $22,385
Jewish Hospital, LLCCincinnati 20 $92,881 $19,290 $12,485
Adena Regional Medical CenterChillicothe 20 $108,065 $18,085 $13,418
University Hospitals Ahuja Medical CenterBeachwood 19 $60,622 $14,002 $12,389
Upper Valley Medical CenterTroy 18 $84,296 $13,985 $12,534
Good Samaritan HospitalCincinnati 17 $52,865 $20,841 $12,145
Cleveland Clinic - Main CampusCleveland 17 $105,347 $22,130 $16,400
Firelands Community HospitalSandusky 16 $49,045 $14,192 $12,163
Knox Community HospitalMt Vernon 16 $47,836 $16,439 $14,807
Fort Hamilton Hughes Memorial HospitalHamilton 16 $93,989 $14,089 $12,661
Licking Memorial HospitalNewark 16 $52,607 $15,882 $12,063
Mercy Hospital FairfieldFairfield 15 $83,049 $13,738 $12,165
Fairfield Medical CenterLancaster 15 $55,169 $15,353 $13,476
Marymount HospitalGarfield Heights 15 $62,073 $15,206 $10,342
Mercer County Joint Township Community HospitalColdwater 14 $47,431 $19,022 $17,623
Dublin Methodist HospitalDublin 14 $69,401 $15,375 $14,099
Wooster Community HospitalWooster 13 $32,503 $13,547 $12,292
Holzer Medical CenterGallipolis 12 $55,825 $14,588 $12,964
Southeastern Ohio Regional Medical CenterCambridge 12 $51,344 $19,108 $17,612
University Hospitals Portage Medical CenterRavenna 11 $56,271 $13,564 $12,074
Marietta Memorial HospitalMarietta 11 $59,410 $11,241 $9,851
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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

Marietta Memorial HospitalMarietta, OH$11,241
Lake Hospital SystemPainesville, OH$12,265
Medina HospitalMedina, OH$12,911
University Hospitals - Elyria Medical CenterElyria, OH$13,233
Blanchard Valley Health AssnFindlay, OH$13,235

Highest

UH Regional HospitalsRichmond Heights, OH$25,815
St John Medical CenterWestlake, OH$23,767
University Hospital, INCCincinnati, OH$23,363
Cleveland Clinic - Main CampusCleveland, OH$22,130
University Hospitals of ClevelandCleveland, OH$21,942

Hip and femur procedures except major joint with complications in other states

Questions

How much does hip and femur procedures except major joint with complications cost in Ohio?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 66 hospitals in Ohio was billed at $84,289 on average, while the average total payment was $16,449, of which Medicare paid $13,818. 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 5.1 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.