Hip and femur procedures except major joint with major complications in Ohio
What 38 hospitals in Ohio charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.
Average charge
$118,993
Hospital list price billed
Average payment
$23,250
Medicare + patient + other payers
Medicare paid
$19,892
Average per stay
State rank
#16 of 46
1 = lowest average payment
Hospitals in Ohio billed an average of $118,993 for hip and femur procedures except major joint with major complications, about 5.1 times the average total payment of $23,250. That payment is 12% below the U.S. average of $26,284.
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 $23,250Billed $118,993
About 20¢ 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: hip and femur procedures except major joint 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 |
|---|---|---|---|---|
| Riverside Methodist HospitalColumbus | 47 | $108,126 | $25,666 | $20,393 |
| Miami Valley HospitalDayton | 40 | $147,350 | $23,184 | $19,742 |
| Bethesda North HospitalCincinnati | 36 | $71,355 | $20,374 | $17,021 |
| Toledo Hospital theToledo | 35 | $141,157 | $23,137 | $19,668 |
| Grant Medical CenterColumbus | 34 | $143,073 | $25,660 | $23,353 |
| Cleveland Clinic - Akron GeneralAkron | 27 | $76,147 | $21,234 | $19,391 |
| St Rita's Medical CenterLima | 27 | $160,826 | $25,602 | $19,359 |
| Hillcrest HospitalCleveland | 26 | $111,561 | $18,902 | $17,403 |
| Metrohealth SystemCleveland | 25 | $102,901 | $23,044 | $19,074 |
| Kettering Medical CenterKettering | 24 | $184,380 | $22,947 | $20,059 |
| Kettering Health DaytonDayton | 22 | $145,580 | $24,192 | $22,299 |
| Fairview HospitalCleveland | 20 | $108,579 | $20,628 | $19,087 |
| Ohio State University HospitalsColumbus | 19 | $165,796 | $27,634 | $21,953 |
| Summa Health System - Akron CampusAkron | 18 | $168,167 | $26,763 | $17,603 |
| Mercy St Vincent Medical CenterToledo | 18 | $223,800 | $25,000 | $21,556 |
| University Hospitals of ClevelandCleveland | 18 | $143,181 | $33,818 | $27,723 |
| West Chester Medical CenterWest Chester | 18 | $108,283 | $19,346 | $17,892 |
| St John Medical CenterWestlake | 17 | $73,661 | $33,115 | $30,438 |
| Mercy Franciscan Hospital - Mt AiryCincinnati | 17 | $97,877 | $18,353 | $17,105 |
| Mount Carmel HealthColumbus | 16 | $124,608 | $21,453 | $18,921 |
| St Elizabeth Health CenterYoungstown | 16 | $159,545 | $23,078 | $21,293 |
| Mercy Medical CenterCanton | 16 | $87,014 | $19,326 | $17,775 |
| Mercy Hospital AndersonCincinnati | 15 | $140,372 | $22,295 | $16,953 |
| University Hospital, INCCincinnati | 15 | $165,488 | $37,071 | $25,609 |
| Aultman HospitalCanton | 15 | $61,759 | $21,592 | $18,929 |
| Southern Ohio Medical CenterPortsmouth | 14 | $82,541 | $24,125 | $22,911 |
| Atrium Medical CenterMiddletown | 14 | $117,436 | $19,361 | $18,079 |
| Ohiohealth Mansfield HospitalMansfield | 14 | $76,734 | $22,294 | $16,128 |
| Genesis Healthcare SystemZanesville | 13 | $59,042 | $24,390 | $22,886 |
| Parma Community General HospitalParma | 13 | $108,449 | $20,788 | $18,233 |
| Southwest General Health CenterMiddleburg Heights | 13 | $68,811 | $17,216 | $15,799 |
| Mount Carmel St Ann's HospitalWesterville | 12 | $119,040 | $21,441 | $20,182 |
| Fairfield Medical CenterLancaster | 12 | $77,755 | $19,538 | $17,604 |
| Springfield Regional Medical CenterSpringfield | 12 | $85,513 | $19,150 | $17,790 |
| Lake Hospital SystemPainesville | 12 | $80,502 | $18,324 | $16,828 |
| Christ HospitalCincinnati | 12 | $114,791 | $21,877 | $18,818 |
| East Liverpool City HospitalEast Liverpool | 11 | $66,725 | $21,076 | $18,990 |
| St Elizabeth Boardman Health CenterYoungstown | 11 | $90,730 | $20,783 | $16,568 |
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
| Southwest General Health CenterMiddleburg Heights, OH | $17,216 |
|---|---|
| Lake Hospital SystemPainesville, OH | $18,324 |
| Mercy Franciscan Hospital - Mt AiryCincinnati, OH | $18,353 |
| Hillcrest HospitalCleveland, OH | $18,902 |
| Springfield Regional Medical CenterSpringfield, OH | $19,150 |
Highest
| University Hospital, INCCincinnati, OH | $37,071 |
|---|---|
| University Hospitals of ClevelandCleveland, OH | $33,818 |
| St John Medical CenterWestlake, OH | $33,115 |
| Ohio State University HospitalsColumbus, OH | $27,634 |
| Summa Health System - Akron CampusAkron, OH | $26,763 |
Hip and femur procedures except major joint with major complications in other states
Questions
How much does hip and femur procedures except major joint with major complications cost in Ohio?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 38 hospitals in Ohio was billed at $118,993 on average, while the average total payment was $23,250, of which Medicare paid $19,892. 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.