facebook tracking Hip and femur procedures except major joint without complications cost in Ohio: 3 hospitals compared (DRG 482)

Hip and femur procedures except major joint without complications in Ohio

What 3 hospitals in Ohio charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint without complications (DRG 482), from 2024 Medicare claims.

DRG 482 Inpatient 2024 Medicare data
Average charge $57,541 Hospital list price billed
Average payment $12,615 Medicare + patient + other payers
Medicare paid $9,745 Average per stay
State rank #10 of 36 1 = lowest average payment

Hospitals in Ohio billed an average of $57,541 for hip and femur procedures except major joint without complications, about 4.6 times the average total payment of $12,615. That payment is 12% below the U.S. average of $14,276.

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 $12,615Billed $57,541

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

Ohio hospitals: hip and femur procedures except major joint without 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
Mount Carmel HealthColumbus 14 $76,859 $14,229 $9,676
Firelands Community HospitalSandusky 12 $37,778 $10,431 $8,785
Cleveland Clinic - Akron GeneralAkron 11 $54,514 $12,945 $10,879
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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

Firelands Community HospitalSandusky, OH$10,431
Cleveland Clinic - Akron GeneralAkron, OH$12,945
Mount Carmel HealthColumbus, OH$14,229

Highest

Mount Carmel HealthColumbus, OH$14,229
Cleveland Clinic - Akron GeneralAkron, OH$12,945
Firelands Community HospitalSandusky, OH$10,431

Hip and femur procedures except major joint without complications in other states

Questions

How much does hip and femur procedures except major joint without complications cost in Ohio?

In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint without complications (DRG 482) at 3 hospitals in Ohio was billed at $57,541 on average, while the average total payment was $12,615, of which Medicare paid $9,745. 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 4.6 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.