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.
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.
About 22¢ 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:
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 |
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.
| Firelands Community HospitalSandusky, OH | $10,431 |
|---|---|
| Cleveland Clinic - Akron GeneralAkron, OH | $12,945 |
| Mount Carmel HealthColumbus, OH | $14,229 |
| Mount Carmel HealthColumbus, OH | $14,229 |
|---|---|
| Cleveland Clinic - Akron GeneralAkron, OH | $12,945 |
| Firelands Community HospitalSandusky, OH | $10,431 |
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.
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.