Hip replacement with principal diagnosis of hip fracture without major complications in Ohio
What 53 hospitals in Ohio charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.
Average charge
$80,402
Hospital list price billed
Average payment
$16,438
Medicare + patient + other payers
Medicare paid
$13,916
Average per stay
State rank
#14 of 50
1 = lowest average payment
Hospitals in Ohio billed an average of $80,402 for hip replacement with principal diagnosis of hip fracture without major complications, about 4.9 times the average total payment of $16,438. That payment is 10% below the U.S. average of $18,301.
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 $16,438Billed $80,402
About 20¢ 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: hip replacement with principal diagnosis of hip fracture 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 |
|---|---|---|---|---|
| Riverside Methodist HospitalColumbus | 60 | $84,107 | $16,676 | $14,954 |
| Hillcrest HospitalCleveland | 56 | $67,072 | $15,018 | $11,807 |
| Miami Valley HospitalDayton | 47 | $98,228 | $17,082 | $14,294 |
| Toledo Hospital theToledo | 42 | $103,309 | $16,629 | $14,435 |
| Bethesda North HospitalCincinnati | 42 | $51,739 | $14,964 | $13,169 |
| Summa Health System - Akron CampusAkron | 35 | $89,281 | $17,617 | $15,450 |
| Kettering Medical CenterKettering | 30 | $140,958 | $16,965 | $14,252 |
| Mount Carmel HealthColumbus | 28 | $107,403 | $15,550 | $13,030 |
| Southwest General Health CenterMiddleburg Heights | 27 | $59,978 | $12,984 | $11,633 |
| West Chester Medical CenterWest Chester | 27 | $83,174 | $13,673 | $11,488 |
| Grant Medical CenterColumbus | 26 | $97,968 | $20,133 | $15,580 |
| Adena Regional Medical CenterChillicothe | 23 | $114,381 | $16,488 | $14,369 |
| Kettering Health DaytonDayton | 22 | $110,535 | $19,912 | $14,677 |
| Christ HospitalCincinnati | 22 | $59,872 | $16,965 | $13,019 |
| Parma Community General HospitalParma | 21 | $68,607 | $13,240 | $11,582 |
| Mercy St Vincent Medical CenterToledo | 20 | $136,346 | $20,750 | $14,204 |
| Southern Ohio Medical CenterPortsmouth | 19 | $89,247 | $17,356 | $15,928 |
| Firelands Community HospitalSandusky | 19 | $48,259 | $14,262 | $12,218 |
| Metrohealth SystemCleveland | 19 | $74,791 | $20,195 | $16,853 |
| St Elizabeth Health CenterYoungstown | 19 | $73,674 | $15,984 | $14,064 |
| University Hospitals of ClevelandCleveland | 19 | $87,293 | $22,462 | $16,950 |
| Mercy Medical CenterCanton | 18 | $59,013 | $14,033 | $12,259 |
| Ohio State University HospitalsColumbus | 18 | $110,841 | $19,929 | $16,551 |
| Mercy Regional Medical CenterLorain | 18 | $86,426 | $14,573 | $12,761 |
| Mount Carmel St Ann's HospitalWesterville | 17 | $92,555 | $15,075 | $13,542 |
| Cleveland Clinic - Akron GeneralAkron | 17 | $60,127 | $17,468 | $14,042 |
| Medina HospitalMedina | 17 | $62,260 | $13,158 | $11,403 |
| Lake Hospital SystemPainesville | 17 | $63,597 | $13,668 | $12,228 |
| Fairview HospitalCleveland | 16 | $64,421 | $15,215 | $13,414 |
| Aultman HospitalCanton | 16 | $43,817 | $15,797 | $13,495 |
| Blanchard Valley Health AssnFindlay | 16 | $44,430 | $13,698 | $12,224 |
| St Elizabeth Boardman Health CenterYoungstown | 16 | $72,811 | $15,535 | $12,600 |
| Atrium Medical CenterMiddletown | 15 | $89,860 | $14,055 | $12,751 |
| Springfield Regional Medical CenterSpringfield | 15 | $69,200 | $16,801 | $12,456 |
| University Hospital, INCCincinnati | 14 | $99,637 | $22,278 | $18,426 |
| University of Toledo Medical CenterToledo | 14 | $119,500 | $21,983 | $16,163 |
| Mercer County Joint Township Community HospitalColdwater | 14 | $37,814 | $18,781 | $17,265 |
| St Rita's Medical CenterLima | 14 | $109,628 | $16,126 | $13,804 |
| Ohiohealth Mansfield HospitalMansfield | 14 | $85,093 | $14,331 | $13,025 |
| St John Medical CenterWestlake | 14 | $61,989 | $24,306 | $21,893 |
| Licking Memorial HospitalNewark | 14 | $58,050 | $14,752 | $13,120 |
| Mercy Franciscan Hospital - Mt AiryCincinnati | 14 | $72,436 | $14,228 | $12,712 |
| Mercy Hospital AndersonCincinnati | 13 | $77,798 | $14,480 | $12,846 |
| University Hospitals Ahuja Medical CenterBeachwood | 13 | $65,527 | $14,067 | $12,686 |
| Wooster Community HospitalWooster | 12 | $32,434 | $15,401 | $11,336 |
| Mercy Hospital FairfieldFairfield | 12 | $75,297 | $13,689 | $12,296 |
| UH Regional HospitalsRichmond Heights | 12 | $63,643 | $26,163 | $23,057 |
| University Hospitals Portage Medical CenterRavenna | 12 | $67,222 | $13,914 | $12,400 |
| University Hospitals - Elyria Medical CenterElyria | 12 | $60,782 | $13,155 | $11,931 |
| Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville | 12 | $43,940 | $16,721 | $14,466 |
| Marion General HospitalMarion | 11 | $78,123 | $14,393 | $13,112 |
| Fairfield Medical CenterLancaster | 11 | $54,050 | $15,534 | $13,992 |
| St Joseph Health CenterWarren | 11 | $77,654 | $14,421 | $13,049 |
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 | $12,984 |
|---|---|
| University Hospitals - Elyria Medical CenterElyria, OH | $13,155 |
| Medina HospitalMedina, OH | $13,158 |
| Parma Community General HospitalParma, OH | $13,240 |
| Lake Hospital SystemPainesville, OH | $13,668 |
Highest
| UH Regional HospitalsRichmond Heights, OH | $26,163 |
|---|---|
| St John Medical CenterWestlake, OH | $24,306 |
| University Hospitals of ClevelandCleveland, OH | $22,462 |
| University Hospital, INCCincinnati, OH | $22,278 |
| University of Toledo Medical CenterToledo, OH | $21,983 |
Hip replacement with principal diagnosis of hip fracture without major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Ohio?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 53 hospitals in Ohio was billed at $80,402 on average, while the average total payment was $16,438, of which Medicare paid $13,916. 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 4.9 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.