facebook tracking Implantation of Drug Infusion Device cost in Ohio: 35 hospitals compared (APC 5471)

Implantation of Drug Infusion Device in Ohio

What 35 hospitals in Ohio charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.

APC 5471 Outpatient 2024 Medicare data
Average charge $71,687 Hospital list price billed
Average allowed $15,253 Medicare's payment + patient's share
Medicare paid $13,617 Average per service
State rank #11 of 32 1 = lowest average payment

Hospitals in Ohio billed an average of $71,687 for implantation of drug infusion device, about 4.7 times the average medicare-allowed amount of $15,253. That payment is 7% below the U.S. average of $16,462.

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 $15,253Billed $71,687

About 21¢ was paid for every $1 hospitals in Ohio billed for this service.

Ohio hospitals: implantation of drug infusion device

Every Ohio hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Cleveland Clinic - Main CampusCleveland 16 $53,543 $14,348 $12,716
Kettering Medical CenterKettering 15 $87,897 $15,974 $14,342
Ohio State University HospitalsColumbus 14 $78,625 $14,949 $13,317
Soin Medical CenterBeaver Creek 11 $67,142 $15,974 $14,320
University Hospital, INCCincinnati – – – –
Mount Carmel St Ann's HospitalWesterville – – – –
Grant Medical CenterColumbus – – – –
Summa Health System - Akron CampusAkron – – – –
Firelands Community HospitalSandusky – – – –
Wood County HospitalBowling Green – – – –
Wooster Community HospitalWooster – – – –
University of Toledo Medical CenterToledo – – – –
Miami Valley HospitalDayton – – – –
Mercy Hospital FairfieldFairfield – – – –
Metrohealth SystemCleveland – – – –
St Elizabeth Health CenterYoungstown – – – –
Fairfield Medical CenterLancaster – – – –
East Ohio Regional HospitalMartins Ferry – – – –
Aultman HospitalCanton – – – –
Lake Hospital SystemPainesville – – – –
Mercy St Vincent Medical CenterToledo – – – –
Ohiohealth Mansfield HospitalMansfield – – – –
St John Medical CenterWestlake – – – –
University Hospitals of ClevelandCleveland – – – –
Joel Pomerene Memorial HospitalMillersburg – – – –
Doctors HospitalColumbus – – – –
Adena Regional Medical CenterChillicothe – – – –
Mercy Regional Medical CenterLorain – – – –
Bethesda North HospitalCincinnati – – – –
Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville – – – –
Licking Memorial HospitalNewark – – – –
Kettering Medical Center - SycamoreMiamisburg – – – –
Surgical Hospital at SouthwoodsYoungstown – – – –
West Chester Medical CenterWest Chester – – – –
University Hospitals Ahuja Medical CenterBeachwood – – – –
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Lowest and highest allowed amounts in Ohio

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Cleveland Clinic - Main CampusCleveland, OH$14,348
Ohio State University HospitalsColumbus, OH$14,949
Kettering Medical CenterKettering, OH$15,974
Soin Medical CenterBeaver Creek, OH$15,974

Highest

Soin Medical CenterBeaver Creek, OH$15,974
Kettering Medical CenterKettering, OH$15,974
Ohio State University HospitalsColumbus, OH$14,949
Cleveland Clinic - Main CampusCleveland, OH$14,348

Implantation of Drug Infusion Device in other states

Questions

How much does implantation of drug infusion device cost in Ohio?

In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 35 hospitals in Ohio was billed at $71,687 on average, while the average medicare-allowed amount was $15,253, of which Medicare paid $13,617. 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 service in Ohio, average charges were 4.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.