facebook tracking Interstitial lung disease with major complications cost in Ohio: 4 hospitals compared (DRG 196)

Interstitial lung disease with major complications in Ohio

What 4 hospitals in Ohio charged and were paid for a Medicare hospital stay for interstitial lung disease with major complications (DRG 196), from 2024 Medicare claims.

DRG 196 Inpatient 2024 Medicare data
Average charge $73,835 Hospital list price billed
Average payment $23,916 Medicare + patient + other payers
Medicare paid $13,095 Average per stay
State rank #22 of 29 1 = lowest average payment

Hospitals in Ohio billed an average of $73,835 for interstitial lung disease with major complications, about 3.1 times the average total payment of $23,916. That payment is 13% above the U.S. average of $21,088.

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 $23,916Billed $73,835

About 32¢ 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: interstitial lung disease 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
Cleveland Clinic - Main CampusCleveland 17 $113,814 $42,597 $15,240
Ohio State University HospitalsColumbus 16 $56,718 $17,867 $13,526
Riverside Methodist HospitalColumbus 13 $76,378 $14,525 $12,761
Hillcrest HospitalCleveland 11 $33,938 $14,944 $9,548
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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

Riverside Methodist HospitalColumbus, OH$14,525
Hillcrest HospitalCleveland, OH$14,944
Ohio State University HospitalsColumbus, OH$17,867
Cleveland Clinic - Main CampusCleveland, OH$42,597

Highest

Cleveland Clinic - Main CampusCleveland, OH$42,597
Ohio State University HospitalsColumbus, OH$17,867
Hillcrest HospitalCleveland, OH$14,944
Riverside Methodist HospitalColumbus, OH$14,525

Interstitial lung disease with major complications in other states

Questions

How much does interstitial lung disease with major complications cost in Ohio?

In 2024 Medicare data, a hospital stay for interstitial lung disease with major complications (DRG 196) at 4 hospitals in Ohio was billed at $73,835 on average, while the average total payment was $23,916, of which Medicare paid $13,095. 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 3.1 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.