Billed is the hospital's list price. Average payment is what Medicare, the patient and any other insurer paid in total. Medicare paid is Medicare's part. A Medicare category can group several related procedures, and these are averages, not a quote.
According to HospitalsInEachState.com's analysis of 2024 Medicare inpatient claims data from CMS, the average total payment for a hospital stay for intraocular procedures with complications (DRG 116) in Ohio was $16,741 (what Medicare and the patient, plus any other insurer, paid), of which Medicare paid $14,335, across 1 hospital. Hospitals billed $61,500 on average, their list charge. The payments are averages for original Medicare patients, not a price quote.
Hospitals in Ohio billed an average of $61,500 for intraocular procedures with complications, about 3.7 times the average total payment of $16,741. That payment is 23% below the U.S. average of $21,770.
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 27¢ was paid for every $1 hospitals in Ohio billed for this stay.
Ohio hospitals: intraocular procedures with complications
Every Ohio hospital that billed Medicare for this stay at least 11 times. Use the column headings to sort.
| Ohio State University HospitalsColumbus | 12 | $61,500 | $16,741 | $14,335 |
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Intraocular procedures with complications in other states
Questions
How much does intraocular procedures with complications cost in Ohio?
In 2024 Medicare data, a hospital stay for intraocular procedures with complications (DRG 116) at 1 hospital in Ohio was billed at $61,500 on average, while the average total payment was $16,741, of which Medicare paid $14,335. 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 3.7 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.
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