facebook tracking Level 2 ICD and Similar Procedures cost in Ohio: 61 hospitals compared (APC 5232)

Level 2 ICD and Similar Procedures in Ohio

What 61 hospitals in Ohio charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.

APC 5232 Outpatient 2024 Medicare data
Average charge $123,168 Hospital list price billed
Average allowed $28,064 Medicare's payment + patient's share
Medicare paid $26,430 Average per service
State rank #9 of 47 1 = lowest average payment

Hospitals in Ohio billed an average of $123,168 for level 2 icd and similar procedures, about 4.4 times the average medicare-allowed amount of $28,064. That payment is 9% below the U.S. average of $31,009.

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 $28,064Billed $123,168

About 23¢ was paid for every $1 hospitals in Ohio billed for this service.

Ohio hospitals: level 2 icd and similar procedures

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 134 $95,961 $27,236 $25,604
Toledo Hospital theToledo 68 $123,628 $28,070 $26,435
Ohio State University HospitalsColumbus 67 $109,155 $29,024 $27,392
Christ HospitalCincinnati 52 $114,245 $27,938 $26,296
Riverside Methodist HospitalColumbus 48 $101,361 $28,755 $27,121
Mount Carmel HealthColumbus 47 $92,521 $29,333 $27,695
Miami Valley HospitalDayton 42 $128,027 $28,713 $27,076
Genesis Healthcare SystemZanesville 41 $178,993 $29,329 $27,697
Kettering Medical CenterKettering 34 $155,666 $28,622 $26,983
University Hospitals - Elyria Medical CenterElyria 32 $102,805 $28,004 $26,372
St Elizabeth Health CenterYoungstown 31 $235,037 $27,065 $25,433
Aultman HospitalCanton 30 $90,295 $27,913 $26,281
Bethesda North HospitalCincinnati 28 $91,608 $27,819 $26,187
St Rita's Medical CenterLima 25 $170,787 $26,996 $25,364
Hillcrest HospitalCleveland 25 $92,007 $28,004 $26,358
Lima Memorial Health SystemLima 24 $160,516 $28,714 $27,064
Mercy St Vincent Medical CenterToledo 23 $178,883 $29,290 $27,648
Summa Health System - Akron CampusAkron 22 $270,192 $27,913 $26,281
Fairview HospitalCleveland 22 $87,420 $28,004 $26,372
Ohiohealth Mansfield HospitalMansfield 20 $92,808 $28,713 $27,081
Mercy Hospital FairfieldFairfield 19 $148,646 $28,527 $26,895
Good Samaritan HospitalCincinnati 18 $73,499 $28,527 $26,895
Grant Medical CenterColumbus 17 $74,393 $29,333 $27,698
University of Toledo Medical CenterToledo 17 $158,456 $28,682 $27,050
Atrium Medical CenterMiddletown 17 $96,947 $28,472 $26,826
University Hospital, INCCincinnati 15 $146,540 $28,527 $26,895
University Hospitals of ClevelandCleveland 15 $98,678 $28,004 $26,372
Fairfield Medical CenterLancaster 14 $101,306 $29,332 $27,700
Kettering Health DaytonDayton 13 $153,420 $26,630 $24,997
Marietta Memorial HospitalMarietta 12 $130,194 $10,392 $8,760
Southern Ohio Medical CenterPortsmouth 11 $107,166 $29,893 $28,261
Mount Carmel St Ann's HospitalWesterville 11 $105,251 $29,332 $27,700
Southwest General Health CenterMiddleburg Heights 11 $108,035 $28,004 $26,362
Mercy Hospital AndersonCincinnati – – – –
Marion General HospitalMarion – – – –
Jewish Hospital, LLCCincinnati – – – –
Firelands Community HospitalSandusky – – – –
Cleveland Clinic - Akron GeneralAkron – – – –
Wooster Community HospitalWooster – – – –
Knox Community HospitalMt Vernon – – – –
Parma Community General HospitalParma – – – –
Holzer Medical CenterGallipolis – – – –
Metrohealth SystemCleveland – – – –
Mercy Medical CenterCanton – – – –
UH Regional HospitalsRichmond Heights – – – –
University Hospitals Portage Medical CenterRavenna – – – –
Springfield Regional Medical CenterSpringfield – – – –
Memorial Hospital of Union CountyMarysville – – – –
Blanchard Valley Health AssnFindlay – – – –
Lake Hospital SystemPainesville – – – –
St John Medical CenterWestlake – – – –
Fort Hamilton Hughes Memorial HospitalHamilton – – – –
Adena Regional Medical CenterChillicothe – – – –
Mercy Regional Medical CenterLorain – – – –
Upper Valley Medical CenterTroy – – – –
Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville – – – –
Licking Memorial HospitalNewark – – – –
Mercy Franciscan Hospital - Mt AiryCincinnati – – – –
West Chester Medical CenterWest Chester – – – –
University Hospitals Ahuja Medical CenterBeachwood – – – –
Soin Medical CenterBeaver Creek – – – –
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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

Marietta Memorial HospitalMarietta, OH$10,392
Kettering Health DaytonDayton, OH$26,630
St Rita's Medical CenterLima, OH$26,996
St Elizabeth Health CenterYoungstown, OH$27,065
Cleveland Clinic - Main CampusCleveland, OH$27,236

Highest

Southern Ohio Medical CenterPortsmouth, OH$29,893
Mount Carmel HealthColumbus, OH$29,333
Grant Medical CenterColumbus, OH$29,333
Mount Carmel St Ann's HospitalWesterville, OH$29,332
Fairfield Medical CenterLancaster, OH$29,332

Level 2 ICD and Similar Procedures in other states

Questions

How much does level 2 icd and similar procedures cost in Ohio?

In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 61 hospitals in Ohio was billed at $123,168 on average, while the average medicare-allowed amount was $28,064, of which Medicare paid $26,430. 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 4.4 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.