What 61 hospitals in Ohio charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
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.
About 23¢ was paid for every $1 hospitals in Ohio billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| 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 |
| 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 |
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.
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.