facebook tracking Major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Ohio: 6 hospitals compared (DRG 809)

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in Ohio

What 6 hospitals in Ohio charged and were paid for a Medicare hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 809), from 2024 Medicare claims.

DRG 809 Inpatient 2024 Medicare data
Average charge $69,817 Hospital list price billed
Average payment $18,292 Medicare + patient + other payers
Medicare paid $10,705 Average per stay
State rank #20 of 25 1 = lowest average payment

Hospitals in Ohio billed an average of $69,817 for major hematological and immunological diagnoses except sickle cell crisis and coagulatio, about 3.8 times the average total payment of $18,292. That payment is 20% above the U.S. average of $15,246.

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 $18,292Billed $69,817

About 26¢ 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: major hematological and immunological diagnoses except sickle cell crisis and coagulatio

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 35 $64,064 $18,436 $13,213
University Hospitals of ClevelandCleveland 22 $66,296 $15,072 $11,907
University Hospital, INCCincinnati 14 $58,496 $15,864 $10,338
Riverside Methodist HospitalColumbus 13 $65,803 $10,375 $8,855
Miami Valley HospitalDayton 12 $139,748 $44,365 $6,780
Hillcrest HospitalCleveland 11 $38,030 $8,272 $7,255
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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

Hillcrest HospitalCleveland, OH$8,272
Riverside Methodist HospitalColumbus, OH$10,375
University Hospitals of ClevelandCleveland, OH$15,072
University Hospital, INCCincinnati, OH$15,864
Cleveland Clinic - Main CampusCleveland, OH$18,436

Highest

Miami Valley HospitalDayton, OH$44,365
Cleveland Clinic - Main CampusCleveland, OH$18,436
University Hospital, INCCincinnati, OH$15,864
University Hospitals of ClevelandCleveland, OH$15,072
Riverside Methodist HospitalColumbus, OH$10,375

Major hematological and immunological diagnoses except sickle cell crisis and coagulatio in other states

Questions

How much does major hematological and immunological diagnoses except sickle cell crisis and coagulatio cost in Ohio?

In 2024 Medicare data, a hospital stay for major hematological and immunological diagnoses except sickle cell crisis and coagulatio (DRG 809) at 6 hospitals in Ohio was billed at $69,817 on average, while the average total payment was $18,292, of which Medicare paid $10,705. 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 3.8 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.