facebook tracking Other circulatory system diagnoses with complications cost in Ohio: 13 hospitals compared (DRG 315)

Other circulatory system diagnoses with complications in Ohio

What 13 hospitals in Ohio charged and were paid for a Medicare hospital stay for other circulatory system diagnoses with complications (DRG 315), from 2024 Medicare claims.

DRG 315 Inpatient 2024 Medicare data
Average charge $43,193 Hospital list price billed
Average payment $9,818 Medicare + patient + other payers
Medicare paid $6,529 Average per stay
State rank #18 of 37 1 = lowest average payment

Hospitals in Ohio billed an average of $43,193 for other circulatory system diagnoses with complications, about 4.4 times the average total payment of $9,818. That payment is 5% below the U.S. average of $10,367.

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 $9,818Billed $43,193

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

Ohio hospitals: other circulatory system diagnoses with 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 67 $58,958 $12,829 $6,404
Miami Valley HospitalDayton 31 $44,769 $8,443 $6,035
Ohio State University HospitalsColumbus 28 $39,258 $10,408 $6,899
Riverside Methodist HospitalColumbus 25 $37,446 $8,595 $6,633
University Hospital, INCCincinnati 24 $33,496 $10,703 $7,733
Hillcrest HospitalCleveland 22 $29,490 $7,368 $4,833
University Hospitals of ClevelandCleveland 21 $36,877 $11,444 $8,205
Mercy St Vincent Medical CenterToledo 18 $47,490 $8,853 $6,774
Mount Carmel HealthColumbus 15 $44,582 $8,364 $6,750
Summa Health System - Akron CampusAkron 14 $45,372 $8,928 $6,874
St Rita's Medical CenterLima 12 $44,539 $7,780 $6,280
Fairview HospitalCleveland 12 $23,165 $7,026 $6,212
Cleveland Clinic Avon HospitalAvon 12 $35,788 $6,740 $4,722
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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

Cleveland Clinic Avon HospitalAvon, OH$6,740
Fairview HospitalCleveland, OH$7,026
Hillcrest HospitalCleveland, OH$7,368
St Rita's Medical CenterLima, OH$7,780
Mount Carmel HealthColumbus, OH$8,364

Highest

Other circulatory system diagnoses with complications in other states

Questions

How much does other circulatory system diagnoses with complications cost in Ohio?

In 2024 Medicare data, a hospital stay for other circulatory system diagnoses with complications (DRG 315) at 13 hospitals in Ohio was billed at $43,193 on average, while the average total payment was $9,818, of which Medicare paid $6,529. 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 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 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.