Other digestive system diagnoses with major complications in Ohio
What 32 hospitals in Ohio charged and were paid for a Medicare hospital stay for other digestive system diagnoses with major complications (DRG 393), from 2024 Medicare claims.
Average charge
$58,880
Hospital list price billed
Average payment
$14,400
Medicare + patient + other payers
Medicare paid
$11,411
Average per stay
State rank
#14 of 44
1 = lowest average payment
Hospitals in Ohio billed an average of $58,880 for other digestive system diagnoses with major complications, about 4.1 times the average total payment of $14,400. That payment is 16% below the U.S. average of $17,117.
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 $14,400Billed $58,880
About 24¢ was paid for every $1 hospitals in Ohio billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Ohio:
Ohio hospitals: other digestive system diagnoses with major 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 | 59 | $74,839 | $20,924 | $14,144 |
| Riverside Methodist HospitalColumbus | 44 | $53,500 | $13,654 | $11,777 |
| Ohio State University HospitalsColumbus | 41 | $73,109 | $17,822 | $14,038 |
| Hillcrest HospitalCleveland | 40 | $53,195 | $12,090 | $9,148 |
| Miami Valley HospitalDayton | 37 | $56,403 | $15,159 | $10,490 |
| Mercy St Vincent Medical CenterToledo | 25 | $98,139 | $14,669 | $12,226 |
| Kettering Medical CenterKettering | 24 | $59,648 | $13,918 | $11,093 |
| Christ HospitalCincinnati | 22 | $47,713 | $14,093 | $11,750 |
| Toledo Hospital theToledo | 21 | $65,043 | $13,777 | $11,831 |
| St Elizabeth Boardman Health CenterYoungstown | 21 | $52,683 | $11,639 | $10,734 |
| Summa Health System - Akron CampusAkron | 20 | $66,005 | $14,416 | $11,506 |
| Fairview HospitalCleveland | 20 | $59,273 | $12,547 | $11,201 |
| University Hospitals of ClevelandCleveland | 20 | $59,614 | $19,704 | $15,550 |
| Cleveland Clinic - Akron GeneralAkron | 18 | $46,239 | $14,572 | $11,197 |
| Mercy Hospital FairfieldFairfield | 18 | $60,746 | $10,815 | $9,850 |
| Bethesda North HospitalCincinnati | 18 | $32,001 | $12,152 | $9,850 |
| Southwest General Health CenterMiddleburg Heights | 16 | $42,565 | $10,211 | $8,883 |
| Cleveland Clinic Avon HospitalAvon | 16 | $44,687 | $10,754 | $8,906 |
| Mercy Hospital AndersonCincinnati | 14 | $49,416 | $12,355 | $9,500 |
| University Hospital, INCCincinnati | 14 | $51,023 | $17,389 | $14,184 |
| St Rita's Medical CenterLima | 14 | $50,655 | $14,530 | $8,543 |
| University Hospitals Ahuja Medical CenterBeachwood | 14 | $54,765 | $11,204 | $10,192 |
| Jewish Hospital, LLCCincinnati | 13 | $53,689 | $13,984 | $12,562 |
| Mount Carmel HealthColumbus | 13 | $53,083 | $13,384 | $11,218 |
| St Joseph Health CenterWarren | 13 | $45,634 | $10,372 | $9,572 |
| Mercy Franciscan Hospital - Mt AiryCincinnati | 13 | $65,898 | $12,949 | $8,412 |
| Soin Medical CenterBeaver Creek | 13 | $60,846 | $14,372 | $10,922 |
| Metrohealth SystemCleveland | 12 | $53,299 | $12,348 | $8,724 |
| Atrium Medical CenterMiddletown | 12 | $48,336 | $11,202 | $10,114 |
| Grant Medical CenterColumbus | 11 | $61,503 | $15,457 | $13,817 |
| Kettering Health DaytonDayton | 11 | $70,712 | $14,479 | $12,483 |
| Adena Regional Medical CenterChillicothe | 11 | $52,174 | $12,866 | $11,094 |
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
| Southwest General Health CenterMiddleburg Heights, OH | $10,211 |
|---|---|
| St Joseph Health CenterWarren, OH | $10,372 |
| Cleveland Clinic Avon HospitalAvon, OH | $10,754 |
| Mercy Hospital FairfieldFairfield, OH | $10,815 |
| Atrium Medical CenterMiddletown, OH | $11,202 |
Highest
| Cleveland Clinic - Main CampusCleveland, OH | $20,924 |
|---|---|
| University Hospitals of ClevelandCleveland, OH | $19,704 |
| Ohio State University HospitalsColumbus, OH | $17,822 |
| University Hospital, INCCincinnati, OH | $17,389 |
| Grant Medical CenterColumbus, OH | $15,457 |
Other digestive system diagnoses with major complications in other states
Questions
How much does other digestive system diagnoses with major complications cost in Ohio?
In 2024 Medicare data, a hospital stay for other digestive system diagnoses with major complications (DRG 393) at 32 hospitals in Ohio was billed at $58,880 on average, while the average total payment was $14,400, of which Medicare paid $11,411. 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 4.1 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.