Other musculoskeletal system and connective tissue operating room procedures with complications in Ohio
What 15 hospitals in Ohio charged and were paid for a Medicare hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516), from 2024 Medicare claims.
Average charge
$86,403
Hospital list price billed
Average payment
$17,671
Medicare + patient + other payers
Medicare paid
$14,615
Average per stay
State rank
#18 of 33
1 = lowest average payment
Hospitals in Ohio billed an average of $86,403 for other musculoskeletal system and connective tissue operating room procedures with complications, about 4.9 times the average total payment of $17,671. That payment is 7% below the U.S. average of $18,981.
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 $17,671Billed $86,403
About 20¢ 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 musculoskeletal system and connective tissue operating room procedures 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 |
|---|---|---|---|---|
| Riverside Methodist HospitalColumbus | 64 | $82,611 | $16,317 | $14,617 |
| Mercy St Vincent Medical CenterToledo | 31 | $112,553 | $17,900 | $15,442 |
| Kettering Medical CenterKettering | 29 | $80,010 | $15,718 | $13,862 |
| Grant Medical CenterColumbus | 28 | $96,760 | $17,846 | $15,859 |
| Cleveland Clinic - Main CampusCleveland | 25 | $77,670 | $20,562 | $15,544 |
| Hillcrest HospitalCleveland | 20 | $70,067 | $14,241 | $11,919 |
| Miami Valley HospitalDayton | 19 | $85,653 | $17,311 | $13,270 |
| Toledo Hospital theToledo | 18 | $97,376 | $18,238 | $12,913 |
| University Hospitals of ClevelandCleveland | 17 | $86,558 | $21,812 | $18,117 |
| University Hospital, INCCincinnati | 15 | $131,375 | $24,382 | $18,762 |
| Christ HospitalCincinnati | 15 | $53,700 | $15,117 | $12,901 |
| Ohio State University HospitalsColumbus | 14 | $98,177 | $19,214 | $15,531 |
| St Rita's Medical CenterLima | 13 | $87,292 | $18,058 | $12,618 |
| Lutheran HospitalCleveland | 12 | $57,457 | $14,922 | $13,279 |
| Cleveland Clinic - Akron GeneralAkron | 11 | $56,718 | $17,480 | $12,907 |
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 | $14,241 |
|---|---|
| Lutheran HospitalCleveland, OH | $14,922 |
| Christ HospitalCincinnati, OH | $15,117 |
| Kettering Medical CenterKettering, OH | $15,718 |
| Riverside Methodist HospitalColumbus, OH | $16,317 |
Highest
| University Hospital, INCCincinnati, OH | $24,382 |
|---|---|
| University Hospitals of ClevelandCleveland, OH | $21,812 |
| Cleveland Clinic - Main CampusCleveland, OH | $20,562 |
| Ohio State University HospitalsColumbus, OH | $19,214 |
| Toledo Hospital theToledo, OH | $18,238 |
Other musculoskeletal system and connective tissue operating room procedures with complications in other states
Questions
How much does other musculoskeletal system and connective tissue operating room procedures with complications cost in Ohio?
In 2024 Medicare data, a hospital stay for other musculoskeletal system and connective tissue operating room procedures with complications (DRG 516) at 15 hospitals in Ohio was billed at $86,403 on average, while the average total payment was $17,671, of which Medicare paid $14,615. 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 4.9 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.