Pathological fractures and musculoskeletal and connective tissue malignancy with complications in Ohio
What 25 hospitals in Ohio charged and were paid for a Medicare hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543), from 2024 Medicare claims.
Average charge
$38,514
Hospital list price billed
Average payment
$9,254
Medicare + patient + other payers
Medicare paid
$7,042
Average per stay
State rank
#10 of 34
1 = lowest average payment
Hospitals in Ohio billed an average of $38,514 for pathological fractures and musculoskeletal and connective tissue malignancy with complications, about 4.2 times the average total payment of $9,254. That payment is 11% below the U.S. average of $10,379.
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 $9,254Billed $38,514
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: pathological fractures and musculoskeletal and connective tissue malignancy 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 | 95 | $33,569 | $9,276 | $7,179 |
| Grant Medical CenterColumbus | 66 | $37,685 | $11,004 | $8,492 |
| Ohiohealth Mansfield HospitalMansfield | 41 | $32,219 | $7,764 | $6,471 |
| Miami Valley HospitalDayton | 39 | $38,431 | $8,614 | $7,111 |
| Hillcrest HospitalCleveland | 27 | $42,393 | $12,167 | $5,144 |
| Dublin Methodist HospitalDublin | 23 | $30,363 | $8,602 | $7,008 |
| Jewish Hospital, LLCCincinnati | 21 | $26,893 | $9,377 | $7,021 |
| Summa Health System - Akron CampusAkron | 21 | $43,402 | $9,474 | $7,537 |
| Toledo Hospital theToledo | 21 | $52,740 | $8,927 | $6,980 |
| St Rita's Medical CenterLima | 18 | $54,870 | $8,771 | $6,767 |
| Mercy St Vincent Medical CenterToledo | 17 | $55,949 | $9,776 | $7,404 |
| St Elizabeth Boardman Health CenterYoungstown | 16 | $38,234 | $7,829 | $6,185 |
| Mercy Hospital FairfieldFairfield | 14 | $28,853 | $6,882 | $5,451 |
| St Joseph Health CenterWarren | 14 | $32,091 | $7,588 | $6,160 |
| Mercy Franciscan Hospital - Mt AiryCincinnati | 13 | $27,261 | $6,767 | $5,386 |
| Mercy Hospital AndersonCincinnati | 12 | $28,958 | $7,444 | $6,237 |
| Marion General HospitalMarion | 12 | $26,886 | $8,002 | $6,577 |
| Fairview HospitalCleveland | 12 | $38,743 | $8,000 | $6,295 |
| University Hospitals of ClevelandCleveland | 12 | $81,286 | $14,192 | $9,326 |
| Mount Carmel St Ann's HospitalWesterville | 11 | $43,133 | $8,451 | $6,991 |
| Cleveland Clinic - Akron GeneralAkron | 11 | $37,903 | $8,856 | $7,154 |
| Mount Carmel HealthColumbus | 11 | $39,130 | $9,069 | $7,119 |
| Ohio State University HospitalsColumbus | 11 | $44,240 | $11,699 | $8,531 |
| Upper Valley Medical CenterTroy | 11 | $34,476 | $6,485 | $5,152 |
| Cleveland Clinic - Main CampusCleveland | 11 | $53,514 | $11,714 | $9,199 |
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
| Upper Valley Medical CenterTroy, OH | $6,485 |
|---|---|
| Mercy Franciscan Hospital - Mt AiryCincinnati, OH | $6,767 |
| Mercy Hospital FairfieldFairfield, OH | $6,882 |
| Mercy Hospital AndersonCincinnati, OH | $7,444 |
| St Joseph Health CenterWarren, OH | $7,588 |
Highest
| University Hospitals of ClevelandCleveland, OH | $14,192 |
|---|---|
| Hillcrest HospitalCleveland, OH | $12,167 |
| Cleveland Clinic - Main CampusCleveland, OH | $11,714 |
| Ohio State University HospitalsColumbus, OH | $11,699 |
| Grant Medical CenterColumbus, OH | $11,004 |
Pathological fractures and musculoskeletal and connective tissue malignancy with complications in other states
Questions
How much does pathological fractures and musculoskeletal and connective tissue malignancy with complications cost in Ohio?
In 2024 Medicare data, a hospital stay for pathological fractures and musculoskeletal and connective tissue malignancy with complications (DRG 543) at 25 hospitals in Ohio was billed at $38,514 on average, while the average total payment was $9,254, of which Medicare paid $7,042. 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 4.2 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.