facebook tracking Postoperative and post-traumatic infections without major complications cost in Ohio: 6 hospitals compared (DRG 863)

Postoperative and post-traumatic infections without major complications in Ohio

What 6 hospitals in Ohio charged and were paid for a Medicare hospital stay for postoperative and post-traumatic infections without major complications (DRG 863), from 2024 Medicare claims.

DRG 863 Inpatient 2024 Medicare data
Average charge $35,226 Hospital list price billed
Average payment $9,860 Medicare + patient + other payers
Medicare paid $7,250 Average per stay
State rank #4 of 19 1 = lowest average payment

Hospitals in Ohio billed an average of $35,226 for postoperative and post-traumatic infections without major complications, about 3.6 times the average total payment of $9,860. That payment is 13% below the U.S. average of $11,307.

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 $9,860Billed $35,226

About 28¢ 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: postoperative and post-traumatic infections without 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 22 $35,277 $10,867 $6,897
Riverside Methodist HospitalColumbus 18 $42,386 $8,474 $7,503
University Hospitals of ClevelandCleveland 16 $29,794 $11,707 $9,107
Ohio State University HospitalsColumbus 11 $35,266 $10,261 $6,676
Mercy St Vincent Medical CenterToledo 11 $39,896 $9,901 $6,813
Hillcrest HospitalCleveland 11 $26,602 $6,991 $5,848
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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$6,991
Riverside Methodist HospitalColumbus, OH$8,474
Mercy St Vincent Medical CenterToledo, OH$9,901
Ohio State University HospitalsColumbus, OH$10,261
Cleveland Clinic - Main CampusCleveland, OH$10,867

Highest

Postoperative and post-traumatic infections without major complications in other states

Questions

How much does postoperative and post-traumatic infections without major complications cost in Ohio?

In 2024 Medicare data, a hospital stay for postoperative and post-traumatic infections without major complications (DRG 863) at 6 hospitals in Ohio was billed at $35,226 on average, while the average total payment was $9,860, of which Medicare paid $7,250. 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 3.6 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.