facebook tracking Postoperative or post-traumatic infections with operating room procedures with major complications cost in Ohio: 8 hospitals compared (DRG 856)

Postoperative or post-traumatic infections with operating room procedures with major complications in Ohio

What 8 hospitals in Ohio charged and were paid for a Medicare hospital stay for postoperative or post-traumatic infections with operating room procedures with major complications (DRG 856), from 2024 Medicare claims.

DRG 856 Inpatient 2024 Medicare data
Average charge $188,216 Hospital list price billed
Average payment $43,067 Medicare + patient + other payers
Medicare paid $35,248 Average per stay
State rank #7 of 22 1 = lowest average payment

Hospitals in Ohio billed an average of $188,216 for postoperative or post-traumatic infections with operating room procedures with major complications, about 4.4 times the average total payment of $43,067. That payment is 15% below the U.S. average of $50,617.

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 $43,067Billed $188,216

About 23¢ 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 or post-traumatic infections with operating room procedures 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 28 $219,268 $56,056 $41,935
Kettering Medical CenterKettering 22 $159,893 $30,688 $28,217
Ohio State University HospitalsColumbus 22 $198,584 $39,926 $35,269
Miami Valley HospitalDayton 16 $180,174 $35,498 $33,588
Toledo Hospital theToledo 14 $175,923 $36,301 $29,795
University Hospitals of ClevelandCleveland 14 $207,476 $59,517 $50,014
Riverside Methodist HospitalColumbus 13 $180,858 $42,950 $27,606
Grant Medical CenterColumbus 11 $156,615 $39,865 $31,837
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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

Kettering Medical CenterKettering, OH$30,688
Miami Valley HospitalDayton, OH$35,498
Toledo Hospital theToledo, OH$36,301
Grant Medical CenterColumbus, OH$39,865
Ohio State University HospitalsColumbus, OH$39,926

Highest

University Hospitals of ClevelandCleveland, OH$59,517
Cleveland Clinic - Main CampusCleveland, OH$56,056
Riverside Methodist HospitalColumbus, OH$42,950
Ohio State University HospitalsColumbus, OH$39,926
Grant Medical CenterColumbus, OH$39,865

Postoperative or post-traumatic infections with operating room procedures with major complications in other states

Questions

How much does postoperative or post-traumatic infections with operating room procedures with major complications cost in Ohio?

In 2024 Medicare data, a hospital stay for postoperative or post-traumatic infections with operating room procedures with major complications (DRG 856) at 8 hospitals in Ohio was billed at $188,216 on average, while the average total payment was $43,067, of which Medicare paid $35,248. 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.