Pulmonary embolism with major complications or acute cor pulmonale in Ohio
What 41 hospitals in Ohio charged and were paid for a Medicare hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175), from 2024 Medicare claims.
Average charge
$51,082
Hospital list price billed
Average payment
$11,720
Medicare + patient + other payers
Medicare paid
$9,131
Average per stay
State rank
#13 of 48
1 = lowest average payment
Hospitals in Ohio billed an average of $51,082 for pulmonary embolism with major complications or acute cor pulmonale, about 4.4 times the average total payment of $11,720. That payment is 13% below the U.S. average of $13,466.
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 $11,720Billed $51,082
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: pulmonary embolism with major complications or acute cor pulmonale
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 |
|---|---|---|---|---|
| Miami Valley HospitalDayton | 45 | $58,888 | $11,643 | $9,146 |
| Toledo Hospital theToledo | 45 | $71,503 | $11,557 | $9,730 |
| Bethesda North HospitalCincinnati | 42 | $38,339 | $10,393 | $8,526 |
| Hillcrest HospitalCleveland | 39 | $49,635 | $9,444 | $7,928 |
| Riverside Methodist HospitalColumbus | 38 | $55,304 | $12,304 | $9,842 |
| Cleveland Clinic - Akron GeneralAkron | 34 | $44,850 | $11,891 | $9,423 |
| Cleveland Clinic - Main CampusCleveland | 34 | $59,898 | $14,231 | $9,764 |
| Kettering Medical CenterKettering | 31 | $45,444 | $11,931 | $8,732 |
| Fairview HospitalCleveland | 29 | $46,546 | $10,138 | $8,596 |
| Mercy St Vincent Medical CenterToledo | 28 | $84,998 | $14,730 | $9,292 |
| Ohio State University HospitalsColumbus | 25 | $46,680 | $14,533 | $10,971 |
| Summa Health System - Akron CampusAkron | 24 | $87,786 | $12,700 | $9,019 |
| Grant Medical CenterColumbus | 23 | $76,287 | $14,970 | $11,792 |
| Marietta Memorial HospitalMarietta | 23 | $34,219 | $6,111 | $4,528 |
| Christ HospitalCincinnati | 23 | $45,813 | $10,859 | $8,517 |
| Genesis Healthcare SystemZanesville | 22 | $38,267 | $11,642 | $10,604 |
| Mount Carmel HealthColumbus | 21 | $70,344 | $14,348 | $8,301 |
| University Hospitals Ahuja Medical CenterBeachwood | 21 | $44,611 | $9,501 | $8,402 |
| Soin Medical CenterBeaver Creek | 21 | $51,243 | $12,389 | $9,727 |
| Metrohealth SystemCleveland | 19 | $52,676 | $14,785 | $11,457 |
| Aultman HospitalCanton | 19 | $30,845 | $10,879 | $8,120 |
| St Elizabeth Boardman Health CenterYoungstown | 19 | $42,199 | $9,683 | $8,491 |
| West Chester Medical CenterWest Chester | 19 | $46,693 | $10,838 | $6,986 |
| Marion General HospitalMarion | 18 | $32,491 | $10,221 | $8,970 |
| University Hospitals of ClevelandCleveland | 18 | $63,255 | $16,275 | $12,149 |
| Southwest General Health CenterMiddleburg Heights | 18 | $34,017 | $10,079 | $7,102 |
| Adena Regional Medical CenterChillicothe | 17 | $54,510 | $10,947 | $9,414 |
| Medina HospitalMedina | 16 | $28,487 | $8,317 | $7,112 |
| Licking Memorial HospitalNewark | 16 | $50,412 | $11,522 | $10,198 |
| Cleveland Clinic Avon HospitalAvon | 16 | $34,530 | $8,050 | $7,222 |
| Mount Carmel St Ann's HospitalWesterville | 15 | $60,086 | $13,097 | $9,779 |
| St John Medical CenterWestlake | 15 | $36,375 | $16,313 | $14,354 |
| University Hospital, INCCincinnati | 14 | $73,818 | $19,814 | $12,130 |
| Lima Memorial Health SystemLima | 14 | $38,666 | $10,322 | $8,829 |
| Lake Hospital SystemPainesville | 14 | $34,558 | $8,236 | $7,071 |
| Ohiohealth Mansfield HospitalMansfield | 14 | $38,773 | $9,728 | $8,658 |
| St Joseph Health CenterWarren | 13 | $45,460 | $9,753 | $8,990 |
| Upper Valley Medical CenterTroy | 13 | $51,092 | $9,671 | $8,667 |
| Mercy Medical CenterCanton | 12 | $39,654 | $10,369 | $7,327 |
| Good Samaritan HospitalCincinnati | 12 | $34,062 | $13,496 | $8,970 |
| Bay Park Community HospitalOregon | 11 | $47,938 | $12,985 | $9,895 |
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
| Marietta Memorial HospitalMarietta, OH | $6,111 |
|---|---|
| Cleveland Clinic Avon HospitalAvon, OH | $8,050 |
| Lake Hospital SystemPainesville, OH | $8,236 |
| Medina HospitalMedina, OH | $8,317 |
| Hillcrest HospitalCleveland, OH | $9,444 |
Highest
| University Hospital, INCCincinnati, OH | $19,814 |
|---|---|
| St John Medical CenterWestlake, OH | $16,313 |
| University Hospitals of ClevelandCleveland, OH | $16,275 |
| Grant Medical CenterColumbus, OH | $14,970 |
| Metrohealth SystemCleveland, OH | $14,785 |
Pulmonary embolism with major complications or acute cor pulmonale in other states
Questions
How much does pulmonary embolism with major complications or acute cor pulmonale cost in Ohio?
In 2024 Medicare data, a hospital stay for pulmonary embolism with major complications or acute cor pulmonale (DRG 175) at 41 hospitals in Ohio was billed at $51,082 on average, while the average total payment was $11,720, of which Medicare paid $9,131. 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.