Pulmonary embolism without major complications in Ohio
What 27 hospitals in Ohio charged and were paid for a Medicare hospital stay for pulmonary embolism without major complications (DRG 176), from 2024 Medicare claims.
Average charge
$33,703
Hospital list price billed
Average payment
$7,304
Medicare + patient + other payers
Medicare paid
$5,087
Average per stay
State rank
#11 of 39
1 = lowest average payment
Hospitals in Ohio billed an average of $33,703 for pulmonary embolism without major complications, about 4.6 times the average total payment of $7,304. That payment is 12% below the U.S. average of $8,294.
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 $7,304Billed $33,703
About 22¢ 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 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 |
|---|---|---|---|---|
| Ohio State University HospitalsColumbus | 24 | $27,620 | $8,494 | $6,397 |
| Toledo Hospital theToledo | 22 | $49,135 | $7,203 | $5,304 |
| Hillcrest HospitalCleveland | 22 | $26,476 | $6,648 | $3,852 |
| Riverside Methodist HospitalColumbus | 21 | $27,053 | $7,116 | $5,671 |
| Cleveland Clinic - Main CampusCleveland | 21 | $35,842 | $9,355 | $6,050 |
| University Hospitals Ahuja Medical CenterBeachwood | 21 | $25,000 | $5,853 | $4,206 |
| Mercy St Vincent Medical CenterToledo | 20 | $52,024 | $7,951 | $6,110 |
| Miami Valley HospitalDayton | 19 | $37,910 | $7,714 | $4,474 |
| Summa Health System - Akron CampusAkron | 18 | $69,527 | $7,655 | $5,314 |
| Christ HospitalCincinnati | 17 | $20,930 | $6,622 | $5,035 |
| Mount Carmel HealthColumbus | 16 | $39,298 | $7,074 | $5,632 |
| St Rita's Medical CenterLima | 16 | $35,357 | $6,515 | $4,910 |
| Aultman HospitalCanton | 16 | $28,002 | $7,436 | $4,279 |
| Marietta Memorial HospitalMarietta | 16 | $27,265 | $4,654 | $3,425 |
| St Elizabeth Boardman Health CenterYoungstown | 16 | $25,192 | $6,374 | $4,268 |
| University Hospital, INCCincinnati | 14 | $31,616 | $13,355 | $5,304 |
| West Chester Medical CenterWest Chester | 13 | $33,669 | $5,965 | $4,866 |
| Cleveland Clinic Avon HospitalAvon | 13 | $26,422 | $5,007 | $3,869 |
| Mercy Hospital FairfieldFairfield | 12 | $35,949 | $5,906 | $4,646 |
| St John Medical CenterWestlake | 12 | $27,546 | $9,527 | $7,795 |
| University Hospitals of ClevelandCleveland | 12 | $54,774 | $11,456 | $8,528 |
| Bethesda North HospitalCincinnati | 12 | $20,882 | $7,172 | $4,733 |
| Firelands Community HospitalSandusky | 11 | $15,655 | $6,045 | $4,578 |
| Cleveland Clinic - Akron GeneralAkron | 11 | $31,479 | $6,755 | $4,174 |
| St Elizabeth Health CenterYoungstown | 11 | $38,618 | $6,718 | $4,945 |
| Southwest General Health CenterMiddleburg Heights | 11 | $25,329 | $5,262 | $3,308 |
| Licking Memorial HospitalNewark | 11 | $26,124 | $6,253 | $5,066 |
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 | $4,654 |
|---|---|
| Cleveland Clinic Avon HospitalAvon, OH | $5,007 |
| Southwest General Health CenterMiddleburg Heights, OH | $5,262 |
| University Hospitals Ahuja Medical CenterBeachwood, OH | $5,853 |
| Mercy Hospital FairfieldFairfield, OH | $5,906 |
Highest
| University Hospital, INCCincinnati, OH | $13,355 |
|---|---|
| University Hospitals of ClevelandCleveland, OH | $11,456 |
| St John Medical CenterWestlake, OH | $9,527 |
| Cleveland Clinic - Main CampusCleveland, OH | $9,355 |
| Ohio State University HospitalsColumbus, OH | $8,494 |
Pulmonary embolism without major complications in other states
Questions
How much does pulmonary embolism without major complications cost in Ohio?
In 2024 Medicare data, a hospital stay for pulmonary embolism without major complications (DRG 176) at 27 hospitals in Ohio was billed at $33,703 on average, while the average total payment was $7,304, of which Medicare paid $5,087. 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 4.6 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.