facebook tracking Revision of hip or knee replacement with complications cost in Ohio: 19 hospitals compared (DRG 467)

Revision of hip or knee replacement with complications in Ohio

What 19 hospitals in Ohio charged and were paid for a Medicare hospital stay for revision of hip or knee replacement with complications (DRG 467), from 2024 Medicare claims.

DRG 467 Inpatient 2024 Medicare data
Average charge $123,965 Hospital list price billed
Average payment $27,913 Medicare + patient + other payers
Medicare paid $22,622 Average per stay
State rank #18 of 41 1 = lowest average payment

Hospitals in Ohio billed an average of $123,965 for revision of hip or knee replacement with complications, about 4.4 times the average total payment of $27,913. That payment is 9% below the U.S. average of $30,673.

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 $27,913Billed $123,965

About 23¢ was paid for every $1 hospitals in Ohio billed for this stay.

Ohio hospitals: revision of hip or knee replacement 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
Cleveland Clinic - Main CampusCleveland 88 $120,499 $33,966 $25,414
Christ HospitalCincinnati 50 $94,988 $25,944 $20,628
Mount Carmel New Albany Surgical HospitalNew Albany 50 $136,176 $24,985 $19,511
Toledo Hospital theToledo 45 $146,947 $29,523 $22,744
Ohio State University HospitalsColumbus 40 $137,276 $30,575 $27,847
Miami Valley HospitalDayton 36 $118,870 $24,677 $20,966
Bethesda North HospitalCincinnati 36 $78,088 $25,491 $21,116
Riverside Methodist HospitalColumbus 32 $144,249 $27,975 $24,609
Kettering Health DaytonDayton 24 $143,046 $25,590 $23,960
Grant Medical CenterColumbus 21 $138,665 $30,317 $24,274
Mercy Medical CenterCanton 20 $99,909 $24,209 $17,945
Dublin Methodist HospitalDublin 19 $142,414 $23,428 $21,890
Mount Carmel St Ann's HospitalWesterville 16 $142,190 $32,006 $20,771
Mercy St Vincent Medical CenterToledo 15 $237,672 $29,150 $26,347
Medina HospitalMedina 14 $99,296 $26,626 $16,704
Crystal Clinic Orthopaedic CenterAkron 14 $118,650 $24,081 $17,367
Blanchard Valley Health AssnFindlay 13 $59,715 $22,308 $21,232
Southwest General Health CenterMiddleburg Heights 12 $75,106 $21,112 $20,006
University Hospitals of ClevelandCleveland 11 $121,296 $31,704 $28,569
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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

Southwest General Health CenterMiddleburg Heights, OH$21,112
Blanchard Valley Health AssnFindlay, OH$22,308
Dublin Methodist HospitalDublin, OH$23,428
Crystal Clinic Orthopaedic CenterAkron, OH$24,081
Mercy Medical CenterCanton, OH$24,209

Highest

Cleveland Clinic - Main CampusCleveland, OH$33,966
Mount Carmel St Ann's HospitalWesterville, OH$32,006
University Hospitals of ClevelandCleveland, OH$31,704
Ohio State University HospitalsColumbus, OH$30,575
Grant Medical CenterColumbus, OH$30,317

Revision of hip or knee replacement with complications in other states

Questions

How much does revision of hip or knee replacement with complications cost in Ohio?

In 2024 Medicare data, a hospital stay for revision of hip or knee replacement with complications (DRG 467) at 19 hospitals in Ohio was billed at $123,965 on average, while the average total payment was $27,913, of which Medicare paid $22,622. 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.