Simple pneumonia and pleurisy with complications in Ohio
What 71 hospitals in Ohio charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with complications (DRG 194), from 2024 Medicare claims.
Average charge
$28,712
Hospital list price billed
Average payment
$6,879
Medicare + patient + other payers
Medicare paid
$4,962
Average per stay
State rank
#10 of 47
1 = lowest average payment
Hospitals in Ohio billed an average of $28,712 for simple pneumonia and pleurisy with complications, about 4.2 times the average total payment of $6,879. That payment is 13% below the U.S. average of $7,941.
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 $6,879Billed $28,712
About 24¢ was paid for every $1 hospitals in Ohio billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Ohio:
Ohio hospitals: simple pneumonia and pleurisy 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 |
|---|---|---|---|---|
| Mercy St Vincent Medical CenterToledo | 59 | $42,852 | $8,053 | $5,497 |
| Miami Valley HospitalDayton | 54 | $32,860 | $7,013 | $4,962 |
| Hillcrest HospitalCleveland | 54 | $30,092 | $5,842 | $4,088 |
| Toledo Hospital theToledo | 43 | $51,533 | $7,242 | $5,301 |
| University Hospitals Ahuja Medical CenterBeachwood | 41 | $21,549 | $5,884 | $4,437 |
| West Chester Medical CenterWest Chester | 38 | $28,655 | $5,890 | $4,716 |
| Firelands Community HospitalSandusky | 37 | $16,891 | $6,036 | $4,525 |
| Cleveland Clinic - Akron GeneralAkron | 37 | $24,741 | $7,181 | $5,316 |
| University Hospital, INCCincinnati | 36 | $27,425 | $10,445 | $6,637 |
| Fairview HospitalCleveland | 36 | $26,580 | $6,380 | $4,769 |
| Summa Health System - Akron CampusAkron | 32 | $46,604 | $7,811 | $5,362 |
| Ohio State University HospitalsColumbus | 32 | $20,533 | $8,242 | $6,183 |
| Cleveland Clinic - Main CampusCleveland | 32 | $35,589 | $9,146 | $5,950 |
| Riverside Methodist HospitalColumbus | 31 | $25,080 | $7,036 | $5,571 |
| St Elizabeth Boardman Health CenterYoungstown | 31 | $30,146 | $6,708 | $3,862 |
| Grant Medical CenterColumbus | 27 | $30,368 | $9,226 | $6,678 |
| Atrium Medical CenterMiddletown | 27 | $37,773 | $5,946 | $4,497 |
| Aultman HospitalCanton | 27 | $23,434 | $6,712 | $4,870 |
| Marymount HospitalGarfield Heights | 27 | $24,916 | $5,982 | $4,276 |
| Upper Valley Medical CenterTroy | 27 | $34,679 | $5,722 | $4,513 |
| Ohiohealth Mansfield HospitalMansfield | 26 | $24,331 | $6,522 | $4,640 |
| Parma Community General HospitalParma | 25 | $25,810 | $5,927 | $4,015 |
| St Rita's Medical CenterLima | 25 | $30,923 | $7,970 | $4,248 |
| Medina HospitalMedina | 25 | $31,094 | $5,656 | $3,598 |
| Blanchard Valley Health AssnFindlay | 25 | $19,098 | $6,951 | $4,139 |
| Cleveland Clinic Avon HospitalAvon | 25 | $26,326 | $5,502 | $3,683 |
| Mercy Hospital of TiffinTiffin | 24 | $33,029 | $6,689 | $5,465 |
| University Hospitals of ClevelandCleveland | 24 | $49,940 | $9,970 | $6,716 |
| Christ HospitalCincinnati | 24 | $24,921 | $6,683 | $4,789 |
| Bethesda North HospitalCincinnati | 24 | $19,968 | $6,453 | $4,647 |
| Marietta Memorial HospitalMarietta | 23 | $21,506 | $5,322 | $3,689 |
| Wooster Community HospitalWooster | 22 | $13,896 | $5,894 | $4,366 |
| Mercy Franciscan Hospital - Mt AiryCincinnati | 22 | $36,113 | $6,381 | $4,568 |
| Mercy Hospital of DefianceDefiance | 22 | $20,046 | $6,611 | $5,127 |
| Holzer Medical CenterGallipolis | 21 | $21,255 | $5,953 | $4,520 |
| Euclid HospitalEuclid | 21 | $28,241 | $6,295 | $4,579 |
| Mount Carmel HealthColumbus | 20 | $43,364 | $6,859 | $5,133 |
| Kettering Health DaytonDayton | 20 | $41,730 | $8,011 | $5,097 |
| Fairfield Medical CenterLancaster | 19 | $18,263 | $6,153 | $4,864 |
| Ashtabula County Medical CenterAshtabula | 19 | $19,182 | $6,466 | $5,263 |
| Marion General HospitalMarion | 18 | $21,112 | $6,392 | $5,154 |
| Southwest General Health CenterMiddleburg Heights | 18 | $22,024 | $5,089 | $3,808 |
| Adena Regional Medical CenterChillicothe | 18 | $26,526 | $7,434 | $4,943 |
| Mercy Hospital FairfieldFairfield | 17 | $32,281 | $5,934 | $4,297 |
| Kettering Medical CenterKettering | 17 | $32,952 | $7,267 | $4,791 |
| St John Medical CenterWestlake | 17 | $22,383 | $9,544 | $7,513 |
| South Pointe HospitalWarrensville Heights | 17 | $33,594 | $6,846 | $4,875 |
| University Hospitals - Elyria Medical CenterElyria | 17 | $18,273 | $5,836 | $4,590 |
| Mercy Hospital ClermontBatavia | 17 | $26,224 | $6,147 | $4,803 |
| Soin Medical CenterBeaver Creek | 17 | $32,655 | $6,947 | $5,145 |
| Mercy Hospital AndersonCincinnati | 16 | $30,523 | $6,050 | $4,528 |
| Samaritan Hospital - Peoples HospitalAshland | 16 | $13,280 | $6,239 | $4,913 |
| Lima Memorial Health SystemLima | 16 | $30,514 | $6,709 | $4,877 |
| Wood County HospitalBowling Green | 16 | $13,592 | $6,573 | $4,650 |
| St Elizabeth Health CenterYoungstown | 16 | $33,414 | $6,767 | $5,362 |
| UH Regional HospitalsRichmond Heights | 16 | $24,740 | $10,861 | $8,174 |
| Genesis Healthcare SystemZanesville | 15 | $22,916 | $6,836 | $5,641 |
| Licking Memorial HospitalNewark | 14 | $20,229 | $6,176 | $5,013 |
| Metrohealth SystemCleveland | 13 | $30,238 | $5,669 | $3,339 |
| Fort Hamilton Hughes Memorial HospitalHamilton | 13 | $28,065 | $6,754 | $4,257 |
| Southern Ohio Medical CenterPortsmouth | 12 | $22,792 | $6,810 | $5,685 |
| Wilson Memorial HospitalSidney | 12 | $25,508 | $6,716 | $5,628 |
| Jewish Hospital, LLCCincinnati | 12 | $24,666 | $7,235 | $5,632 |
| Mercy Medical CenterCanton | 12 | $27,368 | $5,772 | $4,124 |
| Lake Hospital SystemPainesville | 12 | $28,216 | $5,674 | $4,178 |
| Bellevue HospitalBellevue | 12 | $26,116 | $5,666 | $4,172 |
| Trumbull Memorial HospitalWarren | 11 | $34,359 | $6,861 | $4,730 |
| Mercer County Joint Township Community HospitalColdwater | 11 | $15,013 | $7,304 | $5,968 |
| Fisher Titus Memorial HospitalNorwalk | 11 | $19,208 | $8,006 | $6,819 |
| Bay Park Community HospitalOregon | 11 | $47,767 | $7,149 | $6,114 |
| Avita OntarioOntario | 11 | $23,380 | $6,029 | $4,546 |
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 | $5,089 |
|---|---|
| Marietta Memorial HospitalMarietta, OH | $5,322 |
| Cleveland Clinic Avon HospitalAvon, OH | $5,502 |
| Medina HospitalMedina, OH | $5,656 |
| Bellevue HospitalBellevue, OH | $5,666 |
Highest
| UH Regional HospitalsRichmond Heights, OH | $10,861 |
|---|---|
| University Hospital, INCCincinnati, OH | $10,445 |
| University Hospitals of ClevelandCleveland, OH | $9,970 |
| St John Medical CenterWestlake, OH | $9,544 |
| Grant Medical CenterColumbus, OH | $9,226 |
Simple pneumonia and pleurisy with complications in other states
Questions
How much does simple pneumonia and pleurisy with complications cost in Ohio?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with complications (DRG 194) at 71 hospitals in Ohio was billed at $28,712 on average, while the average total payment was $6,879, of which Medicare paid $4,962. 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 4.2 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.