Simple pneumonia and pleurisy with major complications in Ohio
What 101 hospitals in Ohio charged and were paid for a Medicare hospital stay for simple pneumonia and pleurisy with major complications (DRG 193), from 2024 Medicare claims.
Average charge
$41,640
Hospital list price billed
Average payment
$10,698
Medicare + patient + other payers
Medicare paid
$8,469
Average per stay
State rank
#14 of 50
1 = lowest average payment
Hospitals in Ohio billed an average of $41,640 for simple pneumonia and pleurisy with major complications, about 3.9 times the average total payment of $10,698. That payment is 11% below the U.S. average of $12,020.
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 $10,698Billed $41,640
About 26¢ 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 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 |
|---|---|---|---|---|
| Toledo Hospital theToledo | 176 | $68,048 | $11,832 | $8,660 |
| Hillcrest HospitalCleveland | 149 | $46,935 | $8,986 | $7,344 |
| Cleveland Clinic - Akron GeneralAkron | 139 | $47,804 | $10,924 | $8,554 |
| Miami Valley HospitalDayton | 137 | $46,750 | $10,480 | $8,668 |
| Bethesda North HospitalCincinnati | 121 | $26,304 | $9,656 | $7,807 |
| Mercy St Vincent Medical CenterToledo | 115 | $67,110 | $11,888 | $9,075 |
| Fairview HospitalCleveland | 112 | $43,966 | $10,034 | $7,874 |
| Medina HospitalMedina | 111 | $43,941 | $8,852 | $6,749 |
| Southwest General Health CenterMiddleburg Heights | 104 | $33,893 | $8,478 | $6,916 |
| Mount Carmel HealthColumbus | 98 | $59,258 | $11,125 | $8,486 |
| Ohiohealth Mansfield HospitalMansfield | 96 | $40,364 | $9,658 | $8,073 |
| Aultman HospitalCanton | 91 | $36,712 | $10,756 | $8,153 |
| University Hospitals Ahuja Medical CenterBeachwood | 89 | $39,455 | $9,256 | $7,847 |
| St Rita's Medical CenterLima | 86 | $47,947 | $10,645 | $8,359 |
| Cleveland Clinic Avon HospitalAvon | 86 | $33,093 | $8,586 | $6,815 |
| Genesis Healthcare SystemZanesville | 84 | $30,919 | $11,309 | $9,416 |
| Marion General HospitalMarion | 82 | $30,753 | $9,799 | $8,234 |
| Christ HospitalCincinnati | 81 | $33,059 | $10,694 | $7,853 |
| Ohio State University HospitalsColumbus | 79 | $44,349 | $13,323 | $10,059 |
| St Elizabeth Boardman Health CenterYoungstown | 78 | $42,274 | $9,543 | $6,951 |
| West Chester Medical CenterWest Chester | 78 | $45,561 | $9,756 | $7,477 |
| Soin Medical CenterBeaver Creek | 78 | $45,475 | $11,413 | $8,924 |
| Riverside Methodist HospitalColumbus | 77 | $39,240 | $11,384 | $8,858 |
| Marymount HospitalGarfield Heights | 77 | $43,047 | $9,602 | $7,212 |
| Grant Medical CenterColumbus | 75 | $53,731 | $14,033 | $11,310 |
| Adena Regional Medical CenterChillicothe | 67 | $46,422 | $10,558 | $8,764 |
| Mount Carmel St Ann's HospitalWesterville | 66 | $63,778 | $10,562 | $8,487 |
| Lake Hospital SystemPainesville | 66 | $36,797 | $8,219 | $7,008 |
| St John Medical CenterWestlake | 65 | $34,729 | $15,458 | $13,070 |
| Parma Community General HospitalParma | 64 | $40,657 | $8,518 | $6,601 |
| Fairfield Medical CenterLancaster | 63 | $26,160 | $10,107 | $8,626 |
| UH Regional HospitalsRichmond Heights | 63 | $30,340 | $16,423 | $13,778 |
| Mercy Medical CenterCanton | 62 | $46,275 | $9,378 | $7,259 |
| Dublin Methodist HospitalDublin | 62 | $35,192 | $10,731 | $8,720 |
| Marietta Memorial HospitalMarietta | 59 | $35,552 | $5,659 | $3,656 |
| Atrium Medical CenterMiddletown | 58 | $41,605 | $10,434 | $6,856 |
| Kettering Health DaytonDayton | 58 | $53,524 | $11,365 | $9,282 |
| Upper Valley Medical CenterTroy | 58 | $48,225 | $9,040 | $7,747 |
| St Elizabeth Health CenterYoungstown | 57 | $45,644 | $11,054 | $7,985 |
| Kettering Medical CenterKettering | 55 | $44,595 | $10,990 | $8,355 |
| University Hospital, INCCincinnati | 53 | $49,814 | $16,835 | $11,180 |
| University Hospitals - Elyria Medical CenterElyria | 53 | $30,685 | $8,995 | $7,733 |
| Metrohealth SystemCleveland | 52 | $39,467 | $12,087 | $8,719 |
| Cleveland Clinic - Main CampusCleveland | 52 | $54,862 | $14,734 | $9,739 |
| Firelands Community HospitalSandusky | 49 | $28,000 | $10,554 | $7,256 |
| Lima Memorial Health SystemLima | 48 | $28,738 | $9,956 | $8,542 |
| Fisher Titus Memorial HospitalNorwalk | 48 | $29,653 | $13,129 | $11,405 |
| Blanchard Valley Health AssnFindlay | 46 | $24,442 | $8,820 | $7,221 |
| Ashtabula County Medical CenterAshtabula | 46 | $29,137 | $10,367 | $9,374 |
| Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville | 46 | $37,162 | $11,814 | $8,766 |
| Doctors HospitalColumbus | 45 | $44,214 | $13,147 | $10,340 |
| Union HospitalDover | 43 | $47,584 | $9,315 | $8,139 |
| University of Toledo Medical CenterToledo | 43 | $53,024 | $14,489 | $9,267 |
| Springfield Regional Medical CenterSpringfield | 43 | $46,446 | $9,889 | $7,940 |
| Mercy Franciscan Hospital - Mt AiryCincinnati | 41 | $35,340 | $9,146 | $7,309 |
| Mercer County Joint Township Community HospitalColdwater | 40 | $21,281 | $11,770 | $10,034 |
| Good Samaritan HospitalCincinnati | 40 | $30,477 | $12,986 | $8,359 |
| South Pointe HospitalWarrensville Heights | 40 | $46,859 | $9,749 | $7,432 |
| Holzer Medical CenterGallipolis | 39 | $34,564 | $9,466 | $7,875 |
| Euclid HospitalEuclid | 39 | $51,983 | $10,369 | $7,202 |
| O'bleness Memorial HospitalAthens | 38 | $26,066 | $16,267 | $13,964 |
| University Hospitals of ClevelandCleveland | 38 | $64,083 | $15,371 | $11,334 |
| Mercy Hospital AndersonCincinnati | 37 | $38,985 | $9,233 | $7,363 |
| St Joseph Health CenterWarren | 36 | $44,034 | $9,124 | $7,354 |
| Licking Memorial HospitalNewark | 35 | $28,868 | $9,605 | $8,339 |
| Kettering Medical Center - SycamoreMiamisburg | 35 | $42,070 | $10,015 | $8,246 |
| Summa Health System - Akron CampusAkron | 32 | $86,933 | $11,768 | $8,985 |
| Grand Lake Health SystemSt Marys | 32 | $22,324 | $10,404 | $8,976 |
| Southern Ohio Medical CenterPortsmouth | 31 | $28,029 | $10,918 | $9,665 |
| Bay Park Community HospitalOregon | 31 | $60,120 | $11,836 | $10,139 |
| Trumbull Memorial HospitalWarren | 30 | $58,775 | $10,935 | $9,163 |
| University Hospitals Portage Medical CenterRavenna | 30 | $29,936 | $8,524 | $7,173 |
| Berger HospitalCircleville | 29 | $22,785 | $12,092 | $7,941 |
| Mercy Hospital of DefianceDefiance | 29 | $26,312 | $10,037 | $8,857 |
| Fort Hamilton Hughes Memorial HospitalHamilton | 28 | $43,220 | $9,616 | $7,593 |
| Grady Memorial HospitalDelaware | 27 | $28,792 | $12,132 | $10,563 |
| Mercy Hospital ClermontBatavia | 27 | $36,545 | $9,007 | $7,739 |
| Knox Community HospitalMt Vernon | 26 | $37,861 | $11,447 | $10,219 |
| Mercy Hospital of TiffinTiffin | 26 | $38,732 | $11,835 | $8,845 |
| East Ohio Regional HospitalMartins Ferry | 25 | $21,130 | $8,276 | $7,232 |
| Southeastern Ohio Regional Medical CenterCambridge | 25 | $28,912 | $12,223 | $11,179 |
| Samaritan Hospital - Peoples HospitalAshland | 24 | $19,313 | $9,947 | $8,183 |
| Mercy Hospital FairfieldFairfield | 24 | $40,986 | $9,479 | $7,462 |
| Wooster Community HospitalWooster | 23 | $20,541 | $8,802 | $7,269 |
| Salem Community HospitalSalem | 23 | $24,056 | $10,591 | $9,456 |
| Kettering Health TroyTroy | 23 | $41,706 | $9,249 | $7,376 |
| Mercy Regional Medical CenterLorain | 22 | $44,002 | $9,123 | $7,695 |
| Jewish Hospital, LLCCincinnati | 21 | $40,183 | $10,713 | $8,864 |
| McCullough-Hyde Memorial HospitalOxford | 18 | $26,528 | $9,373 | $8,285 |
| Alliance Community HospitalAlliance | 18 | $19,381 | $12,167 | $8,020 |
| Memorial HospitalFremont | 18 | $31,820 | $6,666 | $5,669 |
| Lutheran HospitalCleveland | 16 | $44,131 | $10,901 | $8,667 |
| Bellevue HospitalBellevue | 16 | $40,407 | $8,698 | $7,984 |
| Trihealth Clinton Regional HospitalWilmington | 16 | $35,907 | $11,360 | $10,136 |
| Wilson Memorial HospitalSidney | 13 | $31,693 | $10,479 | $9,098 |
| Wayne HospitalGreenville | 13 | $25,083 | $11,624 | $10,496 |
| Community Hospitals and Wellness CentersBryan | 13 | $19,579 | $12,633 | $11,378 |
| Van Wert County HospitalVan Wert | 12 | $21,231 | $12,746 | $11,658 |
| East Liverpool City HospitalEast Liverpool | 12 | $31,030 | $11,108 | $9,434 |
| Memorial Hospital of Union CountyMarysville | 11 | $34,878 | $10,724 | $9,537 |
| Avita OntarioOntario | 11 | $42,265 | $9,514 | $8,179 |
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 | $5,659 |
|---|---|
| Memorial HospitalFremont, OH | $6,666 |
| Lake Hospital SystemPainesville, OH | $8,219 |
| East Ohio Regional HospitalMartins Ferry, OH | $8,276 |
| Southwest General Health CenterMiddleburg Heights, OH | $8,478 |
Highest
| University Hospital, INCCincinnati, OH | $16,835 |
|---|---|
| UH Regional HospitalsRichmond Heights, OH | $16,423 |
| O'bleness Memorial HospitalAthens, OH | $16,267 |
| St John Medical CenterWestlake, OH | $15,458 |
| University Hospitals of ClevelandCleveland, OH | $15,371 |
Simple pneumonia and pleurisy with major complications in other states
Questions
How much does simple pneumonia and pleurisy with major complications cost in Ohio?
In 2024 Medicare data, a hospital stay for simple pneumonia and pleurisy with major complications (DRG 193) at 101 hospitals in Ohio was billed at $41,640 on average, while the average total payment was $10,698, of which Medicare paid $8,469. 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 3.9 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.