facebook tracking Spinal fusion except cervical without major complications cost in Ohio: 29 hospitals compared (DRG 460)

Spinal fusion except cervical without major complications in Ohio

What 29 hospitals in Ohio charged and were paid for a Medicare hospital stay for spinal fusion except cervical without major complications (DRG 460), from 2024 Medicare claims.

DRG 460 Inpatient 2024 Medicare data
Average charge $125,992 Hospital list price billed
Average payment $30,575 Medicare + patient + other payers
Medicare paid $24,080 Average per stay
State rank #15 of 43 1 = lowest average payment

Hospitals in Ohio billed an average of $125,992 for spinal fusion except cervical without major complications, about 4.1 times the average total payment of $30,575. That payment is 10% below the U.S. average of $34,025.

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 $30,575Billed $125,992

About 24¢ 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: spinal fusion except cervical 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
Cleveland Clinic - Main CampusCleveland 108 $103,878 $35,560 $27,224
Riverside Methodist HospitalColumbus 71 $127,096 $34,145 $24,255
Crystal Clinic Orthopaedic CenterAkron 68 $118,214 $25,172 $20,156
Miami Valley HospitalDayton 48 $158,629 $28,356 $24,926
Dublin Methodist HospitalDublin 40 $100,217 $26,950 $25,278
Toledo Hospital theToledo 38 $137,211 $32,213 $24,635
Mercy Medical CenterCanton 38 $109,215 $30,502 $19,960
Ohio State University HospitalsColumbus 37 $160,996 $33,709 $27,483
University Hospitals of ClevelandCleveland 33 $118,705 $35,742 $31,802
Mount Carmel New Albany Surgical HospitalNew Albany 29 $86,491 $31,390 $18,503
Christ HospitalCincinnati 26 $101,706 $26,930 $24,498
University Hospital, INCCincinnati 25 $178,068 $39,899 $29,863
Grant Medical CenterColumbus 25 $124,669 $32,342 $27,026
Summa Health System - Akron CampusAkron 25 $135,022 $35,657 $21,712
Mount Carmel St Ann's HospitalWesterville 23 $151,718 $27,077 $25,506
Hillcrest HospitalCleveland 23 $97,493 $23,074 $21,612
Lutheran HospitalCleveland 22 $99,938 $28,596 $24,384
Cleveland Clinic - Akron GeneralAkron 21 $120,096 $34,587 $22,808
Kettering Medical CenterKettering 21 $172,663 $31,769 $22,545
Institute for Orthopedic SurgeryLima 21 $113,964 $22,399 $21,000
Southwest General Health CenterMiddleburg Heights 20 $100,854 $22,854 $21,210
St Rita's Medical CenterLima 18 $232,422 $28,409 $22,012
University Hospitals Ahuja Medical CenterBeachwood 17 $122,684 $25,720 $19,781
West Chester Medical CenterWest Chester 16 $193,684 $29,240 $22,767
Blanchard Valley Health AssnFindlay 15 $85,859 $23,661 $22,202
Good Samaritan HospitalCincinnati 13 $100,507 $33,250 $20,156
Aultman HospitalCanton 12 $125,215 $26,818 $21,037
Lima Memorial Health SystemLima 11 $142,018 $26,369 $24,660
Mount Carmel HealthColumbus 11 $135,279 $27,332 $25,170
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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

Institute for Orthopedic SurgeryLima, OH$22,399
Southwest General Health CenterMiddleburg Heights, OH$22,854
Hillcrest HospitalCleveland, OH$23,074
Blanchard Valley Health AssnFindlay, OH$23,661
Crystal Clinic Orthopaedic CenterAkron, OH$25,172

Highest

Spinal fusion except cervical without major complications in other states

Questions

How much does spinal fusion except cervical without major complications cost in Ohio?

In 2024 Medicare data, a hospital stay for spinal fusion except cervical without major complications (DRG 460) at 29 hospitals in Ohio was billed at $125,992 on average, while the average total payment was $30,575, of which Medicare paid $24,080. 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 4.1 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.