Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in Ohio
What 8 hospitals in Ohio charged and were paid for a Medicare hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004), from 2024 Medicare claims.
Average charge
$464,536
Hospital list price billed
Average payment
$114,699
Medicare + patient + other payers
Medicare paid
$90,764
Average per stay
State rank
#9 of 24
1 = lowest average payment
Hospitals in Ohio billed an average of $464,536 for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou, about 4.1 times the average total payment of $114,699. That payment is 18% below the U.S. average of $139,119.
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 $114,699Billed $464,536
About 25¢ was paid for every $1 hospitals in Ohio billed for this stay.
Ohio hospitals: tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou
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 | 25 | $503,330 | $127,359 | $96,063 |
| University Hospital, INCCincinnati | 20 | $480,577 | $144,119 | $109,769 |
| Ohio State University HospitalsColumbus | 19 | $426,178 | $125,318 | $112,553 |
| Riverside Methodist HospitalColumbus | 17 | $279,978 | $105,339 | $82,377 |
| Toledo Hospital theToledo | 16 | $389,921 | $84,421 | $61,296 |
| Grant Medical CenterColumbus | 14 | $510,429 | $110,239 | $104,448 |
| Miami Valley HospitalDayton | 13 | $375,126 | $104,804 | $58,270 |
| Mercy St Vincent Medical CenterToledo | 11 | $854,470 | $89,970 | $83,337 |
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
| Toledo Hospital theToledo, OH | $84,421 |
|---|---|
| Mercy St Vincent Medical CenterToledo, OH | $89,970 |
| Miami Valley HospitalDayton, OH | $104,804 |
| Riverside Methodist HospitalColumbus, OH | $105,339 |
| Grant Medical CenterColumbus, OH | $110,239 |
Highest
| University Hospital, INCCincinnati, OH | $144,119 |
|---|---|
| Cleveland Clinic - Main CampusCleveland, OH | $127,359 |
| Ohio State University HospitalsColumbus, OH | $125,318 |
| Grant Medical CenterColumbus, OH | $110,239 |
| Riverside Methodist HospitalColumbus, OH | $105,339 |
Tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou in other states
Questions
How much does tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou cost in Ohio?
In 2024 Medicare data, a hospital stay for tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and neck withou (DRG 004) at 8 hospitals in Ohio was billed at $464,536 on average, while the average total payment was $114,699, of which Medicare paid $90,764. 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.