Trauma to the skin, subcutaneous tissue and breast without major complications in Ohio
What 9 hospitals in Ohio charged and were paid for a Medicare hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605), from 2024 Medicare claims.
Average charge
$34,755
Hospital list price billed
Average payment
$8,138
Medicare + patient + other payers
Medicare paid
$5,985
Average per stay
State rank
#10 of 25
1 = lowest average payment
Hospitals in Ohio billed an average of $34,755 for trauma to the skin, subcutaneous tissue and breast without major complications, about 4.3 times the average total payment of $8,138. That payment is 13% below the U.S. average of $9,406.
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 $8,138Billed $34,755
About 23¢ 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: trauma to the skin, subcutaneous tissue and breast 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 |
|---|---|---|---|---|
| Grant Medical CenterColumbus | 24 | $38,901 | $9,720 | $8,111 |
| Hillcrest HospitalCleveland | 24 | $28,618 | $6,469 | $4,482 |
| Riverside Methodist HospitalColumbus | 22 | $43,295 | $8,970 | $5,816 |
| West Chester Medical CenterWest Chester | 22 | $29,910 | $6,571 | $5,322 |
| Miami Valley HospitalDayton | 18 | $28,740 | $8,219 | $5,458 |
| Fairview HospitalCleveland | 15 | $33,827 | $7,014 | $5,595 |
| Bethesda North HospitalCincinnati | 15 | $15,355 | $7,028 | $5,624 |
| University Hospital, INCCincinnati | 13 | $41,348 | $11,759 | $8,318 |
| Toledo Hospital theToledo | 13 | $57,364 | $8,379 | $5,502 |
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
| Hillcrest HospitalCleveland, OH | $6,469 |
|---|---|
| West Chester Medical CenterWest Chester, OH | $6,571 |
| Fairview HospitalCleveland, OH | $7,014 |
| Bethesda North HospitalCincinnati, OH | $7,028 |
| Miami Valley HospitalDayton, OH | $8,219 |
Highest
| University Hospital, INCCincinnati, OH | $11,759 |
|---|---|
| Grant Medical CenterColumbus, OH | $9,720 |
| Riverside Methodist HospitalColumbus, OH | $8,970 |
| Toledo Hospital theToledo, OH | $8,379 |
| Miami Valley HospitalDayton, OH | $8,219 |
Trauma to the skin, subcutaneous tissue and breast without major complications in other states
Questions
How much does trauma to the skin, subcutaneous tissue and breast without major complications cost in Ohio?
In 2024 Medicare data, a hospital stay for trauma to the skin, subcutaneous tissue and breast without major complications (DRG 605) at 9 hospitals in Ohio was billed at $34,755 on average, while the average total payment was $8,138, of which Medicare paid $5,985. 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 4.3 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.