facebook tracking Ventricular shunt procedures without complications cost in Ohio: 3 hospitals compared (DRG 033)

Ventricular shunt procedures without complications in Ohio

What 3 hospitals in Ohio charged and were paid for a Medicare hospital stay for ventricular shunt procedures without complications (DRG 033), from 2024 Medicare claims.

DRG 033 Inpatient 2024 Medicare data
Average charge $66,220 Hospital list price billed
Average payment $15,665 Medicare + patient + other payers
Medicare paid $11,955 Average per stay
State rank #3 of 6 1 = lowest average payment

Hospitals in Ohio billed an average of $66,220 for ventricular shunt procedures without complications, about 4.2 times the average total payment of $15,665. That payment is 14% below the U.S. average of $18,289.

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 $15,665Billed $66,220

About 24¢ was paid for every $1 hospitals in Ohio billed for this stay.

Ohio hospitals: ventricular shunt procedures without 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 13 $83,659 $13,407 $11,357
Cleveland Clinic - Main CampusCleveland 13 $56,295 $17,415 $10,856
University Hospitals of ClevelandCleveland 12 $58,080 $16,215 $13,794
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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

Toledo Hospital theToledo, OH$13,407
University Hospitals of ClevelandCleveland, OH$16,215
Cleveland Clinic - Main CampusCleveland, OH$17,415

Highest

Cleveland Clinic - Main CampusCleveland, OH$17,415
University Hospitals of ClevelandCleveland, OH$16,215
Toledo Hospital theToledo, OH$13,407

Ventricular shunt procedures without complications in other states

Questions

How much does ventricular shunt procedures without complications cost in Ohio?

In 2024 Medicare data, a hospital stay for ventricular shunt procedures without complications (DRG 033) at 3 hospitals in Ohio was billed at $66,220 on average, while the average total payment was $15,665, of which Medicare paid $11,955. 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.