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The Price of Medicare Procedures in Ohio



This table shows the 100 most frequently charged procedures/diagnosis in Ohio to the Inpatient Prospective Payment System (IPPS). This table will give a basic idea of the cost of medicare for hospital procedures. Hospitals determine what they bill according to a "chargemaster". The charge master serves as a price point for the beginning of negotiations between you and the health care provider.



ProcedureProvider StateTotal DischargesHospital Charge(s)Medicare Payment(s)Your Cost
Acute Myocardial Infarction Discharged Alive No Complications
 Ohio 669 $20698 $5082 $15616
Acute Myocardial Infarction Discharged Alive With Complications
 Ohio 1546 $27522 $7485 $20037
Acute Myocardial Infarction Discharged Alive With Major Complications
 Ohio 2557 $39579 $11622 $27957
Alcohol Drug Abuse No Rehabilitation Therapy No Major Complications
 Ohio 1516 $11332 $4527 $6805
Atherosclerosis No Major Complications
 Ohio 1189 $13937 $3773 $10164
Back And Neck Proc Exc Spinal Fusion No Complications
 Ohio 1242 $25577 $6463 $19114
Bronchitis And Asthma No Complications
 Ohio 498 $11358 $3897 $7461
Bronchitis And Asthma With Complications
 Ohio 1192 $16788 $5543 $11245
Cardiac Arrhythmia And Conduction Disorders No Complications
 Ohio 4994 $12756 $3704 $9052
Cardiac Arrhythmia And Conduction Disorders With Complications
 Ohio 4736 $17343 $5360 $11983
Cardiac Arrhythmia And Conduction Disorders With Major Complications
 Ohio 2795 $26353 $8045 $18308
Cellulitis No Major Complications
 Ohio 6075 $14248 $5264 $8984
Cellulitis With Major Complications
 Ohio 691 $27826 $9620 $18206
Cervical Spinal Fusion No Complications
 Ohio 831 $46617 $14121 $32496
Chest Pain
 Ohio 6264 $13576 $3608 $9968
Chronic Obstructive Pulmonary Disease No Complications
 Ohio 5736 $13703 $4558 $9145
Chronic Obstructive Pulmonary Disease With Complications
 Ohio 7573 $18588 $6116 $12472
Chronic Obstructive Pulmonary Disease With Major Complications
 Ohio 7546 $23243 $7305 $15938
Circulatory Disorders Except Ami With Card Cath No Major Complications
 Ohio 5031 $29294 $7304 $21990
Circulatory Disorders Except Ami With Card Cath With Major Complications
 Ohio 1072 $56166 $15133 $41033
Cranial And Peripheral Nerve Disorders No Major Complications
 Ohio 1098 $18917 $5791 $13126
Degenerative Nervous System Disorders No Major Complications
 Ohio 1301 $18085 $5977 $12108
Diabetes With Complications
 Ohio 2009 $17034 $5364 $11670
Disorders Of Pancreas Except Malignancy With Complications
 Ohio 808 $20522 $6975 $13547
Dysequilibrium
 Ohio 1184 $15665 $4123 $11542
Esophagitis Gastroent And Misc Digest Disorders No Major Complications
 Ohio 10394 $15976 $4676 $11300
Esophagitis Gastroent And Misc Digest Disorders With Major Complications
 Ohio 1894 $26483 $7929 $18554
Extracranial Procedures No Complications
 Ohio 1186 $28957 $6616 $22341
Fractures Of Hip And Pelvis No Major Complications
 Ohio 783 $12774 $4371 $8403
Fx Sprn Strn And Disl Except Femur Hip Pelvis Thigh No Major Complications
 Ohio 924 $14839 $4497 $10342
Gi Hemorrhage No Complications
 Ohio 1294 $14729 $4440 $10289
Gi Hemorrhage With Complications
 Ohio 5760 $21460 $6445 $15015
Gi Hemorrhage With Major Complications
 Ohio 2179 $38970 $11508 $27462
Gi Obstruction No Complications
 Ohio 1035 $13228 $4102 $9126
Gi Obstruction With Complications
 Ohio 1732 $18846 $5866 $12980
Heart Failure And Shock No Complications
 Ohio 3737 $13715 $4264 $9451
Heart Failure And Shock With Complications
 Ohio 9536 $20118 $6456 $13662
Heart Failure And Shock With Major Complications
 Ohio 8246 $30968 $9501 $21467
Hip And Femur Procedures Except Major Joint No Complications
 Ohio 504 $29507 $9189 $20318
Hip And Femur Procedures Except Major Joint With Complications
 Ohio 2804 $39606 $11457 $28149
Hip And Femur Procedures Except Major Joint With Major Complications
 Ohio 631 $71144 $20057 $51087
Hypertension No Major Complications
 Ohio 1101 $14504 $4052 $10452
Infectious And Parasitic Diseases Or Procedure With Major Complications
 Ohio 1378 $115613 $37577 $78036
Intracranial Hemorrhage Or Cerebral Infarction No Complications
 Ohio 2148 $20677 $5286 $15391
Intracranial Hemorrhage Or Cerebral Infarction With Complications
 Ohio 3886 $25438 $7404 $18034
Intracranial Hemorrhage Or Cerebral Infarction With Major Complications
 Ohio 2357 $42642 $12684 $29958
Kidney And Urinary Tract Infections No Major Complications
 Ohio 8657 $14573 $4878 $9695
Kidney And Urinary Tract Infections With Major Complications
 Ohio 2924 $22043 $7392 $14651
Laparoscopic Cholecystectomy No Cde No Complications
 Ohio 484 $29093 $7530 $21563
Laparoscopic Cholecystectomy No Cde With Complications
 Ohio 522 $38510 $10589 $27921
Major Cardiovasc Procedures No Major Complications
 Ohio 1450 $81330 $21613 $59717
Major Gastrointestinal Disorders And Peritoneal Infections With Complications
 Ohio 1141 $20720 $7807 $12913
Major Joint Replacement Of Lower Extremity No Major Complications
 Ohio 16062 $43077 $13260 $29817
Major Joint Replacement Of Lower Extremity With Major Complications
 Ohio 671 $75772 $21921 $53851
Major Small And Large Bowel Procedures With Complications
 Ohio 1789 $54234 $16644 $37590
Major Small And Large Bowel Procedures With Major Complications
 Ohio 1503 $111034 $35191 $75843
Medical Back Problems No Major Complications
 Ohio 3177 $17504 $5205 $12299
Misc Disorders Of Metabolism Fluids Electrolytes No Major Complications
 Ohio 6119 $13909 $4364 $9545
Misc Disorders Of Metabolism Fluids Electrolytes With Major Complications
 Ohio 2370 $22848 $7505 $15343
Other Circulatory System Diagnoses With Complications
 Ohio 835 $23686 $6665 $17021
Other Circulatory System Diagnoses With Major Complications
 Ohio 2831 $42167 $12758 $29409
Other Digestive System Diagnoses With Complications
 Ohio 1620 $20619 $6426 $14193
Other Kidney And Urinary Tract Diagnoses With Complications
 Ohio 1105 $23632 $7311 $16321
Other Kidney And Urinary Tract Diagnoses With Major Complications
 Ohio 937 $35193 $11177 $24016
Other Vascular Procedures No Complications
 Ohio 1234 $41722 $11241 $30481
Other Vascular Procedures With Complications
 Ohio 1718 $57956 $16269 $41687
Other Vascular Procedures With Major Complications
 Ohio 1478 $70185 $20981 $49204
Perc Cardiovasc Proc No Coronary Artery Stent No Major Complications
 Ohio 1350 $57513 $13367 $44146
Perc Cardiovasc Proc With Drug Eluting Stent No Major Complications
 Ohio 5147 $53681 $13355 $40326
Perc Cardiovasc Proc With Drug Eluting Stent With Major Complications
 Ohio 1115 $84205 $22246 $61959
Perc Cardiovasc Proc With Nondrug Eluting Stent No Major Complications
 Ohio 1420 $50084 $11656 $38428
Peripheral Vascular Disorders No Complications
 Ohio 855 $13551 $4240 $9311
Peripheral Vascular Disorders With Complications
 Ohio 1833 $18587 $6197 $12390
Permanent Cardiac Pacemaker Implant No Complications
 Ohio 1071 $45808 $12918 $32890
Permanent Cardiac Pacemaker Implant With Complications
 Ohio 1115 $57563 $16997 $40566
Poisoning And Toxic Effects Of Drugs No Major Complications
 Ohio 1143 $13997 $4200 $9797
Poisoning And Toxic Effects Of Drugs With Major Complications
 Ohio 625 $35581 $10629 $24952
Psychoses
 Ohio 2783 $14947 $6036 $8911
Pulmonary Edema And Respiratory Failure
 Ohio 4745 $27367 $8324 $19043
Pulmonary Embolism No Major Complications
 Ohio 1326 $22409 $6845 $15564
Red Blood Cell Disorders No Major Complications
 Ohio 3792 $17326 $5281 $12045
Red Blood Cell Disorders With Major Complications
 Ohio 997 $30041 $8680 $21361
Renal Failure No Complications
 Ohio 1020 $13320 $4295 $9025
Renal Failure With Complications
 Ohio 6926 $20095 $6487 $13608
Renal Failure With Major Complications
 Ohio 4589 $32861 $10523 $22338
Respiratory Infections And Inflammations With Complications
 Ohio 2031 $25602 $8882 $16720
Respiratory Infections And Inflammations With Major Complications
 Ohio 2888 $38412 $12482 $25930
Respiratory System Diagnosis With Ventilator Support 96 Plus Hrs
 Ohio 1525 $109968 $34189 $75779
Respiratory System Diagnosis With Ventilator Support Less 96 Hrs
 Ohio 3458 $49977 $14939 $35038
Seizures No Major Complications
 Ohio 2067 $20043 $5259 $14784
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs No Major Complications
 Ohio 3351 $22359 $7104 $15255
Septicemia Or Severe Sepsis No Mv 96 Plus Hrs With Major Complications
 Ohio 10901 $39192 $12220 $26972
Septicemia Or Severe Sepsis With Mv 96 Plus Hrs
 Ohio 890 $131326 $40374 $90952
Signs And Symptoms No Major Complications
 Ohio 2190 $14688 $4442 $10246
Simple Pneumonia And Pleurisy No Complications
 Ohio 3255 $13590 $4407 $9183
Simple Pneumonia And Pleurisy With Complications
 Ohio 8362 $18745 $6275 $12470
Simple Pneumonia And Pleurisy With Major Complications
 Ohio 6285 $29030 $9075 $19955
Spinal Fusion Except Cervical No Major Complications
 Ohio 2540 $82522 $26056 $56466
Syncope And Collapse
 Ohio 6206 $16283 $4578 $11705
Transient Ischemia
 Ohio 3382 $18107 $4579 $13528


Source: CMS

As part of the Obama administration’s goal to make our healthcare more accountable, transparent and affordable the CMS.gov has released data from more then 3000 hospitals that receive payments for the 100 highest frequently billed charges under Medicare. For more information visit CMS.gov.

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Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options. Enrollment depends on the plan’s contract renewal.

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