US Health Care Costs

Pneumonia, with complications in Ohio

MS-DRG 194: Simple pneumonia and pleurisy with cc

$26,326typical hospital bill
$6,683typical amount paid
$5,089–$10,861range paid across 71 hospitals

Ohio hospitals billed Medicare a typical $26,326 for this stay in 2024, about 3.9 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.

Billed (list price)Actually paid (Medicare + patient)

HospitalCityMedicare staysBilledPaid
Southwest General Health CenterMiddleburg Heights18$22,024$5,089
Marietta Memorial HospitalMarietta23$21,506$5,322
Cleveland Clinic Avon HospitalAvon25$26,326$5,502
Medina HospitalMedina25$31,094$5,656
Bellevue HospitalBellevue12$26,116$5,666
Metrohealth SystemCleveland13$30,238$5,669
Lake HealthConcord12$28,216$5,674
Upper Valley Medical CenterTroy27$34,679$5,722
Mercy Medical CenterCanton12$27,368$5,772
University Hospitals - Elyria Medical CenterElyria17$18,273$5,836
Hillcrest HospitalMayfield Heights54$30,092$5,842
University Hospitals Ahuja Medical CenterBeachwood41$21,549$5,884
West Chester HospitalWest Chester38$28,655$5,890
Wooster Community HospitalWooster22$13,896$5,894
Parma Community General HospitalParma25$25,810$5,927
Mercy Health - Fairfield HospitalFairfield17$32,281$5,934
Atrium Medical CenterFranklin27$37,773$5,946
Holzer Medical CenterGallipolis21$21,255$5,953
Marymount HospitalGarfield Heights27$24,916$5,982
Avita OntarioOntario11$23,380$6,029
Firelands Regional Medical CenterSandusky37$16,891$6,036
Mercy Health-Anderson HospitalCincinnati16$30,523$6,050
Mercy Health - Clermont HospitalBatavia17$26,224$6,147
Fairfield Medical CenterLancaster19$18,263$6,153
Licking Memorial HospitalNewark14$20,229$6,176
University Hospitals Samaritan Medical CenterAshland16$13,280$6,239
Euclid HospitalEuclid21$28,241$6,295
Fairview HospitalCleveland36$26,580$6,380
Mercy Health - West HospitalCincinnati22$36,113$6,381
Marion General HospitalMarion18$21,112$6,392
Bethesda NorthCincinnati24$19,969$6,453
Ashtabula County Medical CenterAshtabula19$19,182$6,466
Ohiohealth Mansfield HospitalMansfield26$24,331$6,522
Wood County HospitalBowling Green16$13,592$6,573
Mercy Health - Defiance HospitalDefiance22$20,046$6,611
Christ HospitalCincinnati24$24,921$6,683
Mercy Health - Tiffin HospitalTiffin24$33,029$6,689
Hmhp St Elizabeth Boardman Health CenterBoardman31$30,146$6,708
Lima Memorial Health SystemLima16$30,514$6,709
Aultman HospitalCanton27$23,434$6,712
Wilson Memorial HospitalSidney12$25,508$6,716
Fort Hamilton Hughes Memorial HospitalHamilton13$28,065$6,754
Mh St Elizabeth Youngstown HospitalYoungstown16$33,414$6,767
Southern Ohio Medical CenterPortsmouth12$22,792$6,810
Genesis HospitalZanesville15$22,916$6,836
South Pointe HospitalWarrensville Heights17$33,594$6,846
Mount Carmel East & WestColumbus20$43,364$6,859
Insight Hospital and Medical Center TrumbullWarren11$34,359$6,861
Soin Medical CenterBeaver Creek17$32,655$6,947
Blanchard Valley HospitalFindlay25$19,098$6,951
Miami Valley HospitalDayton54$32,860$7,013
Riverside Methodist HospitalColumbus31$25,080$7,036
Bay Park Community HospitalOregon11$47,767$7,149
Akron General Medical CenterAkron37$24,741$7,181
The Jewish Hospital-Mercy HealthCincinnati12$24,666$7,235
Promedica Toledo HospitalToledo43$51,533$7,242
Kettering Health Main CampusKettering17$32,952$7,267
Mercer County Joint Township Community HospitalColdwater11$15,013$7,304
Adena Regional Medical CenterChillicothe18$26,526$7,434
Summa Health SystemAkron32$46,604$7,811
Mercy Health St Ritas Medical CenterLima25$30,923$7,970
Fisher-Titus HospitalNorwalk11$19,208$8,006
Kettering Health DaytonDayton20$41,730$8,011
Mercy St Vincent Medical CenterToledo59$42,852$8,053
Ohio State University State Health SystemColumbus32$20,533$8,243
Cleveland ClinicCleveland32$35,589$9,146
Grant Medical CenterColumbus27$30,368$9,226
Uh St John Medical CenterWestlake17$22,383$9,544
Uh Cleveland Medical CenterCleveland24$49,940$9,970
University of Cincinnati Medical Center, LLCCincinnati36$27,425$10,445
Uh Regional HospitalsChardon16$24,740$10,861

Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.