Simple Pneumonia and Pleurisy Without Cc/Mcc in Ohio
MS-DRG 195: Simple pneumonia and pleurisy without cc/mcc
$21,606typical hospital bill
$4,944typical amount paid
$4,386–$5,567range paid across 3 hospitals
Ohio hospitals billed Medicare a typical $21,606 for this stay in 2024, about 4.4 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)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Hillcrest Hospital | Mayfield Heights | 12 | $21,606 | $4,386 | |
| Firelands Regional Medical Center | Sandusky | 15 | $13,331 | $4,944 | |
| Miami Valley Hospital | Dayton | 11 | $23,951 | $5,567 |
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.