Insuficiencia respiratoria en Ohio
MS-DRG 189: Pulmonary edema and respiratory failure
Los hospitales de Ohio facturaron a Medicare una cantidad típica de $41,699 por esta hospitalización en 2024, unas 4.2 veces lo que realmente se pagó. El pago de Medicare depende sobre todo de la ubicación del hospital y de si es hospital universitario; la factura depende de la lista de precios del propio hospital, por eso las facturas varían mucho más que los pagos.
Hospitales de Ohio comparados
Facturado (precio de lista)Lo que realmente se pagó (Medicare + paciente)
| Hospital | Ciudad | Hospitalizaciones de Medicare | Facturado | Pagado | Precio en efectivo | Aseguradoras (mediana) | |
|---|---|---|---|---|---|---|---|
| Memorial Hospital | Fremont | 19 | $26,644 | $5,460 | – | – | |
| Marietta Memorial Hospital | Marietta | 47 | $22,478 | $7,166 | – | – | |
| Parma Community General Hospital | Parma | 18 | $42,960 | $7,836 | – | – | |
| Medina Hospital | Medina | 62 | $41,814 | $7,985 | – | $16,978$9,027–$21,064 · 11 planes | |
| University Hospitals Portage Medical Center | Ravenna | 11 | $26,808 | $8,162 | – | – | |
| Holzer Medical Center | Gallipolis | 13 | $32,878 | $8,189 | – | – | |
| Blanchard Valley Hospital | Findlay | 34 | $20,660 | $8,219 | – | – | |
| Cleveland Clinic Avon Hospital | Avon | 27 | $40,739 | $8,262 | – | – | |
| University Hospitals - Elyria Medical Center | Elyria | 21 | $41,699 | $8,393 | – | – | |
| Lake Health | Concord | 35 | $41,791 | $8,400 | – | – | |
| Atrium Medical Center | Franklin | 36 | $49,616 | $8,503 | – | – | |
| Mh St Joseph Warren Hospital | Warren | 27 | $54,855 | $8,623 | – | – | |
| Southwest General Health Center | Middleburg Heights | 83 | $34,047 | $8,626 | – | – | |
| University Hospitals Ahuja Medical Center | Beachwood | 18 | $36,525 | $8,696 | – | – | |
| West Chester Hospital | West Chester | 43 | $51,385 | $8,770 | – | – | |
| Ohiohealth Mansfield Hospital | Mansfield | 70 | $31,220 | $8,772 | – | – | |
| Springfield Regional Medical Center | Springfield | 28 | $55,632 | $8,862 | – | – | |
| Mercy Health-Anderson Hospital | Cincinnati | 25 | $49,174 | $8,877 | – | – | |
| Licking Memorial Hospital | Newark | 34 | $36,139 | $8,970 | – | – | |
| Firelands Regional Medical Center | Sandusky | 21 | $19,917 | $8,999 | – | – | |
| Mercy Health - Fairfield Hospital | Fairfield | 21 | $43,038 | $9,030 | – | – | |
| Mercy Health - West Hospital | Cincinnati | 24 | $50,781 | $9,071 | – | – | |
| Marymount Hospital | Garfield Heights | 25 | $40,725 | $9,131 | – | $16,978$9,078–$21,064 · 11 planes | |
| McCullough-Hyde Memorial Hospital | Oxford | 20 | $25,041 | $9,153 | – | – | |
| Mercy Health - Clermont Hospital | Batavia | 35 | $51,204 | $9,158 | – | – | |
| Lima Memorial Health System | Lima | 21 | $26,501 | $9,196 | – | – | |
| Mercy Medical Center | Canton | 39 | $50,203 | $9,269 | – | – | |
| Avita Ontario | Ontario | 20 | $45,912 | $9,277 | – | – | |
| Wooster Community Hospital | Wooster | 12 | $27,781 | $9,312 | – | – | |
| Upper Valley Medical Center | Troy | 32 | $48,287 | $9,330 | – | – | |
| Hmhp St Elizabeth Boardman Health Center | Boardman | 43 | $37,772 | $9,443 | – | – | |
| Mount Carmel St Ann's | Westerville | 36 | $54,181 | $9,538 | – | – | |
| Mercy Regional Medical Center | Lorain | 22 | $52,927 | $9,568 | – | – | |
| Wood County Hospital | Bowling Green | 12 | $27,694 | $9,602 | – | – | |
| Fairfield Medical Center | Lancaster | 63 | $27,833 | $9,646 | – | – | |
| Marion General Hospital | Marion | 56 | $26,103 | $9,691 | – | – | |
| Ashtabula County Medical Center | Ashtabula | 15 | $38,184 | $9,715 | – | – | |
| Mercy Health St Ritas Medical Center | Lima | 35 | $48,640 | $9,723 | – | – | |
| Adena Regional Medical Center | Chillicothe | 20 | $38,410 | $9,747 | – | – | |
| Dublin Methodist Hospital | Dublin | 36 | $37,001 | $9,751 | – | – | |
| Union Hospital | Dover | 30 | $47,814 | $9,761 | – | $13,508$9,871–$28,932 · 6 planes | |
| Fort Hamilton Hughes Memorial Hospital | Hamilton | 23 | $56,294 | $9,781 | – | – | |
| Mh St Elizabeth Youngstown Hospital | Youngstown | 40 | $50,732 | $9,786 | – | – | |
| Fairview Hospital | Cleveland | 72 | $55,564 | $9,790 | – | $11,990$9,785–$20,604 · 11 planes | |
| Kettering Health Troy | Troy | 25 | $42,260 | $9,816 | – | – | |
| Kettering Health Miamisburg | Miamisburg | 34 | $45,148 | $9,829 | – | – | |
| Wilson Memorial Hospital | Sidney | 20 | $32,803 | $9,853 | – | – | |
| Knox Community Hospital | Mount Vernon | 45 | $31,743 | $9,895 | – | – | |
| Bay Park Community Hospital | Oregon | 25 | $66,345 | $9,965 | – | – | |
| Mercy Health - Tiffin Hospital | Tiffin | 17 | $42,105 | $10,035 | – | – | |
| Memorial Hospital | Marysville | 14 | $25,377 | $10,092 | – | – | |
| Bethesda North | Cincinnati | 130 | $25,898 | $10,122 | – | – | |
| Hillcrest Hospital | Mayfield Heights | 66 | $47,241 | $10,128 | – | $11,990$9,098–$20,604 · 11 planes | |
| Grand Lake Health System | Saint Marys | 17 | $21,444 | $10,181 | – | – | |
| Genesis Hospital | Zanesville | 38 | $28,126 | $10,193 | – | – | |
| Southern Ohio Medical Center | Portsmouth | 32 | $25,328 | $10,248 | – | – | |
| The Jewish Hospital-Mercy Health | Cincinnati | 16 | $44,790 | $10,397 | – | – | |
| Insight Hospital and Medical Center Trumbull | Warren | 12 | $63,016 | $10,414 | – | – | |
| Kettering Health Greene Memorial | Xenia | 13 | $31,527 | $10,419 | – | – | |
| Riverside Methodist Hospital | Columbus | 57 | $39,119 | $10,451 | – | $23,752$22,239–$26,471 · 6 planes | |
| Berger Hospital | Circleville | 18 | $16,102 | $10,457 | – | – | |
| Christ Hospital | Cincinnati | 39 | $40,242 | $10,586 | – | – | |
| Akron General Medical Center | Akron | 43 | $46,744 | $10,659 | – | $12,469$10,815–$20,604 · 11 planes | |
| East Liverpool City Hospital | East Liverpool | 12 | $50,249 | $10,741 | – | – | |
| Trinity Medical Ctr East &trinity Medical Ctr West | Steubenville | 35 | $29,629 | $10,773 | – | – | |
| Aultman Hospital | Canton | 33 | $39,694 | $10,826 | – | – | |
| Miami Valley Hospital | Dayton | 108 | $59,019 | $10,836 | – | $25,193$13,434–$27,658 · 19 planes | |
| Soin Medical Center | Beaver Creek | 63 | $57,872 | $10,864 | – | – | |
| Promedica Toledo Hospital | Toledo | 111 | $65,275 | $10,880 | – | – | |
| Kettering Health Main Campus | Kettering | 75 | $49,124 | $10,977 | – | – | |
| Trihealth Clinton Regional Hospital | Wilmington | 20 | $25,732 | $11,013 | – | – | |
| Mount Carmel East & West | Columbus | 72 | $48,046 | $11,264 | – | – | |
| Southeastern Ohio Regional Medical Center | Cambridge | 14 | $31,156 | $11,387 | – | – | |
| Summa Health System | Akron | 42 | $105,170 | $11,429 | – | – | |
| Kettering Health Dayton | Dayton | 60 | $66,345 | $11,439 | – | $21,563$18,929–$26,038 · 13 planes | |
| Grady Memorial Hospital | Delaware | 34 | $24,646 | $11,628 | – | – | |
| Community Hospitals and Wellness Centers | Bryan | 14 | $22,646 | $11,715 | – | – | |
| Metrohealth System | Cleveland | 52 | $48,246 | $11,772 | – | $17,234$12,895–$24,403 · 19 planes | |
| Fisher-Titus Hospital | Norwalk | 46 | $27,582 | $11,909 | – | – | |
| Mercy St Vincent Medical Center | Toledo | 55 | $92,698 | $12,226 | – | – | |
| Good Samaritan Hospital | Cincinnati | 49 | $36,082 | $12,258 | – | – | |
| Doctors Hospital | Columbus | 45 | $44,740 | $12,689 | – | – | |
| Grant Medical Center | Columbus | 48 | $35,065 | $12,892 | – | – | |
| Ohio State University State Health System | Columbus | 55 | $43,485 | $12,913 | – | $26,509$7,973–$44,745 · 30 planes | |
| Mary Rutan Hospital | Bellefontaine | 12 | $26,244 | $13,244 | – | – | |
| South Pointe Hospital | Warrensville Heights | 13 | $90,211 | $13,845 | – | $16,978$9,785–$21,064 · 11 planes | |
| Uh St John Medical Center | Westlake | 36 | $33,157 | $14,391 | – | – | |
| University of Toledo Medical Center | Toledo | 18 | $65,020 | $14,493 | – | – | |
| Ohiohealth O'Bleness Hospital | Athens | 36 | $25,615 | $14,845 | – | – | |
| University of Cincinnati Medical Center, LLC | Cincinnati | 39 | $49,393 | $15,152 | – | – | |
| Uh Cleveland Medical Center | Cleveland | 18 | $59,012 | $15,656 | – | – | |
| Uh Regional Hospitals | Chardon | 20 | $40,243 | $16,096 | – | – | |
| Cleveland Clinic | Cleveland | 65 | $73,531 | $16,135 | – | $22,945$12,845–$41,000 · 18 planes | |
| Euclid Hospital | Euclid | – | – | – | – | $16,978$9,617–$21,064 · 11 planes | |
| Lodi Community Hospital | Lodi | – | – | – | – | $41,000solo 1 plan | |
| Lutheran Hospital | Cleveland | – | – | – | – | $16,978$10,250–$21,064 · 11 planes |
Medicare: CMS, 2024 (hospitales con 11 o más hospitalizaciones de Medicare). Precios en efectivo y de aseguradoras: archivos de precios de los propios hospitales, donde se han leído; las cifras de aseguradoras son solo de planes comerciales, mediana y percentil 10 a 90 entre planes.
Qué es
La insuficiencia respiratoria significa que los pulmones no pueden mantener suficiente oxígeno en la sangre ni eliminar el dióxido de carbono. El líquido en los pulmones (edema pulmonar) es una de las causas incluidas aquí.
Qué esperar
Oxígeno, a menudo una mascarilla con presión (BiPAP), medicamentos para tratar la causa y vigilancia estrecha, con frecuencia en cuidados intensivos.
Qué hace subir o bajar la factura
El apoyo respiratorio y los días en cuidados intensivos forman la mayor parte de la factura.
Información general, no es asesoría médica.
Preguntas frecuentes
¿Cuánto cuesta una hospitalización por insuficiencia respiratoria en Ohio?
En 93 hospitales de Ohio, la factura típica por insuficiencia respiratoria fue de $41,699 en 2024, y Medicare y el paciente juntos pagaron típicamente $9,853. El hospital típico de EE. UU. facturó $48,417.
¿Qué hospitales de Ohio facturan menos y más por insuficiencia respiratoria?
La factura promedio más baja es la de Berger Hospital, $16,102. La más alta es la de Summa Health System, $105,170. Son promedios de Medicare de 2024; cada factura depende de la atención que necesita cada paciente.
¿Por qué la factura del hospital es mucho más alta que lo que se paga?
La factura sale de la lista de precios del propio hospital, que cada hospital fija por su cuenta. Medicare paga una cantidad fija por cada tipo de hospitalización, calculada con una fórmula nacional, y las aseguradoras privadas negocian sus propias tarifas. Por eso casi nadie paga el precio de lista, pero a los pacientes sin seguro o fuera de la red se les puede cobrar a partir de él.
¿Cuánto pagaré yo?
Con Medicare Original usted debe el deducible de la Parte A por una hospitalización, $1,736 en 2026, sin importar cuánto facture el hospital. Con un seguro privado depende de su deducible, su coseguro y su máximo de gastos de bolsillo. Si no tiene seguro, pida el precio en efectivo del hospital y su política de asistencia financiera. El estimador de costos lo calcula para su situación.
Antes de ir
- Pida un estimado. Los hospitales deben dar a los pacientes sin seguro o que pagan por su cuenta un estimado de buena fe por escrito antes de la atención programada.
- Verifique la red. Confirme que el hospital y los médicos están en la red de su plan.
- Pregunte por ayuda financiera. Los hospitales sin fines de lucro deben tener una política de asistencia financiera; muchos rebajan o perdonan facturas según los ingresos.
- Pida una factura detallada. Compárela con el estimado y pregunte por todo lo que no reconozca.