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Healthcare Pricing Data: LIMA, OH

3 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

3

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

5.6x

Across all procedures

vs National Average

-17%

Chargemaster rates

About This Data

LIMA, OH has 3 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 5.6x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in LIMA is INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC (DRG 853), with an average chargemaster rate of $168,268 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$142,80736.3x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$168,26825.4x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC981$148,64724.9x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$126,84526.3x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$94,42727.3x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$90,47325.3x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$86,05827.9x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$76,43626.5x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$73,46125.0x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$66,07425.3x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC286$65,73325.0x
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC660$60,05726.8x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC280$59,44925.8x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$59,28025.0x
GASTROINTESTINAL HEMORRHAGE WITH MCC377$53,79424.7x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$48,44824.9x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$44,28623.9x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$42,70825.5x
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC287$42,07326.6x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$40,59627.4x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$40,36125.2x
RENAL FAILURE WITH MCC682$40,24224.3x
HEART FAILURE AND SHOCK WITH MCC291$38,29124.9x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$38,23125.3x
GASTROINTESTINAL HEMORRHAGE WITH CC378$37,21926.3x
PERIPHERAL VASCULAR DISORDERS WITH CC300$35,95925.7x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$35,51625.2x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$34,59124.5x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC699$34,57025.6x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$33,32325.6x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error