Ohio State University State Health System
Ohio State University Health System in Columbus, OH charges 4.8x the Medicare reimbursement rate across 194 analyzed procedures at this government-owned hospital.
Columbus, OH 43210 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
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Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
C
Average
Avg markup vs Medicare
4.78x
Charge / Medicare rate
Max markup
10.75x
Worst procedure
Procedures analyzed
194
With pricing data
Outlier procedures
0.5%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $259,455 | $129,728 | — | 10.8x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $76,688 | $38,344 | — | 9.4x |
| SOFT TISSUE PROCEDURES WITH CC | 501 | $84,955 | $42,477 | — | 7.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $101,337 | $50,669 | — | 7.7x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $284,672 | $142,336 | — | 7.7x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | 907 | $256,183 | $128,091 | — | 7.6x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $217,363 | $108,682 | — | 7.3x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $65,259 | $32,630 | — | 7x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $198,014 | $99,007 | — | 6.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $79,846 | $39,923 | — | 6.8x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $79,016 | $39,508 | — | 6.8x |
| PERITONEAL ADHESIOLYSIS WITH CC | 336 | $105,221 | $52,610 | — | 6.7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $87,083 | $43,542 | — | 6.6x |
| BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | 519 | $101,421 | $50,711 | — | 6.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $102,807 | $51,403 | — | 6.5x |
| OSTEOMYELITIS WITH MCC | 539 | $85,144 | $42,572 | — | 6.4x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $131,326 | $65,663 | — | 6.3x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $93,202 | $46,601 | — | 6.3x |
| ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | 283 | $91,345 | $45,672 | — | 6.2x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $108,921 | $54,461 | — | 6.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $106,614 | $53,307 | — | 6.1x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | 026 | $146,116 | $73,058 | — | 6x |
| WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE D | 464 | $137,892 | $68,946 | — | 6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $161,761 | $80,880 | — | 6x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $171,322 | $85,661 | — | 5.9x |
| DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | 439 | $33,055 | $16,527 | — | 5.9x |
| HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | 354 | $78,788 | $39,394 | — | 5.9x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $81,743 | $40,872 | — | 5.9x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $125,476 | $62,738 | — | 5.8x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $126,282 | $63,141 | — | 5.7x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $38,613 | $19,306 | — | 5.7x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $99,971 | $49,985 | — | 5.7x |
| OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | 356 | $207,812 | $103,906 | — | 5.7x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $33,107 | $16,553 | — | 5.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $93,740 | $46,870 | — | 5.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $97,504 | $48,752 | — | 5.6x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $80,223 | $40,111 | — | 5.5x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $61,187 | $30,593 | — | 5.5x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $172,256 | $86,128 | — | 5.5x |
| POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | 856 | $207,792 | $103,896 | — | 5.5x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $50,792 | $25,396 | — | 5.5x |
| POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | 857 | $94,699 | $47,349 | — | 5.4x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $260,891 | $130,446 | — | 5.4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $45,179 | $22,590 | — | 5.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $42,029 | $21,014 | — | 5.4x |
| LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | 005 | $523,049 | $261,524 | — | 5.4x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $94,765 | $47,383 | — | 5.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $42,005 | $21,003 | — | 5.3x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $51,447 | $25,724 | — | 5.3x |
| AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | 560 | $45,849 | $22,925 | — | 5.3x |
Showing 50 of 194 procedures
How OHIO STATE UNIVERSITY STATE HEALTH SYSTEM compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use