OH CMS Medicare PUF 2023 Avg payment #16 of 56

Ohio procedure costs

196 hospitals · 5,090 Medicare providers · 5,065 procedure codes with Ohio locality adjustments.

The short answer

Ohio has 196 hospitals and 5,090 Medicare-billing providers across 5,065 procedure codes. The average Medicare payment per procedure is $255.69; the average submitted (billed) charge is $1,386.64.

Procedure codes
5,065
Providers per hospital
26.0
Billed-to-Medicare ratio
5.4x
Markup rank
#31 of 56

Source: CMS Medicare Physician & Other Practitioners, 2023.

About this dataset, nationwide

According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.

196
Hospitals
5,090
Providers
$255.69
Avg Medicare Payment
$1,386.64
Avg Billed Charge

Ohio against every US state

Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions

$256 higher than 71% of 56 states

$75–$100: 3 states (5%). Below this entry. $100–$125: 1 states (2%). Below this entry. $125–$150: 2 states (4%). Below this entry. $150–$175: 5 states (9%). Below this entry. $175–$200: 7 states (13%). Below this entry. $200–$225: 9 states (16%). Below this entry. $225–$250: 9 states (16%). Below this entry. $250–$275: 11 states (20%). This entry sits in this band. $275–$300: 4 states (7%). Above this entry. $300–$325: 4 states (7%). Above this entry. $325–$350: 1 states (2%). Above this entry. This state $75 $350 every US state, bucketed by value

Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners, 2023

The priciest procedures in Ohio

Highest average Medicare payment per procedure billed in Ohio. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.

Top procedures by Medicare payment - Ohio

Sipuleucel-T, Minimum Of 50 …41055Fusion Of Sacroiliac Joint B…9880Iris Prosthesis6176Cystourethroscopy, With Inse…5410Removal Of Plaque In Artery …4743Insertion Of Spinal Neurosti…4146Ambulance Service, Conventio…4119Insertion Of Hypoglossal Ner…3726
Top procedures by Medicare payment - Ohio-Average Medicare payment per procedure (CMS 2023)

Top Procedures by Volume

Procedure Medicare Services
Ground Mileage, Per Statute Mile $7.61 3.8M
Travel Allowance One Way In Connection With Medically Necessary Laboratory Specimen Collection Drawn From Home Bound Or Nursing Home Bound Patient; Prorated Miles Actually Travelled $1.05 3.5M
Established Patient Office Or Other Outpatient Visit, 30-39 Minutes $72.35 3.3M
Established Patient Office Or Other Outpatient Visit, 20-29 Minutes $51.94 2.6M
Provision Of Covid-19 Test, Nonprescription Self-Administered And Self-Collected Use, Fda Approved, Authorized Or Cleared, One Test Count $11.44 2.3M
Injection, Onabotulinumtoxina, 1 Unit $4.56 1.5M
Therapy Procedure Using Exercise To Develop Strength, Endurance, Range Of Motion, And Flexibility, Each 15 Minutes $16.78 1.3M
Insertion Of Needle Into Vein For Collection Of Blood Sample $8.28 1.3M
Injection, Denosumab, 1 Mg $17.84 1.2M
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 35 Minutes $58.58 1.2M
Injection, Certolizumab Pegol, 1 Mg (code May Be Used For Medicare When Drug Administered Under The Direct Supervision Of A Physician, Not For Use When Drug Is Self Administered) $3.89 1.2M
Low Osmolar Contrast Material, 300-399 Mg/ml Iodine Concentration, Per Ml $0.12 1.2M
Injection, Testosterone Cypionate, 1 Mg $0.02 1.1M
Blood Test, Comprehensive Group Of Blood Chemicals $10.33 993.0K
Injection, Ferric Carboxymaltose, 1 Mg $0.87 990.7K
Injection, Tocilizumab, 1 Mg $4.61 970.8K
Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test And Automated Differential White Blood Cell Count $7.59 937.0K
Injection, Gadoterate Meglumine, 0.1 Ml $0.11 917.7K
Injection, Pembrolizumab, 1 Mg $41.99 862.2K
Injection, Faricimab-Svoa, 0.1 Mg $28.44 858.8K
Injection, Ferumoxytol, For Treatment Of Iron Deficiency Anemia, 1 Mg (non-Esrd Use) $0.39 835.4K
Injection, Romosozumab-Aqqg, 1 Mg $7.89 832.4K
Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, At Least 50 Minutes $89.42 724.6K
Injection, Triamcinolone Acetonide, Not Otherwise Specified, 10 Mg $0.78 680.9K
Blood Test, Lipids (cholesterol And Triglycerides) $13.09 655.7K
Injection, Nivolumab, 1 Mg $23.11 641.0K
Injection, Golimumab, 1 Mg, For Intravenous Use $10.36 635.3K
Therapy Procedure To Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes $20.20 635.1K
Removal Of Cataract With Insertion Of Prosthetic Lens $78.68 634.3K
Routine Electrocardiogram (ecg) Using At Least 12 Leads With Interpretation And Report Only $5.93 631.5K

Ohio Healthcare Cost Landscape

CMS lists 196 hospitals in Ohio across 129 cities. CINCINNATI holds 13 (7%). The three densest cities together hold 16% of the state roster. Statewide that is 5,090 Medicare-billing providers, 26.0 per listed hospital.

120 hospitals carry a CMS overall star rating (15 five-star, 37 four-star, 51 three-star, 17 two-star, 0 one-star) ; five-star share among rated facilities is 13%. 76 hospitals in this extract have no published overall rating.

Facility-type mix: Acute Care Hospitals 118 (60%); Critical Access Hospitals 33 (17%); Psychiatric 32 (16%); Childrens 8 (4%).

Among the 30 highest-volume procedure codes billed in Ohio, Drugs (Administered) leads with 11.5M services (30% of this top-volume slice) across 12 codes. Next is Office Visit at 15%.

Submitted charges average $1,386.64 against $255.69 Medicare payment (5.4x billed-to-Medicare). That ratio ranks #31 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #16 of 56.

Volume leaders are not the high-payment codes. Ground Mileage, Per Statute Mile is in the top volume slice but not the highest Medicare payments; Sipuleucel-T, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-Gm-Csf, Including Leukapheresis And All Other Preparatory Procedures, Per Infusion is in the high-payment set without matching volume rank.

These are CMS roster and claims aggregates for Ohio, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.

Where Ohio hospitals sit

City of the CMS hospital roster, not a travel or care recommendation. 129 distinct cities appear on 196 listed facilities.

City Hospitals Share of state roster
CINCINNATI 13 7%
COLUMBUS 11 6%
CLEVELAND 8 4%
DAYTON 7 4%
TOLEDO 5 3%
AKRON 4 2%
YOUNGSTOWN 4 2%
BEACHWOOD 3 2%

Nationwide states with similar hospital scale or Medicare payment

Two CMS-extract-derived peer sets for Ohio: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.

Similar CMS hospital count

Nearest states with ≥5 hospitals (196 here).

Similar average Medicare payment

Nearest states with published averages ($255.69 here).

How Ohio Compares Nationally

Ohio's average Medicare payment is #16 of 56 in this extract. Submitted-over-Medicare markup ranks #31 of 56 (5.4x). Hospital-count peers (nearest CMS roster size to 196): Illinois 194, New York 190, Pennsylvania 188, Florida 222. Payment peers (nearest average Medicare payment to $255.69): Missouri $255.25, Washington $254.32, Alaska $257.79, Massachusetts $252.82.

Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Ohio, not an out-of-pocket quote.

Related registry pages

Ohio averages sit on two maps: Medicare payment and submitted-over-Medicare markup.

Figures here are Ohio CMS averages, not a quote for any patient, plan, or visit.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure  · Verify with CMS →

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.