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Pneumonia (hospital stay) in Ohio: what insurers pay

Posted commercial rates at 15 Ohio hospitals, each next to its own Medicare base rate.

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MS-DRG 194

HospitalMedian across insurers× MedicareInsurersFile date
University Hospitals St. John Medical Center Westlake$7,7371.4×32026-07-14
University Hospitals - Elyria Medical Center Elyria$9,0721.7×32026-07-14
MetroHealth System Cleveland$10,2881.9×42026-04-01
University Hospitals Ahuja Medical Center Beachwood$10,8152.0×22026-07-14
Cleveland Clinic Hillcrest Hospital Mayfield Heights$10,9342.0×42026-06-15
Cleveland Clinic Fairview Hospital Cleveland$10,9342.0×42026-06-15
Medina Hospital Medina$12,6792.3×42026-06-15
Cleveland Clinic Lutheran Hospital Cleveland$13,1722.4×52026-06-15
Marymount Hospital Garfield Heights$13,1722.4×52026-06-15
University Hospitals Cleveland Medical Center Cleveland$13,5782.5×42026-07-14
Bethesda North Cincinnati$14,0972.5×52026-04-01
Cleveland Clinic (main campus) Cleveland$14,2912.6×52026-06-16
Ohio State University Hospitals Columbus$17,8753.2×32026-07-01
Mount Carmel New Albany Surgical Hospital New Albany$21,5963.9×202026-03-31
Mount Carmel East Columbus$21,5963.9×192026-03-31

MS-DRG 193

HospitalMedian across insurers× MedicareInsurersFile date
Cleveland Clinic Hillcrest Hospital Mayfield Heights$12,7121.4×42026-06-15
University Hospitals - Elyria Medical Center Elyria$14,7961.7×32026-07-14
Cleveland Clinic Lutheran Hospital Cleveland$18,0642.0×52026-06-15
Medina Hospital Medina$19,7742.2×42026-06-15
Cleveland Clinic (main campus) Cleveland$20,3092.3×52026-06-16
Bethesda North Cincinnati$22,9912.5×52026-04-01
Ohio State University Hospitals Columbus$29,1533.2×32026-07-01
Mount Carmel New Albany Surgical Hospital New Albany$35,2223.9×202026-03-31

MS-DRG 195

HospitalMedian across insurers× MedicareInsurersFile date
University Hospitals - Elyria Medical Center Elyria$7,0751.7×32026-07-14
Cleveland Clinic Lutheran Hospital Cleveland$8,6372.0×52026-06-15
Cleveland Clinic Hillcrest Hospital Mayfield Heights$8,8102.1×42026-06-15
Medina Hospital Medina$9,4542.2×42026-06-15
Bethesda North Cincinnati$10,9942.5×52026-04-01
Cleveland Clinic (main campus) Cleveland$11,1452.6×52026-06-16
Ohio State University Hospitals Columbus$13,9403.2×32026-07-01

Questions

How much do insurers pay for pneumonia (hospital stay) in Ohio?

15 Ohio hospitals post usable commercial rates for pneumonia (hospital stay) in their federal price-transparency files. For inpatient stay (MS-DRG 194), the median across 15 hospitals is $13,172, 2.4× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.