facebook tracking Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in Pennsylvania: 21 hospitals compared (DRG 617)

Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in Pennsylvania

What 21 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617), from 2024 Medicare claims.

DRG 617 Inpatient 2024 Medicare data
Average charge $100,337 Hospital list price billed
Average payment $17,682 Medicare + patient + other payers
Medicare paid $13,869 Average per stay
State rank #11 of 29 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $100,337 for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications, about 5.7 times the average total payment of $17,682. That payment is 6% below the U.S. average of $18,910.

These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.

Paid $17,682Billed $100,337

About 18¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Pennsylvania:

Pennsylvania hospitals: amputation of lower limb for endocrine, nutritional and metabolic disorders with complications

Every Pennsylvania hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
St Luke's Hospital BethlehemBethlehem 31 $151,667 $18,729 $15,512
York HospitalYork 29 $78,431 $20,272 $14,190
Lehigh Valley HospitalAllentown 28 $99,505 $18,051 $14,629
Geisinger Medical CenterDanville 21 $150,343 $20,348 $14,944
UPMC Pinnacle HospitalsHarrisburg 21 $62,562 $17,843 $13,910
Reading Hospital and Med CtrWest Reading 19 $106,364 $17,365 $15,373
Geisinger Wyoming Vly Med CtrWilkes-Barre 18 $124,877 $18,415 $12,060
Abington Memorial HospitalAbington 17 $62,688 $17,264 $12,682
Lancaster General HospitalLancaster 15 $67,504 $15,214 $13,397
Penn Presbyterian Medical CenterPhiladelphia 15 $194,017 $21,537 $18,959
St Mary Medical CenterLanghorne 15 $50,358 $14,721 $12,912
Chester County HospitalWest Chester 13 $64,243 $15,554 $10,908
Saint Vincent Health CenterErie 12 $68,348 $16,887 $14,956
West Penn HospitalPittsburgh 12 $65,190 $14,153 $11,079
Hospital of the Univ of PaPhiladelphia 12 $180,477 $26,452 $17,664
Holy Spirit HospitalCamp Hill 11 $104,444 $15,001 $10,676
Holy Redeemer Hosp and Med CtrJenkintown 11 $52,507 $14,037 $12,967
UPMC St MargaretPittsburgh 11 $92,098 $16,446 $12,531
UPMC PassavantPittsburgh 11 $87,819 $13,600 $10,646
Jefferson Health- NortheastPhiladelphia 11 $73,828 $16,831 $12,300
Pottstown Memorial Med CenterPottstown 11 $104,459 $13,870 $12,980
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Lowest and highest payments in Pennsylvania

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

UPMC PassavantPittsburgh, PA$13,600
Pottstown Memorial Med CenterPottstown, PA$13,870
Holy Redeemer Hosp and Med CtrJenkintown, PA$14,037
West Penn HospitalPittsburgh, PA$14,153
St Mary Medical CenterLanghorne, PA$14,721

Highest

Hospital of the Univ of PaPhiladelphia, PA$26,452
Penn Presbyterian Medical CenterPhiladelphia, PA$21,537
Geisinger Medical CenterDanville, PA$20,348
York HospitalYork, PA$20,272
St Luke's Hospital BethlehemBethlehem, PA$18,729

Amputation of lower limb for endocrine, nutritional and metabolic disorders with complications in other states

Questions

How much does amputation of lower limb for endocrine, nutritional and metabolic disorders with complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for amputation of lower limb for endocrine, nutritional and metabolic disorders with complications (DRG 617) at 21 hospitals in Pennsylvania was billed at $100,337 on average, while the average total payment was $17,682, of which Medicare paid $13,869. Your own cost depends on your insurance, deductible and the hospital.

Why are hospital charges so much higher than payments?

Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Pennsylvania, average charges were 5.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.