Aortic and heart assist procedures except pulsation balloon without major complications in Pennsylvania
What 17 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269), from 2024 Medicare claims.
Average charge
$224,135
Hospital list price billed
Average payment
$37,551
Medicare + patient + other payers
Medicare paid
$33,207
Average per stay
State rank
#18 of 35
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $224,135 for aortic and heart assist procedures except pulsation balloon without major complications, about 6.0 times the average total payment of $37,551. That payment is 5% below the U.S. average of $39,522.
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 $37,551Billed $224,135
About 17¢ 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: aortic and heart assist procedures except pulsation balloon without major 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 |
|---|---|---|---|---|
| Hospital of the Univ of PaPhiladelphia | 31 | $307,941 | $46,178 | $42,831 |
| Main Line Hospital LankenauWynnewood | 26 | $115,606 | $35,771 | $34,077 |
| Lehigh Valley HospitalAllentown | 23 | $357,317 | $37,536 | $32,377 |
| York HospitalYork | 20 | $217,295 | $40,725 | $33,374 |
| Thomas Jefferson University HospitalPhiladelphia | 20 | $172,250 | $42,881 | $39,892 |
| Geisinger-Community Medical CenterScranton | 18 | $301,960 | $33,405 | $28,218 |
| St Luke's Hospital BethlehemBethlehem | 18 | $377,234 | $37,495 | $35,641 |
| Abington Memorial HospitalAbington | 18 | $128,557 | $34,936 | $29,950 |
| Geisinger Medical CenterDanville | 16 | $323,430 | $38,525 | $36,248 |
| UPMC Pinnacle HospitalsHarrisburg | 15 | $120,009 | $34,910 | $27,588 |
| Chester County HospitalWest Chester | 14 | $93,496 | $30,373 | $28,858 |
| Doylestown HospitalDoylestown | 14 | $188,516 | $36,562 | $24,307 |
| Jefferson Health- NortheastPhiladelphia | 13 | $110,774 | $34,186 | $32,503 |
| Allegheny General HospitalPittsburgh | 12 | $139,606 | $39,633 | $31,526 |
| UPMC Presbyterian ShadysidePittsburgh | 12 | $274,431 | $38,210 | $35,915 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 12 | $310,957 | $36,057 | $29,472 |
| Holy Spirit HospitalCamp Hill | 11 | $137,064 | $28,354 | $26,704 |
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
| Holy Spirit HospitalCamp Hill, PA | $28,354 |
|---|---|
| Chester County HospitalWest Chester, PA | $30,373 |
| Geisinger-Community Medical CenterScranton, PA | $33,405 |
| Jefferson Health- NortheastPhiladelphia, PA | $34,186 |
| UPMC Pinnacle HospitalsHarrisburg, PA | $34,910 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $46,178 |
|---|---|
| Thomas Jefferson University HospitalPhiladelphia, PA | $42,881 |
| York HospitalYork, PA | $40,725 |
| Allegheny General HospitalPittsburgh, PA | $39,633 |
| Geisinger Medical CenterDanville, PA | $38,525 |
Aortic and heart assist procedures except pulsation balloon without major complications in other states
Questions
How much does aortic and heart assist procedures except pulsation balloon without major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for aortic and heart assist procedures except pulsation balloon without major complications (DRG 269) at 17 hospitals in Pennsylvania was billed at $224,135 on average, while the average total payment was $37,551, of which Medicare paid $33,207. 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 6.0 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.