facebook tracking Autologous bone marrow transplant with complications cost in Pennsylvania: 4 hospitals compared (DRG 016)

Autologous bone marrow transplant with complications in Pennsylvania

What 4 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for autologous bone marrow transplant with complications (DRG 016), from 2024 Medicare claims.

DRG 016 Inpatient 2024 Medicare data
Average charge $387,676 Hospital list price billed
Average payment $82,004 Medicare + patient + other payers
Medicare paid $64,207 Average per stay
State rank #3 of 4 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $387,676 for autologous bone marrow transplant with complications, about 4.7 times the average total payment of $82,004. That payment is 10% above the U.S. average of $74,516.

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 $82,004Billed $387,676

About 21¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.

Pennsylvania hospitals: autologous bone marrow transplant 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
Temple University HospitalPhiladelphia 34 $502,530 $73,548 $64,163
Hospital of the Univ of PaPhiladelphia 29 $356,082 $87,636 $64,530
Thomas Jefferson University HospitalPhiladelphia 14 $277,532 $88,786 $52,781
Milton S Hershey Medical CenterHershey 12 $267,111 $84,438 $76,882
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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

Temple University HospitalPhiladelphia, PA$73,548
Milton S Hershey Medical CenterHershey, PA$84,438
Hospital of the Univ of PaPhiladelphia, PA$87,636
Thomas Jefferson University HospitalPhiladelphia, PA$88,786

Highest

Thomas Jefferson University HospitalPhiladelphia, PA$88,786
Hospital of the Univ of PaPhiladelphia, PA$87,636
Milton S Hershey Medical CenterHershey, PA$84,438
Temple University HospitalPhiladelphia, PA$73,548

Autologous bone marrow transplant with complications in other states

Questions

How much does autologous bone marrow transplant with complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for autologous bone marrow transplant with complications (DRG 016) at 4 hospitals in Pennsylvania was billed at $387,676 on average, while the average total payment was $82,004, of which Medicare paid $64,207. 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 4.7 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.