Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Pennsylvania
What 20 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219), from 2024 Medicare claims.
Average charge
$486,264
Hospital list price billed
Average payment
$79,198
Medicare + patient + other payers
Medicare paid
$67,220
Average per stay
State rank
#22 of 37
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $486,264 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 6.1 times the average total payment of $79,198. That payment is 5% below the U.S. average of $83,705.
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 $79,198Billed $486,264
About 16¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Pennsylvania:
Pennsylvania hospitals: cardiac valve and other major cardiothoracic procedures without cardiac catheterization
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 |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 113 | $474,354 | $68,427 | $58,542 |
| Hospital of the Univ of PaPhiladelphia | 95 | $751,390 | $110,251 | $94,988 |
| Penn Presbyterian Medical CenterPhiladelphia | 87 | $523,823 | $83,244 | $71,131 |
| UPMC Presbyterian ShadysidePittsburgh | 60 | $842,515 | $71,439 | $62,945 |
| Main Line Hospital LankenauWynnewood | 50 | $296,342 | $66,670 | $58,643 |
| Lancaster General HospitalLancaster | 37 | $210,894 | $64,859 | $51,745 |
| St Luke's Hospital BethlehemBethlehem | 32 | $511,761 | $66,258 | $57,353 |
| Allegheny General HospitalPittsburgh | 32 | $280,099 | $78,276 | $61,629 |
| UPMC Pinnacle HospitalsHarrisburg | 29 | $232,737 | $65,412 | $57,222 |
| Milton S Hershey Medical CenterHershey | 29 | $397,158 | $98,008 | $77,294 |
| Thomas Jefferson University HospitalPhiladelphia | 25 | $505,431 | $107,180 | $92,237 |
| Doylestown HospitalDoylestown | 25 | $149,006 | $57,287 | $51,292 |
| Abington Memorial HospitalAbington | 20 | $208,693 | $60,593 | $54,033 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 20 | $240,161 | $61,331 | $58,602 |
| Temple University HospitalPhiladelphia | 19 | $1,211,132 | $112,921 | $96,064 |
| York HospitalYork | 17 | $439,727 | $91,826 | $76,827 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 17 | $470,945 | $70,271 | $54,842 |
| Geisinger Medical CenterDanville | 12 | $470,238 | $109,773 | $63,749 |
| Excela Health Westmoreland Regional HospitalGreensburg | 12 | $142,562 | $48,367 | $47,143 |
| Chester County HospitalWest Chester | 11 | $208,133 | $53,034 | $43,861 |
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
| Excela Health Westmoreland Regional HospitalGreensburg, PA | $48,367 |
|---|---|
| Chester County HospitalWest Chester, PA | $53,034 |
| Doylestown HospitalDoylestown, PA | $57,287 |
| Abington Memorial HospitalAbington, PA | $60,593 |
| Jefferson Einstein Montgomery HospitalEast Norriton, PA | $61,331 |
Highest
| Temple University HospitalPhiladelphia, PA | $112,921 |
|---|---|
| Hospital of the Univ of PaPhiladelphia, PA | $110,251 |
| Geisinger Medical CenterDanville, PA | $109,773 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $107,180 |
| Milton S Hershey Medical CenterHershey, PA | $98,008 |
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in other states
Questions
How much does cardiac valve and other major cardiothoracic procedures without cardiac catheterization cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 219) at 20 hospitals in Pennsylvania was billed at $486,264 on average, while the average total payment was $79,198, of which Medicare paid $67,220. 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 6.1 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.