Cardiac valve and other major cardiothoracic procedures without cardiac catheterization in Pennsylvania
What 14 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for cardiac valve and other major cardiothoracic procedures without cardiac catheterization (DRG 220), from 2024 Medicare claims.
Average charge
$310,809
Hospital list price billed
Average payment
$54,245
Medicare + patient + other payers
Medicare paid
$44,276
Average per stay
State rank
#21 of 33
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $310,809 for cardiac valve and other major cardiothoracic procedures without cardiac catheterization, about 5.7 times the average total payment of $54,245. That payment is 2% below the U.S. average of $55,508.
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 $54,245Billed $310,809
About 17¢ 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 |
|---|---|---|---|---|
| Hospital of the Univ of PaPhiladelphia | 128 | $437,408 | $62,480 | $51,846 |
| Main Line Hospital LankenauWynnewood | 55 | $249,180 | $47,408 | $41,022 |
| UPMC Pinnacle HospitalsHarrisburg | 37 | $166,317 | $43,132 | $38,512 |
| Thomas Jefferson University HospitalPhiladelphia | 36 | $232,743 | $62,968 | $41,851 |
| Geisinger Medical CenterDanville | 31 | $409,500 | $60,240 | $42,039 |
| Allegheny General HospitalPittsburgh | 31 | $213,844 | $50,799 | $42,094 |
| Penn Presbyterian Medical CenterPhiladelphia | 29 | $364,016 | $54,960 | $49,538 |
| York HospitalYork | 22 | $314,444 | $59,946 | $45,049 |
| Doylestown HospitalDoylestown | 22 | $107,348 | $37,518 | $35,831 |
| Geisinger-Community Medical CenterScranton | 18 | $322,376 | $46,355 | $28,571 |
| Milton S Hershey Medical CenterHershey | 18 | $248,548 | $59,131 | $45,887 |
| Lancaster General HospitalLancaster | 15 | $195,964 | $39,736 | $37,810 |
| Hamot Medical CenterErie | 12 | $452,479 | $45,328 | $43,107 |
| Reading Hospital and Med CtrWest Reading | 11 | $226,850 | $48,829 | $46,850 |
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
| Doylestown HospitalDoylestown, PA | $37,518 |
|---|---|
| Lancaster General HospitalLancaster, PA | $39,736 |
| UPMC Pinnacle HospitalsHarrisburg, PA | $43,132 |
| Hamot Medical CenterErie, PA | $45,328 |
| Geisinger-Community Medical CenterScranton, PA | $46,355 |
Highest
| Thomas Jefferson University HospitalPhiladelphia, PA | $62,968 |
|---|---|
| Hospital of the Univ of PaPhiladelphia, PA | $62,480 |
| Geisinger Medical CenterDanville, PA | $60,240 |
| York HospitalYork, PA | $59,946 |
| Milton S Hershey Medical CenterHershey, PA | $59,131 |
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 220) at 14 hospitals in Pennsylvania was billed at $310,809 on average, while the average total payment was $54,245, of which Medicare paid $44,276. 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.