Cellulitis with major complications in Pennsylvania
What 26 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for cellulitis with major complications (DRG 602), from 2024 Medicare claims.
Average charge
$63,804
Hospital list price billed
Average payment
$13,057
Medicare + patient + other payers
Medicare paid
$10,701
Average per stay
State rank
#21 of 40
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $63,804 for cellulitis with major complications, about 4.9 times the average total payment of $13,057. That payment is 6% below the U.S. average of $13,872.
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 $13,057Billed $63,804
About 20¢ 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: cellulitis with 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 |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 39 | $68,103 | $12,947 | $11,339 |
| Abington Memorial HospitalAbington | 28 | $46,180 | $13,126 | $10,009 |
| Lancaster General HospitalLancaster | 23 | $49,166 | $10,982 | $9,452 |
| Hospital of the Univ of PaPhiladelphia | 22 | $118,366 | $19,293 | $14,704 |
| Temple University HospitalPhiladelphia | 20 | $114,779 | $17,808 | $14,203 |
| St Mary Medical CenterLanghorne | 19 | $32,142 | $12,483 | $8,478 |
| St Luke's Hospital - Anderson CampusEaston | 19 | $81,990 | $15,563 | $12,351 |
| York HospitalYork | 18 | $38,775 | $13,816 | $10,859 |
| Grand View HospitalSellersville | 16 | $47,125 | $10,370 | $9,046 |
| Doylestown HospitalDoylestown | 16 | $26,724 | $10,176 | $9,013 |
| Reading Hospital and Med CtrWest Reading | 15 | $68,472 | $13,159 | $10,930 |
| St Luke's Hospital BethlehemBethlehem | 14 | $103,000 | $14,484 | $11,643 |
| UPMC Pinnacle HospitalsHarrisburg | 14 | $64,186 | $12,962 | $8,847 |
| Chester County HospitalWest Chester | 14 | $59,973 | $10,872 | $9,590 |
| Geisinger-Community Medical CenterScranton | 13 | $99,848 | $11,325 | $9,854 |
| UPMC PassavantPittsburgh | 13 | $63,507 | $10,149 | $9,035 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 13 | $36,763 | $11,576 | $10,177 |
| St Joseph Medical CenterReading | 11 | $54,033 | $11,908 | $10,187 |
| Holy Redeemer Hosp and Med CtrJenkintown | 11 | $35,800 | $10,559 | $9,055 |
| Wilkes-Barre General HospitalWilkes-Barre | 11 | $58,445 | $10,174 | $9,025 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 11 | $72,362 | $11,589 | $9,874 |
| Chambersburg HospitalChambersburg | 11 | $30,917 | $11,726 | $10,678 |
| UPMC Presbyterian ShadysidePittsburgh | 11 | $104,439 | $15,479 | $11,008 |
| Thomas Jefferson University HospitalPhiladelphia | 11 | $75,730 | $15,871 | $12,719 |
| Hanover HospitalHanover | 11 | $46,729 | $12,024 | $10,840 |
| Mount Nittany Medical CenterState College | 11 | $34,477 | $13,313 | $12,113 |
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 | $10,149 |
|---|---|
| Wilkes-Barre General HospitalWilkes-Barre, PA | $10,174 |
| Doylestown HospitalDoylestown, PA | $10,176 |
| Grand View HospitalSellersville, PA | $10,370 |
| Holy Redeemer Hosp and Med CtrJenkintown, PA | $10,559 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $19,293 |
|---|---|
| Temple University HospitalPhiladelphia, PA | $17,808 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $15,871 |
| St Luke's Hospital - Anderson CampusEaston, PA | $15,563 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $15,479 |
Cellulitis with major complications in other states
Questions
How much does cellulitis with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for cellulitis with major complications (DRG 602) at 26 hospitals in Pennsylvania was billed at $63,804 on average, while the average total payment was $13,057, of which Medicare paid $10,701. 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 4.9 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.