facebook tracking Chronic obstructive pulmonary disease with complications cost in Pennsylvania: 36 hospitals compared (DRG 191)

Chronic obstructive pulmonary disease with complications in Pennsylvania

What 36 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for chronic obstructive pulmonary disease with complications (DRG 191), from 2024 Medicare claims.

DRG 191 Inpatient 2024 Medicare data
Average charge $46,736 Hospital list price billed
Average payment $7,801 Medicare + patient + other payers
Medicare paid $5,922 Average per stay
State rank #21 of 33 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $46,736 for chronic obstructive pulmonary disease with complications, about 6.0 times the average total payment of $7,801. That payment is 6% below the U.S. average of $8,280.

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 $7,801Billed $46,736

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: chronic obstructive pulmonary disease 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
Lehigh Valley HospitalAllentown 62 $41,920 $7,812 $6,174
Temple University HospitalPhiladelphia 49 $102,426 $11,956 $8,190
Doylestown HospitalDoylestown 37 $27,111 $6,058 $4,756
Reading Hospital and Med CtrWest Reading 31 $35,040 $7,721 $6,268
Chester County HospitalWest Chester 28 $40,742 $6,327 $5,103
St Luke's Hospital BethlehemBethlehem 27 $55,956 $8,407 $7,055
Abington Memorial HospitalAbington 27 $27,060 $7,230 $5,982
Main Line Hospital PaoliPaoli 25 $52,236 $6,044 $4,406
Main Line Hospital Bryn Mawr CampusBryn Mawr 21 $53,854 $6,619 $5,370
UPMC Pinnacle HospitalsHarrisburg 20 $32,933 $7,728 $5,406
Meadville Medical CenterMeadville 20 $23,163 $6,638 $5,289
St Mary Medical CenterLanghorne 20 $23,409 $6,792 $5,427
York HospitalYork 19 $37,702 $9,294 $5,649
Riddle Memorial HospitalMedia 19 $52,822 $6,079 $5,048
Lancaster General HospitalLancaster 18 $28,117 $6,867 $5,573
Pocono Medical CenterEast Stroudsburg 17 $100,230 $12,221 $10,973
Jefferson Einstein Montgomery HospitalEast Norriton 17 $31,524 $8,684 $6,427
Chestnut Hill HospitalPhiladelphia 16 $92,886 $8,467 $6,796
Hazleton General HospitalHazleton 16 $40,072 $6,022 $5,002
St Luke's Hospital - Monroe CampusStroudsburg 16 $62,892 $7,153 $5,161
Grand View HospitalSellersville 15 $25,626 $5,817 $4,294
Pottstown Memorial Med CenterPottstown 15 $47,700 $6,435 $4,151
Phoenixville HospitalPhoenixville 15 $44,725 $6,976 $5,777
St Luke's Hospital - Anderson CampusEaston 15 $61,007 $9,753 $7,279
Carlisle Regional Medical CtrCarlisle 13 $34,012 $6,922 $4,549
Holy Redeemer Hosp and Med CtrJenkintown 13 $28,594 $6,300 $4,908
UPMC MemorialYork 13 $31,537 $6,925 $3,636
Jefferson Health- NortheastPhiladelphia 13 $26,630 $7,568 $6,650
Robert Packer HospitalSayre 12 $24,442 $7,655 $6,335
Albert Einstein Medical CenterPhiladelphia 12 $24,751 $12,015 $8,223
Western Pennsylvania Hosp Forbes Regional CampusMonroeville 12 $37,973 $6,517 $4,943
Evangelical Community HospitalLewisburg 11 $41,572 $5,727 $4,688
Hospital of the Univ of PaPhiladelphia 11 $102,554 $11,925 $7,064
Wilkes-Barre General HospitalWilkes-Barre 11 $47,834 $5,828 $4,602
Thomas Jefferson University HospitalPhiladelphia 11 $38,834 $10,286 $7,277
Hanover HospitalHanover 11 $48,424 $7,184 $4,911
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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

Evangelical Community HospitalLewisburg, PA$5,727
Grand View HospitalSellersville, PA$5,817
Wilkes-Barre General HospitalWilkes-Barre, PA$5,828
Hazleton General HospitalHazleton, PA$6,022
Main Line Hospital PaoliPaoli, PA$6,044

Highest

Pocono Medical CenterEast Stroudsburg, PA$12,221
Albert Einstein Medical CenterPhiladelphia, PA$12,015
Temple University HospitalPhiladelphia, PA$11,956
Hospital of the Univ of PaPhiladelphia, PA$11,925
Thomas Jefferson University HospitalPhiladelphia, PA$10,286

Chronic obstructive pulmonary disease with complications in other states

Questions

How much does chronic obstructive pulmonary disease with complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for chronic obstructive pulmonary disease with complications (DRG 191) at 36 hospitals in Pennsylvania was billed at $46,736 on average, while the average total payment was $7,801, of which Medicare paid $5,922. 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.