Circulatory disorders except AMI, with cardiac catheterization with major complications in Pennsylvania
What 62 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286), from 2024 Medicare claims.
Average charge
$137,159
Hospital list price billed
Average payment
$21,683
Medicare + patient + other payers
Medicare paid
$17,365
Average per stay
State rank
#34 of 47
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $137,159 for circulatory disorders except ami, with cardiac catheterization with major complications, about 6.3 times the average total payment of $21,683. That payment is 1% below the U.S. average of $21,968.
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 $21,683Billed $137,159
About 16¢ 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: circulatory disorders except ami, with cardiac catheterization 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 |
|---|---|---|---|---|
| Hospital of the Univ of PaPhiladelphia | 142 | $363,380 | $40,427 | $29,099 |
| Lehigh Valley HospitalAllentown | 116 | $169,287 | $20,607 | $16,498 |
| Penn Presbyterian Medical CenterPhiladelphia | 93 | $190,278 | $25,993 | $23,175 |
| Reading Hospital and Med CtrWest Reading | 85 | $99,494 | $19,207 | $16,932 |
| Abington Memorial HospitalAbington | 85 | $98,965 | $19,066 | $15,908 |
| Thomas Jefferson University HospitalPhiladelphia | 84 | $152,213 | $30,747 | $20,769 |
| Main Line Hospital LankenauWynnewood | 76 | $167,794 | $21,843 | $18,634 |
| Lancaster General HospitalLancaster | 70 | $81,851 | $17,173 | $14,874 |
| Main Line Hospital PaoliPaoli | 69 | $113,374 | $15,525 | $13,665 |
| UPMC Pinnacle HospitalsHarrisburg | 68 | $77,856 | $18,870 | $14,910 |
| Jefferson Health- NortheastPhiladelphia | 66 | $76,424 | $19,539 | $16,367 |
| Allegheny General HospitalPittsburgh | 57 | $106,937 | $25,219 | $18,901 |
| York HospitalYork | 55 | $103,431 | $24,663 | $16,815 |
| Temple University HospitalPhiladelphia | 53 | $304,998 | $30,701 | $24,421 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 50 | $124,911 | $17,602 | $14,828 |
| St Luke's Hospital BethlehemBethlehem | 49 | $203,781 | $25,899 | $15,900 |
| Doylestown HospitalDoylestown | 49 | $64,742 | $15,955 | $13,704 |
| Riddle Memorial HospitalMedia | 47 | $135,902 | $16,113 | $14,401 |
| Geisinger Medical CenterDanville | 44 | $155,436 | $22,462 | $18,937 |
| Geisinger-Community Medical CenterScranton | 43 | $148,971 | $17,491 | $14,240 |
| Hamot Medical CenterErie | 37 | $133,910 | $19,286 | $16,812 |
| UPMC Presbyterian ShadysidePittsburgh | 37 | $300,488 | $24,571 | $17,044 |
| Chester County HospitalWest Chester | 35 | $81,386 | $15,480 | $13,790 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 35 | $161,251 | $21,983 | $18,586 |
| Saint Vincent Health CenterErie | 34 | $116,456 | $20,915 | $19,151 |
| Mercy Hospital ScrantonScranton | 32 | $96,201 | $17,469 | $14,298 |
| St Mary Medical CenterLanghorne | 31 | $59,412 | $18,015 | $15,319 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 30 | $73,834 | $16,553 | $13,468 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 29 | $131,340 | $19,322 | $14,658 |
| Albert Einstein Medical CenterPhiladelphia | 28 | $105,066 | $27,989 | $21,466 |
| Hanover HospitalHanover | 27 | $80,559 | $19,499 | $16,050 |
| Milton S Hershey Medical CenterHershey | 27 | $145,611 | $27,184 | $22,304 |
| Altoona Regional Health SystemAltoona | 24 | $68,930 | $17,349 | $14,872 |
| Dubois Regional Medical CenterDubois | 24 | $37,980 | $15,775 | $14,549 |
| St Luke's Hospital - Monroe CampusStroudsburg | 23 | $169,789 | $17,614 | $13,413 |
| UPMC MemorialYork | 21 | $74,922 | $15,653 | $11,472 |
| UPMC PassavantPittsburgh | 21 | $121,617 | $15,573 | $12,909 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 20 | $81,484 | $22,098 | $16,066 |
| Lower Bucks HospitalBristol | 19 | $86,348 | $19,864 | $16,440 |
| St Joseph Medical CenterReading | 19 | $94,400 | $17,799 | $15,596 |
| Wilkes-Barre General HospitalWilkes-Barre | 19 | $102,898 | $15,862 | $14,092 |
| Heritage Valley BeaverBeaver | 17 | $26,890 | $16,893 | $15,341 |
| Robert Packer HospitalSayre | 16 | $56,869 | $18,919 | $16,814 |
| Ephrata Community HospitalEphrata | 16 | $91,807 | $14,484 | $13,362 |
| Holy Redeemer Hosp and Med CtrJenkintown | 15 | $47,068 | $16,565 | $13,289 |
| Mercy Health SystemConshohocken | 15 | $73,631 | $24,835 | $21,061 |
| Jameson Memorial HospitalNew Castle | 14 | $39,456 | $15,534 | $13,541 |
| Phoenixville HospitalPhoenixville | 14 | $131,184 | $17,868 | $14,947 |
| Chambersburg HospitalChambersburg | 14 | $62,024 | $19,250 | $14,652 |
| Butler Health SystemButler | 14 | $55,630 | $15,097 | $14,048 |
| Conemaugh Valley Memorial HospitalJohnstown | 13 | $44,910 | $20,527 | $18,173 |
| Crozer Chester Medical CenterChester | 13 | $172,420 | $20,805 | $14,342 |
| Sharon Regional Health SystemSharon | 13 | $58,768 | $15,276 | $13,585 |
| AHN Wexford HospitalWexford | 13 | $49,017 | $16,201 | $9,811 |
| Williamsport Hospital & Medical CenterWilliamsport | 12 | $68,623 | $15,980 | $14,726 |
| Gettysburg HospitalGettysburg | 12 | $59,312 | $19,912 | $14,195 |
| Good Samaritan HospitalLebanon | 12 | $70,170 | $17,436 | $15,630 |
| St Clair Memorial HospitalPittsburgh | 12 | $43,740 | $14,252 | $11,125 |
| St Luke's Hospital - Anderson CampusEaston | 12 | $173,360 | $22,868 | $19,070 |
| Holy Spirit HospitalCamp Hill | 11 | $67,448 | $16,474 | $12,890 |
| Jefferson Regional Medical CenterClairton | 11 | $61,081 | $14,346 | $13,159 |
| UPMC EastMonroeville | 11 | $124,059 | $15,629 | $13,702 |
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
| St Clair Memorial HospitalPittsburgh, PA | $14,252 |
|---|---|
| Jefferson Regional Medical CenterClairton, PA | $14,346 |
| Ephrata Community HospitalEphrata, PA | $14,484 |
| Butler Health SystemButler, PA | $15,097 |
| Sharon Regional Health SystemSharon, PA | $15,276 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $40,427 |
|---|---|
| Thomas Jefferson University HospitalPhiladelphia, PA | $30,747 |
| Temple University HospitalPhiladelphia, PA | $30,701 |
| Albert Einstein Medical CenterPhiladelphia, PA | $27,989 |
| Milton S Hershey Medical CenterHershey, PA | $27,184 |
Circulatory disorders except AMI, with cardiac catheterization with major complications in other states
Questions
How much does circulatory disorders except ami, with cardiac catheterization with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization with major complications (DRG 286) at 62 hospitals in Pennsylvania was billed at $137,159 on average, while the average total payment was $21,683, of which Medicare paid $17,365. 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 6.3 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.