facebook tracking Circulatory disorders except AMI, with cardiac catheterization without major complications cost in Pennsylvania: 55 hospitals compared (DRG 287)

Circulatory disorders except AMI, with cardiac catheterization without major complications in Pennsylvania

What 55 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for circulatory disorders except ami, with cardiac catheterization without major complications (DRG 287), from 2024 Medicare claims.

DRG 287 Inpatient 2024 Medicare data
Average charge $66,854 Hospital list price billed
Average payment $10,193 Medicare + patient + other payers
Medicare paid $7,266 Average per stay
State rank #28 of 45 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $66,854 for circulatory disorders except ami, with cardiac catheterization without major complications, about 6.6 times the average total payment of $10,193. That payment is 2% below the U.S. average of $10,394.

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 $10,193Billed $66,854

About 15¢ 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 without 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 61 $209,447 $19,809 $11,847
Lehigh Valley HospitalAllentown 51 $87,339 $10,935 $7,526
St Mary Medical CenterLanghorne 50 $35,378 $8,738 $7,076
UPMC Pinnacle HospitalsHarrisburg 49 $42,976 $9,241 $7,177
Main Line Hospital PaoliPaoli 46 $57,360 $9,119 $5,660
St Luke's Hospital BethlehemBethlehem 45 $90,743 $11,030 $7,728
York HospitalYork 44 $62,986 $12,348 $7,195
Abington Memorial HospitalAbington 40 $43,169 $9,577 $7,210
Holy Spirit HospitalCamp Hill 38 $57,300 $7,769 $6,329
Geisinger Medical CenterDanville 37 $89,982 $13,607 $7,417
Geisinger-Community Medical CenterScranton 35 $104,644 $8,639 $6,685
Penn Presbyterian Medical CenterPhiladelphia 31 $114,494 $12,059 $9,911
Wilkes-Barre General HospitalWilkes-Barre 29 $57,064 $8,382 $6,335
Chester County HospitalWest Chester 29 $46,249 $8,265 $6,444
Hamot Medical CenterErie 28 $85,715 $10,042 $7,939
St Joseph Medical CenterReading 28 $46,923 $9,227 $7,079
Lancaster General HospitalLancaster 28 $56,635 $8,660 $7,007
Main Line Hospital LankenauWynnewood 27 $71,138 $10,417 $7,573
Doylestown HospitalDoylestown 27 $41,245 $8,128 $6,025
St Luke's Hospital - Monroe CampusStroudsburg 27 $110,758 $9,457 $5,375
Thomas Jefferson University HospitalPhiladelphia 24 $62,693 $12,875 $9,668
Allegheny General HospitalPittsburgh 23 $48,659 $10,621 $8,248
Saint Vincent Health CenterErie 22 $52,190 $9,483 $8,021
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia 22 $106,977 $10,885 $8,921
Reading Hospital and Med CtrWest Reading 21 $62,791 $9,621 $8,030
Jefferson Health- NortheastPhiladelphia 21 $43,795 $10,170 $7,019
Robert Packer HospitalSayre 20 $27,090 $9,878 $7,957
UPMC MemorialYork 20 $41,679 $7,790 $6,071
Main Line Hospital Bryn Mawr CampusBryn Mawr 20 $70,058 $11,343 $5,168
UPMC Presbyterian ShadysidePittsburgh 20 $99,368 $11,401 $8,716
Holy Redeemer Hosp and Med CtrJenkintown 18 $44,258 $8,532 $6,359
Jefferson Einstein Montgomery HospitalEast Norriton 18 $52,634 $10,703 $7,488
AHN Wexford HospitalWexford 18 $33,359 $7,506 $5,247
Williamsport Hospital & Medical CenterWilliamsport 17 $42,642 $8,147 $6,466
Chambersburg HospitalChambersburg 17 $43,558 $9,857 $6,781
Milton S Hershey Medical CenterHershey 17 $64,055 $13,404 $8,425
Geisinger Wyoming Vly Med CtrWilkes-Barre 17 $83,960 $10,053 $6,960
Washington Hospital, theWashington 16 $15,566 $8,410 $6,383
Altoona Regional Health SystemAltoona 16 $39,005 $8,501 $7,054
Dubois Regional Medical CenterDubois 16 $20,666 $8,352 $6,145
Hanover HospitalHanover 16 $37,928 $10,323 $6,613
Phoenixville HospitalPhoenixville 15 $65,640 $10,120 $5,875
Sharon Regional Health SystemSharon 15 $32,017 $7,556 $6,084
Ephrata Community HospitalEphrata 15 $74,180 $8,263 $5,997
Heritage Valley BeaverBeaver 14 $18,329 $8,781 $7,206
Gettysburg HospitalGettysburg 14 $46,276 $10,903 $6,244
Butler Health SystemButler 14 $39,767 $8,039 $6,523
Excela Health Westmoreland Regional HospitalGreensburg 13 $20,198 $8,163 $5,879
Mercy Hospital ScrantonScranton 13 $56,588 $8,397 $5,865
St Luke's Hospital - Anderson CampusEaston 13 $93,030 $11,542 $9,058
Evangelical Community HospitalLewisburg 12 $42,426 $8,522 $5,516
Uniontown HospitalUniontown 12 $26,528 $7,983 $6,487
Meadville Medical CenterMeadville 12 $25,701 $8,199 $6,664
Riddle Memorial HospitalMedia 12 $57,461 $7,664 $6,712
Western Pennsylvania Hosp Forbes Regional CampusMonroeville 11 $43,850 $8,330 $6,339
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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

AHN Wexford HospitalWexford, PA$7,506
Sharon Regional Health SystemSharon, PA$7,556
Riddle Memorial HospitalMedia, PA$7,664
Holy Spirit HospitalCamp Hill, PA$7,769
UPMC MemorialYork, PA$7,790

Highest

Hospital of the Univ of PaPhiladelphia, PA$19,809
Geisinger Medical CenterDanville, PA$13,607
Milton S Hershey Medical CenterHershey, PA$13,404
Thomas Jefferson University HospitalPhiladelphia, PA$12,875
York HospitalYork, PA$12,348

Circulatory disorders except AMI, with cardiac catheterization without major complications in other states

Questions

How much does circulatory disorders except ami, with cardiac catheterization without major complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for circulatory disorders except ami, with cardiac catheterization without major complications (DRG 287) at 55 hospitals in Pennsylvania was billed at $66,854 on average, while the average total payment was $10,193, of which Medicare paid $7,266. 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 6.6 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.