facebook tracking Cirrhosis and alcoholic hepatitis with complications cost in Pennsylvania: 9 hospitals compared (DRG 433)

Cirrhosis and alcoholic hepatitis with complications in Pennsylvania

What 9 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for cirrhosis and alcoholic hepatitis with complications (DRG 433), from 2024 Medicare claims.

DRG 433 Inpatient 2024 Medicare data
Average charge $84,894 Hospital list price billed
Average payment $11,492 Medicare + patient + other payers
Medicare paid $7,915 Average per stay
State rank #16 of 20 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $84,894 for cirrhosis and alcoholic hepatitis with complications, about 7.4 times the average total payment of $11,492. That payment is 5% above the U.S. average of $10,975.

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 $11,492Billed $84,894

About 14¢ 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: cirrhosis and alcoholic hepatitis 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 28 $82,498 $9,494 $7,903
Temple University HospitalPhiladelphia 14 $156,328 $14,304 $10,916
Geisinger-Community Medical CenterScranton 12 $69,334 $8,276 $6,917
Geisinger Medical CenterDanville 12 $79,834 $13,150 $7,774
Holy Spirit HospitalCamp Hill 11 $32,898 $13,116 $3,926
St Luke's Hospital BethlehemBethlehem 11 $80,281 $12,465 $7,965
Robert Packer HospitalSayre 11 $41,819 $11,258 $6,498
UPMC Presbyterian ShadysidePittsburgh 11 $160,309 $12,012 $8,899
Milton S Hershey Medical CenterHershey 11 $46,840 $11,817 $9,736
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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

Geisinger-Community Medical CenterScranton, PA$8,276
Lehigh Valley HospitalAllentown, PA$9,494
Robert Packer HospitalSayre, PA$11,258
Milton S Hershey Medical CenterHershey, PA$11,817
UPMC Presbyterian ShadysidePittsburgh, PA$12,012

Highest

Temple University HospitalPhiladelphia, PA$14,304
Geisinger Medical CenterDanville, PA$13,150
Holy Spirit HospitalCamp Hill, PA$13,116
St Luke's Hospital BethlehemBethlehem, PA$12,465
UPMC Presbyterian ShadysidePittsburgh, PA$12,012

Cirrhosis and alcoholic hepatitis with complications in other states

Questions

How much does cirrhosis and alcoholic hepatitis with complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for cirrhosis and alcoholic hepatitis with complications (DRG 433) at 9 hospitals in Pennsylvania was billed at $84,894 on average, while the average total payment was $11,492, of which Medicare paid $7,915. 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 7.4 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.