facebook tracking Complications of treatment with complications cost in Pennsylvania: 16 hospitals compared (DRG 920)

Complications of treatment with complications in Pennsylvania

What 16 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for complications of treatment with complications (DRG 920), from 2024 Medicare claims.

DRG 920 Inpatient 2024 Medicare data
Average charge $68,106 Hospital list price billed
Average payment $10,668 Medicare + patient + other payers
Medicare paid $8,382 Average per stay
State rank #11 of 29 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $68,106 for complications of treatment with complications, about 6.4 times the average total payment of $10,668. That payment is 7% below the U.S. average of $11,515.

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 $10,668Billed $68,106

About 16¢ 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: complications of treatment 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 35 $56,215 $9,672 $7,945
UPMC Presbyterian ShadysidePittsburgh 29 $96,074 $10,653 $8,045
Hospital of the Univ of PaPhiladelphia 25 $101,363 $14,309 $10,298
St Luke's Hospital BethlehemBethlehem 23 $91,281 $9,827 $8,165
Reading Hospital and Med CtrWest Reading 18 $44,498 $9,241 $8,249
Doylestown HospitalDoylestown 18 $30,663 $7,702 $6,322
UPMC Pinnacle HospitalsHarrisburg 17 $30,964 $8,792 $6,996
Thomas Jefferson University HospitalPhiladelphia 17 $52,045 $12,976 $8,401
Abington Memorial HospitalAbington 17 $29,195 $8,793 $7,432
Geisinger Medical CenterDanville 16 $126,854 $14,474 $12,234
Temple University HospitalPhiladelphia 13 $116,384 $13,850 $9,911
York HospitalYork 13 $71,563 $10,700 $7,283
St Luke's Hospital - Anderson CampusEaston 13 $53,249 $11,203 $9,243
Lancaster General HospitalLancaster 12 $28,217 $8,172 $7,263
Main Line Hospital Bryn Mawr CampusBryn Mawr 11 $71,709 $8,188 $6,704
Milton S Hershey Medical CenterHershey 11 $61,297 $12,009 $9,698
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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

Doylestown HospitalDoylestown, PA$7,702
Lancaster General HospitalLancaster, PA$8,172
Main Line Hospital Bryn Mawr CampusBryn Mawr, PA$8,188
UPMC Pinnacle HospitalsHarrisburg, PA$8,792
Abington Memorial HospitalAbington, PA$8,793

Highest

Geisinger Medical CenterDanville, PA$14,474
Hospital of the Univ of PaPhiladelphia, PA$14,309
Temple University HospitalPhiladelphia, PA$13,850
Thomas Jefferson University HospitalPhiladelphia, PA$12,976
Milton S Hershey Medical CenterHershey, PA$12,009

Complications of treatment with complications in other states

Questions

How much does complications of treatment with complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for complications of treatment with complications (DRG 920) at 16 hospitals in Pennsylvania was billed at $68,106 on average, while the average total payment was $10,668, of which Medicare paid $8,382. 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 6.4 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.