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.
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.
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:
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 |
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.
| 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 |
| 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 |
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.
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.