facebook tracking Concomitant left atrial appendage closure and cardiac ablation cost in Pennsylvania: 1 hospitals compared (DRG 317)

Concomitant left atrial appendage closure and cardiac ablation in Pennsylvania

What 1 hospital in Pennsylvania charged and were paid for a Medicare hospital stay for concomitant left atrial appendage closure and cardiac ablation (DRG 317), from 2024 Medicare claims.

DRG 317 Inpatient 2024 Medicare data
Average charge $353,865 Hospital list price billed
Average payment $62,029 Medicare + patient + other payers
Medicare paid $60,286 Average per stay
Volume 19 Medicare hospital stays

Hospitals in Pennsylvania billed an average of $353,865 for concomitant left atrial appendage closure and cardiac ablation, about 5.7 times the average total payment of $62,029. That payment is 8% above the U.S. average of $57,530.

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 $62,029Billed $353,865

About 18¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.

Pennsylvania hospitals: concomitant left atrial appendage closure and cardiac ablation

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
Penn Presbyterian Medical CenterPhiladelphia 19 $353,865 $62,029 $60,286
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Concomitant left atrial appendage closure and cardiac ablation in other states

Questions

How much does concomitant left atrial appendage closure and cardiac ablation cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for concomitant left atrial appendage closure and cardiac ablation (DRG 317) at 1 hospital in Pennsylvania was billed at $353,865 on average, while the average total payment was $62,029, of which Medicare paid $60,286. 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 5.7 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.