Coronary bypass without cardiac catheterization without major complications in Pennsylvania
What 23 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236), from 2024 Medicare claims.
Average charge
$213,146
Hospital list price billed
Average payment
$38,040
Medicare + patient + other payers
Medicare paid
$30,443
Average per stay
State rank
#25 of 42
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $213,146 for coronary bypass without cardiac catheterization without major complications, about 5.6 times the average total payment of $38,040. That payment is about the same as the U.S. average of $37,830.
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 $38,040Billed $213,146
About 18¢ 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: coronary bypass without 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 |
|---|---|---|---|---|
| Main Line Hospital LankenauWynnewood | 77 | $179,089 | $34,751 | $29,879 |
| UPMC Pinnacle HospitalsHarrisburg | 74 | $134,719 | $34,922 | $28,383 |
| Hospital of the Univ of PaPhiladelphia | 62 | $357,171 | $48,502 | $39,222 |
| Penn Presbyterian Medical CenterPhiladelphia | 48 | $280,060 | $41,528 | $37,090 |
| Allegheny General HospitalPittsburgh | 47 | $171,645 | $39,412 | $29,745 |
| York HospitalYork | 32 | $256,298 | $55,856 | $25,276 |
| Thomas Jefferson University HospitalPhiladelphia | 26 | $223,596 | $47,719 | $35,972 |
| Geisinger Medical CenterDanville | 24 | $313,798 | $42,820 | $32,483 |
| Mercy Hospital ScrantonScranton | 21 | $230,527 | $26,930 | $25,152 |
| St Luke's Hospital BethlehemBethlehem | 18 | $339,460 | $39,912 | $27,857 |
| Chester County HospitalWest Chester | 17 | $142,419 | $27,225 | $21,606 |
| Reading Hospital and Med CtrWest Reading | 16 | $133,906 | $33,890 | $31,901 |
| Good Samaritan HospitalLebanon | 16 | $152,465 | $38,230 | $27,983 |
| Jefferson Health- NortheastPhiladelphia | 15 | $79,311 | $34,525 | $24,161 |
| Butler Health SystemButler | 15 | $72,073 | $25,774 | $24,251 |
| Doylestown HospitalDoylestown | 15 | $93,565 | $28,736 | $27,377 |
| Williamsport Hospital & Medical CenterWilliamsport | 14 | $210,302 | $27,379 | $25,874 |
| Hamot Medical CenterErie | 13 | $354,280 | $33,322 | $31,150 |
| Lancaster General HospitalLancaster | 13 | $131,104 | $30,586 | $28,983 |
| Geisinger-Community Medical CenterScranton | 11 | $306,821 | $26,898 | $25,228 |
| Saint Vincent Health CenterErie | 11 | $238,574 | $35,287 | $32,803 |
| Robert Packer HospitalSayre | 11 | $146,282 | $37,795 | $29,887 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 11 | $175,291 | $33,779 | $31,004 |
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
| Butler Health SystemButler, PA | $25,774 |
|---|---|
| Geisinger-Community Medical CenterScranton, PA | $26,898 |
| Mercy Hospital ScrantonScranton, PA | $26,930 |
| Chester County HospitalWest Chester, PA | $27,225 |
| Williamsport Hospital & Medical CenterWilliamsport, PA | $27,379 |
Highest
| York HospitalYork, PA | $55,856 |
|---|---|
| Hospital of the Univ of PaPhiladelphia, PA | $48,502 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $47,719 |
| Geisinger Medical CenterDanville, PA | $42,820 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $41,528 |
Coronary bypass without cardiac catheterization without major complications in other states
Questions
How much does coronary bypass without cardiac catheterization without major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for coronary bypass without cardiac catheterization without major complications (DRG 236) at 23 hospitals in Pennsylvania was billed at $213,146 on average, while the average total payment was $38,040, of which Medicare paid $30,443. 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 5.6 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.