facebook tracking Craniotomy and endovascular intracranial procedures with complications cost in Pennsylvania: 9 hospitals compared (DRG 026)

Craniotomy and endovascular intracranial procedures with complications in Pennsylvania

What 9 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for craniotomy and endovascular intracranial procedures with complications (DRG 026), from 2024 Medicare claims.

DRG 026 Inpatient 2024 Medicare data
Average charge $219,061 Hospital list price billed
Average payment $31,910 Medicare + patient + other payers
Medicare paid $24,795 Average per stay
State rank #11 of 23 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $219,061 for craniotomy and endovascular intracranial procedures with complications, about 6.9 times the average total payment of $31,910. That payment is 4% below the U.S. average of $33,406.

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 $31,910Billed $219,061

About 15¢ 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: craniotomy and endovascular intracranial procedures 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
Hospital of the Univ of PaPhiladelphia 49 $299,492 $34,843 $28,421
Thomas Jefferson University HospitalPhiladelphia 44 $154,378 $36,160 $24,445
UPMC Presbyterian ShadysidePittsburgh 29 $295,462 $29,411 $24,373
Geisinger Medical CenterDanville 21 $295,532 $27,437 $23,811
Milton S Hershey Medical CenterHershey 21 $126,032 $29,810 $26,093
Allegheny General HospitalPittsburgh 16 $111,845 $28,034 $21,060
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia 16 $134,177 $28,670 $23,758
Lehigh Valley HospitalAllentown 13 $297,838 $31,135 $20,303
York HospitalYork 11 $136,016 $32,253 $22,795
Advertisement

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 Medical CenterDanville, PA$27,437
Allegheny General HospitalPittsburgh, PA$28,034
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA$28,670
UPMC Presbyterian ShadysidePittsburgh, PA$29,411
Milton S Hershey Medical CenterHershey, PA$29,810

Highest

Thomas Jefferson University HospitalPhiladelphia, PA$36,160
Hospital of the Univ of PaPhiladelphia, PA$34,843
York HospitalYork, PA$32,253
Lehigh Valley HospitalAllentown, PA$31,135
Milton S Hershey Medical CenterHershey, PA$29,810

Craniotomy and endovascular intracranial procedures with complications in other states

Questions

How much does craniotomy and endovascular intracranial procedures with complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for craniotomy and endovascular intracranial procedures with complications (DRG 026) at 9 hospitals in Pennsylvania was billed at $219,061 on average, while the average total payment was $31,910, of which Medicare paid $24,795. 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 6.9 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.