facebook tracking Craniotomy and endovascular intracranial procedures without complications cost in Pennsylvania: 9 hospitals compared (DRG 027)

Craniotomy and endovascular intracranial procedures without complications in Pennsylvania

What 9 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for craniotomy and endovascular intracranial procedures without complications (DRG 027), from 2024 Medicare claims.

DRG 027 Inpatient 2024 Medicare data
Average charge $180,472 Hospital list price billed
Average payment $25,868 Medicare + patient + other payers
Medicare paid $21,509 Average per stay
State rank #20 of 27 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $180,472 for craniotomy and endovascular intracranial procedures without complications, about 7.0 times the average total payment of $25,868. That payment is 3% below the U.S. average of $26,617.

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 $25,868Billed $180,472

About 14¢ 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 without 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
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia 85 $92,296 $22,757 $20,551
Hospital of the Univ of PaPhiladelphia 72 $318,648 $30,663 $25,564
Thomas Jefferson University HospitalPhiladelphia 43 $130,453 $29,021 $20,556
Milton S Hershey Medical CenterHershey 29 $102,951 $25,027 $23,203
Allegheny General HospitalPittsburgh 22 $141,011 $22,398 $19,831
Lehigh Valley HospitalAllentown 18 $201,058 $20,789 $18,884
Geisinger Wyoming Vly Med CtrWilkes-Barre 18 $239,432 $21,036 $17,810
UPMC Presbyterian ShadysidePittsburgh 17 $248,492 $27,951 $19,297
St Luke's Hospital BethlehemBethlehem 11 $200,933 $28,347 $18,746
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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

Lehigh Valley HospitalAllentown, PA$20,789
Geisinger Wyoming Vly Med CtrWilkes-Barre, PA$21,036
Allegheny General HospitalPittsburgh, PA$22,398
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA$22,757
Milton S Hershey Medical CenterHershey, PA$25,027

Highest

Hospital of the Univ of PaPhiladelphia, PA$30,663
Thomas Jefferson University HospitalPhiladelphia, PA$29,021
St Luke's Hospital BethlehemBethlehem, PA$28,347
UPMC Presbyterian ShadysidePittsburgh, PA$27,951
Milton S Hershey Medical CenterHershey, PA$25,027

Craniotomy and endovascular intracranial procedures without complications in other states

Questions

How much does craniotomy and endovascular intracranial procedures without complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for craniotomy and endovascular intracranial procedures without complications (DRG 027) at 9 hospitals in Pennsylvania was billed at $180,472 on average, while the average total payment was $25,868, of which Medicare paid $21,509. 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 7.0 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.