Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in Pennsylvania
What 21 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023), from 2024 Medicare claims.
Average charge
$318,984
Hospital list price billed
Average payment
$55,367
Medicare + patient + other payers
Medicare paid
$46,478
Average per stay
State rank
#27 of 38
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $318,984 for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o, about 5.8 times the average total payment of $55,367. That payment is 2% below the U.S. average of $56,603.
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 $55,367Billed $318,984
About 17¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Pennsylvania hospitals: craniotomy with major device implant or acute complex cns principal diagnosis with major complications o
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 |
|---|---|---|---|---|
| Allegheny General HospitalPittsburgh | 52 | $246,866 | $57,463 | $44,947 |
| Thomas Jefferson University HospitalPhiladelphia | 46 | $271,106 | $64,844 | $57,629 |
| Hospital of the Univ of PaPhiladelphia | 44 | $485,074 | $71,600 | $62,879 |
| St Luke's Hospital BethlehemBethlehem | 38 | $474,266 | $55,054 | $47,197 |
| York HospitalYork | 37 | $219,198 | $50,846 | $43,324 |
| Lehigh Valley HospitalAllentown | 36 | $432,409 | $51,010 | $45,172 |
| UPMC Presbyterian ShadysidePittsburgh | 36 | $520,013 | $56,673 | $46,958 |
| Geisinger Medical CenterDanville | 30 | $403,893 | $70,032 | $46,881 |
| Abington Memorial HospitalAbington | 27 | $175,042 | $49,881 | $38,137 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 26 | $363,435 | $49,090 | $42,179 |
| Milton S Hershey Medical CenterHershey | 24 | $212,269 | $57,668 | $53,310 |
| UPMC MercyPittsburgh | 22 | $224,194 | $45,147 | $41,963 |
| Lancaster General HospitalLancaster | 20 | $203,207 | $58,784 | $35,286 |
| UPMC Pinnacle HospitalsHarrisburg | 19 | $194,867 | $56,277 | $40,185 |
| Hamot Medical CenterErie | 18 | $311,408 | $46,414 | $44,432 |
| Main Line Hospital PaoliPaoli | 18 | $260,998 | $37,354 | $36,155 |
| Reading Hospital and Med CtrWest Reading | 17 | $220,628 | $44,163 | $42,254 |
| Altoona Regional Health SystemAltoona | 16 | $165,961 | $43,931 | $42,657 |
| Jefferson Health- NortheastPhiladelphia | 16 | $167,633 | $43,667 | $38,016 |
| Temple University HospitalPhiladelphia | 13 | $578,124 | $67,835 | $61,263 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 13 | $239,976 | $45,318 | $36,227 |
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
| Main Line Hospital PaoliPaoli, PA | $37,354 |
|---|---|
| Jefferson Health- NortheastPhiladelphia, PA | $43,667 |
| Altoona Regional Health SystemAltoona, PA | $43,931 |
| Reading Hospital and Med CtrWest Reading, PA | $44,163 |
| UPMC MercyPittsburgh, PA | $45,147 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $71,600 |
|---|---|
| Geisinger Medical CenterDanville, PA | $70,032 |
| Temple University HospitalPhiladelphia, PA | $67,835 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $64,844 |
| Lancaster General HospitalLancaster, PA | $58,784 |
Craniotomy with major device implant or acute complex CNS principal diagnosis with major complications o in other states
Questions
How much does craniotomy with major device implant or acute complex cns principal diagnosis with major complications o cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis with major complications o (DRG 023) at 21 hospitals in Pennsylvania was billed at $318,984 on average, while the average total payment was $55,367, of which Medicare paid $46,478. 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 5.8 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.