Craniotomy with major device implant or acute complex CNS principal diagnosis without mc in Pennsylvania
What 5 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis without mc (DRG 024), from 2024 Medicare claims.
Average charge
$246,454
Hospital list price billed
Average payment
$43,316
Medicare + patient + other payers
Medicare paid
$32,997
Average per stay
State rank
#22 of 25
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $246,454 for craniotomy with major device implant or acute complex cns principal diagnosis without mc, about 5.7 times the average total payment of $43,316. That payment is 18% above the U.S. average of $36,662.
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 $43,316Billed $246,454
About 18¢ 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 without mc
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 | 34 | $318,782 | $45,408 | $39,616 |
| Thomas Jefferson University HospitalPhiladelphia | 30 | $202,437 | $47,471 | $33,199 |
| York HospitalYork | 19 | $154,866 | $45,696 | $26,279 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 13 | $239,969 | $34,080 | $27,072 |
| Lehigh Valley HospitalAllentown | 11 | $308,801 | $32,327 | $30,592 |
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 | $32,327 |
|---|---|
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $34,080 |
| Hospital of the Univ of PaPhiladelphia, PA | $45,408 |
| York HospitalYork, PA | $45,696 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $47,471 |
Highest
| Thomas Jefferson University HospitalPhiladelphia, PA | $47,471 |
|---|---|
| York HospitalYork, PA | $45,696 |
| Hospital of the Univ of PaPhiladelphia, PA | $45,408 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $34,080 |
| Lehigh Valley HospitalAllentown, PA | $32,327 |
Craniotomy with major device implant or acute complex CNS principal diagnosis without mc in other states
Questions
How much does craniotomy with major device implant or acute complex cns principal diagnosis without mc cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for craniotomy with major device implant or acute complex cns principal diagnosis without mc (DRG 024) at 5 hospitals in Pennsylvania was billed at $246,454 on average, while the average total payment was $43,316, of which Medicare paid $32,997. 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.