Diabetes with complications in Pennsylvania
What 61 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for diabetes with complications (DRG 638), from 2024 Medicare claims.
Average charge
$44,135
Hospital list price billed
Average payment
$8,433
Medicare + patient + other payers
Medicare paid
$6,137
Average per stay
State rank
#24 of 47
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $44,135 for diabetes with complications, about 5.2 times the average total payment of $8,433. That payment is 8% below the U.S. average of $9,215.
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 $8,433Billed $44,135
About 19¢ 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: diabetes 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 |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 104 | $49,437 | $8,308 | $6,455 |
| Abington Memorial HospitalAbington | 45 | $31,049 | $7,878 | $5,999 |
| Reading Hospital and Med CtrWest Reading | 44 | $33,889 | $8,341 | $6,502 |
| Temple University HospitalPhiladelphia | 41 | $97,158 | $12,339 | $8,993 |
| UPMC Pinnacle HospitalsHarrisburg | 36 | $32,264 | $7,768 | $6,094 |
| Chester County HospitalWest Chester | 30 | $35,605 | $6,765 | $5,624 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 30 | $58,917 | $8,468 | $5,538 |
| St Luke's Hospital BethlehemBethlehem | 28 | $63,221 | $10,213 | $6,722 |
| Holy Spirit HospitalCamp Hill | 27 | $42,452 | $7,593 | $4,607 |
| Lancaster General HospitalLancaster | 26 | $27,470 | $7,814 | $5,392 |
| Milton S Hershey Medical CenterHershey | 26 | $43,151 | $13,135 | $7,875 |
| Chambersburg HospitalChambersburg | 25 | $23,088 | $7,456 | $5,619 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 24 | $32,196 | $7,015 | $5,618 |
| Jefferson Health- NortheastPhiladelphia | 23 | $26,007 | $7,383 | $6,105 |
| Geisinger Medical CenterDanville | 22 | $68,963 | $10,793 | $6,906 |
| York HospitalYork | 22 | $32,943 | $10,697 | $5,843 |
| Thomas Jefferson University HospitalPhiladelphia | 22 | $55,744 | $11,321 | $8,088 |
| Doylestown HospitalDoylestown | 22 | $24,044 | $6,639 | $5,110 |
| St Mary Medical CenterLanghorne | 22 | $21,974 | $7,729 | $5,777 |
| Geisinger-Community Medical CenterScranton | 21 | $54,268 | $6,855 | $5,660 |
| Main Line Hospital LankenauWynnewood | 21 | $60,314 | $8,766 | $6,342 |
| Riddle Memorial HospitalMedia | 21 | $47,310 | $6,929 | $4,917 |
| St Luke's Hospital - Anderson CampusEaston | 21 | $61,315 | $10,404 | $7,875 |
| UPMC MemorialYork | 20 | $30,516 | $7,313 | $4,505 |
| Mercy Hospital ScrantonScranton | 20 | $48,558 | $6,987 | $5,186 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 19 | $61,129 | $9,170 | $7,376 |
| Lansdale HospitalLansdale | 18 | $25,391 | $7,377 | $3,831 |
| Penn Presbyterian Medical CenterPhiladelphia | 18 | $65,317 | $10,490 | $8,116 |
| Penn State Health Lancaster Medical CenterLancaster | 18 | $28,380 | $7,066 | $4,400 |
| Wilkes-Barre General HospitalWilkes-Barre | 17 | $53,702 | $6,788 | $5,570 |
| Main Line Hospital PaoliPaoli | 17 | $60,136 | $6,416 | $5,543 |
| Chestnut Hill HospitalPhiladelphia | 16 | $95,761 | $9,037 | $6,886 |
| Robert Packer HospitalSayre | 16 | $36,407 | $8,308 | $6,880 |
| Pottstown Memorial Med CenterPottstown | 16 | $58,891 | $6,570 | $5,193 |
| UPMC Presbyterian ShadysidePittsburgh | 16 | $77,649 | $9,541 | $6,269 |
| Hamot Medical CenterErie | 15 | $53,973 | $8,387 | $6,777 |
| Gettysburg HospitalGettysburg | 15 | $25,205 | $6,901 | $5,813 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 15 | $54,089 | $8,748 | $4,572 |
| Altoona Regional Health SystemAltoona | 14 | $30,711 | $7,126 | $5,637 |
| Hospital of the Univ of PaPhiladelphia | 14 | $123,084 | $13,803 | $7,318 |
| Albert Einstein Medical CenterPhiladelphia | 14 | $39,781 | $13,419 | $8,241 |
| Excela Health Westmoreland Regional HospitalGreensburg | 14 | $14,762 | $6,581 | $4,964 |
| Butler Health SystemButler | 14 | $26,559 | $7,114 | $5,166 |
| Pocono Medical CenterEast Stroudsburg | 14 | $33,105 | $6,966 | $5,684 |
| St Luke's Hospital - Monroe CampusStroudsburg | 14 | $47,804 | $6,685 | $5,473 |
| Uniontown HospitalUniontown | 12 | $15,641 | $7,200 | $4,678 |
| Lewistown HospitalLewistown | 12 | $27,992 | $7,622 | $5,196 |
| Conemaugh Valley Memorial HospitalJohnstown | 12 | $25,429 | $8,720 | $7,292 |
| Mercy Health SystemConshohocken | 12 | $42,810 | $12,163 | $8,123 |
| St Clair Memorial HospitalPittsburgh | 12 | $20,739 | $5,964 | $4,604 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 12 | $28,958 | $8,941 | $6,242 |
| Penn State Health Hampden Medical CenterEnola | 12 | $29,124 | $7,892 | $4,534 |
| Heritage Valley BeaverBeaver | 11 | $13,062 | $7,525 | $5,818 |
| Williamsport Hospital & Medical CenterWilliamsport | 11 | $30,653 | $6,738 | $5,569 |
| Grand View HospitalSellersville | 11 | $32,564 | $6,184 | $5,442 |
| St Joseph Medical CenterReading | 11 | $37,247 | $7,858 | $6,547 |
| UPMC St MargaretPittsburgh | 11 | $58,109 | $8,096 | $5,735 |
| Wayne Memorial HospitalHonesdale | 11 | $29,484 | $7,676 | $6,489 |
| Waynesboro HospitalWaynesboro | 11 | $24,128 | $7,868 | $6,930 |
| Hanover HospitalHanover | 11 | $29,168 | $7,565 | $5,726 |
| Mount Nittany Medical CenterState College | 11 | $19,986 | $8,091 | $6,882 |
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
| St Clair Memorial HospitalPittsburgh, PA | $5,964 |
|---|---|
| Grand View HospitalSellersville, PA | $6,184 |
| Main Line Hospital PaoliPaoli, PA | $6,416 |
| Pottstown Memorial Med CenterPottstown, PA | $6,570 |
| Excela Health Westmoreland Regional HospitalGreensburg, PA | $6,581 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $13,803 |
|---|---|
| Albert Einstein Medical CenterPhiladelphia, PA | $13,419 |
| Milton S Hershey Medical CenterHershey, PA | $13,135 |
| Temple University HospitalPhiladelphia, PA | $12,339 |
| Mercy Health SystemConshohocken, PA | $12,163 |
Diabetes with complications in other states
Questions
How much does diabetes with complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for diabetes with complications (DRG 638) at 61 hospitals in Pennsylvania was billed at $44,135 on average, while the average total payment was $8,433, of which Medicare paid $6,137. 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 5.2 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.