Disorders of the biliary tract with major complications in Pennsylvania
What 16 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for disorders of the biliary tract with major complications (DRG 444), from 2024 Medicare claims.
Average charge
$115,587
Hospital list price billed
Average payment
$17,176
Medicare + patient + other payers
Medicare paid
$13,589
Average per stay
State rank
#27 of 34
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $115,587 for disorders of the biliary tract with major complications, about 6.7 times the average total payment of $17,176. That payment is about the same as the U.S. average of $17,218.
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 $17,176Billed $115,587
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: disorders of the biliary tract with major 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 | 34 | $142,850 | $17,429 | $11,447 |
| UPMC Presbyterian ShadysidePittsburgh | 29 | $148,158 | $17,394 | $14,013 |
| St Luke's Hospital BethlehemBethlehem | 20 | $136,574 | $17,461 | $12,635 |
| Thomas Jefferson University HospitalPhiladelphia | 20 | $114,075 | $20,977 | $16,722 |
| Hospital of the Univ of PaPhiladelphia | 19 | $174,808 | $21,666 | $17,117 |
| Milton S Hershey Medical CenterHershey | 19 | $102,074 | $20,588 | $17,745 |
| Allegheny General HospitalPittsburgh | 18 | $110,174 | $21,687 | $15,489 |
| Hamot Medical CenterErie | 17 | $113,429 | $14,957 | $13,214 |
| Abington Memorial HospitalAbington | 17 | $74,880 | $14,038 | $12,356 |
| Lancaster General HospitalLancaster | 16 | $68,057 | $14,658 | $13,291 |
| York HospitalYork | 15 | $61,203 | $13,658 | $11,538 |
| Chester County HospitalWest Chester | 15 | $69,612 | $12,106 | $10,311 |
| Robert Packer HospitalSayre | 14 | $62,673 | $16,484 | $12,547 |
| Geisinger Medical CenterDanville | 12 | $162,219 | $18,948 | $13,501 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 11 | $124,964 | $13,243 | $11,415 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 11 | $119,283 | $13,899 | $12,540 |
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
| Chester County HospitalWest Chester, PA | $12,106 |
|---|---|
| Main Line Hospital Bryn Mawr CampusBryn Mawr, PA | $13,243 |
| York HospitalYork, PA | $13,658 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $13,899 |
| Abington Memorial HospitalAbington, PA | $14,038 |
Highest
| Allegheny General HospitalPittsburgh, PA | $21,687 |
|---|---|
| Hospital of the Univ of PaPhiladelphia, PA | $21,666 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $20,977 |
| Milton S Hershey Medical CenterHershey, PA | $20,588 |
| Geisinger Medical CenterDanville, PA | $18,948 |
Disorders of the biliary tract with major complications in other states
Questions
How much does disorders of the biliary tract with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for disorders of the biliary tract with major complications (DRG 444) at 16 hospitals in Pennsylvania was billed at $115,587 on average, while the average total payment was $17,176, of which Medicare paid $13,589. 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 6.7 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.