ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in Pennsylvania
What 13 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003), from 2024 Medicare claims.
Average charge
$1,705,039
Hospital list price billed
Average payment
$265,561
Medicare + patient + other payers
Medicare paid
$231,692
Average per stay
State rank
#23 of 29
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $1,705,039 for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec, about 6.4 times the average total payment of $265,561. That payment is 8% above the U.S. average of $246,178.
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 $265,561Billed $1,705,039
About 16¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Pennsylvania hospitals: ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec
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 | 66 | $2,726,336 | $407,445 | $366,629 |
| UPMC Presbyterian ShadysidePittsburgh | 42 | $1,856,698 | $189,679 | $159,100 |
| Thomas Jefferson University HospitalPhiladelphia | 33 | $965,502 | $251,498 | $212,261 |
| Temple University HospitalPhiladelphia | 31 | $3,088,763 | $292,662 | $270,784 |
| Penn Presbyterian Medical CenterPhiladelphia | 30 | $2,411,638 | $322,998 | $293,825 |
| Allegheny General HospitalPittsburgh | 27 | $699,042 | $180,535 | $146,554 |
| Lehigh Valley HospitalAllentown | 24 | $1,740,570 | $232,704 | $221,635 |
| York HospitalYork | 22 | $816,447 | $268,835 | $165,060 |
| Main Line Hospital LankenauWynnewood | 16 | $913,877 | $178,956 | $174,483 |
| Abington Memorial HospitalAbington | 16 | $514,657 | $173,301 | $153,799 |
| Milton S Hershey Medical CenterHershey | 15 | $744,676 | $205,798 | $178,332 |
| Geisinger Medical CenterDanville | 14 | $1,297,500 | $219,720 | $207,658 |
| Lancaster General HospitalLancaster | 14 | $577,172 | $203,835 | $161,183 |
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
| Abington Memorial HospitalAbington, PA | $173,301 |
|---|---|
| Main Line Hospital LankenauWynnewood, PA | $178,956 |
| Allegheny General HospitalPittsburgh, PA | $180,535 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $189,679 |
| Lancaster General HospitalLancaster, PA | $203,835 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $407,445 |
|---|---|
| Penn Presbyterian Medical CenterPhiladelphia, PA | $322,998 |
| Temple University HospitalPhiladelphia, PA | $292,662 |
| York HospitalYork, PA | $268,835 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $251,498 |
ECMO or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec in other states
Questions
How much does ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for ecmo or tracheostomy with ventilator >96 hours or principal diagnosis except face, mouth and nec (DRG 003) at 13 hospitals in Pennsylvania was billed at $1,705,039 on average, while the average total payment was $265,561, of which Medicare paid $231,692. 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 6.4 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.