Endovascular cardiac valve replacement and supplement procedures with major complications in Pennsylvania
What 30 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266), from 2024 Medicare claims.
Average charge
$309,078
Hospital list price billed
Average payment
$56,173
Medicare + patient + other payers
Medicare paid
$52,498
Average per stay
State rank
#29 of 42
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $309,078 for endovascular cardiac valve replacement and supplement procedures with major complications, about 5.5 times the average total payment of $56,173. That payment is 2% below the U.S. average of $57,249.
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 $56,173Billed $309,078
About 18¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Pennsylvania:
Pennsylvania hospitals: endovascular cardiac valve replacement and supplement procedures 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 |
|---|---|---|---|---|
| Main Line Hospital LankenauWynnewood | 124 | $214,654 | $54,551 | $52,963 |
| UPMC Pinnacle HospitalsHarrisburg | 106 | $154,566 | $48,680 | $47,505 |
| St Luke's Hospital BethlehemBethlehem | 66 | $553,920 | $60,255 | $52,230 |
| Hospital of the Univ of PaPhiladelphia | 50 | $590,703 | $84,860 | $74,511 |
| UPMC Presbyterian ShadysidePittsburgh | 49 | $351,489 | $56,408 | $52,670 |
| Penn Presbyterian Medical CenterPhiladelphia | 41 | $403,696 | $68,359 | $63,452 |
| Allegheny General HospitalPittsburgh | 40 | $217,632 | $59,618 | $53,344 |
| Lehigh Valley HospitalAllentown | 40 | $523,737 | $54,455 | $53,492 |
| Doylestown HospitalDoylestown | 40 | $198,386 | $45,064 | $41,544 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 31 | $355,803 | $52,828 | $46,969 |
| York HospitalYork | 29 | $220,144 | $50,938 | $49,483 |
| Lancaster General HospitalLancaster | 28 | $200,261 | $48,865 | $47,496 |
| Geisinger Medical CenterDanville | 27 | $380,224 | $57,450 | $55,069 |
| Excela Health Westmoreland Regional HospitalGreensburg | 27 | $128,878 | $41,202 | $40,114 |
| Mercy Hospital ScrantonScranton | 25 | $456,450 | $51,242 | $46,929 |
| Geisinger-Community Medical CenterScranton | 23 | $348,591 | $46,218 | $45,024 |
| Temple University HospitalPhiladelphia | 23 | $640,125 | $71,400 | $67,072 |
| Abington Memorial HospitalAbington | 23 | $207,759 | $51,890 | $46,360 |
| Hamot Medical CenterErie | 22 | $242,284 | $52,496 | $51,181 |
| Albert Einstein Medical CenterPhiladelphia | 22 | $282,265 | $71,222 | $66,575 |
| Saint Vincent Health CenterErie | 21 | $443,135 | $57,234 | $55,827 |
| Thomas Jefferson University HospitalPhiladelphia | 20 | $378,379 | $79,526 | $65,216 |
| Jefferson Health- NortheastPhiladelphia | 18 | $200,537 | $53,937 | $47,215 |
| Butler Health SystemButler | 18 | $174,108 | $41,994 | $41,178 |
| UPMC PassavantPittsburgh | 17 | $189,802 | $41,874 | $40,408 |
| Robert Packer HospitalSayre | 15 | $186,866 | $52,308 | $51,439 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 15 | $174,485 | $53,958 | $52,971 |
| Altoona Regional Health SystemAltoona | 14 | $167,007 | $49,482 | $43,165 |
| Milton S Hershey Medical CenterHershey | 14 | $264,082 | $62,911 | $60,687 |
| Reading Hospital and Med CtrWest Reading | 11 | $252,035 | $53,994 | $52,600 |
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
| Excela Health Westmoreland Regional HospitalGreensburg, PA | $41,202 |
|---|---|
| UPMC PassavantPittsburgh, PA | $41,874 |
| Butler Health SystemButler, PA | $41,994 |
| Doylestown HospitalDoylestown, PA | $45,064 |
| Geisinger-Community Medical CenterScranton, PA | $46,218 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $84,860 |
|---|---|
| Thomas Jefferson University HospitalPhiladelphia, PA | $79,526 |
| Temple University HospitalPhiladelphia, PA | $71,400 |
| Albert Einstein Medical CenterPhiladelphia, PA | $71,222 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $68,359 |
Endovascular cardiac valve replacement and supplement procedures with major complications in other states
Questions
How much does endovascular cardiac valve replacement and supplement procedures with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures with major complications (DRG 266) at 30 hospitals in Pennsylvania was billed at $309,078 on average, while the average total payment was $56,173, of which Medicare paid $52,498. 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 5.5 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.