Endovascular cardiac valve replacement and supplement procedures without major complications in Pennsylvania
What 38 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for endovascular cardiac valve replacement and supplement procedures without major complications (DRG 267), from 2024 Medicare claims.
Average charge
$276,253
Hospital list price billed
Average payment
$43,101
Medicare + patient + other payers
Medicare paid
$40,242
Average per stay
State rank
#31 of 43
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $276,253 for endovascular cardiac valve replacement and supplement procedures without major complications, about 6.4 times the average total payment of $43,101. That payment is 2% below the U.S. average of $44,077.
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 $43,101Billed $276,253
About 16¢ 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 without 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 | 213 | $463,148 | $41,992 | $39,455 |
| St Luke's Hospital BethlehemBethlehem | 158 | $463,112 | $46,229 | $40,790 |
| Hospital of the Univ of PaPhiladelphia | 138 | $334,558 | $53,779 | $49,787 |
| York HospitalYork | 137 | $151,357 | $39,730 | $38,306 |
| Penn Presbyterian Medical CenterPhiladelphia | 121 | $275,082 | $48,882 | $47,297 |
| Mercy Hospital ScrantonScranton | 105 | $359,438 | $36,786 | $34,830 |
| Lancaster General HospitalLancaster | 90 | $151,724 | $36,423 | $35,093 |
| Main Line Hospital LankenauWynnewood | 89 | $152,061 | $44,642 | $38,849 |
| UPMC Pinnacle HospitalsHarrisburg | 66 | $149,285 | $38,023 | $36,378 |
| Robert Packer HospitalSayre | 66 | $150,435 | $40,899 | $40,089 |
| Abington Memorial HospitalAbington | 64 | $153,430 | $39,203 | $36,698 |
| Milton S Hershey Medical CenterHershey | 59 | $214,102 | $48,815 | $45,144 |
| Temple University HospitalPhiladelphia | 54 | $478,511 | $57,140 | $49,691 |
| Reading Hospital and Med CtrWest Reading | 47 | $189,791 | $40,200 | $38,751 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 47 | $308,850 | $40,444 | $35,257 |
| Geisinger Medical CenterDanville | 46 | $309,176 | $45,086 | $41,640 |
| St Mary Medical CenterLanghorne | 46 | $252,282 | $42,693 | $36,513 |
| Thomas Jefferson University HospitalPhiladelphia | 43 | $207,316 | $50,752 | $45,620 |
| Allegheny General HospitalPittsburgh | 42 | $163,499 | $42,856 | $40,742 |
| UPMC Presbyterian ShadysidePittsburgh | 40 | $253,695 | $43,654 | $41,890 |
| Conemaugh Valley Memorial HospitalJohnstown | 29 | $264,550 | $42,367 | $41,000 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 29 | $164,090 | $42,385 | $41,386 |
| Albert Einstein Medical CenterPhiladelphia | 28 | $206,583 | $52,925 | $51,202 |
| Hamot Medical CenterErie | 26 | $219,334 | $41,676 | $40,557 |
| St Joseph Medical CenterReading | 26 | $178,257 | $36,864 | $35,475 |
| Wilkes-Barre General HospitalWilkes-Barre | 26 | $539,336 | $54,303 | $53,406 |
| Butler Health SystemButler | 26 | $150,945 | $32,678 | $31,988 |
| Chester County HospitalWest Chester | 26 | $176,568 | $35,128 | $33,559 |
| Doylestown HospitalDoylestown | 26 | $214,164 | $34,868 | $33,788 |
| Geisinger-Community Medical CenterScranton | 20 | $331,292 | $41,803 | $33,277 |
| Jefferson Regional Medical CenterClairton | 18 | $157,607 | $31,836 | $30,748 |
| Holy Spirit HospitalCamp Hill | 14 | $184,004 | $32,849 | $31,559 |
| Sharon Regional Health SystemSharon | 14 | $175,635 | $33,312 | $32,804 |
| Williamsport Hospital & Medical CenterWilliamsport | 13 | $196,877 | $34,410 | $33,340 |
| St Clair Memorial HospitalPittsburgh | 13 | $181,005 | $31,765 | $30,886 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 13 | $139,968 | $35,404 | $34,043 |
| Saint Vincent Health CenterErie | 12 | $389,490 | $40,906 | $39,574 |
| Dubois Regional Medical CenterDubois | 11 | $96,761 | $34,324 | $32,934 |
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 | $31,765 |
|---|---|
| Jefferson Regional Medical CenterClairton, PA | $31,836 |
| Butler Health SystemButler, PA | $32,678 |
| Holy Spirit HospitalCamp Hill, PA | $32,849 |
| Sharon Regional Health SystemSharon, PA | $33,312 |
Highest
| Temple University HospitalPhiladelphia, PA | $57,140 |
|---|---|
| Wilkes-Barre General HospitalWilkes-Barre, PA | $54,303 |
| Hospital of the Univ of PaPhiladelphia, PA | $53,779 |
| Albert Einstein Medical CenterPhiladelphia, PA | $52,925 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $50,752 |
Endovascular cardiac valve replacement and supplement procedures without major complications in other states
Questions
How much does endovascular cardiac valve replacement and supplement procedures without major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for endovascular cardiac valve replacement and supplement procedures without major complications (DRG 267) at 38 hospitals in Pennsylvania was billed at $276,253 on average, while the average total payment was $43,101, of which Medicare paid $40,242. 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.