Esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications in Pennsylvania
What 58 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications (DRG 391), from 2024 Medicare claims.
Average charge
$70,994
Hospital list price billed
Average payment
$12,267
Medicare + patient + other payers
Medicare paid
$9,529
Average per stay
State rank
#28 of 46
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $70,994 for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications, about 5.8 times the average total payment of $12,267. That payment is 4% below the U.S. average of $12,772.
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 $12,267Billed $70,994
About 17¢ 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: esophagitis, gastroenteritis and miscellaneous digestive disorders 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 | 79 | $79,679 | $11,571 | $9,710 |
| Reading Hospital and Med CtrWest Reading | 54 | $49,024 | $11,736 | $9,756 |
| Abington Memorial HospitalAbington | 52 | $43,202 | $10,919 | $8,867 |
| UPMC Presbyterian ShadysidePittsburgh | 51 | $134,154 | $14,884 | $9,601 |
| Hospital of the Univ of PaPhiladelphia | 46 | $174,405 | $22,124 | $16,309 |
| St Luke's Hospital BethlehemBethlehem | 45 | $73,124 | $13,432 | $10,049 |
| Lancaster General HospitalLancaster | 44 | $33,419 | $10,369 | $8,606 |
| Thomas Jefferson University HospitalPhiladelphia | 41 | $69,184 | $18,258 | $12,502 |
| Temple University HospitalPhiladelphia | 39 | $137,630 | $17,509 | $13,404 |
| York HospitalYork | 37 | $50,452 | $12,992 | $8,470 |
| UPMC Pinnacle HospitalsHarrisburg | 37 | $54,848 | $11,123 | $9,305 |
| Milton S Hershey Medical CenterHershey | 34 | $65,277 | $14,523 | $11,931 |
| St Luke's Hospital - Anderson CampusEaston | 33 | $87,696 | $14,590 | $11,416 |
| Main Line Hospital PaoliPaoli | 31 | $79,674 | $9,391 | $7,980 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 30 | $66,049 | $10,114 | $8,669 |
| Geisinger Medical CenterDanville | 28 | $95,498 | $14,634 | $11,022 |
| Chester County HospitalWest Chester | 28 | $45,528 | $9,630 | $7,811 |
| Doylestown HospitalDoylestown | 27 | $32,244 | $9,164 | $7,747 |
| Penn State Health Hampden Medical CenterEnola | 27 | $39,442 | $12,428 | $6,775 |
| Jefferson Health- NortheastPhiladelphia | 26 | $39,540 | $11,464 | $9,048 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 26 | $89,272 | $11,587 | $8,804 |
| Hamot Medical CenterErie | 22 | $107,418 | $11,873 | $10,215 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 22 | $98,263 | $14,132 | $10,316 |
| Geisinger-Community Medical CenterScranton | 21 | $64,467 | $10,582 | $7,679 |
| Grand View HospitalSellersville | 21 | $43,856 | $11,045 | $7,122 |
| Chambersburg HospitalChambersburg | 21 | $29,232 | $9,955 | $8,782 |
| Robert Packer HospitalSayre | 20 | $35,759 | $12,059 | $9,341 |
| Williamsport Hospital & Medical CenterWilliamsport | 19 | $59,872 | $9,052 | $7,755 |
| Mercy Hospital ScrantonScranton | 19 | $60,183 | $9,084 | $7,049 |
| UPMC PassavantPittsburgh | 18 | $100,117 | $9,501 | $7,063 |
| Chestnut Hill HospitalPhiladelphia | 17 | $142,930 | $12,158 | $10,007 |
| Riddle Memorial HospitalMedia | 17 | $72,424 | $9,136 | $8,176 |
| St Mary Medical CenterLanghorne | 17 | $35,721 | $10,386 | $8,770 |
| Jefferson Regional Medical CenterClairton | 17 | $47,147 | $8,510 | $7,454 |
| Mount Nittany Medical CenterState College | 17 | $31,037 | $11,523 | $10,199 |
| Crozer Chester Medical CenterChester | 16 | $97,972 | $12,765 | $10,429 |
| St Clair Memorial HospitalPittsburgh | 16 | $30,782 | $8,414 | $7,292 |
| Altoona Regional Health SystemAltoona | 15 | $40,888 | $10,071 | $8,996 |
| Phoenixville HospitalPhoenixville | 15 | $62,079 | $10,476 | $8,752 |
| Pocono Medical CenterEast Stroudsburg | 15 | $67,189 | $10,736 | $8,279 |
| St Luke's Hospital - Carbon CampusLehighton | 15 | $74,037 | $9,813 | $7,649 |
| Saint Vincent Health CenterErie | 14 | $57,157 | $11,526 | $8,342 |
| Holy Redeemer Hosp and Med CtrJenkintown | 14 | $27,644 | $9,696 | $8,037 |
| Penn Presbyterian Medical CenterPhiladelphia | 14 | $150,846 | $15,002 | $11,781 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 14 | $67,552 | $13,567 | $10,230 |
| Penn State Health Lancaster Medical CenterLancaster | 14 | $32,950 | $11,025 | $6,929 |
| West Penn HospitalPittsburgh | 13 | $71,241 | $13,047 | $7,298 |
| Pottstown Memorial Med CenterPottstown | 13 | $75,549 | $9,110 | $7,854 |
| Uniontown HospitalUniontown | 12 | $24,676 | $9,275 | $8,323 |
| Lewistown HospitalLewistown | 12 | $46,189 | $10,364 | $9,003 |
| UPMC St MargaretPittsburgh | 12 | $113,762 | $15,969 | $11,271 |
| St Luke's Quakertown HospitalQuakertown | 11 | $80,239 | $10,898 | $10,008 |
| Allegheny General HospitalPittsburgh | 11 | $56,383 | $14,208 | $10,419 |
| Good Samaritan HospitalLebanon | 11 | $25,983 | $10,392 | $9,144 |
| Albert Einstein Medical CenterPhiladelphia | 11 | $44,586 | $15,395 | $11,836 |
| Hazleton General HospitalHazleton | 11 | $57,157 | $9,060 | $7,725 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 11 | $49,793 | $9,991 | $8,513 |
| St Luke's Hospital - Monroe CampusStroudsburg | 11 | $65,952 | $9,695 | $8,900 |
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 | $8,414 |
|---|---|
| Jefferson Regional Medical CenterClairton, PA | $8,510 |
| Williamsport Hospital & Medical CenterWilliamsport, PA | $9,052 |
| Hazleton General HospitalHazleton, PA | $9,060 |
| Mercy Hospital ScrantonScranton, PA | $9,084 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $22,124 |
|---|---|
| Thomas Jefferson University HospitalPhiladelphia, PA | $18,258 |
| Temple University HospitalPhiladelphia, PA | $17,509 |
| UPMC St MargaretPittsburgh, PA | $15,969 |
| Albert Einstein Medical CenterPhiladelphia, PA | $15,395 |
Esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications in other states
Questions
How much does esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for esophagitis, gastroenteritis and miscellaneous digestive disorders with major complications (DRG 391) at 58 hospitals in Pennsylvania was billed at $70,994 on average, while the average total payment was $12,267, of which Medicare paid $9,529. 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 5.8 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.