facebook tracking Extracranial procedures without complications cost in Pennsylvania: 14 hospitals compared (DRG 039)

Extracranial procedures without complications in Pennsylvania

What 14 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for extracranial procedures without complications (DRG 039), from 2024 Medicare claims.

DRG 039 Inpatient 2024 Medicare data
Average charge $88,491 Hospital list price billed
Average payment $11,023 Medicare + patient + other payers
Medicare paid $8,129 Average per stay
State rank #30 of 38 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $88,491 for extracranial procedures without complications, about 8.0 times the average total payment of $11,023. That payment is 6% above the U.S. average of $10,372.

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 $11,023Billed $88,491

About 12¢ 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: extracranial procedures without 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
St Luke's Hospital BethlehemBethlehem 19 $123,613 $11,818 $9,120
Doylestown HospitalDoylestown 19 $44,885 $8,807 $6,227
Dubois Regional Medical CenterDubois 18 $16,316 $8,467 $6,868
Hospital of the Univ of PaPhiladelphia 17 $128,796 $13,674 $10,977
Lehigh Valley HospitalAllentown 16 $155,659 $15,058 $10,559
Geisinger Medical CenterDanville 13 $161,155 $11,342 $9,359
Main Line Hospital LankenauWynnewood 13 $51,566 $10,160 $8,435
Geisinger-Community Medical CenterScranton 12 $133,691 $8,834 $7,299
Williamsport Hospital & Medical CenterWilliamsport 11 $44,239 $8,454 $6,785
York HospitalYork 11 $91,594 $17,717 $7,446
Allegheny General HospitalPittsburgh 11 $63,566 $10,791 $8,961
Butler Health SystemButler 11 $28,512 $8,399 $6,915
St Mary Medical CenterLanghorne 11 $46,059 $10,022 $6,707
Geisinger Wyoming Vly Med CtrWilkes-Barre 11 $138,204 $10,458 $6,746
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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

Butler Health SystemButler, PA$8,399
Williamsport Hospital & Medical CenterWilliamsport, PA$8,454
Dubois Regional Medical CenterDubois, PA$8,467
Doylestown HospitalDoylestown, PA$8,807
Geisinger-Community Medical CenterScranton, PA$8,834

Highest

York HospitalYork, PA$17,717
Lehigh Valley HospitalAllentown, PA$15,058
Hospital of the Univ of PaPhiladelphia, PA$13,674
St Luke's Hospital BethlehemBethlehem, PA$11,818
Geisinger Medical CenterDanville, PA$11,342

Extracranial procedures without complications in other states

Questions

How much does extracranial procedures without complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for extracranial procedures without complications (DRG 039) at 14 hospitals in Pennsylvania was billed at $88,491 on average, while the average total payment was $11,023, of which Medicare paid $8,129. 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 8.0 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.