Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in Pennsylvania
What 45 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563), from 2024 Medicare claims.
Average charge
$42,988
Hospital list price billed
Average payment
$7,959
Medicare + patient + other payers
Medicare paid
$5,801
Average per stay
State rank
#23 of 39
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $42,988 for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications, about 5.4 times the average total payment of $7,959. That payment is 9% below the U.S. average of $8,749.
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 $7,959Billed $42,988
About 19¢ 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: fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh 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 | 84 | $48,715 | $8,100 | $6,050 |
| Abington Memorial HospitalAbington | 57 | $35,400 | $7,712 | $5,733 |
| Grand View HospitalSellersville | 55 | $28,968 | $6,852 | $4,327 |
| Lancaster General HospitalLancaster | 50 | $34,723 | $7,214 | $5,670 |
| Jefferson Health- NortheastPhiladelphia | 49 | $29,060 | $7,947 | $6,080 |
| Reading Hospital and Med CtrWest Reading | 40 | $31,949 | $7,778 | $6,318 |
| York HospitalYork | 39 | $30,046 | $9,163 | $5,708 |
| St Luke's Hospital - Anderson CampusEaston | 36 | $70,174 | $10,327 | $7,129 |
| St Luke's Hospital BethlehemBethlehem | 33 | $69,614 | $8,515 | $6,287 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 33 | $29,028 | $8,910 | $6,478 |
| Chester County HospitalWest Chester | 32 | $29,696 | $6,526 | $5,150 |
| Chambersburg HospitalChambersburg | 31 | $26,340 | $7,395 | $5,807 |
| St Mary Medical CenterLanghorne | 30 | $29,868 | $7,471 | $5,743 |
| Holy Spirit HospitalCamp Hill | 26 | $69,091 | $9,904 | $6,589 |
| UPMC PassavantPittsburgh | 24 | $34,346 | $6,136 | $5,059 |
| UPMC Presbyterian ShadysidePittsburgh | 23 | $73,804 | $9,556 | $6,748 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 22 | $94,662 | $8,327 | $6,286 |
| Main Line Hospital PaoliPaoli | 21 | $50,638 | $6,286 | $4,813 |
| Geisinger Medical CenterDanville | 20 | $69,651 | $10,555 | $6,632 |
| UPMC Pinnacle HospitalsHarrisburg | 20 | $38,168 | $8,764 | $6,457 |
| Doylestown HospitalDoylestown | 20 | $25,342 | $6,845 | $4,686 |
| Chestnut Hill HospitalPhiladelphia | 17 | $92,392 | $8,889 | $6,319 |
| Hamot Medical CenterErie | 17 | $49,505 | $8,345 | $6,552 |
| Williamsport Hospital & Medical CenterWilliamsport | 16 | $32,225 | $6,707 | $5,031 |
| Wilkes-Barre General HospitalWilkes-Barre | 16 | $41,360 | $6,771 | $5,022 |
| Main Line Hospital LankenauWynnewood | 16 | $61,258 | $8,242 | $6,510 |
| Penn Presbyterian Medical CenterPhiladelphia | 16 | $58,044 | $9,925 | $8,151 |
| Lansdale HospitalLansdale | 15 | $25,619 | $5,881 | $4,578 |
| Altoona Regional Health SystemAltoona | 15 | $23,384 | $7,035 | $5,483 |
| Thomas Jefferson University HospitalPhiladelphia | 15 | $38,957 | $10,036 | $7,339 |
| Allegheny General HospitalPittsburgh | 14 | $36,542 | $9,909 | $5,578 |
| Robert Packer HospitalSayre | 14 | $31,513 | $8,022 | $6,377 |
| Dubois Regional Medical CenterDubois | 14 | $21,804 | $6,700 | $5,027 |
| UPMC St MargaretPittsburgh | 13 | $34,646 | $7,155 | $5,471 |
| Lehigh Valley Hospital - Dickson CityDickson City | 13 | $33,130 | $7,295 | $4,219 |
| Schuylkill Medical Center - South Jackson StreetPottsville | 12 | $37,073 | $7,206 | $5,612 |
| Pottstown Memorial Med CenterPottstown | 12 | $34,822 | $6,074 | $4,442 |
| Pocono Medical CenterEast Stroudsburg | 12 | $50,248 | $7,521 | $4,972 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 12 | $32,993 | $7,041 | $5,154 |
| Holy Redeemer Hosp and Med CtrJenkintown | 11 | $22,363 | $6,417 | $5,371 |
| Conemaugh Valley Memorial HospitalJohnstown | 11 | $37,279 | $8,680 | $6,587 |
| Crozer Chester Medical CenterChester | 11 | $59,927 | $9,000 | $6,921 |
| St Luke's Hospital - Monroe CampusStroudsburg | 11 | $75,899 | $6,625 | $5,065 |
| St Luke's Hospital - Carbon CampusLehighton | 11 | $72,619 | $6,755 | $4,742 |
| Penn State Health Lancaster Medical CenterLancaster | 11 | $31,406 | $9,634 | $3,925 |
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
| Lansdale HospitalLansdale, PA | $5,881 |
|---|---|
| Pottstown Memorial Med CenterPottstown, PA | $6,074 |
| UPMC PassavantPittsburgh, PA | $6,136 |
| Main Line Hospital PaoliPaoli, PA | $6,286 |
| Holy Redeemer Hosp and Med CtrJenkintown, PA | $6,417 |
Highest
| Geisinger Medical CenterDanville, PA | $10,555 |
|---|---|
| St Luke's Hospital - Anderson CampusEaston, PA | $10,327 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $10,036 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $9,925 |
| Allegheny General HospitalPittsburgh, PA | $9,909 |
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications in other states
Questions
How much does fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without major complications (DRG 563) at 45 hospitals in Pennsylvania was billed at $42,988 on average, while the average total payment was $7,959, of which Medicare paid $5,801. 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 5.4 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.