Fractures of hip and pelvis without major complications in Pennsylvania
What 29 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for fractures of hip and pelvis without major complications (DRG 536), from 2024 Medicare claims.
Average charge
$39,819
Hospital list price billed
Average payment
$6,848
Medicare + patient + other payers
Medicare paid
$4,999
Average per stay
State rank
#19 of 37
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $39,819 for fractures of hip and pelvis without major complications, about 5.8 times the average total payment of $6,848. That payment is 10% below the U.S. average of $7,596.
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 $6,848Billed $39,819
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: fractures of hip and pelvis 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 |
|---|---|---|---|---|
| Abington Memorial HospitalAbington | 31 | $34,692 | $6,597 | $4,957 |
| Lehigh Valley HospitalAllentown | 28 | $53,003 | $7,396 | $5,528 |
| Lancaster General HospitalLancaster | 24 | $23,272 | $6,212 | $4,873 |
| Chester County HospitalWest Chester | 23 | $26,025 | $5,677 | $4,399 |
| St Mary Medical CenterLanghorne | 21 | $24,576 | $6,464 | $4,832 |
| Riddle Memorial HospitalMedia | 20 | $49,428 | $5,683 | $4,378 |
| Reading Hospital and Med CtrWest Reading | 19 | $33,908 | $6,907 | $5,630 |
| York HospitalYork | 17 | $35,364 | $7,135 | $5,283 |
| Allegheny General HospitalPittsburgh | 17 | $39,449 | $8,412 | $5,110 |
| Grand View HospitalSellersville | 17 | $24,183 | $5,322 | $3,882 |
| Main Line Hospital LankenauWynnewood | 17 | $49,657 | $7,729 | $5,017 |
| Main Line Hospital PaoliPaoli | 16 | $51,858 | $5,695 | $4,158 |
| Thomas Jefferson University HospitalPhiladelphia | 16 | $42,831 | $10,363 | $6,929 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 16 | $61,661 | $6,913 | $5,152 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 16 | $27,958 | $7,552 | $4,907 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 15 | $47,879 | $6,181 | $4,430 |
| St Luke's Hospital BethlehemBethlehem | 14 | $58,950 | $7,860 | $5,969 |
| UPMC Pinnacle HospitalsHarrisburg | 14 | $25,244 | $6,324 | $4,727 |
| UPMC PassavantPittsburgh | 14 | $31,593 | $5,337 | $4,121 |
| Geisinger-Community Medical CenterScranton | 13 | $75,813 | $5,952 | $4,410 |
| Jefferson Health- NortheastPhiladelphia | 13 | $31,637 | $7,244 | $5,197 |
| Chambersburg HospitalChambersburg | 13 | $27,966 | $6,288 | $4,775 |
| Doylestown HospitalDoylestown | 13 | $22,408 | $5,613 | $4,294 |
| Geisinger Medical CenterDanville | 12 | $77,754 | $9,316 | $6,449 |
| Williamsport Hospital & Medical CenterWilliamsport | 12 | $25,885 | $6,043 | $4,543 |
| St Luke's Hospital - Anderson CampusEaston | 12 | $71,240 | $9,430 | $6,244 |
| Robert Packer HospitalSayre | 11 | $35,874 | $7,388 | $5,953 |
| Holy Redeemer Hosp and Med CtrJenkintown | 11 | $24,390 | $5,723 | $4,674 |
| Phoenixville HospitalPhoenixville | 11 | $41,814 | $7,204 | $4,551 |
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
| Grand View HospitalSellersville, PA | $5,322 |
|---|---|
| UPMC PassavantPittsburgh, PA | $5,337 |
| Doylestown HospitalDoylestown, PA | $5,613 |
| Chester County HospitalWest Chester, PA | $5,677 |
| Riddle Memorial HospitalMedia, PA | $5,683 |
Highest
| Thomas Jefferson University HospitalPhiladelphia, PA | $10,363 |
|---|---|
| St Luke's Hospital - Anderson CampusEaston, PA | $9,430 |
| Geisinger Medical CenterDanville, PA | $9,316 |
| Allegheny General HospitalPittsburgh, PA | $8,412 |
| St Luke's Hospital BethlehemBethlehem, PA | $7,860 |
Fractures of hip and pelvis without major complications in other states
Questions
How much does fractures of hip and pelvis without major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for fractures of hip and pelvis without major complications (DRG 536) at 29 hospitals in Pennsylvania was billed at $39,819 on average, while the average total payment was $6,848, of which Medicare paid $4,999. 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.