facebook tracking Gastrointestinal hemorrhage without complications cost in Pennsylvania: 4 hospitals compared (DRG 379)

Gastrointestinal hemorrhage without complications in Pennsylvania

What 4 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for gastrointestinal hemorrhage without complications (DRG 379), from 2024 Medicare claims.

DRG 379 Inpatient 2024 Medicare data
Average charge $29,312 Hospital list price billed
Average payment $5,621 Medicare + patient + other payers
Medicare paid $3,925 Average per stay
State rank #3 of 11 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $29,312 for gastrointestinal hemorrhage without complications, about 5.2 times the average total payment of $5,621. That payment is 11% below the U.S. average of $6,315.

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 $5,621Billed $29,312

About 19¢ 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: gastrointestinal hemorrhage 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
Chester County HospitalWest Chester 15 $30,522 $4,809 $3,613
Abington Memorial HospitalAbington 13 $19,496 $5,512 $3,833
Reading Hospital and Med CtrWest Reading 11 $30,230 $5,837 $4,459
Lehigh Valley HospitalAllentown 11 $38,343 $6,642 $3,924
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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

Chester County HospitalWest Chester, PA$4,809
Abington Memorial HospitalAbington, PA$5,512
Reading Hospital and Med CtrWest Reading, PA$5,837
Lehigh Valley HospitalAllentown, PA$6,642

Highest

Lehigh Valley HospitalAllentown, PA$6,642
Reading Hospital and Med CtrWest Reading, PA$5,837
Abington Memorial HospitalAbington, PA$5,512
Chester County HospitalWest Chester, PA$4,809

Gastrointestinal hemorrhage without complications in other states

Questions

How much does gastrointestinal hemorrhage without complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for gastrointestinal hemorrhage without complications (DRG 379) at 4 hospitals in Pennsylvania was billed at $29,312 on average, while the average total payment was $5,621, of which Medicare paid $3,925. 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 5.2 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.