facebook tracking Gastrointestinal obstruction with complications cost in Pennsylvania: 62 hospitals compared (DRG 389)

Gastrointestinal obstruction with complications in Pennsylvania

What 62 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for gastrointestinal obstruction with complications (DRG 389), from 2024 Medicare claims.

DRG 389 Inpatient 2024 Medicare data
Average charge $42,276 Hospital list price billed
Average payment $7,348 Medicare + patient + other payers
Medicare paid $5,227 Average per stay
State rank #23 of 49 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $42,276 for gastrointestinal obstruction with complications, about 5.8 times the average total payment of $7,348. That payment is 7% below the U.S. average of $7,859.

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 $7,348Billed $42,276

About 17¢ 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 obstruction with 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 93 $51,602 $7,982 $5,551
Abington Memorial HospitalAbington 64 $32,606 $7,121 $5,022
Chester County HospitalWest Chester 53 $35,406 $5,945 $4,744
UPMC Presbyterian ShadysidePittsburgh 47 $80,504 $9,430 $5,770
Lancaster General HospitalLancaster 44 $25,959 $6,525 $5,162
York HospitalYork 39 $22,239 $7,434 $5,386
Doylestown HospitalDoylestown 37 $22,181 $5,715 $4,298
UPMC PassavantPittsburgh 34 $44,260 $6,148 $4,138
Chambersburg HospitalChambersburg 34 $25,387 $7,426 $4,945
Main Line Hospital PaoliPaoli 32 $52,026 $5,684 $4,300
St Mary Medical CenterLanghorne 32 $25,821 $6,706 $4,908
Reading Hospital and Med CtrWest Reading 28 $32,234 $7,052 $5,850
Hospital of the Univ of PaPhiladelphia 28 $78,725 $11,977 $7,787
Jefferson Health- NortheastPhiladelphia 27 $31,880 $7,408 $5,139
Main Line Hospital Bryn Mawr CampusBryn Mawr 27 $54,475 $6,389 $5,083
Milton S Hershey Medical CenterHershey 27 $37,756 $9,265 $7,289
Hamot Medical CenterErie 26 $51,652 $7,621 $5,807
Saint Vincent Health CenterErie 25 $36,881 $7,397 $5,344
UPMC Pinnacle HospitalsHarrisburg 25 $33,991 $7,951 $4,879
Thomas Jefferson University HospitalPhiladelphia 25 $44,156 $10,880 $6,592
Geisinger-Community Medical CenterScranton 24 $50,462 $6,579 $4,877
St Luke's Hospital BethlehemBethlehem 24 $56,946 $8,262 $5,752
Grand View HospitalSellersville 24 $43,568 $6,187 $4,549
Uniontown HospitalUniontown 23 $15,686 $6,036 $4,399
Main Line Hospital LankenauWynnewood 23 $63,038 $7,611 $6,018
Geisinger Medical CenterDanville 22 $54,351 $8,933 $6,609
Temple University HospitalPhiladelphia 22 $111,505 $11,752 $8,475
Lansdale HospitalLansdale 21 $20,963 $5,337 $3,938
Riddle Memorial HospitalMedia 21 $59,195 $5,839 $4,183
Geisinger Wyoming Vly Med CtrWilkes-Barre 21 $62,487 $7,381 $5,449
UPMC MemorialYork 20 $26,138 $5,721 $4,563
Pottstown Memorial Med CenterPottstown 19 $46,475 $5,826 $4,647
St Luke's Hospital - Anderson CampusEaston 19 $65,567 $9,732 $6,655
Altoona Regional Health SystemAltoona 18 $21,180 $5,969 $4,668
Meadville Medical CenterMeadville 17 $16,467 $6,304 $4,945
Hazleton General HospitalHazleton 17 $49,319 $5,751 $4,503
St Clair Memorial HospitalPittsburgh 17 $19,842 $5,276 $3,932
Jefferson Einstein Montgomery HospitalEast Norriton 17 $38,404 $8,464 $5,988
Allegheny General HospitalPittsburgh 16 $32,313 $9,081 $5,896
Robert Packer HospitalSayre 16 $24,780 $7,630 $5,405
Dubois Regional Medical CenterDubois 16 $13,273 $6,235 $4,389
Holy Redeemer Hosp and Med CtrJenkintown 16 $20,286 $5,927 $4,592
Ephrata Community HospitalEphrata 16 $34,019 $7,682 $3,916
Mount Nittany Medical CenterState College 16 $22,579 $7,850 $5,104
Gettysburg HospitalGettysburg 14 $25,404 $6,138 $4,739
West Penn HospitalPittsburgh 14 $40,699 $7,421 $5,653
Wilkes-Barre General HospitalWilkes-Barre 14 $55,514 $6,134 $4,548
Nazareth HospitalPhiladelphia 14 $34,778 $8,975 $6,116
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia 14 $69,161 $8,105 $6,352
St Luke's Hospital - Monroe CampusStroudsburg 14 $72,852 $5,861 $4,395
Holy Spirit HospitalCamp Hill 13 $31,720 $5,862 $4,709
Wayne Memorial HospitalHonesdale 13 $27,496 $6,784 $5,152
Jefferson Regional Medical CenterClairton 13 $28,482 $5,487 $4,232
St Luke's Hospital - Carbon CampusLehighton 13 $61,944 $7,371 $3,690
Penn State Health Lancaster Medical CenterLancaster 13 $30,283 $8,532 $4,199
St Luke's Quakertown HospitalQuakertown 12 $66,093 $7,389 $5,016
Conemaugh Valley Memorial HospitalJohnstown 12 $24,988 $7,939 $6,514
UPMC EastMonroeville 12 $36,759 $5,888 $4,509
Geisinger St. Luke's HospitalOrwigsburg 12 $33,825 $6,574 $3,770
Chestnut Hill HospitalPhiladelphia 11 $79,373 $7,977 $6,353
Magee Womens Hospital of UPMC Health SystemPittsburgh 11 $74,807 $10,856 $5,477
Western Pennsylvania Hosp Forbes Regional CampusMonroeville 11 $29,204 $6,717 $3,987
Advertisement

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$5,276
Lansdale HospitalLansdale, PA$5,337
Jefferson Regional Medical CenterClairton, PA$5,487
Main Line Hospital PaoliPaoli, PA$5,684
Doylestown HospitalDoylestown, PA$5,715

Highest

Hospital of the Univ of PaPhiladelphia, PA$11,977
Temple University HospitalPhiladelphia, PA$11,752
Thomas Jefferson University HospitalPhiladelphia, PA$10,880
Magee Womens Hospital of UPMC Health SystemPittsburgh, PA$10,856
St Luke's Hospital - Anderson CampusEaston, PA$9,732

Gastrointestinal obstruction with complications in other states

Questions

How much does gastrointestinal obstruction with complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for gastrointestinal obstruction with complications (DRG 389) at 62 hospitals in Pennsylvania was billed at $42,276 on average, while the average total payment was $7,348, of which Medicare paid $5,227. 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.