Gastrointestinal obstruction with major complications in Pennsylvania
What 23 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for gastrointestinal obstruction with major complications (DRG 388), from 2024 Medicare claims.
Average charge
$91,477
Hospital list price billed
Average payment
$15,003
Medicare + patient + other payers
Medicare paid
$11,125
Average per stay
State rank
#29 of 35
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $91,477 for gastrointestinal obstruction with major complications, about 6.1 times the average total payment of $15,003. That payment is 4% above the U.S. average of $14,417.
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 $15,003Billed $91,477
About 16¢ 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 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 | 29 | $50,576 | $12,821 | $9,493 |
| Lehigh Valley HospitalAllentown | 25 | $85,978 | $13,925 | $10,977 |
| Lancaster General HospitalLancaster | 24 | $39,955 | $12,253 | $9,720 |
| Hospital of the Univ of PaPhiladelphia | 23 | $229,638 | $24,759 | $15,866 |
| Chambersburg HospitalChambersburg | 21 | $46,656 | $13,341 | $9,154 |
| UPMC Presbyterian ShadysidePittsburgh | 21 | $286,801 | $22,266 | $15,852 |
| Reading Hospital and Med CtrWest Reading | 17 | $52,983 | $12,485 | $10,906 |
| Temple University HospitalPhiladelphia | 16 | $193,020 | $19,662 | $13,688 |
| York HospitalYork | 15 | $50,704 | $21,367 | $10,520 |
| St Luke's Hospital BethlehemBethlehem | 14 | $97,513 | $15,607 | $10,414 |
| Grand View HospitalSellersville | 14 | $64,867 | $10,663 | $9,277 |
| Thomas Jefferson University HospitalPhiladelphia | 14 | $62,332 | $19,517 | $11,582 |
| Chester County HospitalWest Chester | 14 | $54,276 | $10,776 | $9,611 |
| Geisinger Medical CenterDanville | 13 | $94,620 | $15,697 | $12,870 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 13 | $96,032 | $11,520 | $10,283 |
| Main Line Hospital LankenauWynnewood | 13 | $78,690 | $12,989 | $11,352 |
| Jefferson Health- NortheastPhiladelphia | 12 | $41,212 | $12,194 | $10,500 |
| St Mary Medical CenterLanghorne | 12 | $40,365 | $11,899 | $10,237 |
| Holy Spirit HospitalCamp Hill | 11 | $71,172 | $10,298 | $9,496 |
| Saint Vincent Health CenterErie | 11 | $66,500 | $13,201 | $11,564 |
| UPMC Pinnacle HospitalsHarrisburg | 11 | $63,594 | $11,330 | $9,376 |
| Robert Packer HospitalSayre | 11 | $33,015 | $13,580 | $10,118 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 11 | $74,259 | $14,673 | $9,957 |
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
| Holy Spirit HospitalCamp Hill, PA | $10,298 |
|---|---|
| Grand View HospitalSellersville, PA | $10,663 |
| Chester County HospitalWest Chester, PA | $10,776 |
| UPMC Pinnacle HospitalsHarrisburg, PA | $11,330 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr, PA | $11,520 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $24,759 |
|---|---|
| UPMC Presbyterian ShadysidePittsburgh, PA | $22,266 |
| York HospitalYork, PA | $21,367 |
| Temple University HospitalPhiladelphia, PA | $19,662 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $19,517 |
Gastrointestinal obstruction with major complications in other states
Questions
How much does gastrointestinal obstruction with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for gastrointestinal obstruction with major complications (DRG 388) at 23 hospitals in Pennsylvania was billed at $91,477 on average, while the average total payment was $15,003, of which Medicare paid $11,125. 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 6.1 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.