facebook tracking Gastrointestinal obstruction without complications cost in Pennsylvania: 18 hospitals compared (DRG 390)

Gastrointestinal obstruction without complications in Pennsylvania

What 18 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for gastrointestinal obstruction without complications (DRG 390), from 2024 Medicare claims.

DRG 390 Inpatient 2024 Medicare data
Average charge $34,524 Hospital list price billed
Average payment $5,288 Medicare + patient + other payers
Medicare paid $3,173 Average per stay
State rank #15 of 42 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $34,524 for gastrointestinal obstruction without complications, about 6.5 times the average total payment of $5,288. That payment is 7% below the U.S. average of $5,706.

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 $5,288Billed $34,524

About 15¢ 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 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
Lehigh Valley HospitalAllentown 59 $38,468 $5,414 $3,412
Abington Memorial HospitalAbington 34 $20,849 $5,049 $3,229
Chester County HospitalWest Chester 25 $23,783 $4,242 $2,806
UPMC Pinnacle HospitalsHarrisburg 24 $27,618 $5,136 $3,182
Main Line Hospital Bryn Mawr CampusBryn Mawr 21 $45,040 $4,954 $2,614
Main Line Hospital PaoliPaoli 18 $34,914 $4,655 $2,179
Geisinger-Community Medical CenterScranton 17 $39,423 $4,944 $2,846
Geisinger Medical CenterDanville 17 $45,532 $6,682 $4,374
Lancaster General HospitalLancaster 15 $20,741 $4,708 $3,082
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia 14 $50,731 $6,129 $3,786
Holy Redeemer Hosp and Med CtrJenkintown 13 $15,527 $4,657 $2,711
Hospital of the Univ of PaPhiladelphia 13 $60,472 $8,418 $5,094
Reading Hospital and Med CtrWest Reading 12 $24,689 $5,230 $3,534
UPMC MemorialYork 12 $21,595 $4,785 $2,419
UPMC Presbyterian ShadysidePittsburgh 12 $47,310 $6,625 $3,183
Main Line Hospital LankenauWynnewood 12 $55,406 $5,741 $3,468
St Luke's Hospital - Monroe CampusStroudsburg 12 $39,829 $5,042 $2,394
UPMC PassavantPittsburgh 11 $22,077 $3,814 $2,447
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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

UPMC PassavantPittsburgh, PA$3,814
Chester County HospitalWest Chester, PA$4,242
Main Line Hospital PaoliPaoli, PA$4,655
Holy Redeemer Hosp and Med CtrJenkintown, PA$4,657
Lancaster General HospitalLancaster, PA$4,708

Highest

Hospital of the Univ of PaPhiladelphia, PA$8,418
Geisinger Medical CenterDanville, PA$6,682
UPMC Presbyterian ShadysidePittsburgh, PA$6,625
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA$6,129
Main Line Hospital LankenauWynnewood, PA$5,741

Gastrointestinal obstruction without complications in other states

Questions

How much does gastrointestinal obstruction without complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for gastrointestinal obstruction without complications (DRG 390) at 18 hospitals in Pennsylvania was billed at $34,524 on average, while the average total payment was $5,288, of which Medicare paid $3,173. 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 6.5 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.