Heart failure and shock with complications in Pennsylvania
What 15 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for heart failure and shock with complications (DRG 292), from 2024 Medicare claims.
Average charge
$67,563
Hospital list price billed
Average payment
$9,032
Medicare + patient + other payers
Medicare paid
$6,572
Average per stay
State rank
#20 of 30
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $67,563 for heart failure and shock with complications, about 7.5 times the average total payment of $9,032. That payment is 5% below the U.S. average of $9,533.
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 $9,032Billed $67,563
About 13¢ 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: heart failure and shock 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 |
|---|---|---|---|---|
| Chester County HospitalWest Chester | 49 | $34,326 | $6,175 | $5,110 |
| Hospital of the Univ of PaPhiladelphia | 48 | $134,013 | $14,418 | $8,733 |
| Lehigh Valley HospitalAllentown | 24 | $50,129 | $8,427 | $6,005 |
| Penn Presbyterian Medical CenterPhiladelphia | 21 | $78,747 | $10,018 | $7,706 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 21 | $108,594 | $8,997 | $6,743 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 19 | $86,573 | $7,865 | $6,362 |
| Geisinger Medical CenterDanville | 16 | $86,716 | $11,264 | $6,937 |
| Abington Memorial HospitalAbington | 16 | $30,434 | $7,315 | $5,788 |
| St Luke's Hospital - Anderson CampusEaston | 14 | $67,224 | $9,975 | $7,467 |
| St Luke's Hospital BethlehemBethlehem | 13 | $56,392 | $8,580 | $7,306 |
| St Mary Medical CenterLanghorne | 13 | $24,693 | $6,713 | $5,119 |
| Mount Nittany Medical CenterState College | 13 | $30,740 | $7,822 | $6,033 |
| Reading Hospital and Med CtrWest Reading | 12 | $36,344 | $7,795 | $6,281 |
| Washington Hospital, theWashington | 11 | $13,012 | $6,812 | $5,535 |
| Main Line Hospital PaoliPaoli | 11 | $53,732 | $6,109 | $5,063 |
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
| Main Line Hospital PaoliPaoli, PA | $6,109 |
|---|---|
| Chester County HospitalWest Chester, PA | $6,175 |
| St Mary Medical CenterLanghorne, PA | $6,713 |
| Washington Hospital, theWashington, PA | $6,812 |
| Abington Memorial HospitalAbington, PA | $7,315 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $14,418 |
|---|---|
| Geisinger Medical CenterDanville, PA | $11,264 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $10,018 |
| St Luke's Hospital - Anderson CampusEaston, PA | $9,975 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $8,997 |
Heart failure and shock with complications in other states
Questions
How much does heart failure and shock with complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for heart failure and shock with complications (DRG 292) at 15 hospitals in Pennsylvania was billed at $67,563 on average, while the average total payment was $9,032, of which Medicare paid $6,572. 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 7.5 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.