Heart failure and shock with major complications in Pennsylvania
What 118 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for heart failure and shock with major complications (DRG 291), from 2024 Medicare claims.
Average charge
$57,410
Hospital list price billed
Average payment
$11,113
Medicare + patient + other payers
Medicare paid
$9,068
Average per stay
State rank
#26 of 50
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $57,410 for heart failure and shock with major complications, about 5.2 times the average total payment of $11,113. That payment is 8% below the U.S. average of $12,050.
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 $11,113Billed $57,410
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: heart failure and shock 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 |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 830 | $67,971 | $11,706 | $9,541 |
| UPMC Pinnacle HospitalsHarrisburg | 496 | $50,605 | $11,260 | $9,100 |
| Abington Memorial HospitalAbington | 420 | $50,871 | $11,447 | $9,355 |
| Reading Hospital and Med CtrWest Reading | 418 | $46,283 | $11,317 | $9,780 |
| St Luke's Hospital BethlehemBethlehem | 360 | $102,984 | $12,914 | $10,320 |
| Doylestown HospitalDoylestown | 360 | $33,036 | $9,156 | $7,741 |
| Main Line Hospital LankenauWynnewood | 357 | $93,251 | $12,360 | $10,107 |
| Lancaster General HospitalLancaster | 343 | $37,508 | $10,114 | $8,482 |
| Jefferson Health- NortheastPhiladelphia | 323 | $39,398 | $11,001 | $9,111 |
| Main Line Hospital PaoliPaoli | 323 | $78,337 | $9,614 | $8,225 |
| York HospitalYork | 304 | $46,689 | $11,521 | $9,353 |
| Chester County HospitalWest Chester | 304 | $44,193 | $9,178 | $7,985 |
| St Luke's Hospital - Anderson CampusEaston | 266 | $85,119 | $14,647 | $10,444 |
| Chambersburg HospitalChambersburg | 257 | $35,314 | $10,289 | $9,004 |
| St Mary Medical CenterLanghorne | 254 | $35,079 | $10,557 | $8,677 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 247 | $73,873 | $10,341 | $8,828 |
| Riddle Memorial HospitalMedia | 227 | $68,752 | $9,070 | $7,814 |
| Temple University HospitalPhiladelphia | 217 | $128,637 | $16,536 | $12,800 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 211 | $83,916 | $11,282 | $9,152 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 205 | $43,448 | $12,441 | $10,231 |
| Milton S Hershey Medical CenterHershey | 198 | $59,804 | $14,594 | $11,321 |
| Geisinger Medical CenterDanville | 195 | $95,248 | $14,194 | $10,822 |
| Thomas Jefferson University HospitalPhiladelphia | 195 | $64,281 | $16,079 | $11,342 |
| Holy Redeemer Hosp and Med CtrJenkintown | 189 | $33,183 | $9,427 | $8,110 |
| Geisinger-Community Medical CenterScranton | 187 | $75,317 | $9,991 | $8,407 |
| Mercy Hospital ScrantonScranton | 185 | $52,691 | $9,470 | $7,809 |
| St Joseph Medical CenterReading | 184 | $47,457 | $10,887 | $8,836 |
| UPMC Presbyterian ShadysidePittsburgh | 177 | $128,276 | $14,435 | $10,368 |
| Wilkes-Barre General HospitalWilkes-Barre | 175 | $62,107 | $9,328 | $7,750 |
| Saint Vincent Health CenterErie | 173 | $62,109 | $11,386 | $9,814 |
| Hamot Medical CenterErie | 170 | $93,616 | $11,646 | $10,024 |
| Robert Packer HospitalSayre | 166 | $40,786 | $11,762 | $9,764 |
| Hanover HospitalHanover | 159 | $44,811 | $10,717 | $9,133 |
| Dubois Regional Medical CenterDubois | 156 | $20,547 | $9,541 | $8,026 |
| Grand View HospitalSellersville | 155 | $42,054 | $8,911 | $7,605 |
| St Luke's Hospital - Monroe CampusStroudsburg | 155 | $93,550 | $9,857 | $8,365 |
| Mount Nittany Medical CenterState College | 154 | $36,076 | $11,583 | $10,099 |
| Lansdale HospitalLansdale | 147 | $37,098 | $8,841 | $7,680 |
| Hospital of the Univ of PaPhiladelphia | 146 | $169,901 | $20,596 | $14,554 |
| UPMC PassavantPittsburgh | 143 | $54,711 | $8,503 | $7,305 |
| Good Samaritan HospitalLebanon | 141 | $32,160 | $10,071 | $8,795 |
| Albert Einstein Medical CenterPhiladelphia | 135 | $51,774 | $16,965 | $12,600 |
| Williamsport Hospital & Medical CenterWilliamsport | 131 | $43,695 | $9,473 | $8,315 |
| Holy Spirit HospitalCamp Hill | 130 | $48,159 | $8,925 | $7,877 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 130 | $52,991 | $10,073 | $7,692 |
| Jefferson Regional Medical CenterClairton | 127 | $43,515 | $8,557 | $7,597 |
| Hazleton General HospitalHazleton | 124 | $50,068 | $9,338 | $7,724 |
| Pocono Medical CenterEast Stroudsburg | 121 | $62,918 | $9,674 | $8,652 |
| Geisinger St. Luke's HospitalOrwigsburg | 121 | $45,722 | $9,581 | $7,084 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 118 | $110,377 | $13,643 | $11,417 |
| Allegheny General HospitalPittsburgh | 116 | $58,501 | $13,875 | $9,984 |
| Gettysburg HospitalGettysburg | 115 | $37,859 | $10,257 | $8,603 |
| Carlisle Regional Medical CtrCarlisle | 114 | $42,886 | $8,638 | $7,665 |
| Pottstown Memorial Med CenterPottstown | 114 | $61,344 | $8,955 | $7,903 |
| St Clair Memorial HospitalPittsburgh | 113 | $22,187 | $8,417 | $7,065 |
| Chestnut Hill HospitalPhiladelphia | 110 | $119,643 | $12,126 | $9,943 |
| Ephrata Community HospitalEphrata | 110 | $43,276 | $9,148 | $7,755 |
| Washington Hospital, theWashington | 107 | $13,955 | $9,649 | $7,786 |
| Penn Presbyterian Medical CenterPhiladelphia | 107 | $104,498 | $14,523 | $11,830 |
| St Luke's Quakertown HospitalQuakertown | 104 | $100,093 | $11,025 | $9,703 |
| Phoenixville HospitalPhoenixville | 104 | $56,404 | $10,466 | $8,055 |
| Altoona Regional Health SystemAltoona | 103 | $31,110 | $9,739 | $8,439 |
| St Luke's Hospital - Carbon CampusLehighton | 103 | $73,692 | $9,621 | $7,140 |
| Lewistown HospitalLewistown | 98 | $40,606 | $10,868 | $8,392 |
| Heritage Valley BeaverBeaver | 97 | $18,643 | $10,031 | $8,733 |
| UPMC St MargaretPittsburgh | 93 | $54,362 | $10,486 | $7,854 |
| Mercy Health SystemConshohocken | 90 | $55,802 | $15,874 | $12,064 |
| St Luke's Miners Memorial HospitalCoaldale | 89 | $53,229 | $11,370 | $8,939 |
| UPMC EastMonroeville | 88 | $54,905 | $8,885 | $7,274 |
| Nazareth HospitalPhiladelphia | 86 | $40,900 | $12,824 | $10,601 |
| Conemaugh Valley Memorial HospitalJohnstown | 85 | $29,040 | $12,146 | $10,172 |
| Crozer Chester Medical CenterChester | 84 | $85,287 | $12,182 | $10,335 |
| Schuylkill Medical Center - South Jackson StreetPottsville | 82 | $53,424 | $9,897 | $8,241 |
| UPMC MemorialYork | 80 | $47,781 | $9,141 | $6,964 |
| Evangelical Community HospitalLewisburg | 79 | $46,838 | $8,443 | $7,432 |
| Northwest Medical CenterOil City | 79 | $28,829 | $8,923 | $7,878 |
| AHN Wexford HospitalWexford | 78 | $37,497 | $9,044 | $7,174 |
| Penn State Health Lancaster Medical CenterLancaster | 77 | $53,820 | $12,911 | $7,302 |
| Waynesboro HospitalWaynesboro | 75 | $30,935 | $11,639 | $9,784 |
| Excela Health Westmoreland Regional HospitalGreensburg | 75 | $24,190 | $8,972 | $7,517 |
| Meadville Medical CenterMeadville | 74 | $24,087 | $9,891 | $8,276 |
| Uniontown HospitalUniontown | 73 | $25,789 | $9,305 | $8,047 |
| Jameson Memorial HospitalNew Castle | 70 | $25,879 | $9,411 | $7,807 |
| Butler Health SystemButler | 69 | $25,273 | $9,234 | $7,890 |
| Penn State Health Hampden Medical CenterEnola | 69 | $42,774 | $13,664 | $6,887 |
| Wayne Memorial HospitalHonesdale | 67 | $34,318 | $10,902 | $9,827 |
| Heritage Valley SewickleySewickley | 65 | $17,226 | $8,557 | $7,095 |
| Allegheny Valley HospitalNatrona Heights | 55 | $31,839 | $8,904 | $6,846 |
| Easton HospitalEaston | 52 | $91,228 | $10,702 | $9,698 |
| Indiana Regional Medical CenterIndiana | 51 | $24,295 | $9,056 | $7,913 |
| Roxborough Memorial HospitalPhiladelphia | 45 | $50,923 | $12,013 | $10,132 |
| UPMC LititzLititz | 42 | $48,331 | $11,497 | $9,776 |
| Latrobe Area HospitalLatrobe | 41 | $23,839 | $9,811 | $8,192 |
| Bloomsburg HospitalBloomsburg | 39 | $39,863 | $10,905 | $8,940 |
| UPMC HorizonGreenville | 39 | $32,677 | $9,450 | $8,028 |
| Lower Bucks HospitalBristol | 37 | $44,804 | $12,740 | $10,120 |
| Sharon Regional Health SystemSharon | 35 | $26,784 | $9,207 | $8,075 |
| ACMH HospitalKittanning | 32 | $20,120 | $8,920 | $7,849 |
| UPMC MercyPittsburgh | 31 | $53,337 | $12,865 | $10,097 |
| Monongahela Valley HospitalMonongahela | 28 | $22,569 | $8,904 | $7,913 |
| Canonsburg General HospitalCanonsburg | 28 | $38,359 | $7,810 | $6,644 |
| Penn Highlands HuntingdonHuntingdon | 27 | $17,595 | $9,829 | $8,378 |
| West Penn HospitalPittsburgh | 27 | $65,456 | $10,939 | $9,164 |
| Excela Health Frick HospitalMt Pleasant | 27 | $25,173 | $8,842 | $7,935 |
| Nason HospitalRoaring Spring | 26 | $13,380 | $9,381 | $8,189 |
| Clarion HospitalClarion | 26 | $15,207 | $12,571 | $11,086 |
| UPMC McKeesportMcKeesport | 25 | $58,382 | $10,603 | $8,719 |
| Warren General HospitalWarren | 24 | $14,800 | $10,981 | $9,757 |
| Geisinger Medical Center MuncyMuncy | 23 | $35,090 | $9,116 | $6,928 |
| Lehigh Valley Hospital - Dickson CityDickson City | 21 | $55,864 | $10,634 | $6,299 |
| Windber HospitalWindber | 19 | $14,384 | $8,196 | $7,079 |
| Somerset HospitalSomerset | 17 | $21,708 | $10,269 | $8,380 |
| Magee Womens Hospital of UPMC Health SystemPittsburgh | 17 | $91,833 | $11,186 | $9,590 |
| Grove City Medical CenterGrove City | 17 | $27,038 | $10,253 | $8,813 |
| UPMC BedfordEverett | 16 | $26,194 | $10,728 | $9,302 |
| UPMC KaneKane | 15 | $14,532 | $11,603 | $10,300 |
| Mercy Suburban HospitalNorristown | 12 | $49,358 | $12,209 | $9,667 |
| Punxsutawney Area HospitalPunxsutawney | 11 | $14,140 | $11,001 | $9,817 |
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
| Canonsburg General HospitalCanonsburg, PA | $7,810 |
|---|---|
| Windber HospitalWindber, PA | $8,196 |
| St Clair Memorial HospitalPittsburgh, PA | $8,417 |
| Evangelical Community HospitalLewisburg, PA | $8,443 |
| UPMC PassavantPittsburgh, PA | $8,503 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $20,596 |
|---|---|
| Albert Einstein Medical CenterPhiladelphia, PA | $16,965 |
| Temple University HospitalPhiladelphia, PA | $16,536 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $16,079 |
| Mercy Health SystemConshohocken, PA | $15,874 |
Heart failure and shock with major complications in other states
Questions
How much does heart failure and shock with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for heart failure and shock with major complications (DRG 291) at 118 hospitals in Pennsylvania was billed at $57,410 on average, while the average total payment was $11,113, of which Medicare paid $9,068. 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.