Hernia procedures except inguinal and femoral without complications in Pennsylvania
What 4 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for hernia procedures except inguinal and femoral without complications (DRG 355), from 2024 Medicare claims.
Average charge
$95,882
Hospital list price billed
Average payment
$13,988
Medicare + patient + other payers
Medicare paid
$10,119
Average per stay
State rank
#5 of 6
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $95,882 for hernia procedures except inguinal and femoral without complications, about 6.9 times the average total payment of $13,988. That payment is 4% above the U.S. average of $13,407.
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 $13,988Billed $95,882
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: hernia procedures except inguinal and femoral 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 |
|---|---|---|---|---|
| Hospital of the Univ of PaPhiladelphia | 15 | $147,734 | $17,948 | $11,417 |
| UPMC Pinnacle HospitalsHarrisburg | 14 | $48,853 | $10,574 | $8,679 |
| Lehigh Valley HospitalAllentown | 13 | $75,517 | $11,880 | $9,168 |
| Penn Presbyterian Medical CenterPhiladelphia | 12 | $107,997 | $15,303 | $11,209 |
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 Pinnacle HospitalsHarrisburg, PA | $10,574 |
|---|---|
| Lehigh Valley HospitalAllentown, PA | $11,880 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $15,303 |
| Hospital of the Univ of PaPhiladelphia, PA | $17,948 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $17,948 |
|---|---|
| Penn Presbyterian Medical CenterPhiladelphia, PA | $15,303 |
| Lehigh Valley HospitalAllentown, PA | $11,880 |
| UPMC Pinnacle HospitalsHarrisburg, PA | $10,574 |
Hernia procedures except inguinal and femoral without complications in other states
Questions
How much does hernia procedures except inguinal and femoral without complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for hernia procedures except inguinal and femoral without complications (DRG 355) at 4 hospitals in Pennsylvania was billed at $95,882 on average, while the average total payment was $13,988, of which Medicare paid $10,119. 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 6.9 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.