Hip and femur procedures except major joint with complications in Pennsylvania
What 70 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with complications (DRG 481), from 2024 Medicare claims.
Average charge
$105,642
Hospital list price billed
Average payment
$17,470
Medicare + patient + other payers
Medicare paid
$14,717
Average per stay
State rank
#26 of 50
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $105,642 for hip and femur procedures except major joint with complications, about 6.0 times the average total payment of $17,470. That payment is 5% below the U.S. average of $18,473.
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 $17,470Billed $105,642
About 17¢ 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: hip and femur procedures except major joint 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 |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 132 | $148,049 | $18,843 | $14,550 |
| Lancaster General HospitalLancaster | 109 | $67,584 | $16,164 | $13,955 |
| Abington Memorial HospitalAbington | 103 | $76,090 | $16,776 | $14,670 |
| York HospitalYork | 86 | $118,237 | $17,028 | $15,149 |
| Main Line Hospital PaoliPaoli | 81 | $89,598 | $14,376 | $12,946 |
| Geisinger-Community Medical CenterScranton | 74 | $171,494 | $15,970 | $14,282 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 72 | $192,645 | $17,613 | $14,744 |
| Geisinger Medical CenterDanville | 69 | $222,157 | $22,256 | $17,251 |
| Reading Hospital and Med CtrWest Reading | 68 | $76,390 | $17,886 | $15,424 |
| St Luke's Hospital BethlehemBethlehem | 62 | $161,499 | $19,124 | $15,796 |
| Milton S Hershey Medical CenterHershey | 62 | $109,826 | $20,936 | $18,080 |
| Thomas Jefferson University HospitalPhiladelphia | 61 | $113,682 | $24,318 | $18,247 |
| Grand View HospitalSellersville | 60 | $61,274 | $14,020 | $12,633 |
| St Mary Medical CenterLanghorne | 58 | $72,797 | $16,309 | $14,353 |
| Doylestown HospitalDoylestown | 55 | $61,920 | $14,559 | $13,097 |
| Allegheny General HospitalPittsburgh | 51 | $91,710 | $22,206 | $15,681 |
| Main Line Hospital LankenauWynnewood | 51 | $100,946 | $18,193 | $15,719 |
| St Luke's Hospital - Anderson CampusEaston | 50 | $176,010 | $22,474 | $17,262 |
| Penn Presbyterian Medical CenterPhiladelphia | 49 | $149,069 | $21,431 | $18,615 |
| Hamot Medical CenterErie | 48 | $114,198 | $18,303 | $16,303 |
| Williamsport Hospital & Medical CenterWilliamsport | 46 | $86,472 | $15,609 | $13,293 |
| Jefferson Health- NortheastPhiladelphia | 46 | $74,757 | $17,668 | $14,545 |
| Riddle Memorial HospitalMedia | 45 | $83,419 | $14,432 | $13,054 |
| UPMC Presbyterian ShadysidePittsburgh | 44 | $218,576 | $20,986 | $16,651 |
| Chester County HospitalWest Chester | 42 | $74,635 | $15,079 | $13,719 |
| UPMC Pinnacle HospitalsHarrisburg | 41 | $64,704 | $17,366 | $14,257 |
| Dubois Regional Medical CenterDubois | 41 | $42,458 | $15,129 | $13,374 |
| Altoona Regional Health SystemAltoona | 40 | $63,840 | $15,347 | $13,816 |
| Holy Spirit HospitalCamp Hill | 37 | $98,410 | $14,889 | $12,265 |
| UPMC MercyPittsburgh | 37 | $126,673 | $19,518 | $16,113 |
| Chambersburg HospitalChambersburg | 35 | $58,268 | $15,922 | $14,421 |
| Robert Packer HospitalSayre | 33 | $77,334 | $19,363 | $15,170 |
| Wilkes-Barre General HospitalWilkes-Barre | 32 | $108,543 | $14,331 | $12,797 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 31 | $86,679 | $16,753 | $13,783 |
| Mount Nittany Medical CenterState College | 31 | $74,787 | $18,652 | $17,046 |
| Conemaugh Valley Memorial HospitalJohnstown | 27 | $84,829 | $19,534 | $16,389 |
| Hanover HospitalHanover | 26 | $55,061 | $16,809 | $15,366 |
| Lehigh Valley Hospital - Dickson CityDickson City | 26 | $121,425 | $15,190 | $11,613 |
| UPMC MemorialYork | 23 | $64,234 | $15,857 | $11,162 |
| Phoenixville HospitalPhoenixville | 23 | $81,559 | $16,137 | $14,781 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 23 | $98,925 | $16,902 | $13,071 |
| Saint Vincent Health CenterErie | 22 | $102,740 | $17,794 | $16,056 |
| Crozer Chester Medical CenterChester | 21 | $125,113 | $19,001 | $16,635 |
| UPMC PassavantPittsburgh | 20 | $90,755 | $14,051 | $12,576 |
| Pottstown Memorial Med CenterPottstown | 20 | $107,781 | $14,175 | $12,953 |
| Ephrata Community HospitalEphrata | 20 | $96,681 | $15,742 | $11,962 |
| St Clair Memorial HospitalPittsburgh | 20 | $46,639 | $13,799 | $11,048 |
| St Luke's Hospital - Monroe CampusStroudsburg | 18 | $178,378 | $15,462 | $13,968 |
| Holy Redeemer Hosp and Med CtrJenkintown | 17 | $52,072 | $16,364 | $13,084 |
| UPMC St MargaretPittsburgh | 17 | $104,349 | $16,675 | $14,142 |
| Pocono Medical CenterEast Stroudsburg | 17 | $142,467 | $17,049 | $13,749 |
| Carlisle Regional Medical CtrCarlisle | 16 | $59,820 | $13,703 | $12,379 |
| Albert Einstein Medical CenterPhiladelphia | 16 | $103,620 | $26,293 | $20,768 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 16 | $64,887 | $19,826 | $15,361 |
| Temple University HospitalPhiladelphia | 15 | $234,600 | $22,111 | $18,439 |
| Meadville Medical CenterMeadville | 15 | $38,829 | $15,789 | $13,005 |
| Lansdale HospitalLansdale | 14 | $45,751 | $13,713 | $12,198 |
| Gettysburg HospitalGettysburg | 14 | $75,966 | $15,750 | $14,467 |
| Monongahela Valley HospitalMonongahela | 14 | $55,527 | $14,110 | $12,595 |
| Hazleton General HospitalHazleton | 14 | $115,002 | $14,335 | $13,052 |
| Jefferson Regional Medical CenterClairton | 14 | $74,404 | $13,722 | $12,556 |
| Chestnut Hill HospitalPhiladelphia | 13 | $203,310 | $19,166 | $16,717 |
| Lewistown HospitalLewistown | 13 | $74,016 | $16,240 | $14,214 |
| Nason HospitalRoaring Spring | 13 | $40,495 | $14,462 | $13,334 |
| St Joseph Medical CenterReading | 12 | $76,758 | $16,435 | $14,392 |
| Jameson Memorial HospitalNew Castle | 11 | $40,458 | $14,171 | $12,834 |
| St Luke's Quakertown HospitalQuakertown | 11 | $166,007 | $18,372 | $14,555 |
| Heritage Valley BeaverBeaver | 11 | $27,726 | $14,902 | $12,972 |
| Good Samaritan HospitalLebanon | 11 | $60,132 | $16,169 | $14,471 |
| Excela Health Westmoreland Regional HospitalGreensburg | 11 | $39,557 | $16,810 | $10,215 |
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
| Carlisle Regional Medical CtrCarlisle, PA | $13,703 |
|---|---|
| Lansdale HospitalLansdale, PA | $13,713 |
| Jefferson Regional Medical CenterClairton, PA | $13,722 |
| St Clair Memorial HospitalPittsburgh, PA | $13,799 |
| Grand View HospitalSellersville, PA | $14,020 |
Highest
| Albert Einstein Medical CenterPhiladelphia, PA | $26,293 |
|---|---|
| Thomas Jefferson University HospitalPhiladelphia, PA | $24,318 |
| St Luke's Hospital - Anderson CampusEaston, PA | $22,474 |
| Geisinger Medical CenterDanville, PA | $22,256 |
| Allegheny General HospitalPittsburgh, PA | $22,206 |
Hip and femur procedures except major joint with complications in other states
Questions
How much does hip and femur procedures except major joint with complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with complications (DRG 481) at 70 hospitals in Pennsylvania was billed at $105,642 on average, while the average total payment was $17,470, of which Medicare paid $14,717. 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 6.0 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.