Hip and femur procedures except major joint with major complications in Pennsylvania
What 33 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint with major complications (DRG 480), from 2024 Medicare claims.
Average charge
$171,348
Hospital list price billed
Average payment
$26,767
Medicare + patient + other payers
Medicare paid
$22,699
Average per stay
State rank
#32 of 46
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $171,348 for hip and femur procedures except major joint with major complications, about 6.4 times the average total payment of $26,767. That payment is 2% above the U.S. average of $26,284.
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 $26,767Billed $171,348
About 16¢ 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 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 | 47 | $226,387 | $28,138 | $24,628 |
| Abington Memorial HospitalAbington | 42 | $111,897 | $24,584 | $22,707 |
| Geisinger Medical CenterDanville | 34 | $281,229 | $31,009 | $24,294 |
| Reading Hospital and Med CtrWest Reading | 29 | $121,956 | $24,561 | $22,115 |
| Lancaster General HospitalLancaster | 29 | $79,749 | $21,767 | $20,021 |
| Milton S Hershey Medical CenterHershey | 26 | $132,840 | $29,514 | $26,363 |
| Geisinger-Community Medical CenterScranton | 25 | $254,675 | $25,339 | $19,726 |
| Jefferson Health- NortheastPhiladelphia | 25 | $105,957 | $25,281 | $23,200 |
| York HospitalYork | 24 | $149,013 | $24,213 | $22,246 |
| St Luke's Hospital BethlehemBethlehem | 23 | $224,236 | $27,832 | $22,683 |
| UPMC Presbyterian ShadysidePittsburgh | 23 | $370,230 | $32,371 | $24,245 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 23 | $298,110 | $24,725 | $23,100 |
| UPMC Pinnacle HospitalsHarrisburg | 22 | $94,682 | $25,190 | $19,899 |
| Main Line Hospital PaoliPaoli | 22 | $135,262 | $20,009 | $18,883 |
| Thomas Jefferson University HospitalPhiladelphia | 22 | $163,301 | $36,043 | $28,971 |
| Penn Presbyterian Medical CenterPhiladelphia | 21 | $400,056 | $41,966 | $39,305 |
| Main Line Hospital LankenauWynnewood | 20 | $134,977 | $24,080 | $22,325 |
| St Mary Medical CenterLanghorne | 20 | $93,971 | $21,431 | $19,520 |
| Robert Packer HospitalSayre | 18 | $85,732 | $23,418 | $21,712 |
| Dubois Regional Medical CenterDubois | 17 | $50,855 | $20,990 | $19,318 |
| Allegheny General HospitalPittsburgh | 16 | $163,560 | $30,882 | $21,083 |
| Hamot Medical CenterErie | 16 | $150,369 | $25,773 | $23,936 |
| Grand View HospitalSellersville | 15 | $92,369 | $20,685 | $19,814 |
| Chambersburg HospitalChambersburg | 15 | $70,803 | $21,276 | $20,067 |
| Crozer Chester Medical CenterChester | 15 | $200,448 | $26,987 | $24,273 |
| Chester County HospitalWest Chester | 14 | $86,330 | $20,644 | $19,220 |
| Pocono Medical CenterEast Stroudsburg | 13 | $166,836 | $24,248 | $18,566 |
| Temple University HospitalPhiladelphia | 12 | $314,816 | $37,004 | $30,724 |
| Carlisle Regional Medical CtrCarlisle | 12 | $83,010 | $18,364 | $17,140 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 12 | $113,746 | $20,214 | $17,885 |
| St Luke's Hospital - Anderson CampusEaston | 12 | $342,980 | $66,506 | $20,580 |
| Doylestown HospitalDoylestown | 11 | $73,067 | $19,766 | $18,380 |
| Riddle Memorial HospitalMedia | 11 | $115,138 | $19,764 | $18,726 |
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 | $18,364 |
|---|---|
| Riddle Memorial HospitalMedia, PA | $19,764 |
| Doylestown HospitalDoylestown, PA | $19,766 |
| Main Line Hospital PaoliPaoli, PA | $20,009 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville, PA | $20,214 |
Highest
| St Luke's Hospital - Anderson CampusEaston, PA | $66,506 |
|---|---|
| Penn Presbyterian Medical CenterPhiladelphia, PA | $41,966 |
| Temple University HospitalPhiladelphia, PA | $37,004 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $36,043 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $32,371 |
Hip and femur procedures except major joint with major complications in other states
Questions
How much does hip and femur procedures except major joint with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint with major complications (DRG 480) at 33 hospitals in Pennsylvania was billed at $171,348 on average, while the average total payment was $26,767, of which Medicare paid $22,699. 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 6.4 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.