Hip and femur procedures except major joint without complications in Pennsylvania
What 9 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for hip and femur procedures except major joint without complications (DRG 482), from 2024 Medicare claims.
Average charge
$61,638
Hospital list price billed
Average payment
$13,099
Medicare + patient + other payers
Medicare paid
$10,582
Average per stay
State rank
#20 of 36
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $61,638 for hip and femur procedures except major joint without complications, about 4.7 times the average total payment of $13,099. That payment is 8% below the U.S. average of $14,276.
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 $13,099Billed $61,638
About 21¢ 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 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 |
|---|---|---|---|---|
| Altoona Regional Health SystemAltoona | 15 | $52,362 | $12,349 | $10,691 |
| Main Line Hospital PaoliPaoli | 15 | $62,053 | $11,168 | $9,748 |
| UPMC Pinnacle HospitalsHarrisburg | 13 | $48,498 | $13,078 | $11,043 |
| Robert Packer HospitalSayre | 13 | $52,485 | $14,382 | $12,495 |
| Allegheny General HospitalPittsburgh | 12 | $66,779 | $15,207 | $12,248 |
| Lancaster General HospitalLancaster | 11 | $46,847 | $16,350 | $9,617 |
| Wilkes-Barre General HospitalWilkes-Barre | 11 | $89,727 | $12,083 | $8,776 |
| Hanover HospitalHanover | 11 | $53,503 | $12,914 | $11,579 |
| Lehigh Valley Hospital - Dickson CityDickson City | 11 | $89,293 | $10,910 | $8,721 |
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
| Lehigh Valley Hospital - Dickson CityDickson City, PA | $10,910 |
|---|---|
| Main Line Hospital PaoliPaoli, PA | $11,168 |
| Wilkes-Barre General HospitalWilkes-Barre, PA | $12,083 |
| Altoona Regional Health SystemAltoona, PA | $12,349 |
| Hanover HospitalHanover, PA | $12,914 |
Highest
| Lancaster General HospitalLancaster, PA | $16,350 |
|---|---|
| Allegheny General HospitalPittsburgh, PA | $15,207 |
| Robert Packer HospitalSayre, PA | $14,382 |
| UPMC Pinnacle HospitalsHarrisburg, PA | $13,078 |
| Hanover HospitalHanover, PA | $12,914 |
Hip and femur procedures except major joint without complications in other states
Questions
How much does hip and femur procedures except major joint without complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for hip and femur procedures except major joint without complications (DRG 482) at 9 hospitals in Pennsylvania was billed at $61,638 on average, while the average total payment was $13,099, of which Medicare paid $10,582. 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 4.7 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.