Hip replacement with principal diagnosis of hip fracture with major complications in Pennsylvania
What 13 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521), from 2024 Medicare claims.
Average charge
$155,028
Hospital list price billed
Average payment
$23,809
Medicare + patient + other payers
Medicare paid
$21,563
Average per stay
State rank
#19 of 40
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $155,028 for hip replacement with principal diagnosis of hip fracture with major complications, about 6.5 times the average total payment of $23,809. That payment is 7% below the U.S. average of $25,727.
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 $23,809Billed $155,028
About 15¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Pennsylvania:
Pennsylvania hospitals: hip replacement with principal diagnosis of hip fracture 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 | 26 | $182,094 | $25,019 | $22,726 |
| Lancaster General HospitalLancaster | 22 | $77,486 | $21,621 | $19,873 |
| Chambersburg HospitalChambersburg | 19 | $79,196 | $19,561 | $18,179 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 17 | $224,617 | $21,646 | $20,123 |
| Main Line Hospital PaoliPaoli | 16 | $148,961 | $20,552 | $19,006 |
| Reading Hospital and Med CtrWest Reading | 15 | $110,266 | $24,953 | $22,861 |
| Abington Memorial HospitalAbington | 15 | $84,948 | $24,817 | $19,967 |
| York HospitalYork | 14 | $154,688 | $22,644 | $20,926 |
| St Mary Medical CenterLanghorne | 13 | $103,380 | $22,710 | $20,981 |
| Geisinger Medical CenterDanville | 12 | $382,587 | $32,660 | $28,041 |
| Penn Presbyterian Medical CenterPhiladelphia | 12 | $281,728 | $30,587 | $27,965 |
| Williamsport Hospital & Medical CenterWilliamsport | 11 | $92,579 | $20,697 | $19,322 |
| Hamot Medical CenterErie | 11 | $172,455 | $26,660 | $24,079 |
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
| Chambersburg HospitalChambersburg, PA | $19,561 |
|---|---|
| Main Line Hospital PaoliPaoli, PA | $20,552 |
| Williamsport Hospital & Medical CenterWilliamsport, PA | $20,697 |
| Lancaster General HospitalLancaster, PA | $21,621 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $21,646 |
Highest
| Geisinger Medical CenterDanville, PA | $32,660 |
|---|---|
| Penn Presbyterian Medical CenterPhiladelphia, PA | $30,587 |
| Hamot Medical CenterErie, PA | $26,660 |
| Lehigh Valley HospitalAllentown, PA | $25,019 |
| Reading Hospital and Med CtrWest Reading, PA | $24,953 |
Hip replacement with principal diagnosis of hip fracture with major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture with major complications (DRG 521) at 13 hospitals in Pennsylvania was billed at $155,028 on average, while the average total payment was $23,809, of which Medicare paid $21,563. 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 6.5 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.