Hip replacement with principal diagnosis of hip fracture without major complications in Pennsylvania
What 54 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522), from 2024 Medicare claims.
Average charge
$101,821
Hospital list price billed
Average payment
$17,741
Medicare + patient + other payers
Medicare paid
$15,094
Average per stay
State rank
#30 of 50
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $101,821 for hip replacement with principal diagnosis of hip fracture without major complications, about 5.7 times the average total payment of $17,741. That payment is 3% below the U.S. average of $18,301.
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 $17,741Billed $101,821
About 17¢ 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 without 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 | 72 | $139,469 | $20,680 | $15,298 |
| Abington Memorial HospitalAbington | 51 | $74,752 | $18,216 | $14,977 |
| UPMC Pinnacle HospitalsHarrisburg | 48 | $67,233 | $17,538 | $14,519 |
| Lancaster General HospitalLancaster | 47 | $66,180 | $17,643 | $14,883 |
| Chester County HospitalWest Chester | 45 | $70,103 | $15,413 | $13,818 |
| Reading Hospital and Med CtrWest Reading | 43 | $81,476 | $17,958 | $16,199 |
| Main Line Hospital PaoliPaoli | 42 | $89,201 | $14,770 | $13,480 |
| Doylestown HospitalDoylestown | 38 | $68,437 | $15,012 | $13,523 |
| St Mary Medical CenterLanghorne | 35 | $84,085 | $16,152 | $13,511 |
| Geisinger-Community Medical CenterScranton | 33 | $192,436 | $17,554 | $14,106 |
| Chambersburg HospitalChambersburg | 32 | $63,410 | $17,260 | $14,410 |
| Thomas Jefferson University HospitalPhiladelphia | 31 | $108,266 | $23,012 | $18,858 |
| Main Line Hospital LankenauWynnewood | 31 | $88,148 | $18,688 | $16,850 |
| St Luke's Hospital - Anderson CampusEaston | 31 | $136,879 | $21,662 | $18,442 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 30 | $91,398 | $16,443 | $14,890 |
| York HospitalYork | 29 | $124,892 | $17,512 | $15,687 |
| Hamot Medical CenterErie | 29 | $119,049 | $18,724 | $16,811 |
| Riddle Memorial HospitalMedia | 29 | $83,939 | $14,982 | $13,632 |
| St Luke's Hospital BethlehemBethlehem | 27 | $176,855 | $20,675 | $17,003 |
| Grand View HospitalSellersville | 26 | $57,864 | $15,412 | $12,686 |
| Jefferson Health- NortheastPhiladelphia | 26 | $75,901 | $17,917 | $15,924 |
| Milton S Hershey Medical CenterHershey | 25 | $81,888 | $20,883 | $18,511 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 25 | $170,718 | $17,416 | $15,503 |
| Geisinger Medical CenterDanville | 23 | $226,457 | $21,558 | $18,300 |
| Robert Packer HospitalSayre | 23 | $71,365 | $18,929 | $16,906 |
| Williamsport Hospital & Medical CenterWilliamsport | 20 | $87,820 | $15,362 | $13,737 |
| Lehigh Valley Hospital - Dickson CityDickson City | 20 | $129,043 | $14,541 | $11,957 |
| Chestnut Hill HospitalPhiladelphia | 19 | $215,951 | $19,759 | $17,155 |
| St Clair Memorial HospitalPittsburgh | 19 | $59,728 | $13,874 | $12,244 |
| Holy Spirit HospitalCamp Hill | 18 | $103,070 | $14,551 | $13,161 |
| Wilkes-Barre General HospitalWilkes-Barre | 18 | $131,111 | $15,498 | $13,766 |
| Penn Presbyterian Medical CenterPhiladelphia | 18 | $136,549 | $21,484 | $17,613 |
| UPMC MercyPittsburgh | 16 | $140,665 | $20,408 | $16,100 |
| Lewistown HospitalLewistown | 16 | $72,519 | $16,392 | $14,580 |
| Allegheny General HospitalPittsburgh | 16 | $91,518 | $20,570 | $16,787 |
| Dubois Regional Medical CenterDubois | 16 | $42,767 | $15,229 | $13,510 |
| Hanover HospitalHanover | 16 | $48,544 | $19,317 | $14,763 |
| Jefferson Regional Medical CenterClairton | 16 | $72,125 | $14,064 | $12,738 |
| UPMC PassavantPittsburgh | 15 | $88,760 | $15,735 | $11,827 |
| Phoenixville HospitalPhoenixville | 15 | $109,710 | $16,605 | $14,966 |
| St Luke's Quakertown HospitalQuakertown | 14 | $163,949 | $18,000 | $16,601 |
| Uniontown HospitalUniontown | 14 | $49,205 | $16,945 | $11,814 |
| Mount Nittany Medical CenterState College | 14 | $76,437 | $18,789 | $17,221 |
| Meadville Medical CenterMeadville | 13 | $51,010 | $15,941 | $13,987 |
| UPMC Presbyterian ShadysidePittsburgh | 13 | $183,687 | $20,680 | $17,707 |
| UPMC MemorialYork | 12 | $67,432 | $14,518 | $13,541 |
| Conemaugh Valley Memorial HospitalJohnstown | 12 | $103,337 | $19,721 | $17,463 |
| Indiana Regional Medical CenterIndiana | 12 | $44,623 | $14,972 | $13,377 |
| Crozer Chester Medical CenterChester | 12 | $120,735 | $19,472 | $17,210 |
| Pocono Medical CenterEast Stroudsburg | 12 | $119,738 | $16,210 | $14,853 |
| Gettysburg HospitalGettysburg | 11 | $95,547 | $26,696 | $13,322 |
| Pottstown Memorial Med CenterPottstown | 11 | $112,008 | $14,813 | $13,329 |
| Butler Health SystemButler | 11 | $52,295 | $14,719 | $13,236 |
| St Luke's Hospital - Monroe CampusStroudsburg | 11 | $163,552 | $15,596 | $13,882 |
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
| St Clair Memorial HospitalPittsburgh, PA | $13,874 |
|---|---|
| Jefferson Regional Medical CenterClairton, PA | $14,064 |
| UPMC MemorialYork, PA | $14,518 |
| Lehigh Valley Hospital - Dickson CityDickson City, PA | $14,541 |
| Holy Spirit HospitalCamp Hill, PA | $14,551 |
Highest
| Gettysburg HospitalGettysburg, PA | $26,696 |
|---|---|
| Thomas Jefferson University HospitalPhiladelphia, PA | $23,012 |
| St Luke's Hospital - Anderson CampusEaston, PA | $21,662 |
| Geisinger Medical CenterDanville, PA | $21,558 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $21,484 |
Hip replacement with principal diagnosis of hip fracture without major complications in other states
Questions
How much does hip replacement with principal diagnosis of hip fracture without major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for hip replacement with principal diagnosis of hip fracture without major complications (DRG 522) at 54 hospitals in Pennsylvania was billed at $101,821 on average, while the average total payment was $17,741, of which Medicare paid $15,094. 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 5.7 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.