Hypertension with major complications in Pennsylvania
What 7 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for hypertension with major complications (DRG 304), from 2024 Medicare claims.
Average charge
$57,523
Hospital list price billed
Average payment
$10,806
Medicare + patient + other payers
Medicare paid
$8,820
Average per stay
State rank
#14 of 30
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $57,523 for hypertension with major complications, about 5.3 times the average total payment of $10,806. That payment is 7% below the U.S. average of $11,589.
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 $10,806Billed $57,523
About 19¢ 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: hypertension 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 |
|---|---|---|---|---|
| Abington Memorial HospitalAbington | 19 | $38,969 | $9,819 | $8,581 |
| Lehigh Valley HospitalAllentown | 16 | $65,712 | $10,537 | $8,735 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 16 | $94,316 | $10,913 | $7,577 |
| Albert Einstein Medical CenterPhiladelphia | 14 | $50,267 | $15,149 | $11,635 |
| Geisinger-Community Medical CenterScranton | 11 | $78,883 | $9,206 | $7,673 |
| Reading Hospital and Med CtrWest Reading | 11 | $39,824 | $10,233 | $9,633 |
| St Mary Medical CenterLanghorne | 11 | $29,721 | $9,390 | $7,919 |
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
| Geisinger-Community Medical CenterScranton, PA | $9,206 |
|---|---|
| St Mary Medical CenterLanghorne, PA | $9,390 |
| Abington Memorial HospitalAbington, PA | $9,819 |
| Reading Hospital and Med CtrWest Reading, PA | $10,233 |
| Lehigh Valley HospitalAllentown, PA | $10,537 |
Highest
| Albert Einstein Medical CenterPhiladelphia, PA | $15,149 |
|---|---|
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $10,913 |
| Lehigh Valley HospitalAllentown, PA | $10,537 |
| Reading Hospital and Med CtrWest Reading, PA | $10,233 |
| Abington Memorial HospitalAbington, PA | $9,819 |
Hypertension with major complications in other states
Questions
How much does hypertension with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for hypertension with major complications (DRG 304) at 7 hospitals in Pennsylvania was billed at $57,523 on average, while the average total payment was $10,806, of which Medicare paid $8,820. 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 5.3 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.