Hypertension without major complications in Pennsylvania
What 38 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for hypertension without major complications (DRG 305), from 2024 Medicare claims.
Average charge
$39,683
Hospital list price billed
Average payment
$6,806
Medicare + patient + other payers
Medicare paid
$4,802
Average per stay
State rank
#22 of 38
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $39,683 for hypertension without major complications, about 5.8 times the average total payment of $6,806. That payment is 6% below the U.S. average of $7,204.
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 $6,806Billed $39,683
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: hypertension 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 | 61 | $49,600 | $6,967 | $5,102 |
| Abington Memorial HospitalAbington | 60 | $26,288 | $6,570 | $4,721 |
| St Mary Medical CenterLanghorne | 36 | $25,785 | $6,257 | $4,606 |
| Reading Hospital and Med CtrWest Reading | 32 | $32,874 | $6,861 | $5,326 |
| Main Line Hospital PaoliPaoli | 29 | $51,929 | $5,375 | $4,272 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 29 | $59,946 | $6,909 | $4,625 |
| Main Line Hospital LankenauWynnewood | 26 | $52,010 | $7,089 | $5,203 |
| St Luke's Hospital - Anderson CampusEaston | 26 | $49,910 | $8,766 | $5,683 |
| St Luke's Hospital BethlehemBethlehem | 24 | $69,502 | $7,606 | $5,736 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 24 | $49,245 | $5,981 | $4,289 |
| York HospitalYork | 23 | $32,400 | $6,518 | $4,985 |
| Lancaster General HospitalLancaster | 22 | $27,576 | $6,167 | $4,507 |
| Chester County HospitalWest Chester | 22 | $31,449 | $5,674 | $4,116 |
| Holy Spirit HospitalCamp Hill | 21 | $32,751 | $5,652 | $3,746 |
| St Luke's Hospital - Monroe CampusStroudsburg | 19 | $51,996 | $5,898 | $4,447 |
| Geisinger-Community Medical CenterScranton | 17 | $52,121 | $6,027 | $4,508 |
| Chambersburg HospitalChambersburg | 17 | $29,284 | $6,242 | $4,795 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 17 | $22,382 | $5,824 | $4,250 |
| Geisinger Medical CenterDanville | 16 | $55,977 | $8,428 | $5,956 |
| Hamot Medical CenterErie | 16 | $50,073 | $6,981 | $5,164 |
| UPMC Pinnacle HospitalsHarrisburg | 15 | $33,891 | $6,761 | $4,822 |
| Thomas Jefferson University HospitalPhiladelphia | 14 | $52,566 | $10,161 | $6,212 |
| Hanover HospitalHanover | 14 | $37,706 | $6,181 | $4,899 |
| Milton S Hershey Medical CenterHershey | 14 | $40,614 | $8,878 | $6,494 |
| Lansdale HospitalLansdale | 13 | $24,625 | $6,183 | $2,818 |
| Robert Packer HospitalSayre | 13 | $28,147 | $7,688 | $4,957 |
| St Joseph Medical CenterReading | 13 | $25,660 | $7,066 | $4,676 |
| Conemaugh Valley Memorial HospitalJohnstown | 13 | $22,630 | $7,295 | $5,271 |
| Jefferson Health- NortheastPhiladelphia | 13 | $25,255 | $6,883 | $4,858 |
| Pottstown Memorial Med CenterPottstown | 13 | $47,105 | $5,515 | $4,385 |
| Doylestown HospitalDoylestown | 13 | $24,034 | $5,863 | $3,493 |
| Mount Nittany Medical CenterState College | 13 | $25,533 | $6,868 | $5,625 |
| UPMC Presbyterian ShadysidePittsburgh | 12 | $81,373 | $8,462 | $5,661 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 12 | $36,797 | $7,906 | $5,330 |
| Saint Vincent Health CenterErie | 11 | $35,692 | $6,698 | $5,179 |
| Holy Redeemer Hosp and Med CtrJenkintown | 11 | $19,885 | $6,618 | $3,643 |
| Penn State Health Hampden Medical CenterEnola | 11 | $26,636 | $7,781 | $3,169 |
| Penn State Health Lancaster Medical CenterLancaster | 11 | $29,757 | $7,518 | $3,497 |
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
| Main Line Hospital PaoliPaoli, PA | $5,375 |
|---|---|
| Pottstown Memorial Med CenterPottstown, PA | $5,515 |
| Holy Spirit HospitalCamp Hill, PA | $5,652 |
| Chester County HospitalWest Chester, PA | $5,674 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville, PA | $5,824 |
Highest
| Thomas Jefferson University HospitalPhiladelphia, PA | $10,161 |
|---|---|
| Milton S Hershey Medical CenterHershey, PA | $8,878 |
| St Luke's Hospital - Anderson CampusEaston, PA | $8,766 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $8,462 |
| Geisinger Medical CenterDanville, PA | $8,428 |
Hypertension without major complications in other states
Questions
How much does hypertension without major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for hypertension without major complications (DRG 305) at 38 hospitals in Pennsylvania was billed at $39,683 on average, while the average total payment was $6,806, of which Medicare paid $4,802. 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 5.8 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.