facebook tracking Implantation of Drug Infusion Device cost in Pennsylvania: 32 hospitals compared (APC 5471)

Implantation of Drug Infusion Device in Pennsylvania

What 32 hospitals in Pennsylvania charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.

APC 5471 Outpatient 2024 Medicare data
Average charge $137,587 Hospital list price billed
Average allowed $17,357 Medicare's payment + patient's share
Medicare paid $15,725 Average per service
State rank #27 of 32 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $137,587 for implantation of drug infusion device, about 7.9 times the average medicare-allowed amount of $17,357. That payment is 5% above the U.S. average of $16,462.

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 $17,357Billed $137,587

About 13¢ was paid for every $1 hospitals in Pennsylvania billed for this service.

Pennsylvania hospitals: implantation of drug infusion device

Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Lehigh Valley HospitalAllentown 14 $137,587 $17,357 $15,725
Geisinger-Community Medical CenterScranton – – – –
Geisinger Medical CenterDanville – – – –
Temple University HospitalPhiladelphia – – – –
UPMC MercyPittsburgh – – – –
Reading Hospital and Med CtrWest Reading – – – –
York HospitalYork – – – –
St Luke's Hospital BethlehemBethlehem – – – –
Allegheny General HospitalPittsburgh – – – –
UPMC LititzLititz – – – –
Altoona Regional Health SystemAltoona – – – –
West Penn HospitalPittsburgh – – – –
UPMC MemorialYork – – – –
Meadville Medical CenterMeadville – – – –
Pottstown Memorial Med CenterPottstown – – – –
Wilkes-Barre General HospitalWilkes-Barre – – – –
Main Line Hospital Bryn Mawr CampusBryn Mawr – – – –
Albert Einstein Medical CenterPhiladelphia – – – –
Chambersburg HospitalChambersburg – – – –
UPMC Presbyterian ShadysidePittsburgh – – – –
Thomas Jefferson University HospitalPhiladelphia – – – –
Pocono Medical CenterEast Stroudsburg – – – –
St Clair Memorial HospitalPittsburgh – – – –
Abington Memorial HospitalAbington – – – –
Milton S Hershey Medical CenterHershey – – – –
Western Pennsylvania Hosp Forbes Regional CampusMonroeville – – – –
Mount Nittany Medical CenterState College – – – –
Geisinger Wyoming Vly Med CtrWilkes-Barre – – – –
Edgewood Surgical HospitalTransfer – – – –
Advanced Surgical HospitalWashington – – – –
Wellspan Surgery and Rehabilitation HospitalYork – – – –
Children's Hosp of PittsburghPittsburgh – – – –
Implantation of Drug Infusion Device: all states All Pennsylvania hospitals Pennsylvania hospital finances
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Implantation of Drug Infusion Device in other states

Alaska · $17,250 Arizona · $17,353 Georgia · $16,516 Illinois · $16,878 Montana · $16,685 North Dakota · $16,685 South Dakota · $16,584 Wisconsin · $16,613

Questions

How much does implantation of drug infusion device cost in Pennsylvania?

In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 32 hospitals in Pennsylvania was billed at $137,587 on average, while the average medicare-allowed amount was $17,357, of which Medicare paid $15,725. 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 service in Pennsylvania, average charges were 7.9 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.

Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.