Infectious and parasitic diseases with operating room procedures with complications in Pennsylvania
What 28 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854), from 2024 Medicare claims.
Average charge
$103,502
Hospital list price billed
Average payment
$18,794
Medicare + patient + other payers
Medicare paid
$14,164
Average per stay
State rank
#31 of 44
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $103,502 for infectious and parasitic diseases with operating room procedures with complications, about 5.5 times the average total payment of $18,794. That payment is 1% below the U.S. average of $19,011.
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 $18,794Billed $103,502
About 18¢ 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: infectious and parasitic diseases with operating room procedures with 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 |
|---|---|---|---|---|
| Geisinger-Community Medical CenterScranton | 38 | $142,426 | $16,053 | $12,900 |
| St Luke's Hospital BethlehemBethlehem | 37 | $151,451 | $22,486 | $13,637 |
| Lehigh Valley HospitalAllentown | 35 | $91,364 | $16,709 | $15,013 |
| York HospitalYork | 33 | $84,471 | $22,520 | $13,293 |
| Doylestown HospitalDoylestown | 33 | $62,493 | $14,021 | $12,287 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 30 | $132,515 | $16,387 | $14,517 |
| Geisinger Medical CenterDanville | 28 | $171,688 | $32,858 | $16,140 |
| Abington Memorial HospitalAbington | 28 | $82,130 | $18,080 | $13,917 |
| Chambersburg HospitalChambersburg | 27 | $52,752 | $17,194 | $12,855 |
| Riddle Memorial HospitalMedia | 26 | $123,888 | $15,424 | $11,992 |
| Reading Hospital and Med CtrWest Reading | 24 | $79,745 | $17,561 | $15,852 |
| Thomas Jefferson University HospitalPhiladelphia | 23 | $146,504 | $27,873 | $21,402 |
| UPMC Pinnacle HospitalsHarrisburg | 22 | $68,881 | $16,774 | $14,286 |
| Main Line Hospital PaoliPaoli | 22 | $123,926 | $14,850 | $13,370 |
| Jefferson Health- NortheastPhiladelphia | 21 | $48,126 | $17,480 | $14,319 |
| St Mary Medical CenterLanghorne | 20 | $61,106 | $15,705 | $14,201 |
| Good Samaritan HospitalLebanon | 17 | $70,596 | $17,376 | $11,902 |
| St Luke's Hospital - Anderson CampusEaston | 16 | $189,818 | $23,598 | $16,999 |
| Chester County HospitalWest Chester | 15 | $83,231 | $14,211 | $12,906 |
| Main Line Hospital LankenauWynnewood | 14 | $138,225 | $20,068 | $15,422 |
| Washington Hospital, theWashington | 13 | $36,246 | $15,012 | $13,525 |
| Conemaugh Valley Memorial HospitalJohnstown | 13 | $66,843 | $19,277 | $16,835 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 13 | $116,386 | $19,472 | $12,075 |
| Hamot Medical CenterErie | 12 | $114,391 | $19,220 | $14,716 |
| Phoenixville HospitalPhoenixville | 12 | $104,893 | $19,081 | $13,253 |
| St Luke's Hospital - Monroe CampusStroudsburg | 12 | $154,079 | $15,742 | $10,278 |
| UPMC LititzLititz | 11 | $63,251 | $17,567 | $15,304 |
| Hanover HospitalHanover | 11 | $65,747 | $20,574 | $14,043 |
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
| Doylestown HospitalDoylestown, PA | $14,021 |
|---|---|
| Chester County HospitalWest Chester, PA | $14,211 |
| Main Line Hospital PaoliPaoli, PA | $14,850 |
| Washington Hospital, theWashington, PA | $15,012 |
| Riddle Memorial HospitalMedia, PA | $15,424 |
Highest
| Geisinger Medical CenterDanville, PA | $32,858 |
|---|---|
| Thomas Jefferson University HospitalPhiladelphia, PA | $27,873 |
| St Luke's Hospital - Anderson CampusEaston, PA | $23,598 |
| York HospitalYork, PA | $22,520 |
| St Luke's Hospital BethlehemBethlehem, PA | $22,486 |
Infectious and parasitic diseases with operating room procedures with complications in other states
Questions
How much does infectious and parasitic diseases with operating room procedures with complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with complications (DRG 854) at 28 hospitals in Pennsylvania was billed at $103,502 on average, while the average total payment was $18,794, of which Medicare paid $14,164. 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 5.5 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.