Infectious and parasitic diseases with operating room procedures with major complications in Pennsylvania
What 81 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853), from 2024 Medicare claims.
Average charge
$236,858
Hospital list price billed
Average payment
$44,755
Medicare + patient + other payers
Medicare paid
$38,209
Average per stay
State rank
#31 of 49
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $236,858 for infectious and parasitic diseases with operating room procedures with major complications, about 5.3 times the average total payment of $44,755. That payment is 4% below the U.S. average of $46,667.
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 $44,755Billed $236,858
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: infectious and parasitic diseases with operating room procedures 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 |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 176 | $277,743 | $43,737 | $36,785 |
| York HospitalYork | 145 | $189,582 | $50,292 | $37,114 |
| St Luke's Hospital BethlehemBethlehem | 121 | $395,964 | $48,289 | $39,297 |
| Geisinger Medical CenterDanville | 111 | $412,204 | $63,280 | $47,210 |
| Geisinger-Community Medical CenterScranton | 104 | $295,336 | $39,659 | $33,732 |
| Abington Memorial HospitalAbington | 104 | $151,054 | $43,109 | $39,009 |
| Thomas Jefferson University HospitalPhiladelphia | 103 | $296,373 | $68,544 | $53,326 |
| Reading Hospital and Med CtrWest Reading | 101 | $160,205 | $42,525 | $37,653 |
| Jefferson Health- NortheastPhiladelphia | 94 | $145,970 | $41,345 | $35,596 |
| Main Line Hospital LankenauWynnewood | 91 | $267,976 | $45,658 | $40,409 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 88 | $344,263 | $42,476 | $34,849 |
| UPMC Pinnacle HospitalsHarrisburg | 75 | $164,009 | $40,201 | $37,271 |
| St Mary Medical CenterLanghorne | 74 | $113,360 | $40,725 | $32,750 |
| Chambersburg HospitalChambersburg | 73 | $100,184 | $34,953 | $33,020 |
| UPMC Presbyterian ShadysidePittsburgh | 70 | $681,523 | $56,716 | $45,781 |
| Hospital of the Univ of PaPhiladelphia | 68 | $639,886 | $90,552 | $73,059 |
| Milton S Hershey Medical CenterHershey | 58 | $246,177 | $55,722 | $48,689 |
| Doylestown HospitalDoylestown | 56 | $115,360 | $32,677 | $30,851 |
| Lancaster General HospitalLancaster | 53 | $170,723 | $45,428 | $36,570 |
| Good Samaritan HospitalLebanon | 52 | $115,151 | $37,670 | $35,654 |
| Riddle Memorial HospitalMedia | 51 | $199,712 | $35,443 | $30,808 |
| Hamot Medical CenterErie | 48 | $264,457 | $41,236 | $38,175 |
| Allegheny General HospitalPittsburgh | 46 | $276,312 | $58,307 | $47,806 |
| St Luke's Hospital - Anderson CampusEaston | 46 | $288,998 | $48,607 | $38,037 |
| Dubois Regional Medical CenterDubois | 42 | $108,018 | $38,647 | $36,907 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 42 | $241,931 | $40,102 | $37,760 |
| Lansdale HospitalLansdale | 39 | $78,017 | $31,349 | $27,672 |
| Main Line Hospital PaoliPaoli | 38 | $267,348 | $38,966 | $31,451 |
| Robert Packer HospitalSayre | 36 | $140,668 | $42,309 | $39,085 |
| Saint Vincent Health CenterErie | 35 | $243,511 | $47,313 | $37,475 |
| Williamsport Hospital & Medical CenterWilliamsport | 35 | $163,591 | $36,612 | $35,031 |
| Chester County HospitalWest Chester | 35 | $138,941 | $33,385 | $32,173 |
| Altoona Regional Health SystemAltoona | 34 | $157,733 | $39,464 | $36,921 |
| Crozer Chester Medical CenterChester | 34 | $361,041 | $49,701 | $45,916 |
| St Clair Memorial HospitalPittsburgh | 33 | $116,146 | $32,285 | $30,851 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 31 | $187,112 | $46,983 | $42,099 |
| Nazareth HospitalPhiladelphia | 29 | $135,619 | $42,098 | $38,300 |
| Pottstown Memorial Med CenterPottstown | 28 | $163,712 | $32,557 | $30,910 |
| Mercy Health SystemConshohocken | 28 | $176,592 | $47,191 | $41,986 |
| Penn Presbyterian Medical CenterPhiladelphia | 28 | $373,463 | $49,220 | $44,758 |
| Ephrata Community HospitalEphrata | 27 | $165,294 | $38,374 | $32,018 |
| Mount Nittany Medical CenterState College | 27 | $132,024 | $44,870 | $42,780 |
| Conemaugh Valley Memorial HospitalJohnstown | 26 | $120,042 | $44,695 | $42,348 |
| St Luke's Hospital - Monroe CampusStroudsburg | 26 | $261,892 | $34,828 | $29,361 |
| Temple University HospitalPhiladelphia | 25 | $627,491 | $69,928 | $59,677 |
| UPMC PassavantPittsburgh | 25 | $195,789 | $35,437 | $30,052 |
| Wilkes-Barre General HospitalWilkes-Barre | 25 | $218,117 | $36,026 | $32,943 |
| Jefferson Regional Medical CenterClairton | 25 | $112,954 | $31,144 | $26,167 |
| Phoenixville HospitalPhoenixville | 23 | $127,258 | $37,194 | $30,336 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 23 | $387,108 | $54,434 | $49,996 |
| Chestnut Hill HospitalPhiladelphia | 22 | $406,559 | $43,046 | $39,345 |
| Holy Redeemer Hosp and Med CtrJenkintown | 22 | $72,021 | $34,067 | $32,777 |
| Albert Einstein Medical CenterPhiladelphia | 21 | $167,252 | $48,877 | $42,734 |
| Mercy Hospital ScrantonScranton | 21 | $251,814 | $38,369 | $36,475 |
| Holy Spirit HospitalCamp Hill | 20 | $185,925 | $31,198 | $29,506 |
| Excela Health Westmoreland Regional HospitalGreensburg | 20 | $91,816 | $31,935 | $28,343 |
| Latrobe Area HospitalLatrobe | 20 | $75,646 | $32,649 | $30,585 |
| Grand View HospitalSellersville | 19 | $126,112 | $39,181 | $30,371 |
| UPMC MemorialYork | 19 | $139,216 | $33,660 | $32,636 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 19 | $198,719 | $44,302 | $39,554 |
| UPMC St MargaretPittsburgh | 18 | $298,717 | $45,477 | $38,441 |
| UPMC MercyPittsburgh | 17 | $330,915 | $47,609 | $39,916 |
| St Luke's Quakertown HospitalQuakertown | 17 | $311,728 | $41,393 | $40,145 |
| Washington Hospital, theWashington | 17 | $43,618 | $31,509 | $29,705 |
| Butler Health SystemButler | 17 | $82,089 | $29,894 | $28,838 |
| Pocono Medical CenterEast Stroudsburg | 17 | $272,943 | $38,592 | $37,344 |
| Hanover HospitalHanover | 17 | $110,427 | $46,383 | $34,043 |
| St Luke's Hospital - Carbon CampusLehighton | 17 | $221,889 | $29,635 | $25,918 |
| Evangelical Community HospitalLewisburg | 16 | $112,377 | $35,656 | $26,071 |
| Gettysburg HospitalGettysburg | 16 | $127,417 | $37,184 | $35,960 |
| West Penn HospitalPittsburgh | 15 | $183,087 | $43,163 | $38,012 |
| St Joseph Medical CenterReading | 15 | $169,020 | $35,963 | $33,479 |
| Penn State Health Lancaster Medical CenterLancaster | 15 | $152,028 | $44,656 | $24,275 |
| Heritage Valley BeaverBeaver | 14 | $66,114 | $35,070 | $32,981 |
| Lewistown HospitalLewistown | 14 | $103,905 | $40,833 | $34,257 |
| Roxborough Memorial HospitalPhiladelphia | 14 | $260,729 | $48,068 | $34,508 |
| UPMC EastMonroeville | 14 | $199,876 | $33,391 | $31,801 |
| Geisinger St. Luke's HospitalOrwigsburg | 14 | $147,992 | $30,112 | $29,240 |
| Uniontown HospitalUniontown | 13 | $59,417 | $32,679 | $27,190 |
| Hazleton General HospitalHazleton | 13 | $291,275 | $39,929 | $38,553 |
| Carlisle Regional Medical CtrCarlisle | 12 | $87,234 | $28,000 | $25,093 |
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
| Carlisle Regional Medical CtrCarlisle, PA | $28,000 |
|---|---|
| St Luke's Hospital - Carbon CampusLehighton, PA | $29,635 |
| Butler Health SystemButler, PA | $29,894 |
| Geisinger St. Luke's HospitalOrwigsburg, PA | $30,112 |
| Jefferson Regional Medical CenterClairton, PA | $31,144 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $90,552 |
|---|---|
| Temple University HospitalPhiladelphia, PA | $69,928 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $68,544 |
| Geisinger Medical CenterDanville, PA | $63,280 |
| Allegheny General HospitalPittsburgh, PA | $58,307 |
Infectious and parasitic diseases with operating room procedures with major complications in other states
Questions
How much does infectious and parasitic diseases with operating room procedures with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for infectious and parasitic diseases with operating room procedures with major complications (DRG 853) at 81 hospitals in Pennsylvania was billed at $236,858 on average, while the average total payment was $44,755, of which Medicare paid $38,209. 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.