facebook tracking Laparoscopic cholecystectomy without c.d.e. without complications cost in Pennsylvania: 8 hospitals compared (DRG 419)

Laparoscopic cholecystectomy without c.d.e. without complications in Pennsylvania

What 8 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for laparoscopic cholecystectomy without c.d.e. without complications (DRG 419), from 2024 Medicare claims.

DRG 419 Inpatient 2024 Medicare data
Average charge $63,234 Hospital list price billed
Average payment $11,469 Medicare + patient + other payers
Medicare paid $8,252 Average per stay
State rank #7 of 17 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $63,234 for laparoscopic cholecystectomy without c.d.e. without complications, about 5.5 times the average total payment of $11,469. That payment is 8% below the U.S. average of $12,419.

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 $11,469Billed $63,234

About 18¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Pennsylvania:

Pennsylvania hospitals: laparoscopic cholecystectomy without c.d.e. without 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 29 $96,933 $11,830 $8,772
Reading Hospital and Med CtrWest Reading 19 $60,089 $11,431 $9,865
Main Line Hospital PaoliPaoli 19 $60,826 $12,433 $6,364
Abington Memorial HospitalAbington 15 $46,058 $11,532 $8,471
UPMC Pinnacle HospitalsHarrisburg 14 $49,776 $11,480 $8,291
Lancaster General HospitalLancaster 12 $53,729 $10,281 $8,559
Doylestown HospitalDoylestown 12 $38,415 $10,000 $7,179
Main Line Hospital Bryn Mawr CampusBryn Mawr 11 $61,977 $11,719 $7,838
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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$10,000
Lancaster General HospitalLancaster, PA$10,281
Reading Hospital and Med CtrWest Reading, PA$11,431
UPMC Pinnacle HospitalsHarrisburg, PA$11,480
Abington Memorial HospitalAbington, PA$11,532

Highest

Main Line Hospital PaoliPaoli, PA$12,433
Lehigh Valley HospitalAllentown, PA$11,830
Main Line Hospital Bryn Mawr CampusBryn Mawr, PA$11,719
Abington Memorial HospitalAbington, PA$11,532
UPMC Pinnacle HospitalsHarrisburg, PA$11,480

Laparoscopic cholecystectomy without c.d.e. without complications in other states

Questions

How much does laparoscopic cholecystectomy without c.d.e. without complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for laparoscopic cholecystectomy without c.d.e. without complications (DRG 419) at 8 hospitals in Pennsylvania was billed at $63,234 on average, while the average total payment was $11,469, of which Medicare paid $8,252. 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.