Level 2 ICD and Similar Procedures in Pennsylvania
What 69 hospitals in Pennsylvania charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Average charge
$207,570
Hospital list price billed
Average allowed
$31,080
Medicare's payment + patient's share
Medicare paid
$29,443
Average per service
State rank
#30 of 47
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $207,570 for level 2 icd and similar procedures, about 6.7 times the average medicare-allowed amount of $31,080. That payment is about the same as the U.S. average of $31,009.
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 $31,080Billed $207,570
About 15¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 2 icd and similar procedures
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 |
|---|---|---|---|---|
| Hospital of the Univ of PaPhiladelphia | 109 | $318,984 | $33,043 | $31,411 |
| Lehigh Valley HospitalAllentown | 84 | $445,814 | $31,990 | $30,358 |
| York HospitalYork | 53 | $98,961 | $30,322 | $28,688 |
| St Luke's Hospital BethlehemBethlehem | 51 | $217,527 | $30,800 | $29,168 |
| Penn Presbyterian Medical CenterPhiladelphia | 51 | $209,683 | $32,523 | $30,887 |
| Abington Memorial HospitalAbington | 47 | $187,660 | $30,770 | $29,137 |
| UPMC Pinnacle HospitalsHarrisburg | 41 | $125,630 | $29,394 | $27,742 |
| Lancaster General HospitalLancaster | 40 | $142,589 | $29,789 | $28,156 |
| Allegheny General HospitalPittsburgh | 38 | $204,447 | $29,298 | $27,657 |
| Jefferson Health- NortheastPhiladelphia | 38 | $208,187 | $31,865 | $30,233 |
| Doylestown HospitalDoylestown | 38 | $183,238 | $31,642 | $30,004 |
| Dubois Regional Medical CenterDubois | 36 | $105,969 | $31,375 | $29,743 |
| Temple University HospitalPhiladelphia | 35 | $250,859 | $31,347 | $29,624 |
| Main Line Hospital LankenauWynnewood | 33 | $74,987 | $31,642 | $30,010 |
| UPMC Presbyterian ShadysidePittsburgh | 32 | $336,834 | $29,297 | $27,665 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 31 | $172,240 | $28,405 | $26,773 |
| Robert Packer HospitalSayre | 30 | $70,485 | $30,131 | $28,499 |
| Reading Hospital and Med CtrWest Reading | 28 | $175,806 | $29,968 | $28,334 |
| Hamot Medical CenterErie | 28 | $318,443 | $34,565 | $32,933 |
| Thomas Jefferson University HospitalPhiladelphia | 27 | $176,423 | $31,281 | $29,647 |
| Holy Spirit HospitalCamp Hill | 24 | $277,336 | $29,697 | $28,065 |
| Geisinger Medical CenterDanville | 24 | $160,310 | $29,297 | $27,665 |
| Altoona Regional Health SystemAltoona | 24 | $93,212 | $31,375 | $29,735 |
| Albert Einstein Medical CenterPhiladelphia | 23 | $72,825 | $31,865 | $30,233 |
| Mercy Hospital ScrantonScranton | 23 | $396,261 | $29,298 | $27,659 |
| St Mary Medical CenterLanghorne | 23 | $165,219 | $32,597 | $30,950 |
| Chambersburg HospitalChambersburg | 22 | $180,319 | $32,724 | $31,092 |
| Main Line Hospital PaoliPaoli | 20 | $80,999 | $31,642 | $30,010 |
| Jefferson Regional Medical CenterClairton | 19 | $207,071 | $29,297 | $27,665 |
| Hanover HospitalHanover | 18 | $134,982 | $30,873 | $29,241 |
| Williamsport Hospital & Medical CenterWilliamsport | 17 | $122,108 | $29,297 | $27,665 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 17 | $88,069 | $30,770 | $29,138 |
| St Joseph Medical CenterReading | 16 | $275,206 | $29,909 | $28,277 |
| Good Samaritan HospitalLebanon | 15 | $190,310 | $31,102 | $29,470 |
| Chester County HospitalWest Chester | 15 | $82,365 | $31,642 | $30,010 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 15 | $196,650 | $33,043 | $31,411 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 14 | $78,758 | $31,642 | $30,003 |
| Crozer Chester Medical CenterChester | 14 | $105,597 | $31,865 | $30,233 |
| Milton S Hershey Medical CenterHershey | 14 | $311,026 | $30,873 | $29,241 |
| Heritage Valley BeaverBeaver | 12 | $106,309 | $29,297 | $27,665 |
| Wilkes-Barre General HospitalWilkes-Barre | 12 | $397,715 | $29,297 | $27,665 |
| Excela Health Westmoreland Regional HospitalGreensburg | 12 | $152,005 | $29,297 | $27,665 |
| Pocono Medical CenterEast Stroudsburg | 12 | $287,831 | $31,990 | $30,358 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 12 | $179,630 | $29,297 | $27,665 |
| Mount Nittany Medical CenterState College | 11 | $112,712 | $33,097 | $31,465 |
| Geisinger-Community Medical CenterScranton | – | – | – | – |
| Saint Vincent Health CenterErie | – | – | – | – |
| UPMC MercyPittsburgh | – | – | – | – |
| Uniontown HospitalUniontown | – | – | – | – |
| Washington Hospital, theWashington | – | – | – | – |
| Lewistown HospitalLewistown | – | – | – | – |
| Grand View HospitalSellersville | – | – | – | – |
| Nason HospitalRoaring Spring | – | – | – | – |
| Gettysburg HospitalGettysburg | – | – | – | – |
| UPMC LititzLititz | – | – | – | – |
| Holy Redeemer Hosp and Med CtrJenkintown | – | – | – | – |
| UPMC MemorialYork | – | – | – | – |
| UPMC PassavantPittsburgh | – | – | – | – |
| Conemaugh Valley Memorial HospitalJohnstown | – | – | – | – |
| Phoenixville HospitalPhoenixville | – | – | – | – |
| Mercy Health SystemConshohocken | – | – | – | – |
| Butler Health SystemButler | – | – | – | – |
| Indiana Regional Medical CenterIndiana | – | – | – | – |
| Nazareth HospitalPhiladelphia | – | – | – | – |
| Sharon Regional Health SystemSharon | – | – | – | – |
| Ephrata Community HospitalEphrata | – | – | – | – |
| St Clair Memorial HospitalPittsburgh | – | – | – | – |
| UPMC EastMonroeville | – | – | – | – |
| St Luke's Hospital - Carbon CampusLehighton | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $28,405 |
|---|---|
| Wilkes-Barre General HospitalWilkes-Barre, PA | $29,297 |
| Geisinger Medical CenterDanville, PA | $29,297 |
| Heritage Valley BeaverBeaver, PA | $29,297 |
| Williamsport Hospital & Medical CenterWilliamsport, PA | $29,297 |
Highest
| Hamot Medical CenterErie, PA | $34,565 |
|---|---|
| Mount Nittany Medical CenterState College, PA | $33,097 |
| Hospital of the Univ of PaPhiladelphia, PA | $33,043 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $33,043 |
| Chambersburg HospitalChambersburg, PA | $32,724 |
Level 2 ICD and Similar Procedures in other states
Questions
How much does level 2 icd and similar procedures cost in Pennsylvania?
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 69 hospitals in Pennsylvania was billed at $207,570 on average, while the average medicare-allowed amount was $31,080, of which Medicare paid $29,443. 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 6.7 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.