Lower extremity and humerus procedures except hip, foot and femur with complications in Pennsylvania
What 26 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493), from 2024 Medicare claims.
Average charge
$129,595
Hospital list price billed
Average payment
$21,646
Medicare + patient + other payers
Medicare paid
$18,313
Average per stay
State rank
#24 of 40
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $129,595 for lower extremity and humerus procedures except hip, foot and femur with complications, about 6.0 times the average total payment of $21,646. That payment is 5% below the U.S. average of $22,820.
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 $21,646Billed $129,595
About 17¢ 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: lower extremity and humerus procedures except hip, foot and femur 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 |
|---|---|---|---|---|
| Lehigh Valley HospitalAllentown | 66 | $150,197 | $21,640 | $18,178 |
| UPMC Presbyterian ShadysidePittsburgh | 30 | $220,896 | $25,901 | $17,270 |
| Abington Memorial HospitalAbington | 29 | $73,100 | $19,695 | $17,884 |
| Reading Hospital and Med CtrWest Reading | 27 | $79,628 | $22,566 | $17,858 |
| Allegheny General HospitalPittsburgh | 26 | $130,044 | $24,489 | $19,121 |
| Lancaster General HospitalLancaster | 26 | $73,814 | $18,168 | $16,417 |
| St Mary Medical CenterLanghorne | 24 | $77,751 | $18,869 | $16,930 |
| Geisinger-Community Medical CenterScranton | 22 | $223,288 | $19,326 | $17,582 |
| St Luke's Hospital - Anderson CampusEaston | 22 | $173,633 | $23,808 | $20,158 |
| Main Line Hospital PaoliPaoli | 21 | $97,834 | $17,073 | $15,522 |
| Main Line Hospital LankenauWynnewood | 21 | $105,299 | $20,772 | $18,725 |
| UPMC MercyPittsburgh | 20 | $145,171 | $21,454 | $18,615 |
| Milton S Hershey Medical CenterHershey | 20 | $194,911 | $28,176 | $25,770 |
| UPMC Pinnacle HospitalsHarrisburg | 18 | $88,790 | $19,653 | $17,410 |
| Thomas Jefferson University HospitalPhiladelphia | 18 | $125,126 | $26,988 | $22,186 |
| Hamot Medical CenterErie | 16 | $127,728 | $20,732 | $18,897 |
| Jefferson Health- NortheastPhiladelphia | 16 | $101,972 | $20,472 | $17,264 |
| York HospitalYork | 15 | $153,185 | $19,945 | $18,251 |
| Chester County HospitalWest Chester | 15 | $74,818 | $17,163 | $15,640 |
| Geisinger Medical CenterDanville | 14 | $214,462 | $23,891 | $20,482 |
| Chambersburg HospitalChambersburg | 14 | $65,949 | $18,503 | $16,849 |
| St Luke's Hospital BethlehemBethlehem | 13 | $175,931 | $30,445 | $15,461 |
| Penn Presbyterian Medical CenterPhiladelphia | 13 | $158,775 | $24,903 | $23,063 |
| Robert Packer HospitalSayre | 12 | $101,739 | $21,750 | $19,253 |
| Doylestown HospitalDoylestown | 12 | $70,097 | $16,619 | $15,355 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 11 | $95,509 | $17,960 | $16,612 |
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 | $16,619 |
|---|---|
| Main Line Hospital PaoliPaoli, PA | $17,073 |
| Chester County HospitalWest Chester, PA | $17,163 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr, PA | $17,960 |
| Lancaster General HospitalLancaster, PA | $18,168 |
Highest
| St Luke's Hospital BethlehemBethlehem, PA | $30,445 |
|---|---|
| Milton S Hershey Medical CenterHershey, PA | $28,176 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $26,988 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $25,901 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $24,903 |
Lower extremity and humerus procedures except hip, foot and femur with complications in other states
Questions
How much does lower extremity and humerus procedures except hip, foot and femur with complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for lower extremity and humerus procedures except hip, foot and femur with complications (DRG 493) at 26 hospitals in Pennsylvania was billed at $129,595 on average, while the average total payment was $21,646, of which Medicare paid $18,313. 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 6.0 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.