Major gastrointestinal disorders and peritoneal infections with complications in Pennsylvania
What 23 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372), from 2024 Medicare claims.
Average charge
$56,105
Hospital list price billed
Average payment
$9,745
Medicare + patient + other payers
Medicare paid
$7,636
Average per stay
State rank
#18 of 34
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $56,105 for major gastrointestinal disorders and peritoneal infections with complications, about 5.8 times the average total payment of $9,745. That payment is 4% below the U.S. average of $10,109.
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 $9,745Billed $56,105
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: major gastrointestinal disorders and peritoneal infections 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 | 41 | $56,072 | $9,522 | $7,243 |
| Reading Hospital and Med CtrWest Reading | 25 | $41,898 | $9,437 | $7,685 |
| York HospitalYork | 24 | $26,338 | $9,510 | $6,989 |
| Geisinger-Community Medical CenterScranton | 23 | $76,617 | $8,304 | $6,583 |
| Chester County HospitalWest Chester | 21 | $39,612 | $7,567 | $6,635 |
| St Mary Medical CenterLanghorne | 20 | $24,585 | $9,474 | $6,284 |
| Lancaster General HospitalLancaster | 19 | $30,945 | $8,234 | $7,119 |
| UPMC Presbyterian ShadysidePittsburgh | 19 | $147,873 | $11,778 | $7,749 |
| Temple University HospitalPhiladelphia | 18 | $87,587 | $13,123 | $10,887 |
| Robert Packer HospitalSayre | 17 | $33,486 | $9,392 | $7,840 |
| Milton S Hershey Medical CenterHershey | 16 | $49,452 | $11,395 | $9,280 |
| Geisinger Medical CenterDanville | 15 | $76,319 | $13,270 | $8,141 |
| Hospital of the Univ of PaPhiladelphia | 15 | $88,598 | $13,972 | $10,097 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 15 | $48,264 | $8,503 | $6,510 |
| Chambersburg HospitalChambersburg | 15 | $30,718 | $8,072 | $6,976 |
| Thomas Jefferson University HospitalPhiladelphia | 14 | $46,917 | $11,911 | $9,205 |
| Mount Nittany Medical CenterState College | 13 | $29,633 | $9,332 | $8,571 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 13 | $58,341 | $7,879 | $6,906 |
| Jefferson Health- NortheastPhiladelphia | 12 | $36,435 | $9,369 | $7,120 |
| Abington Memorial HospitalAbington | 12 | $40,819 | $8,993 | $7,154 |
| St Luke's Hospital BethlehemBethlehem | 11 | $88,663 | $10,393 | $8,953 |
| Main Line Hospital PaoliPaoli | 11 | $80,761 | $7,403 | $6,354 |
| Riddle Memorial HospitalMedia | 11 | $72,148 | $7,424 | $6,831 |
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
| Main Line Hospital PaoliPaoli, PA | $7,403 |
|---|---|
| Riddle Memorial HospitalMedia, PA | $7,424 |
| Chester County HospitalWest Chester, PA | $7,567 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $7,879 |
| Chambersburg HospitalChambersburg, PA | $8,072 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $13,972 |
|---|---|
| Geisinger Medical CenterDanville, PA | $13,270 |
| Temple University HospitalPhiladelphia, PA | $13,123 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $11,911 |
| UPMC Presbyterian ShadysidePittsburgh, PA | $11,778 |
Major gastrointestinal disorders and peritoneal infections with complications in other states
Questions
How much does major gastrointestinal disorders and peritoneal infections with complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for major gastrointestinal disorders and peritoneal infections with complications (DRG 372) at 23 hospitals in Pennsylvania was billed at $56,105 on average, while the average total payment was $9,745, of which Medicare paid $7,636. 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 5.8 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.