facebook tracking Major joint or limb reattachment procedures of upper extremities cost in Pennsylvania: 14 hospitals compared (DRG 483)

Major joint or limb reattachment procedures of upper extremities in Pennsylvania

What 14 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for major joint or limb reattachment procedures of upper extremities (DRG 483), from 2024 Medicare claims.

DRG 483 Inpatient 2024 Medicare data
Average charge $104,209 Hospital list price billed
Average payment $21,016 Medicare + patient + other payers
Medicare paid $17,710 Average per stay
State rank #19 of 39 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $104,209 for major joint or limb reattachment procedures of upper extremities, about 5.0 times the average total payment of $21,016. That payment is 7% below the U.S. average of $22,521.

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 $21,016Billed $104,209

About 20¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.

Pennsylvania hospitals: major joint or limb reattachment procedures of upper extremities

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
UPMC PassavantPittsburgh 38 $104,768 $17,369 $14,522
Main Line Hospital Bryn Mawr CampusBryn Mawr 28 $88,770 $19,321 $17,610
Bucks County Specialty HospitalBensalem 28 $71,444 $17,663 $16,089
UPMC Pinnacle HospitalsHarrisburg 25 $63,017 $21,366 $16,639
Lehigh Valley HospitalAllentown 25 $167,662 $22,561 $18,720
Thomas Jefferson University HospitalPhiladelphia 25 $107,608 $30,225 $19,663
Penn Presbyterian Medical CenterPhiladelphia 21 $133,506 $25,877 $24,380
Lancaster General HospitalLancaster 20 $63,308 $18,970 $17,578
Doylestown HospitalDoylestown 20 $89,585 $17,868 $16,463
Main Line Hospital PaoliPaoli 16 $89,068 $17,806 $16,044
St Luke's Hospital BethlehemBethlehem 15 $191,372 $25,761 $18,305
Williamsport Hospital & Medical CenterWilliamsport 12 $96,066 $18,198 $16,580
Chester County HospitalWest Chester 11 $83,380 $18,404 $16,772
Milton S Hershey Medical CenterHershey 11 $144,571 $25,280 $22,361
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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

UPMC PassavantPittsburgh, PA$17,369
Bucks County Specialty HospitalBensalem, PA$17,663
Main Line Hospital PaoliPaoli, PA$17,806
Doylestown HospitalDoylestown, PA$17,868
Williamsport Hospital & Medical CenterWilliamsport, PA$18,198

Highest

Thomas Jefferson University HospitalPhiladelphia, PA$30,225
Penn Presbyterian Medical CenterPhiladelphia, PA$25,877
St Luke's Hospital BethlehemBethlehem, PA$25,761
Milton S Hershey Medical CenterHershey, PA$25,280
Lehigh Valley HospitalAllentown, PA$22,561

Major joint or limb reattachment procedures of upper extremities in other states

Questions

How much does major joint or limb reattachment procedures of upper extremities cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for major joint or limb reattachment procedures of upper extremities (DRG 483) at 14 hospitals in Pennsylvania was billed at $104,209 on average, while the average total payment was $21,016, of which Medicare paid $17,710. 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 5.0 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.