facebook tracking Major small and large bowel procedures with complications cost in Pennsylvania: 47 hospitals compared (DRG 330)

Major small and large bowel procedures with complications in Pennsylvania

What 47 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for major small and large bowel procedures with complications (DRG 330), from 2024 Medicare claims.

DRG 330 Inpatient 2024 Medicare data
Average charge $135,588 Hospital list price billed
Average payment $22,602 Medicare + patient + other payers
Medicare paid $17,324 Average per stay
State rank #34 of 47 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $135,588 for major small and large bowel procedures with complications, about 6.0 times the average total payment of $22,602. That payment is 1% below the U.S. average of $22,927.

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 $22,602Billed $135,588

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 small and large bowel procedures 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
Hospital of the Univ of PaPhiladelphia 109 $204,946 $31,350 $23,376
Lehigh Valley HospitalAllentown 91 $149,612 $21,766 $17,169
Geisinger Medical CenterDanville 77 $169,370 $24,359 $19,242
UPMC Presbyterian ShadysidePittsburgh 76 $243,067 $34,052 $17,594
St Luke's Hospital BethlehemBethlehem 66 $195,544 $24,541 $17,059
Main Line Hospital LankenauWynnewood 66 $136,916 $22,411 $17,296
Milton S Hershey Medical CenterHershey 63 $103,363 $26,020 $20,495
Lancaster General HospitalLancaster 53 $72,769 $19,356 $15,552
UPMC Pinnacle HospitalsHarrisburg 49 $85,794 $19,855 $16,692
York HospitalYork 47 $103,678 $26,614 $16,317
Abington Memorial HospitalAbington 45 $70,301 $18,940 $16,194
UPMC PassavantPittsburgh 44 $143,019 $17,886 $13,377
Doylestown HospitalDoylestown 44 $72,671 $16,755 $15,327
Main Line Hospital Bryn Mawr CampusBryn Mawr 34 $98,131 $17,943 $16,347
Thomas Jefferson University HospitalPhiladelphia 34 $124,686 $31,264 $19,055
Wilkes-Barre General HospitalWilkes-Barre 33 $159,455 $18,058 $15,262
Penn Presbyterian Medical CenterPhiladelphia 32 $152,087 $24,249 $20,978
Allegheny General HospitalPittsburgh 31 $109,246 $22,362 $18,289
Robert Packer HospitalSayre 31 $93,424 $22,047 $18,393
West Penn HospitalPittsburgh 31 $132,578 $22,961 $17,766
Main Line Hospital PaoliPaoli 31 $129,555 $17,542 $14,806
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia 29 $152,225 $22,031 $19,763
Riddle Memorial HospitalMedia 28 $121,808 $16,027 $14,570
Reading Hospital and Med CtrWest Reading 27 $118,208 $20,602 $18,579
Geisinger-Community Medical CenterScranton 26 $189,096 $19,091 $14,569
Hamot Medical CenterErie 25 $169,001 $20,862 $18,817
St Clair Memorial HospitalPittsburgh 24 $91,932 $16,172 $13,675
Grand View HospitalSellersville 22 $86,405 $17,863 $12,847
Chester County HospitalWest Chester 21 $100,157 $17,373 $15,974
Geisinger Wyoming Vly Med CtrWilkes-Barre 20 $210,384 $23,552 $14,868
Pocono Medical CenterEast Stroudsburg 19 $124,159 $20,202 $14,574
Temple University HospitalPhiladelphia 18 $259,091 $27,788 $22,281
Mercy Hospital ScrantonScranton 16 $106,516 $18,836 $12,899
St Mary Medical CenterLanghorne 15 $110,269 $18,591 $16,978
Holy Redeemer Hosp and Med CtrJenkintown 14 $57,470 $17,039 $15,740
UPMC MemorialYork 14 $89,564 $18,967 $14,097
Conemaugh Valley Memorial HospitalJohnstown 14 $76,998 $22,257 $20,260
Dubois Regional Medical CenterDubois 13 $34,499 $17,618 $13,813
Saint Vincent Health CenterErie 12 $115,457 $20,872 $18,717
Heritage Valley BeaverBeaver 12 $57,873 $18,521 $16,203
Williamsport Hospital & Medical CenterWilliamsport 12 $102,043 $17,277 $15,845
Good Samaritan HospitalLebanon 12 $73,215 $20,714 $15,310
Ephrata Community HospitalEphrata 12 $142,042 $18,237 $14,776
Gettysburg HospitalGettysburg 11 $82,521 $17,968 $16,487
Magee Womens Hospital of UPMC Health SystemPittsburgh 11 $117,623 $20,442 $16,471
AHN Wexford HospitalWexford 11 $75,456 $19,710 $11,834
Penn State Health Lancaster Medical CenterLancaster 11 $107,086 $21,688 $12,515
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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

Riddle Memorial HospitalMedia, PA$16,027
St Clair Memorial HospitalPittsburgh, PA$16,172
Doylestown HospitalDoylestown, PA$16,755
Holy Redeemer Hosp and Med CtrJenkintown, PA$17,039
Williamsport Hospital & Medical CenterWilliamsport, PA$17,277

Highest

UPMC Presbyterian ShadysidePittsburgh, PA$34,052
Hospital of the Univ of PaPhiladelphia, PA$31,350
Thomas Jefferson University HospitalPhiladelphia, PA$31,264
Temple University HospitalPhiladelphia, PA$27,788
York HospitalYork, PA$26,614

Major small and large bowel procedures with complications in other states

Questions

How much does major small and large bowel procedures with complications cost in Pennsylvania?

In 2024 Medicare data, a hospital stay for major small and large bowel procedures with complications (DRG 330) at 47 hospitals in Pennsylvania was billed at $135,588 on average, while the average total payment was $22,602, of which Medicare paid $17,324. 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.