Major small and large bowel procedures with major complications in Pennsylvania
What 43 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for major small and large bowel procedures with major complications (DRG 329), from 2024 Medicare claims.
Average charge
$252,775
Hospital list price billed
Average payment
$42,694
Medicare + patient + other payers
Medicare paid
$36,475
Average per stay
State rank
#30 of 47
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $252,775 for major small and large bowel procedures with major complications, about 5.9 times the average total payment of $42,694. That payment is 3% below the U.S. average of $43,910.
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 $42,694Billed $252,775
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 major 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 | 88 | $294,185 | $41,435 | $36,148 |
| Hospital of the Univ of PaPhiladelphia | 62 | $497,004 | $75,907 | $61,008 |
| UPMC Presbyterian ShadysidePittsburgh | 54 | $552,341 | $50,688 | $40,557 |
| Milton S Hershey Medical CenterHershey | 47 | $188,825 | $48,139 | $38,897 |
| Lancaster General HospitalLancaster | 44 | $118,687 | $33,948 | $30,551 |
| Abington Memorial HospitalAbington | 44 | $175,637 | $45,227 | $41,870 |
| Geisinger Medical CenterDanville | 40 | $310,556 | $42,610 | $37,445 |
| UPMC Pinnacle HospitalsHarrisburg | 35 | $154,636 | $37,961 | $33,483 |
| Reading Hospital and Med CtrWest Reading | 34 | $154,779 | $36,388 | $34,129 |
| Main Line Hospital LankenauWynnewood | 32 | $310,063 | $43,836 | $40,863 |
| St Luke's Hospital BethlehemBethlehem | 30 | $309,345 | $40,270 | $37,117 |
| York HospitalYork | 28 | $227,546 | $58,500 | $37,552 |
| Allegheny General HospitalPittsburgh | 28 | $234,869 | $51,357 | $40,307 |
| Hamot Medical CenterErie | 27 | $326,477 | $38,115 | $35,546 |
| Robert Packer HospitalSayre | 27 | $115,795 | $38,951 | $32,421 |
| St Clair Memorial HospitalPittsburgh | 27 | $146,631 | $29,499 | $24,466 |
| Chester County HospitalWest Chester | 25 | $143,094 | $33,821 | $32,453 |
| Geisinger-Community Medical CenterScranton | 24 | $328,912 | $35,389 | $31,466 |
| Thomas Jefferson University HospitalPhiladelphia | 24 | $288,052 | $63,080 | $48,436 |
| Riddle Memorial HospitalMedia | 22 | $221,419 | $30,573 | $29,238 |
| Doylestown HospitalDoylestown | 21 | $127,795 | $30,378 | $28,916 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 21 | $355,523 | $44,676 | $34,238 |
| UPMC PassavantPittsburgh | 19 | $240,131 | $28,537 | $27,478 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 19 | $187,387 | $33,415 | $27,496 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 18 | $271,808 | $47,783 | $40,316 |
| Grand View HospitalSellersville | 17 | $146,745 | $31,245 | $30,189 |
| Williamsport Hospital & Medical CenterWilliamsport | 16 | $223,599 | $30,678 | $29,156 |
| UPMC MemorialYork | 16 | $157,828 | $34,993 | $33,700 |
| Jefferson Health- NortheastPhiladelphia | 16 | $131,452 | $38,794 | $35,971 |
| St Mary Medical CenterLanghorne | 16 | $166,195 | $37,927 | $31,293 |
| Penn Presbyterian Medical CenterPhiladelphia | 15 | $307,459 | $39,393 | $36,401 |
| Saint Vincent Health CenterErie | 14 | $208,541 | $37,649 | $34,949 |
| Dubois Regional Medical CenterDubois | 14 | $119,414 | $38,116 | $36,137 |
| Main Line Hospital PaoliPaoli | 14 | $263,166 | $34,446 | $33,371 |
| St Luke's Hospital - Anderson CampusEaston | 14 | $296,347 | $51,756 | $33,531 |
| Gettysburg HospitalGettysburg | 13 | $134,861 | $33,502 | $32,372 |
| Good Samaritan HospitalLebanon | 13 | $115,927 | $40,478 | $28,773 |
| West Penn HospitalPittsburgh | 12 | $207,751 | $45,073 | $31,184 |
| Butler Health SystemButler | 12 | $77,815 | $28,497 | $27,681 |
| Pocono Medical CenterEast Stroudsburg | 12 | $197,427 | $42,266 | $30,830 |
| Chestnut Hill HospitalPhiladelphia | 11 | $422,642 | $42,149 | $38,163 |
| Altoona Regional Health SystemAltoona | 11 | $173,846 | $33,861 | $32,408 |
| Wilkes-Barre General HospitalWilkes-Barre | 11 | $257,327 | $35,209 | $33,103 |
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
| Butler Health SystemButler, PA | $28,497 |
|---|---|
| UPMC PassavantPittsburgh, PA | $28,537 |
| St Clair Memorial HospitalPittsburgh, PA | $29,499 |
| Doylestown HospitalDoylestown, PA | $30,378 |
| Riddle Memorial HospitalMedia, PA | $30,573 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $75,907 |
|---|---|
| Thomas Jefferson University HospitalPhiladelphia, PA | $63,080 |
| York HospitalYork, PA | $58,500 |
| St Luke's Hospital - Anderson CampusEaston, PA | $51,756 |
| Allegheny General HospitalPittsburgh, PA | $51,357 |
Major small and large bowel procedures with major complications in other states
Questions
How much does major small and large bowel procedures with major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for major small and large bowel procedures with major complications (DRG 329) at 43 hospitals in Pennsylvania was billed at $252,775 on average, while the average total payment was $42,694, of which Medicare paid $36,475. 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 5.9 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.