Major small and large bowel procedures without complications in Pennsylvania
What 23 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for major small and large bowel procedures without complications (DRG 331), from 2024 Medicare claims.
Average charge
$97,872
Hospital list price billed
Average payment
$16,084
Medicare + patient + other payers
Medicare paid
$11,883
Average per stay
State rank
#30 of 42
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $97,872 for major small and large bowel procedures without complications, about 6.1 times the average total payment of $16,084. That payment is about the same as the U.S. average of $16,035.
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 $16,084Billed $97,872
About 16¢ 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 without 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 | 44 | $141,228 | $20,415 | $15,922 |
| Main Line Hospital LankenauWynnewood | 34 | $86,569 | $15,368 | $12,277 |
| Lehigh Valley HospitalAllentown | 32 | $135,841 | $15,255 | $11,766 |
| Geisinger Medical CenterDanville | 30 | $140,714 | $17,216 | $13,680 |
| St Luke's Hospital BethlehemBethlehem | 30 | $144,604 | $19,420 | $10,546 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 26 | $63,856 | $14,090 | $10,533 |
| UPMC Pinnacle HospitalsHarrisburg | 25 | $64,583 | $14,736 | $10,777 |
| UPMC Presbyterian ShadysidePittsburgh | 23 | $158,319 | $16,591 | $10,981 |
| Milton S Hershey Medical CenterHershey | 22 | $55,615 | $19,978 | $12,105 |
| Robert Packer HospitalSayre | 21 | $60,657 | $15,209 | $11,511 |
| Geisinger-Community Medical CenterScranton | 20 | $124,964 | $14,368 | $10,096 |
| Lancaster General HospitalLancaster | 20 | $45,437 | $16,050 | $9,751 |
| Pocono Medical CenterEast Stroudsburg | 18 | $103,061 | $13,846 | $10,805 |
| Reading Hospital and Med CtrWest Reading | 16 | $62,527 | $14,344 | $12,761 |
| West Penn HospitalPittsburgh | 15 | $74,599 | $15,230 | $11,215 |
| Doylestown HospitalDoylestown | 15 | $68,602 | $13,693 | $8,943 |
| Abington Memorial HospitalAbington | 14 | $49,752 | $14,246 | $10,976 |
| York HospitalYork | 13 | $84,197 | $14,116 | $12,522 |
| Allegheny General HospitalPittsburgh | 13 | $70,368 | $17,390 | $12,452 |
| Grand View HospitalSellersville | 12 | $81,152 | $11,717 | $10,221 |
| UPMC PassavantPittsburgh | 12 | $85,628 | $11,343 | $9,662 |
| Thomas Jefferson University HospitalPhiladelphia | 12 | $98,193 | $18,429 | $15,261 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 12 | $92,184 | $16,084 | $14,079 |
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 | $11,343 |
|---|---|
| Grand View HospitalSellersville, PA | $11,717 |
| Doylestown HospitalDoylestown, PA | $13,693 |
| Pocono Medical CenterEast Stroudsburg, PA | $13,846 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr, PA | $14,090 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $20,415 |
|---|---|
| Milton S Hershey Medical CenterHershey, PA | $19,978 |
| St Luke's Hospital BethlehemBethlehem, PA | $19,420 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $18,429 |
| Allegheny General HospitalPittsburgh, PA | $17,390 |
Major small and large bowel procedures without complications in other states
Questions
How much does major small and large bowel procedures without complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for major small and large bowel procedures without complications (DRG 331) at 23 hospitals in Pennsylvania was billed at $97,872 on average, while the average total payment was $16,084, of which Medicare paid $11,883. 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 6.1 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.