Medical back problems without major complications in Pennsylvania
What 76 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for medical back problems without major complications (DRG 552), from 2024 Medicare claims.
Average charge
$47,036
Hospital list price billed
Average payment
$8,592
Medicare + patient + other payers
Medicare paid
$6,314
Average per stay
State rank
#19 of 47
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $47,036 for medical back problems without major complications, about 5.5 times the average total payment of $8,592. That payment is 8% below the U.S. average of $9,373.
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 $8,592Billed $47,036
About 18¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Pennsylvania:
Pennsylvania hospitals: medical back problems without 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 | 276 | $55,519 | $8,798 | $6,511 |
| Abington Memorial HospitalAbington | 133 | $34,641 | $8,331 | $6,400 |
| Lancaster General HospitalLancaster | 105 | $32,282 | $7,875 | $5,898 |
| Reading Hospital and Med CtrWest Reading | 103 | $37,254 | $8,552 | $6,841 |
| St Luke's Hospital BethlehemBethlehem | 95 | $70,369 | $9,817 | $7,285 |
| St Luke's Hospital - Anderson CampusEaston | 73 | $70,587 | $11,538 | $7,701 |
| UPMC Presbyterian ShadysidePittsburgh | 67 | $91,435 | $10,244 | $6,886 |
| Allegheny General HospitalPittsburgh | 62 | $39,841 | $10,220 | $6,704 |
| Jefferson Health- NortheastPhiladelphia | 61 | $30,796 | $8,980 | $6,426 |
| Main Line Hospital PaoliPaoli | 61 | $62,149 | $7,014 | $5,354 |
| York HospitalYork | 60 | $33,240 | $10,401 | $6,394 |
| St Mary Medical CenterLanghorne | 55 | $30,925 | $8,012 | $5,838 |
| Grand View HospitalSellersville | 52 | $29,486 | $6,675 | $5,178 |
| Hamot Medical CenterErie | 52 | $54,756 | $8,724 | $7,101 |
| Geisinger-Community Medical CenterScranton | 48 | $77,163 | $7,531 | $5,919 |
| Geisinger Medical CenterDanville | 48 | $72,944 | $11,177 | $7,073 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 48 | $34,915 | $7,148 | $5,032 |
| Chester County HospitalWest Chester | 47 | $43,146 | $7,262 | $5,593 |
| UPMC PassavantPittsburgh | 46 | $43,927 | $7,134 | $4,726 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 44 | $80,687 | $8,347 | $6,403 |
| UPMC Pinnacle HospitalsHarrisburg | 43 | $30,332 | $8,017 | $6,458 |
| Thomas Jefferson University HospitalPhiladelphia | 43 | $63,095 | $13,186 | $8,217 |
| Dubois Regional Medical CenterDubois | 40 | $24,965 | $7,341 | $5,589 |
| Holy Spirit HospitalCamp Hill | 39 | $42,676 | $6,727 | $5,108 |
| UPMC MercyPittsburgh | 36 | $65,242 | $10,057 | $7,413 |
| Wilkes-Barre General HospitalWilkes-Barre | 36 | $43,299 | $7,057 | $5,301 |
| Williamsport Hospital & Medical CenterWilliamsport | 35 | $40,530 | $7,093 | $5,386 |
| Holy Redeemer Hosp and Med CtrJenkintown | 35 | $26,582 | $7,396 | $5,665 |
| Altoona Regional Health SystemAltoona | 34 | $28,770 | $7,821 | $5,595 |
| Pocono Medical CenterEast Stroudsburg | 32 | $45,882 | $7,681 | $5,799 |
| Main Line Hospital LankenauWynnewood | 31 | $62,269 | $8,722 | $6,965 |
| Chambersburg HospitalChambersburg | 30 | $29,263 | $8,064 | $6,224 |
| Mount Nittany Medical CenterState College | 29 | $26,090 | $8,755 | $7,241 |
| Penn Presbyterian Medical CenterPhiladelphia | 26 | $67,559 | $10,335 | $8,389 |
| Saint Vincent Health CenterErie | 25 | $40,903 | $8,279 | $6,726 |
| Lansdale HospitalLansdale | 24 | $27,097 | $6,459 | $4,827 |
| Temple University HospitalPhiladelphia | 24 | $118,763 | $13,342 | $9,803 |
| Doylestown HospitalDoylestown | 24 | $23,245 | $6,694 | $5,354 |
| Jefferson Regional Medical CenterClairton | 24 | $31,613 | $6,375 | $4,947 |
| St Luke's Hospital - Monroe CampusStroudsburg | 24 | $68,585 | $7,493 | $5,998 |
| Robert Packer HospitalSayre | 23 | $41,880 | $11,166 | $6,251 |
| Phoenixville HospitalPhoenixville | 23 | $42,572 | $7,892 | $6,238 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 23 | $56,692 | $7,554 | $6,039 |
| Conemaugh Valley Memorial HospitalJohnstown | 22 | $29,711 | $9,315 | $7,439 |
| Hospital of the Univ of PaPhiladelphia | 22 | $83,537 | $12,728 | $8,833 |
| Crozer Chester Medical CenterChester | 21 | $71,806 | $9,598 | $7,511 |
| Jefferson Einstein Montgomery HospitalEast Norriton | 21 | $36,570 | $9,129 | $6,747 |
| Geisinger St. Luke's HospitalOrwigsburg | 21 | $32,575 | $6,462 | $5,362 |
| UPMC St MargaretPittsburgh | 20 | $37,633 | $7,648 | $5,671 |
| Uniontown HospitalUniontown | 19 | $16,061 | $7,182 | $5,550 |
| Riddle Memorial HospitalMedia | 19 | $60,819 | $6,799 | $5,769 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 18 | $64,335 | $9,783 | $7,963 |
| Penn State Health Lancaster Medical CenterLancaster | 18 | $33,118 | $9,352 | $4,284 |
| Albert Einstein Medical CenterPhiladelphia | 17 | $40,673 | $13,155 | $9,391 |
| Milton S Hershey Medical CenterHershey | 17 | $54,222 | $11,607 | $7,610 |
| UPMC MemorialYork | 16 | $32,892 | $6,832 | $5,691 |
| Pottstown Memorial Med CenterPottstown | 16 | $47,036 | $6,982 | $5,554 |
| Evangelical Community HospitalLewisburg | 15 | $42,370 | $6,500 | $5,086 |
| Hazleton General HospitalHazleton | 15 | $45,058 | $6,838 | $5,426 |
| Lehigh Valley Hospital - Dickson CityDickson City | 15 | $30,197 | $8,011 | $4,532 |
| St Luke's Quakertown HospitalQuakertown | 14 | $63,532 | $8,283 | $7,117 |
| Meadville Medical CenterMeadville | 14 | $20,822 | $7,444 | $5,581 |
| UPMC EastMonroeville | 14 | $29,608 | $6,839 | $5,445 |
| St Joseph Medical CenterReading | 13 | $33,679 | $8,309 | $6,130 |
| Indiana Regional Medical CenterIndiana | 13 | $19,560 | $7,554 | $5,630 |
| AHN Wexford HospitalWexford | 13 | $24,824 | $6,094 | $4,413 |
| Heritage Valley SewickleySewickley | 12 | $11,070 | $5,769 | $5,050 |
| Carlisle Regional Medical CtrCarlisle | 12 | $24,769 | $6,618 | $5,258 |
| UPMC LititzLititz | 12 | $24,078 | $8,641 | $6,649 |
| Northwest Medical CenterOil City | 12 | $20,606 | $6,931 | $5,696 |
| Mercy Hospital ScrantonScranton | 12 | $45,649 | $7,173 | $5,303 |
| Penn State Health Hampden Medical CenterEnola | 12 | $28,126 | $10,728 | $4,481 |
| Washington Hospital, theWashington | 11 | $12,731 | $7,308 | $5,837 |
| Nazareth HospitalPhiladelphia | 11 | $30,632 | $9,083 | $7,151 |
| St Clair Memorial HospitalPittsburgh | 11 | $23,567 | $6,396 | $4,912 |
| St Luke's Hospital - Carbon CampusLehighton | 11 | $66,253 | $7,917 | $4,730 |
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
| Heritage Valley SewickleySewickley, PA | $5,769 |
|---|---|
| AHN Wexford HospitalWexford, PA | $6,094 |
| Jefferson Regional Medical CenterClairton, PA | $6,375 |
| St Clair Memorial HospitalPittsburgh, PA | $6,396 |
| Lansdale HospitalLansdale, PA | $6,459 |
Highest
| Temple University HospitalPhiladelphia, PA | $13,342 |
|---|---|
| Thomas Jefferson University HospitalPhiladelphia, PA | $13,186 |
| Albert Einstein Medical CenterPhiladelphia, PA | $13,155 |
| Hospital of the Univ of PaPhiladelphia, PA | $12,728 |
| Milton S Hershey Medical CenterHershey, PA | $11,607 |
Medical back problems without major complications in other states
Questions
How much does medical back problems without major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for medical back problems without major complications (DRG 552) at 76 hospitals in Pennsylvania was billed at $47,036 on average, while the average total payment was $8,592, of which Medicare paid $6,314. 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 5.5 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.