Other circulatory system diagnoses with complications in Pennsylvania
What 25 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for other circulatory system diagnoses with complications (DRG 315), from 2024 Medicare claims.
Average charge
$69,343
Hospital list price billed
Average payment
$10,079
Medicare + patient + other payers
Medicare paid
$7,488
Average per stay
State rank
#22 of 37
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $69,343 for other circulatory system diagnoses with complications, about 6.9 times the average total payment of $10,079. That payment is 3% below the U.S. average of $10,367.
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 $10,079Billed $69,343
About 15¢ 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: other circulatory system diagnoses 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 |
|---|---|---|---|---|
| UPMC Presbyterian ShadysidePittsburgh | 40 | $98,632 | $10,487 | $7,066 |
| Lehigh Valley HospitalAllentown | 37 | $60,052 | $9,124 | $6,687 |
| Hospital of the Univ of PaPhiladelphia | 32 | $119,612 | $14,270 | $10,083 |
| Milton S Hershey Medical CenterHershey | 27 | $59,116 | $11,288 | $8,659 |
| St Luke's Hospital BethlehemBethlehem | 26 | $70,136 | $9,623 | $7,920 |
| Thomas Jefferson University HospitalPhiladelphia | 22 | $97,642 | $15,419 | $11,979 |
| Abington Memorial HospitalAbington | 20 | $37,162 | $8,576 | $7,289 |
| Lancaster General HospitalLancaster | 19 | $52,349 | $11,169 | $6,880 |
| St Luke's Hospital - Monroe CampusStroudsburg | 19 | $63,573 | $7,618 | $5,945 |
| Main Line Hospital PaoliPaoli | 18 | $63,413 | $6,690 | $5,526 |
| Chester County HospitalWest Chester | 18 | $45,268 | $6,904 | $5,908 |
| Doylestown HospitalDoylestown | 18 | $32,475 | $6,754 | $5,813 |
| Geisinger Medical CenterDanville | 16 | $71,691 | $10,204 | $8,089 |
| Temple University HospitalPhiladelphia | 16 | $173,313 | $14,780 | $8,667 |
| Reading Hospital and Med CtrWest Reading | 16 | $40,119 | $8,559 | $7,345 |
| Allegheny General HospitalPittsburgh | 15 | $52,957 | $10,689 | $7,916 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 15 | $82,642 | $9,427 | $5,861 |
| St Luke's Hospital - Anderson CampusEaston | 14 | $69,631 | $10,803 | $7,839 |
| York HospitalYork | 13 | $41,430 | $13,223 | $6,545 |
| UPMC Pinnacle HospitalsHarrisburg | 13 | $47,836 | $8,460 | $7,093 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 13 | $62,074 | $7,642 | $5,265 |
| Main Line Hospital LankenauWynnewood | 13 | $59,688 | $8,907 | $7,455 |
| Penn Presbyterian Medical CenterPhiladelphia | 13 | $64,501 | $9,948 | $8,068 |
| St Mary Medical CenterLanghorne | 13 | $26,108 | $7,851 | $7,403 |
| Phoenixville HospitalPhoenixville | 11 | $48,683 | $7,892 | $6,388 |
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
| Main Line Hospital PaoliPaoli, PA | $6,690 |
|---|---|
| Doylestown HospitalDoylestown, PA | $6,754 |
| Chester County HospitalWest Chester, PA | $6,904 |
| St Luke's Hospital - Monroe CampusStroudsburg, PA | $7,618 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr, PA | $7,642 |
Highest
| Thomas Jefferson University HospitalPhiladelphia, PA | $15,419 |
|---|---|
| Temple University HospitalPhiladelphia, PA | $14,780 |
| Hospital of the Univ of PaPhiladelphia, PA | $14,270 |
| York HospitalYork, PA | $13,223 |
| Milton S Hershey Medical CenterHershey, PA | $11,288 |
Other circulatory system diagnoses with complications in other states
Questions
How much does other circulatory system diagnoses with complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for other circulatory system diagnoses with complications (DRG 315) at 25 hospitals in Pennsylvania was billed at $69,343 on average, while the average total payment was $10,079, of which Medicare paid $7,488. 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 6.9 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.